Anirban Biswas
- Jul 25, 2022
- 4 min read

Premature Ejaculation

Premature ejaculation (PE) is a common problem that many men face. It is a common problem that can cause distress and even embarrassment. It's estimated that around 50 percent of men experience some form of PE at some point in their lives.

What is Premature Ejaculation?

Premature Ejaculation means - an orgasm that occurs before the person wants it to, usually in less than two minutes.

In some cases, it can be caused by physical issues like a weak erection or an overly-sensitive penis. Other times, there may be psychological factors at play, such as anxiety or stress. Whatever the cause, premature ejaculation can make sex feel uncomfortable and can impact relationships. There are ways to address and overcome this problem, but it takes time and effort.

What are the Causes of Premature Ejaculation?

There are many causes of premature ejaculation, including physical and psychological factors. It can be caused by different things, like

Erectile Dysfunction: Rushing to ejaculate could become a habit if you're worried about getting and retaining an erection.
Poor body image
Physical problem with the penis like phimosis, Para phimosis etc.
Health condition like diabetes, atherosclerotic (vascular) disease.
Poor sexual technique
Medications
Psychological factors : anxiety, and stress
History of sexual abuse.
Relationship issues with partner
Hormonal imbalance.

What are the Symptoms of Premature ejaculation?

The main symptom of premature ejaculation is ejaculating sooner than desired.

The most symptoms of PE are :

Rapid ejaculation- Ejaculate within 1 to 3 minutes of penetration, almost invariably.
Sudden ejaculation- are unable to halt ejaculation entirely or almost entirely during sex.
Sexual inhibition- often experience anguish and frustration, and as a result, tend to avoid sexual interaction.

What are the Types of Premature Ejaculation?

A few types of premature ejaculation include:

Lifelong or Primary. After the first sexual contact, premature ejaculation lasts for the rest of one's life.
Acquired or Secondary. After past sexual encounters without ejaculation issues, acquired premature ejaculation develops.

What is the Treatment of Premature Ejaculation?

Premature ejaculation treatment depends upon its cause.PE is a common problem for men. It's defined as the inability to control when and how often you ejaculate. It can happen before, during, or after sex. If you're experiencing premature ejaculation, there are things you can do to improve your chances of having sex that is comfortable and successful like behavioral therapy, medications, and surgery.

Lifestyle changes:

Pelvic floor exercises like Male Kegel exercises target muscles in the male pelvic floor. Having weak pelvic floor muscles may make it more difficult to postpone ejaculation. Kegel exercises for the pelvic floor can aid in strengthening these muscles.

Behavioral therapy:

Behavioral therapy is a type of psychotherapy that aims to help people change their behaviors. It can be used to treat a range of mental health conditions, including premature ejaculation. Behavioral therapy for premature ejaculation typically involves learning how to delay orgasm by using different techniques such as the stop-start method or the squeeze technique. The therapist will also help you identify any triggers that may cause you to prematurely ejaculate and work on ways to avoid them.

SQUEEZE TECHNIQUE:

Start engaging in sexual activities and arousing the penis as soon as you feel ready to ejaculate.
The head and shaft of your penis can then be squeezed by either you or your companion. Squeeze for a few seconds more till the urge to ejaculate disappears.
If necessary, repeat the squeezing procedure.

Barrier method:

Condoms :The penis may become less sensitive after using condoms, which may assist postpone ejaculation.

Medications:

Topical anesthetics

Premature ejaculation is sometimes treated with creams, gels, and sprays that contain numbing agents like benzocaine, lidocaine, or prilocaine. They might make both couples feel less emotion and pleasure during sexual activity.

Oral Medications

1.Antidepressants

Premature ejaculation is treated with selective serotonin reuptake inhibitors (SSRIs), an antidepressant. Sertraline , paroxetine , citalopram , escitalopram , fluoxetine, and escitalopram are examples of SSRIs.

Clomipramine, a tricyclic antidepressant is also used sometimes if SSRI's are ineffective.

Nausea, sweating, tiredness, and diminished sex drive are possible side effects of antidepressant therapy.

2.Opoid Analgesic

like the drug tramadol is used sometimes. Adverse effects could include nausea, headaches, fatigue, and vertigo.

3.Phosphodiesterase-5 inhibitors

Premature ejaculation may be aided by several erectile dysfunction drugs. These medications include vardenafil, sildenafil , tadalafil , and avanafil .

4.Newer treatment under trials

Modafinil

It is mainly used in Narcolepsy which is a sleeping disorder common in obese patient with OSA (obstructive sleep apnea).

Silodosin

It is a drug used in male Prostate gland enlargement , also known as BPH (benign prostatic hypertrophy)

Onabotulinumtoxin A

Commonly known as Botox, it is a revolutionary drug which is used to treat neuro-muscular disorders and in cosmetic therapies. The possibility of treating premature ejaculation by administering Botox to the muscles involved is being investigated by researchers.

What are the complications of Premature Ejaculation?

Your personal life may suffer as a result of premature ejaculation. They could consist of:

Relationships issues:

Relationship stress is a frequent side effect of early ejaculation.

Fertility issues :

Sometimes premature ejaculation makes it difficult for a partner to become pregnant. If ejaculation doesn't take place in the vagina, this could happen.

Premature ejaculation can be a frustrating and embarrassing problem, but there are a number of treatments available that can help.

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