Sexual dysfunctions adversely affect a couple’s life. Premature ejaculation is a type of sexual dysfunction in which the orgasm occurs sooner than expected/wanted without control. Climaxing sooner than wanted by you or your partner may end up in unsatisfactory sexual experience. This type of dysfunction has a negative impact on the sexual satisfaction of both partners.
There are chances that premature ejaculation complicates reproduction. Premature ejaculation is a common disorder in men. Almost 30% to 40% of men experience premature ejaculation at some point in their lives. If this is an occasional occurrence, it is not a cause of worry. Psychological causes are the most prominent reasons for premature ejaculation, and it can be cured through psychological counseling.
Causes of Premature Ejaculation
Several factors contribute to premature ejaculation. Most cases of premature ejaculation are not related to any health disorder, but to different psychological factors. Psychological stress and depression are common causes of premature ejaculation. Any mental or emotional disturbances may cause premature ejaculation. Physical health issues like inflammation of the prostate gland or a nerve problem may also cause PE. There is also increasing evidence that biological factors increase the likelihood of PE in men. The common causes of premature ejaculation are as below:
- Psychological Causes
Issues with the perception of physical appearance, depression, previous sexual experiences, sexual abuse, anxiety about premature ejaculation, and guilt are major factors that influence premature ejaculation.
- Erectile Dysfunction
Anxiety regarding the attainment and maintenance of erection during sexual intercourse may result in PE. This is a pattern that is difficult to change.
Men who are anxious about sexual performance or other issues may experience premature ejaculation.
- Relationship Issues
Interpersonal issues play an important role in sexual intercourse. Problematic personal relationships with your partner may reflect on your sexual relationship.
- Biological Causes
There is evidence that certain biological factors interfere with sexual function. Abnormal hormone levels or abnormal levels of neurotransmitters may cause premature ejaculation. An inflamed prostate gland or urethra may cause premature ejaculation. In some cases, premature ejaculation may be an inherited trait.
- Stress and Depression
People who are experiencing work stress or stress from interpersonal issues may experience premature ejaculation. Depression is also another cause of premature ejaculation.
Treatment for premature ejaculation
Premature ejaculation can either be primary (lifelong) or secondary (acquired). Primary premature ejaculation occurs during all of your sexual encounters, while secondary premature ejaculation occurs after strained prior sexual experiences. Many men who feel they may have premature ejaculation should go through proper diagnosis and consultation with a specialist before confirming the issue.
Premature ejaculation cure depends on the cause of the issue. Options for premature ejaculation cure vary from simple counseling to medication. The common treatment methods for premature ejaculation include the following:
- Behavioral Therapy
This is one possible option for treating PE. Stop and start technique and squeeze technique are common behavioral therapies that have shown good results in treating PE. Stop and start technique involves the stimulation of the penis until the man feels like he is going to have an orgasm. Stop the arousal at this point, wait for about 30 seconds, and resume stimulation. This is repeated till the man actually ejaculates. In the squeeze technique, the partner gently applies pressure on the head of the penis when the man feels like he is attaining an orgasm. This is repeated a few times before the actual ejaculation.
- Prescription Medication
There are certain medications that can help delay ejaculation. Delayed orgasm may result from certain prescription medicines like those used to treat depression. Men who are given such medicines experience delayed ejaculation up to several minutes. Phosphodiesterase inhibitors are also known to help men with premature ejaculation by delaying orgasm.
- External Application of Creams
Stimulation during sexual intercourse can be reduced by applying creams to the penis for partial numbing. Using one or more condoms can also reduce the occurrence of premature ejaculation.
- Strengthening Pelvic Floor Muscles
Weak pelvic muscles can also cause premature ejaculation. Exercises to strengthen the pelvic floor can help in treating premature ejaculation caused by weakened muscles.
A psychologist or psychiatrist can help men deal with depression, stress, or anxiety causing premature ejaculation.
- Alternative Treatment Methods
Several alternative methods like meditation, yoga, and acupuncture are known to help fight premature ejaculation. The effectiveness of such methods is yet to be fully proven through research.
- Improving Interpersonal Relationship
In cases where strained interpersonal relationship causes premature ejaculation, efforts must be taken to set the relationship right. Frank and open-minded discussion with the partner can help in setting the relationship right.
Premature ejaculation can cause a considerable amount of distress for both partners. Primary premature ejaculation is known to affect only around 2% of men. The cure for premature ejaculation is decided on the basis of the diagnosis of the issue. In cases where psychological issues are the cause, the success of premature ejaculation cure methods is good.