What are the main causes of premature ejaculation. How is premature ejaculation diagnosed. Can premature ejaculation be prevented or avoided. What are the most effective treatments for premature ejaculation.

Understanding Premature Ejaculation: Definition and Prevalence

Premature ejaculation (PE) is a common sexual dysfunction that affects many men worldwide. It occurs when a man reaches orgasm and ejaculates sooner than desired during sexual activity, often before or shortly after penetration. This condition can lead to frustration, embarrassment, and relationship issues for both partners involved.

The prevalence of premature ejaculation is significant, with studies suggesting that up to 40% of men experience this problem at some point in their lives. This high percentage underscores the importance of understanding and addressing this sexual health concern.

Defining Premature Ejaculation

There is no universally agreed-upon time frame that defines premature ejaculation. Instead, it is generally considered to occur when ejaculation happens before both partners are satisfied with the duration of sexual activity. This subjective definition highlights the importance of individual and couple preferences in determining what constitutes PE.

Impact on Sexual Satisfaction and Relationships

Premature ejaculation can have a significant impact on sexual satisfaction and overall relationship quality. Men who experience PE may feel inadequate or embarrassed, leading to decreased self-esteem and avoidance of sexual encounters. Partners may feel frustrated or unsatisfied, potentially causing tension within the relationship.

Identifying Symptoms and Causes of Premature Ejaculation

The primary symptom of premature ejaculation is the inability to delay ejaculation for more than a minute after penetration. However, it’s important to note that PE can also occur before penetration or during other forms of sexual stimulation.

Common Causes of Premature Ejaculation

Premature ejaculation can be caused by a combination of psychological and physical factors. Some of the most common causes include:

• Anxiety about sexual performance
• Stress and depression
• Relationship problems
• Hormonal imbalances
• Abnormal levels of brain chemicals, particularly serotonin
• Hypersensitivity of the penis
• Erectile dysfunction
• Certain medications
• Genetic predisposition

Is premature ejaculation a sign of a serious health problem? In most cases, PE is not indicative of a serious underlying health condition. However, in rare instances, it may be associated with nervous system damage from surgery or trauma. If you’re concerned about your symptoms, it’s always best to consult with a healthcare professional.

Diagnosing Premature Ejaculation: What to Expect

Diagnosing premature ejaculation typically involves a combination of medical history, physical examination, and open communication with a healthcare provider. The process is designed to rule out any underlying medical conditions and determine the most appropriate treatment approach.

Steps in the Diagnostic Process

1. Medical history: Your doctor will ask about your sexual and medical history, including the duration and frequency of PE symptoms.
2. Physical examination: A general physical exam may be conducted to check for any obvious physical causes.
3. Psychological evaluation: Your doctor may ask questions about your mental health and relationship status to assess any psychological factors.
4. Laboratory tests: In some cases, blood or urine tests may be ordered to check hormone levels or rule out other medical conditions.

How is premature ejaculation diagnosed? The diagnosis of PE is primarily based on the patient’s self-reported symptoms and medical history. There is no specific test for premature ejaculation, but your healthcare provider will use the information gathered during the diagnostic process to determine if you meet the criteria for PE and to develop an appropriate treatment plan.

Prevention and Avoidance Strategies for Premature Ejaculation

While premature ejaculation can be a challenging condition to manage, there are several strategies that can help prevent or avoid its occurrence. These methods focus on improving sexual techniques, reducing anxiety, and enhancing overall sexual health.

Behavioral Techniques

Behavioral methods have proven effective for more than 50% of men experiencing premature ejaculation. These techniques include:

• Start-stop method: This involves stimulating the penis until just before the point of ejaculation, then stopping stimulation for about 30 seconds before resuming. This process is repeated several times before allowing orgasm.
• Squeeze technique: Similar to the start-stop method, but involves gently squeezing the head of the penis for about 30 seconds when approaching ejaculation.
• Kegel exercises: Strengthening the pelvic floor muscles can help improve ejaculatory control.
• Deep breathing: Practicing relaxation techniques can help reduce anxiety and improve control.

