Premature Ejaculation: What and how to solve?


This is highly related to conjugal life. It’s a common problem for the beginners. Sometimes it solved naturally within a short time. But in some cases it’s a problem for long time. So, we should have knowledge about premature ejaculation & its treatment.

What is ejaculation?

Ejaculation is the release of semen from the penis following sexual climax. When a man is sexually stimulated, the brain sends signals to the genital area through nerves in the spinal cord to contract the pelvic muscles. At the start of this process, waves of muscle contractions transport the sperm, with a small amount of fluid, from the testes. The seminal vesicles and prostate contribute extra fluid to protect the sperm. This mixture of fluid and sperm travels along the urethra to the tip of the penis where it is released (ejaculated) at the time of sexual climax (orgasm).

What is premature ejaculation (PE)?

Premature ejaculation is the most common male sexual problem and affects men of all ages. This is more common in younger men. Premature ejaculation happens when a man is unable to control the timing of ejaculation, and ejaculates before his partner feels ready for this to happen. A man may reach climax after 10 minutes of sexual intercourse, but this is not premature ejaculation if his partner regularly climaxes in 7 minutes and both are satisfied with the timing.

Most professionals who treat premature ejaculation define this condition as “the occurrence of ejaculation prior to the wishes of both sexual partners.”

Types of premature ejaculation:

There are two different types of premature ejaculation. These are:

  • Primary: Primary premature ejaculation applies to individuals who have had the condition since they became capable of functioning sexually.
  • Secondary: Secondary premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control; and for unknown reasons, he began experiencing premature ejaculation later in life.

Causes of Premature Ejaculation:

Premature ejaculation relates to the loss of control over ejaculation. There is no universal definition; ejaculation is usually considered to be premature if it occurs within 2 minutes of intercourse and is unable to be controlled by the man. It may be caused by: stress, performance-related anxiety, guiltiness and other relationship issues or hypersensitivity of the skin of the penis.

Available treatment option for premature ejaculation:

Premature ejaculation does not usually cause infertility, although sometimes it can cause problems for couples trying to become pregnant. Men who have premature ejaculation feel embarrassed when ejaculation happens before vaginal penetration. Premature ejaculation can cause great anxiety and men often feel more anxious when they try to find ways to manage the problem. Available treatment options are:

  1. Counseling: Counseling with an experienced sex therapist may be the best treatment option.
  2. Sensation reduction: Reducing penile sensation can help delay ejaculation. Local anesthetic gels and creams can be used and should be applied up to 30 minutes before sexual intercourse.
  3. Behavioral techniques: “stop-start” & “squeeze” technique can be used for delaying ejaculation.
  4. Oral medication: Some antidepressants and selective serotonin re-uptake inhibitors (SSRIs) have the side-effect of delayed ejaculation and are now commonly prescribed by doctors for premature ejaculation.

Any treatment should be discussed with your doctor.

Premature ejaculation is a very treatable condition, but too many men just avoid looking for a serious treatment. If someone discuss with his family doctor seriously about this problem he/she will suggest the best treatment option for him. Keep in mind that longer foreplay can help increase satisfaction of your partner as well as delay your ejaculation. Longer foreplay will indeed improve your relationship by reducing dissatisfaction or frustration.


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