Premature Ejaculation (Everything you need to know)

Premature Ejaculation

In this guide, we will learn about premature ejaculation in males and the reasons which are the driving forces for this psychological issue. In addition to that, we would focus on exploring the different types, causes, and symptoms for this issue.

Premature Ejaculation (Everything you need to know)

An Overview of Premature ejaculation

Premature ejaculation (PE) is a sexual dysfunction that causes a man to climax during sexual intercourse way much sooner than he expected or he wants. Although premature ejaculation is not a big disease or has any other harmful effects, it can become a reason for an unhappy household. 

Everyone has sexual desires, but if a person is involuntarily unable to perform well in bed, then it might be a reason for distress between partners. Early ejaculation can also cause a man to doubt his capabilities making him afraid to perform well and hence can even lead to erectile dysfunction (ED). 

A person with this problem is usually not ready to speak about his problem and suffers in silence in fear of being judged by the community. But let us inform you it is not a big issue and is faced by most men on Earth. Every tenth male of the whole population suffers from this terrifying disorder that scares them to the core. Resulting in performance anxiety, lack of confidence, less sex drive, the distance between partners, stress, thus results in affecting overall life. 

TYPES OF PREMATURE EJACULATION:

  • LIFELONG: 

It means that the person has always been ejaculating much before needed since his first sexual experience.

  • ACQUIRED: 

It means that the person has experienced better sexual relations and has acquired the dysfunction over time.

Many people assume that they are suffering from this disorder, but once or fewer such experiences could be because of natural reasons like stress or bad mood.

CAUSES OF PREMATURE EJACULATION:

Although the exact reasons for this disorder are unknown, some of the major factors are the following:

  • Stress
  • Depression
  • Sexual anxiety
  • Relationship problems
  • Low sex drive
  • Hormonal imbalance

If a person is suffering from any stress of work or home, it might lead him to less concentrate on having a pleasurable time and hence resulting in premature ejaculation. A person suffering from sexual anxiety could be really worried about performing well in bed, which can harm premature ejaculation. 

A major reason for this disorder could also be an unhappy relationship where partners are not comfortable with each other. They can have other personal issues; thus, they do not feel driven to have sexual intercourse or enjoy it since it can be an issue for premature ejaculation. Another reason could be a hormonal imbalance in the body. 

There is a secretion named serotonin in the body, which plays a major part in the ejaculation process. Higher the secretion of serotonin, the longer the period of ejaculation. Lack of serotonin in a man can lead to premature ejaculation. 

SYMPTOMS OF PREMATURE EJACULATION

There are no exact symptoms of the person suffering from this disorder until and unless he performs sexually and gets to know about it. One cannot know that he suffers from this disorder because premature ejaculation is a very common process that happens to 1 out of 3 men but is not persistent. If the following symptoms are observed over a longer period than it could be said that a person is suffering from premature ejaculation disorder and should consult a doctor:

  • Climaxing right before penetration or shortly afterward
  • Lesser sex drive
  • Continuous denial of accepting the fact 
  • Performance fright

WHO IS AT RISK OF SUFFERING FROM THIS DISORDER?

Premature ejaculation can happen to any man past his puberty, but mostly subjected are the men with the age of 18-40. Although this disorder has no direct link to age, aging could also be a factor of lower sexual performance. It is also said that every man would face this problem at least once in their lifetime. 

Premature Ejaculation (Everything you need to know)

DIAGNOSIS:

You should get a health expert opinion when you face this problem consistently. The expert would conduct some tests to examine your situation, but before that, here are some questions that he might ask you to understand your condition better. 