Lifestyle Changes

Certain lifestyle modifications can also help prevent premature ejaculation:

• Regular exercise: Physical activity can reduce stress and improve overall sexual function.
• Healthy diet: Proper nutrition supports overall health and can positively impact sexual performance.
• Adequate sleep: Getting enough rest can help reduce stress and improve sexual function.
• Limiting alcohol consumption: Excessive alcohol intake can contribute to sexual dysfunction.
• Open communication with partners: Discussing concerns and expectations can reduce anxiety and improve sexual experiences.

Can premature ejaculation be prevented or avoided? While it may not be possible to completely prevent PE in all cases, implementing these strategies can significantly reduce its occurrence and impact on sexual satisfaction.

Effective Treatments for Premature Ejaculation

Treatment for premature ejaculation often involves a combination of approaches, tailored to the individual’s needs and the underlying causes of their condition. The most effective treatments typically fall into three categories: behavioral methods, psychological assistance, and medical treatments.

Behavioral Methods

Behavioral techniques are often the first line of treatment for premature ejaculation due to their non-invasive nature and effectiveness. These methods focus on helping men gain better control over their ejaculatory response through practice and awareness.

• Start-and-stop method: This technique involves stimulating the penis until the man feels he is about to ejaculate, then stopping stimulation for about 30 seconds before resuming. This process is repeated 3-4 times before allowing orgasm.
• Squeeze method: Similar to the start-and-stop method, but involves gently squeezing the head of the penis for about 30 seconds when approaching ejaculation.
• Pelvic floor exercises: Strengthening the muscles that control ejaculation can help improve control.
• Distraction techniques: Focusing on non-sexual thoughts during intercourse can help delay ejaculation.

Psychological Assistance

For many men, premature ejaculation has psychological roots. In these cases, seeking help from a mental health professional can be beneficial:

• Individual therapy: Can help address underlying anxiety, depression, or other emotional issues contributing to PE.
• Couples therapy: Useful when relationship problems are a factor in PE.
• Sex therapy: Focuses specifically on sexual issues and can provide strategies for managing PE.

Medical Treatments

In some cases, medical interventions may be necessary to effectively treat premature ejaculation:

• Topical anesthetics: Creams or sprays applied to the penis to reduce sensitivity.
• Selective serotonin reuptake inhibitors (SSRIs): Antidepressants that can help delay ejaculation as a side effect.
• Phosphodiesterase-5 inhibitors: Medications used for erectile dysfunction that may also help with PE.
• Tramadol: An opioid pain medication that has shown some effectiveness in treating PE.

What are the most effective treatments for premature ejaculation? The most effective treatment approach often involves a combination of behavioral techniques, psychological support, and, if necessary, medical interventions. The best treatment plan will vary depending on the individual’s specific situation and the underlying causes of their PE.

The Role of Communication and Relationship Dynamics in Managing PE

Effective communication between partners plays a crucial role in managing premature ejaculation and its impact on sexual relationships. Open, honest dialogue can help reduce anxiety, set realistic expectations, and foster a supportive environment for addressing PE.

Importance of Partner Support

A supportive partner can significantly contribute to the successful management of premature ejaculation. This support can manifest in several ways:

• Emotional support: Offering understanding and reassurance can help reduce performance anxiety.
• Participation in treatment: Engaging in behavioral techniques together can improve their effectiveness.
• Exploring alternative forms of intimacy: Focusing on non-penetrative sexual activities can reduce pressure and enhance overall sexual satisfaction.

Addressing Relationship Issues

In some cases, premature ejaculation may be a symptom of underlying relationship problems. Addressing these issues can be an important part of managing PE:

• Improving overall communication: Enhancing general communication skills can positively impact sexual communication.
• Resolving conflicts: Addressing unresolved issues that may be contributing to sexual anxiety.
• Setting realistic expectations: Discussing and aligning expectations regarding sexual activity and performance.

How can communication improve the management of premature ejaculation? Open communication can reduce anxiety, foster understanding, and allow couples to work together in implementing treatment strategies, ultimately leading to improved sexual experiences and relationship satisfaction.

