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Our online doctor and pharmacy service offers a discreet way to get assessed and obtain reliable prescription drugs that can help you manage your orgasms better.... Read more
Premature ejaculation (PE) is defined as a man ejaculating sooner than desired during sexual intercourse. This is a common issue that roughly 1 in 3 men will experience at some point in their lives. If it only happens occasionally, then this is nothing to worry about. The following signs can lead to a diagnosis of PE:
There are different types of ejaculation problems in men. These include:
Often there is no identifiable cause of premature ejaculation however there are various factors that may contribute:
There are various things you can try to control premature ejaculation before seeking medical help. These methods can help to relieve sensitivity and regain control:
There are many psychological factors that can cause premature ejaculation. These include:
If any of these factors strike a chord with you then this may be the root cause of your ejaculation problems. If you are unsure, consult a doctor so that they can rule out underlying physical conditions.
Biological factors which can cause premature ejaculation include:
Premature ejaculation can be distressing to experience, enhancing stress or anxiety. This can cause problems within relationships, particularly if you have not communicated with your partner about what is going on. Ejaculation problems can also make it difficult to father a child if sperm does not reach the vagina.
Premature ejaculation is defined as occurring within one minute of penetration. This may differ from person to person, however, as there is no right or wrong way to have sex. In general, if ejaculation happens much sooner than either you or your partner would like, causing frustration or problems in your relationship, then this is where it becomes a problem.
There are two types of premature ejaculation: primary and secondary. Primary premature ejaculation is something that has happened consistently since your first sexual experience.
Secondary premature ejaculation or “acquired premature ejaculation” occurs later in life, after your first sexual experience.
Premature ejaculation can be treated in a number of ways depending on the cause, including:
You should speak to your doctor about starting medications for PE
There are several self-help methods that you can try yourself to help you overcome premature ejaculation:
The following medications can help to treat premature ejaculation:
Speak to your doctor about medications for PE.
Dapoxetine is the only pharmacological agent specifically designed to treat premature ejaculation. It is a short-acting selective serotonin reuptake inhibitor (SSRI) that works by delaying orgasm.
Anaesthetic creams numb the penis and reduce physical sensations, making it more difficult to stimulate yourself to the point of ejaculation.
Other medications such as antidepressants and painkillers are used “off label” and utilise some of the side effects such as delayed orgasm to aid in treating PE.
The best treatment for either primary or secondary premature ejaculation will depend on the underlying cause. Secondary premature ejaculation which has occurred as a result of negative experiences or anxiety may be best treated by talking therapy or couples counselling.
The start-stop technique is a method which you, or your partner, can use to help overcome premature ejaculation. It involves stimulating the penis until you feel you are about to ejaculate, and then stopping before ejaculation actually occurs. Wait until the feeling has passed before commencing stimulation again. This can help to get your body used to sexual stimulation lasting longer.
The squeeze technique involves stimulating the penis, but stopping just before ejaculation occurs. At this point, you squeeze the head of the penis for 30 seconds until the feeling subsides. You can do this by yourself or with your partner.
Premature ejaculation can leave you feeling inadequate and frustrated and it may feel daunting to bring it up with your partner. Being open and honest with them is a positive step forward. Let them know what the problem is, what type of stress or worries you have and what they can do to help. If you are struggling to do this, couples counselling may be a good environment to start a discussion in a safe space. If you want to try any self-help techniques such as the squeeze technique or the stop-start technique, it may be helpful to involve your partner, showing them how to conduct these techniques.
Watching porn may be a contributing factor in causing premature ejaculation and there is no evidence to suggest it may help overcome it.
Masturbation can help to overcome premature ejaculation by taking it slowly to regain control. You can also implement the start-stop technique to train your body to delay orgasm. It may take a bit of practice to get it right but this has been proven to help.
Several studies and meta-analysis have concluded that circumcision does not have a significant effect on premature ejaculation, however, some studies have suggested that circumcision as a child may have a beneficial effect on male sexual function. Circumcision is not a recommended treatment for adult premature ejaculation.
Premature ejaculation may go away on its own as you gain confidence, learn more about your body and sex, and leave anxieties about sexual performance behind. Premature ejaculation is more common in younger men, which suggests that the prevalence of PE declines with age. If it’s a significant problem for you, however, regardless of age, it’s worth addressing.
Drinking too much alcohol can cause premature ejaculation to occur. It can also delay ejaculation.
Drug abuse is a known cause of premature ejaculation and may contribute to other ejaculation and erectile problems, particularly cocaine, amphetamines and cannabis.
If premature ejaculation only happens occasionally, then it's unlikely to cause any issues. However, if you experience this most or all of the time during sex, then you should see a doctor. They may recommend treatment or may wish to conduct some investigations to rule out underlying causes.
Premature ejaculation can occur during masturbation as well as sex. This can happen due to conditioning, for example, if you're used to rushing through masturbation through fear of someone walking in or hearing.
Premature ejaculation is not dangerous but it could be a sign of a thyroid or prostate issue. This is why it's important to see your doctor so that they can rule out any physical causes.
Stress is a common cause of premature ejaculation. It can be a vicious cycle: feeling under pressure to perform and then feeling stressed and frustrated about ejaculating prematurely. Talking to your partner about how you feel can help.
Medications can cause PE, particularly certain medications used to treat Parkinson's disease. Check-in with your doctor to see if any of your regular medications may be contributing to PE.
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