Now obviously, opening up about your sexual incapability could be a reason for embarrassment or anxiousness for most of the men. But as this phenomenon is quite common and could occur due to natural causes, hence there is no need to worry. Just give a read to the below questions to have an idea about the questions that might be asked during your visit to the clinic:

  • Since how long you have been facing this issue?
  • How often do you ejaculate early?
  • Is it at every try, or you have had better experiences?
  • Have you ever felt nervous about performance in bed?
  • Have you ever faced this issue before?
  • Are you being through rough times or have any stress?
  • How is your relationship with your partner?
  • Is she understanding or is always unhappy about early climaxes?
  • What activity turns you on the most? (foreplay, masturbation, different positions, etc.).

Go prepared for your health expert so that he could cure you efficiently. Before reaching any conclusion, you should consider all these questions by yourself and observe your pattern. And then you can make out whether you are facing this problem for real or is it just a momentary lapse? 

Observe your activity closely, and you can answer all these questions. There is also a possibility that you do not suffer from this disorder, and it was all just in your head, making you stressed. 

TREATMENT

As the disorder is common, hence, there are several treatments for this, and some of them are even home remedies that require just your concentration and dedication. Following are the worldwide known effective treatments for premature ejaculation:

PSYCHOLOGICAL THERAPY:

The first and foremost treatment or solution to this problem is psychological therapy. The core reason why any person faces this issue is because of the own psyche of the man. Some men have performance anxiety, some have bad experiences with previous partners, some have constant guilt of making partners unhappy, and some have lesser sex drive due to hormonal issues or personal relationship problems.

The single answer to all these reasons is psychological therapy. The main goal of this therapy is to let a person flush out all the negative and depressing thoughts out of his mind and take a fresh start with positive energy. And this could only happen if a person is willing to take a step for it mentally. If the mind is calm and relaxed and surrounded by positive and romantic energy around, there would be no performance pressure and no stress. 

This therapy may include both the partners and sessions might take together or separately if needed. Thus a man can fully open up about his issues to the counselor and always take advice and adopt new methods of bringing his love life back. Whereas the other partner is also advised to motivate their partners in bed and support him equally and do not show off any signs of discomfort or dissatisfaction. So that her partner could feel relaxed and just enjoy the moment. 

Behavioral THERAPY:

Some of the techniques and methods that are used to last longer in bed come under behavioral therapy. The basic concept of this therapy is to help your partner from premature ejaculation by restraining the turning on stimulus.

Premature Ejaculation (Everything you need to know)

SQUEEZE METHOD:

One of the methods for preventing premature ejaculation is the squeeze method. During intercourse, if the partner feels early climax or ejaculation, then he or his partner can squeeze the shaft of the penis gently. 

The pressure applied will help to subside early orgasm, enabling them to continue the relationship for a longer time. This process can be repeated as many times as necessary, and eventually, the individual will learn to control early orgasm himself without the need for squeezing.  

THE STOP START METHOD:

The stop-start technique is one of the several methods to gain control over premature climax and prolong intercourse. In this method, the partner helps to stimulate the penis until it feels like he is about to orgasm. Then withdraw the stimulation suddenly and press the head of the penis until the feeling of orgasm lessens. 

This technique can be repeated up to three times, and then the partner can climax at the fourth attempt. Practicing this technique repeatedly will help to regain control over early orgasm successfully.

MEDITATION TECHNIQUE: 

If any of the above techniques cannot help to resolve this problem, the individual may move towards medication therapy. However, none of the medication should be taken without the consultancy of the doctor. The doctor will demand a complete history of intercourse to prescribe any medical treatment, which will require a person’s proper compliance without any hesitation.

When SSRIs aren’t useful, then analgesics like tramadol (Ultram) may be used. Their common purpose is to relieve pain, and however delayed ejaculation might be included in its side effects.

Many antidepressants have proven to be beneficial for this problem. Their main mechanism is to lower the level of serotonin in the body, which is a neurotransmitter known to regulate sexual desire and function. These are also known as selective serotonin reuptake inhibitors (SSRIs) and include drugs like fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft). Another class of drugs used for treatment may include tricyclic antidepressants such as clomipramine (Anafranil).