Lifestyle Factors and Their Impact on Premature Ejaculation

Various lifestyle factors can influence the occurrence and severity of premature ejaculation. By making certain lifestyle modifications, men may be able to improve their ejaculatory control and overall sexual function.

Diet and Nutrition

A balanced diet rich in certain nutrients may help improve sexual function:

• Zinc: Found in oysters, beef, and pumpkin seeds, zinc is essential for male sexual health.
• Magnesium: This mineral, found in leafy greens and nuts, can help regulate nerve function.
• Omega-3 fatty acids: Found in fish and flaxseeds, these can improve blood flow and hormone production.

Exercise and Physical Activity

Regular exercise can have numerous benefits for sexual health:

• Improved cardiovascular health: Better blood flow can enhance sexual function.
• Reduced stress: Physical activity can lower stress levels, which may contribute to PE.
• Increased stamina: Better overall fitness can improve sexual performance.

Stress Management

High stress levels can exacerbate premature ejaculation. Effective stress management techniques include:

• Meditation and mindfulness practices
• Yoga
• Deep breathing exercises
• Regular leisure activities

How do lifestyle factors affect premature ejaculation? Lifestyle factors such as diet, exercise, and stress levels can significantly impact sexual function. By adopting healthier habits, men may be able to improve their ejaculatory control and overall sexual satisfaction.

Future Directions in Premature Ejaculation Research and Treatment

The field of sexual medicine continues to evolve, with ongoing research into new treatments and a deeper understanding of the mechanisms underlying premature ejaculation. These advancements promise to improve the management of PE in the future.

Emerging Treatments

Several new approaches to treating premature ejaculation are currently being researched:

• Botulinum toxin injections: Early studies suggest that targeted injections may help delay ejaculation.
• Newer SSRIs: Researchers are exploring medications specifically designed to treat PE with fewer side effects.
• Gene therapy: Understanding the genetic factors contributing to PE may lead to targeted treatments.

Improved Diagnostic Tools

Advancements in diagnostic techniques may lead to more personalized treatment approaches:

• Biomarker identification: Discovering biological markers associated with PE could improve diagnosis and treatment selection.
• Brain imaging studies: Neuroimaging may provide insights into the brain’s role in ejaculatory control.

Holistic Approaches

Future treatments may increasingly focus on addressing PE from a more comprehensive perspective:

• Integrated treatment protocols: Combining medical, psychological, and behavioral approaches for optimal results.
• Personalized medicine: Tailoring treatments based on individual genetic, physiological, and psychological factors.

What developments can we expect in premature ejaculation treatment? Future advancements in PE treatment are likely to include more targeted medications, improved diagnostic tools, and comprehensive treatment approaches that address the multifaceted nature of the condition.

Premature Ejaculation – Causes and Treatment

Table of Contents

What is premature ejaculation?

Premature ejaculation happens when an individual has an orgasm sooner than they or their partner would like. Premature ejaculation can happen before or shortly after penetration.

There is no set time for how long a person should “last” during sex. But when an individual has an orgasm before they want to, they lose their erection and can’t continue with intercourse. Premature ejaculation can be frustrating and embarrassing. You may feel you don’t have enough time to enjoy sex. You may have difficulty satisfying your partner. For some people, embarrassment about premature ejaculation can cause problems with intimacy and damage their relationships.

Premature ejaculation is a common problem. Up to 40% of individuals have this problem at some time in their lives.

Symptoms of premature ejaculation

Most often, you will have no other symptoms other than the premature ejaculation itself.

What causes premature ejaculation?

A number of emotional and physical factors can lead to premature ejaculation. It may happen when a person becomes too excited or stimulated, or if their penis is very sensitive. It may also happen if they’re nervous or uncomfortable with a new partner. Other common causes include the following:

• Anxiety about performance
• Guilty feelings
• Depression
• Stress
• Relationship problems
• Erectile dysfunction

People who have a low amount of a special chemical called serotonin in their brain may have problems with premature ejaculation.

