The second most frequent sexual issue among men (after erectile dysfunction) is early ejaculation or premature ejaculation. This is the lack of control over ejaculation that often happens earlier than the man wants it to be. Some men experience premature ejaculation as soon as the foreplay begins. Other men lose control of ejaculation as soon as penetration begins. In any case, premature ejaculation can cause stress and tension between the man and his partner.
Sometimes it is normal to lose control of your ejaculation, only when premature ejaculation happens frequently, then it is a problem. Most men sometimes reach orgasm sooner than they would like to. For example, it’s not uncommon for a man to experience premature ejaculation the first time he has sex. The occasional loss of control over ejaculation does not mean that a man has a sexual problem.
Premature ejaculation – causes
Premature ejaculation was once thought to be entirely psychological. There is also an evidence that some men (mostly those with lifelong premature ejaculation) have a chemical imbalance in the brain centers that control this function. This, in turn, can lead to related psychological problems such as sexual anxiety.
Fear of sexual failure, or muscle strain caused by some sexual positions can also contribute to premature ejaculation. Some men may be hypersensitive in certain areas of the body, making them more prone to premature ejaculation.
Premature ejaculation can be brought on by psychological factors below:
- depression or anxiety disorders
- fear of rejection by a sexual partner,
- negative sexual experiences in childhood,
- religious beliefs,
- relationship problems.
Among other factors influencing premature ejaculation are:
- genetic predisposition,
- bad health condition,
- emotional problems,
- the use of certain drugs and drugs: amphetamines, cocaine and dopaminergic drugs,
- neurological causes – e.g. multiple sclerosis , peripheral neuropathies.
Premature ejaculation – treatment
Treatment for premature ejaculation will vary depending on the cause and whether it is lifelong ejaculation or acquired ejaculation. Treatment for premature ejaculation includes:
Behavioral techniques – these include Semans ‘stop-start’ technique and Masters and Johnson’s ‘squeeze’ technique:
Semans’ technique is about learning to control your sensations before you ejaculate. The idea is to get close to ejaculating repeatedly and then stop and rest. If you do this frequently enough, you will eventually learn to recognize your “point of no return.”
The Masters and Johnson technique (named after famous sex researchers) involves squeezing the end of your penis just before you ejaculate to reduce your urge to ejaculate. These exercises can be done by yourself or with a partner.
Kegel exercises: This exercise is designed to strengthen the pelvic floor. This is an activity you must practice when your bladder is empty. Identify your pelvic floor muscles and firmly tense your muscles and hold for 10 seconds. Repeat this 10 times, and repeat the same process 3 times per day.
Psychotherapy and counseling – under the guidance of an experienced sexologist, all hidden fears related to sexual intercourse can be examined and relieved.
Penile sensation reduction – local anesthetic sprays and creams may be used to reduce penile sensation and should be applied 30 minutes before intercourse. To prevent absorption by your partner, use these treatments in conjunction with a condom.
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Premature ejaculation is disorder that experience more than 30% of male population. It’s important to define the stage of this sexual disorder and based on this stage choose the appropriate treatment. Early stages of premature ejaculation can be easily treated by various Behavioral techniques and Kegel exercise. However, more severe stages of premature ejaculation require more effective treatment. Modern medicine offers the ideal treatment steps for premature ejaculation in a form of premature ejaculation pills.