Phosphodiesterase-5 inhibitors used for the treatment of erectile dysfunction might also help to overcome early ejaculation. Examples of these drugs are sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca), or vardenafil (Levitra, Staxyn).

TOPICAL DRUGS:

Another way of preventing this problem is the use of some topical creams and sprays, like lidocaine-prilocaine cream (EMLA). These will act as an anesthetic and will numb the penis, which will eventually subside the sensation, helping to prevent orgasm. Other creams and sprays include lidocaine, prilocaine, and benzocaine, which should be applied 10 to 15 minutes before intercourse.

Although topical aids are well tolerated, they might have some side effects like decreased sexual pleasure and temporary loss of sensitivity.

Counseling:

The best way to cope with this problem is to seek proper counseling. Talking about your problems with the mental health care provider can help to get over with anxiety and stress. Counseling, along with drug therapy, might be helpful in this situation.

Some Helpful Resources

  1. Handbook of Clinical Sexuality for Mental Health Professionals (500 Tips)
  2. Sexual Dysfunction, Third Edition: A Guide for Assessment and Treatment
  3. Ultimate Guide to Male Sexual Health
  4. Durex Prolong Climax Control Latex Condoms
  5. Cognitive-Behavioral Therapy for Sexual Dysfunction 
Premature Ejaculation (Everything you need to know)

CONCLUSION: 

Premature ejaculation is the problem in which a person is unable to control early orgasm. Causes might include some kind of stress, anxiety, nervousness, or problems with the partner. This might result in sexual displeasure, eventually affecting the lives of both partners. 

There are many methods to beat this problem, but all the methods require compliance and consent of both the partners. One could feel shameful about the situation adding up to the anxiety and stress and thereby worsening the condition. Thus both the partners should talk boldly about the problem and seek every possible treatment like home remedies or medical treatment. Seeking the advice of doctors and mental health care professionals, i.e., counselors lead to the proper cure of this situation and thus restores the sexual life. 

Frequently Asked Questions

Q1. What is premature ejaculation?

Premature ejaculation (PE) is primarily, a sexual dysfunction that makes a man to climax during sexual intercourse way much sooner than he desires or have expected. 

Q2. How can I cure premature ejaculation?

You may attempt to cure or treat premature ejaculation by utilizing topical anesthetics, behavioral techniques, counseling and medications. A combination of behavioral therapy and medications has been most effective in the treatment of sexual dysfunction instances. 

Q3. What is the main cause of premature ejaculation?

The main cause of premature ejaculation is not a single factor, rather it is a combination of several. Among psychological culprits are, depression, chronic stress and other related mental ailments or emotional problems. While there are biological factors that make a man more vulnerable towards suffering from sexual dysfunction, such as premature ejaculation. 

Q4. How long is a premature ejaculation?

The length or time duration of ejaculation that classifies it as ‘premature ejaculation’ has been identified as 1 minute after copulating (i.e. genital insertion) with their sexual partner. 

Q5. Can premature ejaculation result in pregnancy?

Yes, there is a likelihood of pregnancy from premature ejaculation as well. 

Q6. Is premature ejaculation a mental illness?

Premature ejaculation may not necessarily be considered an illness, if it is not causing distress, dissatisfaction or disruption in sexual relationship. It may have associated psychopathological aspects, such as depression and intimacy issues if it causes distress for the sufferer or their partner. 

Resources

  1. Premature Ejaculation: Causes and treatment
  2. An Overview of Premature Ejaculation
  3. What is premature ejaculation?
  4. All about premature ejaculation
  5. How to treat premature ejaculation?
  6. Premature ejaculation: How is it diagnosed?

Premature Ejaculation (Everything you need to know)

Juanita Agboola

Juanita Agboola is the editor in chief of HFNE and an expert in mental health online. She has been writing about online behaviour, mental health and psychology issues since 2012. All Guides are reviewed by our editorial team which constitutes various clinical psychologists, PhD and PsyD colleagues.