Is premature ejaculation a sign of a serious health problem?

Not in most cases. Rarely, premature ejaculation results from a serious health problem, such as nervous system damage from surgery or trauma.

How is premature ejaculation diagnosed?

If premature ejaculation is interfering with your sex life, talk to your doctor. They will perform a physical exam and ask you some questions. Based on your answers, your doctor may order some lab work and will provide a diagnosis. They will also be able to answer your questions and reassure you that this is a common problem.

Can premature ejaculation be prevented or avoided?

Premature ejaculation can be prevented or avoided, depending on what is causing it. Most of the time, using the behavioral methods listed below will work to prevent it.

Can premature ejaculation be prevented or avoided?

Premature ejaculation can be prevented or avoided, depending on what is causing it. Most of the time, using the behavioral methods listed below will work to prevent it.

Behavioral methods

Behavioral methods are helpful for more than 50% of people who have premature ejaculation.

In this type of treatment, you practice controlling your ejaculation, either alone or with a partner.

 In the start-and-stop method, you or your partner will stimulate your penis until you feel like you are about to have an orgasm. Then the stimulation stops for about 30 seconds. Once you regain control of your response, stimulation begins again. This process is repeated 3 or 4 times before you allow yourself to have an orgasm.

• The squeeze method works in a similar way. When you feel like you are about to ejaculate, you or your partner will gently squeeze the head of your penis for about 30 seconds so that you begin to lose your erection. You repeat this process several times before you allow yourself to reach orgasm.

In addition to using a behavioral method, you may want to try thought distractions. For example, while you’re being sexually stimulated, think about the names of players on your favorite sports team.

Psychological assistance

Anxiety, depression, and other emotional issues can lead to premature ejaculation. For these issues, seeking the help of a psychologist, psychiatrist, or sex therapist may be helpful. Couples therapy may also help if relationship problems may be the cause.

Medical treatments

Several medical treatments may help people who have premature ejaculation. Some antidepressants seem to help delay ejaculation, including antidepressants called selective serotonin reuptake inhibitors (SSRIs). These antidepressants are available with your doctor’s prescription. However, the U.S. Food and Drug Administration (FDA) has not approved the use of these medicines to treat premature ejaculation. Also, antidepressants may cause side effects such as nausea, dry mouth and drowsiness. Antidepressants may also decrease your desire to have sex. Your doctor can help you decide if an antidepressant is right for you.

Medicines used to treat erectile dysfunction may also help prevent premature ejaculation. Your doctor may prescribe one of these medicines alone or in combination with an antidepressant.

Anesthetic creams can also be used to prevent premature ejaculation. These creams are applied to the head of the penis to make it less sensitive. Usually, the cream is applied about 30 minutes before sex and then washed off once it has decreased the feeling in your penis. The cream must be washed off before sex. If it is left on, it can cause a loss of erection and vaginal numbness.

For some people, simply wearing a condom can help delay ejaculation because it may make the penis slightly less sensitive.

Living with premature ejaculation

Premature ejaculation is very common. But if it happens frequently, talk to your doctor. There are many techniques you can use that may help prevent it. You should also talk to your partner. Often, they may feel responsible or disconnected. Talking about it can help put both of you more at ease. Also, your partner can help with the strategies described above for controlling your ejaculation.

Questions to ask your doctor

• What can I do to stop myself from ejaculating so quickly?
• Is there a medicine that I can take that will help?
• I’m embarrassed by this—is there someone I can talk to about it?
• Premature ejaculation is causing problems in my relationship; should we go to counseling?
• Should I wear a condom when I have sex?
• Is there an underlying problem that could be causing my premature ejaculation?

Resources

American Association of Sexuality Educators, Counselors and Therapists

American Urological Association

Copyright © American Academy of Family Physicians

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

Premature Ejaculation: Why Does It Happen?

Premature ejaculation is, as its name suggests, a tendency for a man to ejaculate with little sexual stimulation, usually prior to the commencement of sexual intercourse or just after it begins.

Premature ejaculation is considered the most common type of male sexual dysfunction. Doctors estimate between 20 percent and 30 percent of men experience premature ejaculation at some point during their lives.

Men living with premature ejaculation face a great deal of emotional turmoil. They feel distress, embarrassment, and a lack of control.

Reasons for Premature Ejaculation

There are both psychological and biological reasons for premature ejaculation. The psychological causes include:

• Early sexual experiences that establish a pattern in which sex is linked to excitement, anxiety, and a demand to perform quickly for fear of being caught. Men find themselves hypersensitive and unable to slow down and enjoy the pleasure of sex.
• Anxiety about sexual performance or about other life issues. This anxiety can create overstimulation that leads to premature ejaculation.
• Worry over erectile dysfunction. Men anxious about achieving or maintaining erection might begin rushing to ejaculate, then have trouble getting their bodies out of that habit.

Biological and other causes for premature ejaculation include:

• Abnormal hormone levels
• Low levels of the neurotransmitter serotonin
• Abnormal condition affecting the ejaculatory system
• Thyroid problems
• Inflammation or infection of the reproductive organs, specifically the prostate or the urethra
• Damage to the nervous system, which could have been caused by trauma or surgery
• The use of drugs
• Diabetes and/or cardiovascular disease

Premature Ejaculation: Treatment and Coping

Men experiencing premature ejaculation caused by psychological issues should consider behavioral therapy. Such therapy might involve masturbating an hour or two before sex to give yourself a better chance of delaying ejaculation, or arousing your partner prior to sex so that your orgasms can take place at the same time.

A man also might choose to avoid intercourse for a while, focusing instead on other forms of sexual play and giving himself a chance to work through the anxiety and pressure that is affecting his performance.

Other ways to treat or cope with premature ejaculation include:

• The stop-and-start method. The man slows down or reduces stimulation when he feels himself nearing climax. This might involve removing his penis, or simply becoming very still. Once the moment has passed, he then resumes intercourse.
• The squeeze. The man’s partner squeezes the tip of his penis when he feels himself about to climax. The partner maintains the squeeze for several seconds, until the urge to ejaculate passes. After another 30 seconds, the man and his partner can go back to sex. Repeating this can help the man train his body away from premature ejaculation.
• Condom use. Condoms reduce the amount of stimulation the man is receiving and can help him last longer.
• Desensitizing lubricants. These contain a mild anesthetic that temporarily numbs the skin of the penis.
• Medication. Antidepressants can be prescribed to help delay a man’s orgasm.

And, of course, there’s the old joke about “thinking of baseball stats” when the urge to climax approaches. Focusing his thoughts on something non-sexual can help a man last longer.

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Why does a guy finish quickly, what to do?

Studies say that 40-70% of men experience premature ejaculation. Often it is the girls who complain about their boyfriends, saying that he ends very quickly and she does not get pleasure and cannot get it. What girl will not be upset by this, because no matter what the relationship is, you really want to feel like in heaven, at least occasionally.

Some say that the guy ends quickly, most likely for the reason that the girl is incredibly beautiful and during intercourse he just goes crazy from her divine appearance. Yes, in a very small percentage there may be such a reason, men in the subconscious build a goddess out of her for themselves, and have been doing this since the moment they met. It is impossible to eradicate this “defect”, no matter how much you would like to. But I repeat once again, this is a small percentage of all those who suffer from premature ejaculation.

About seven or eight years ago, it was discovered that there are two types of premature ejaculation, that is, primary and secondary. The primary manifests itself even at the time of puberty of a guy. It happens almost always at the moments of masturbation, and after that, at the moments of the beginning of a full-fledged sexual life. It is important that this type of ejaculation is congenital. Scientists believe that this is due to the malfunctioning of the nerve centers in the brain and it is impossible to cure it.

A secondary cause of premature ejaculation is a malfunction of the body. Whoever suffers from the second type does not have any birth defects that affect sexual life, but during his lifetime the man suffered some damage to his body. Such damage can be both physical and psychological. Since a man once had the experience of sexual intercourse, normal sexual intercourse, the process of ejaculation was formed back then, and with such premature ejaculation, doctors can really help a man.

It is important that you do not personally begin the treatment of your illness, because this is a disease that necessarily requires observation by doctors and treatment under their control. Specialists will identify exactly what the guy’s problem is and what was the impetus for the development of his illness.

There are a number of physiological and mental problems, because of which the guy ends quickly.

1. The first and most common physiological problem is the very high sensitivity of the penis, or rather its head. Such a problem can be both congenital and acquired.

2. Hormonal disorders take their place in this list. Hormonal imbalance occurs due to a lack of the male hormone testosterone.

3. Poisoning by harmful substances. Once a guy, he was poisoned by alcohol or toxins, and now he has too fast ejaculation, it happens sometimes, and maybe also because of taking certain medications.

4. Violation of the internal organs. Know that before treating the genital organs of a man, it is worth going through a complete diagnosis of the whole organism, because the problem can lurk anywhere. Either injuries to the bones or pelvis, or diseases of a urological nature.

5. Of psychological problems, trust between partners comes first. Fear of romantic relationships, betrayal, dissatisfaction with life with your sexual partner, a complete lack of trust between a guy and a girl, which is why a guy can quickly finish.

6. Chronic stress. The problem of stress in our time is so big that scientists are scared when talking about numbers, percentages and possible future consequences. The world is crammed with everything that can cause stress in an ordinary healthy person, and protracted. Men are hunters by nature, earlier they went away for weeks in search of food, today men go to work “with their whole heads”, which harms the body, while also sleeping little. It is this situation that can cause frequent stressful situations and depression. Such problems can cause early ejaculation in a man.

7. Fear. A premature end in bed can be caused by a man’s fear. Fear can be acquired from the first sexual experience, when perhaps something went wrong, etc. Fear includes the reason to be ridiculed and refuted by your partner for various reasons. Such thoughts can very strongly “settle” in the subconscious of a man and cure him of such a problem, only a psychologist can do it.

The problem of rapid or premature ejaculation in men can occur at any age. According to statistics, it is in young guys that this problem is more common. In such a situation, the support of a partner is very important. And hoping that the problem will resolve itself with time and age is not at all worth it, you need to see a doctor.

Do not be afraid to talk to your sexual partner about the problem of premature ejaculation, there is nothing to worry about, solve this problem together.

what to do if a guy finishes quickly, reasons

02/22/2022

5-7 minutes

20 166

Contents

• Why men cum fast
• Classification
• Diagnostic methods
• What to do if a man finishes quickly

According to statistics, premature ejaculation is detected in every third man under the age of 40. Of the total number of urological patients, about 20% suffer from this problem. In almost half of them, premature ejaculation is combined with erectile dysfunction. At the same time, this violation is not only a medical, but also a social problem. Due to the fact that a man cannot have a normal sexual intercourse, his self-esteem decreases and his quality of life deteriorates.

At the same time, there are no clear criteria that could establish a time frame for the normal duration of sexual intercourse. Experts agree that it should be from 2 to 10 minutes. That is, premature ejaculation should be spoken of when ejaculation occurs earlier than this time. However, the International Classification of Diseases (ICD-10) does not provide any time frame.

According to the definition, ejaculation is considered premature if both partners do not get proper satisfaction from intimacy for the reason that the partner ends quickly. ¹

Why do men cum fast

There are several hypotheses that describe why men end quickly during sex. However, none of them has been confirmed in large studies. However, it is believed that the following conditions can lead to the development of a problem:

Classification

In addition to the reasons that help to understand why a man quickly finishes, there is a classification that describes the time of occurrence and frequency of manifestations of premature ejaculation. It includes the following types of this problem.

• Initial (primary) premature ejaculation . Appears at the first sexual contact and persists in the future. In this case, ejaculation occurs before the moment of vaginal penetration or 1-2 minutes after it.

• Acquired (secondary) premature ejaculation . Occurs against the background of normal sexual contacts. Moreover, a man can have a normal sex life for a long time, but at some point he encounters this problem.
• Naturally changing premature ejaculation . It appears inconsistently and irregularly. That is, a man can quickly finish any of the sexual acts for various reasons.
• Ejaculatory dysfunction in the form of premature ejaculation . In this case, we are talking about the subjective perception of premature ejaculation. At the same time, the time until the onset of ejaculation may be normal or even exceed the norm.

You can figure out why a man quickly finishes sexual intercourse and why there is a rapid ejaculation in men, you can determine the causes of this violation during an examination by a specialist⁵.

Diagnostic methods

If a husband or boyfriend cums quickly, the first thing to do is to contact a specialist. As a rule, this is a urologist or andrologist. Only a specialist will be able to make a correct diagnosis and select an effective treatment.

The diagnosis is based on a detailed analysis of complaints and the most detailed history taking. Detailed information can be obtained using special questionnaires, and everyone can measure the duration of sexual intercourse on their own using a stopwatch.

Also, to identify the exact causes, carry out:

The specialist also takes into account the sexual constitution of a man and the peculiarities of his sexual behavior.

At the diagnostic stage, many methods can be used, ranging from the simplest (determining the level of hormones) to more specific ones (the speed of nerve impulses to the glans penis)³.

What to do if a man finishes quickly

Treatment is always selected individually and comprehensively. The main focus is on psychotherapy and pharmacological therapy. Main tasks psychotherapeutic treatment are:

Teaching a man skills that will allow him to gain control over the process of ejaculation.

Elimination of psychological problems between a man and a woman.

For this, methods such as compression technique, start-stop technique, marital psychotherapy, etc. are used. The doctor also gives recommendations regarding lifestyle. As a rule, a man should maintain a sufficient level of physical activity and observe the regime of work and rest. As part of psychotherapy, drugs (sedatives, tranquilizers, nootropics) may also be prescribed.

Pharmacological treatment has more options. To reduce the sensitivity of the glans penis, local remedies are prescribed in the form of a cream, spray or gel, which have an anesthetic effect. As a rule, these are preparations based on lidocaine.

To control serotonin receptors, drugs from the group of selective serotonin reuptake inhibitors are used. With their help, you can achieve improvement within 5-10 days after the start of treatment.

If erectile dysfunction is detected in a man simultaneously with premature ejaculation, then phosphodiesterase type 5 inhibitors can be prescribed as a treatment. However, they are recommended to be used only when these violations are combined. If a man does not have problems with erection, then it is not advisable to prescribe such treatment.

You can also treat premature ejaculation with the help of surgical techniques aimed at reducing the sensitivity of the penis. ^2.3 These include:

Intersection of nerve fibers that are responsible for the sensitivity of the glans penis.

Injection of the head of the penis with hyaluronic acid.

Circumcision of the foreskin.

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References

1. M.M. Sokolshchik, S.N. Nesterov, S.V. Gagarina, Ya.A. Vaziev, A.I. Babel Modern methods of treatment of premature ejaculation // Bulletin of the National Medical and Surgical Center. N. I. Pirogova. 2007. No. 1.
   https://cyberleninka.ru/article/n/sovremennye-metody-lecheniya-prezhdevremennoy-eyakulyatsii
2. Popov S.V., Orlov I.N., Vyazovtsev P.V., Grin E.A., Gulko A.M. Premature ejaculation – the current state of the problem // ECU. 2018. №3.
   https://cyberleninka.ru/article/n/prezhdevremennaya-eyakulyatsiya-sovremennoe-sostoyanie-problemy
3. Zhukov O.B., Kibrik N.D., Astafieva L.I., Vasiliev A.E. Modern aspects of diagnosis and treatment of premature ejaculation. Interdisciplinary urological consultation // Andrology and Genital Surgery. 2018. №2.
4. Leaflet. Dietary supplement Vuka Vuka ^®
5. A. A. Khamzin, R. A. Frolov Premature ejaculation: a review of the literature // Bulletin of KazNMU. 2014. No. 2-2.
   https://cyberleninka.ru/article/n/prezhdevremennaya-eyakulyatsiya-obzor-literatury
6. Leaflet. Dietary supplement Vuka Long.