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 concern 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 difficulties.

Studies indicate that up to 40% of men experience premature ejaculation at some point in their lives. This high prevalence underscores the importance of understanding and addressing this issue.

What exactly constitutes premature ejaculation

There is no strict time limit that defines premature ejaculation. The key factor is whether the man or his partner feels satisfied with the duration of sexual activity. Generally, if ejaculation consistently occurs within one to three minutes of penetration or before penetration, it may be considered premature.

Recognizing the Symptoms of Premature Ejaculation

The primary symptom of premature ejaculation is the inability to control or delay ejaculation during sexual activity. This often results in:

• Ejaculation that occurs before or within one to three minutes of penetration
• Inability to delay ejaculation during most sexual encounters
• Feelings of frustration, embarrassment, or avoidance of sexual intimacy

It’s important to note that occasional instances of early ejaculation are normal and not necessarily a cause for concern. Premature ejaculation becomes a problem when it occurs frequently and causes distress to the individual or their partner.

Exploring the Causes of Premature Ejaculation

Premature ejaculation can result from a combination of psychological and biological factors. Understanding these causes is crucial for effective treatment and management.

Psychological factors contributing to PE

Several psychological issues can lead to premature ejaculation:

• Performance anxiety
• Stress and depression
• Relationship problems
• Poor body image or low self-esteem
• Guilt or shame associated with sexual activity

Biological causes of premature ejaculation

Physical factors that may contribute to PE include:

• Hormonal imbalances
• Abnormal levels of neurotransmitters, particularly serotonin
• Inflammation or infection of the prostate or urethra
• Inherited traits
• Abnormal reflex activity of the ejaculatory system

In rare cases, premature ejaculation may be a sign of an underlying health condition, such as nervous system damage from surgery or trauma.

Diagnosing Premature Ejaculation: When to Seek Help

If premature ejaculation is causing distress or affecting your relationships, it’s important to consult a healthcare provider. The diagnostic process typically involves:

1. A thorough medical history
2. Physical examination
3. Discussion about your sexual habits and experiences
4. Possible laboratory tests to rule out underlying conditions

Healthcare providers use specific criteria to diagnose premature ejaculation, including the frequency of occurrence, level of distress, and ability to control ejaculation.

Is premature ejaculation always a sign of a serious health problem

In most cases, premature ejaculation is not indicative of a serious health issue. However, it can significantly impact quality of life and relationships. Rarely, it may be a symptom of an underlying neurological or hormonal disorder, which is why seeking medical advice is important for proper diagnosis and treatment.

Effective Treatment Options for Premature Ejaculation

Treatment for premature ejaculation often involves a combination of approaches tailored to the individual’s specific needs and circumstances.

Behavioral techniques

Behavioral methods are often the first line of treatment and have proven effective for many men. These techniques include:

• The start-stop method: This involves sexual stimulation until just before the point of ejaculation, then stopping until the urge subsides.
• The squeeze technique: Similar to the start-stop method, but involves gently squeezing the head of the penis to reduce arousal.
• Pelvic floor exercises: Strengthening the pelvic floor muscles can help improve ejaculatory control.
• Mindfulness and relaxation techniques: These can help reduce anxiety and improve overall sexual performance.

Psychological interventions

For many men, psychological factors play a significant role in premature ejaculation. Therapeutic options include:

• Cognitive-behavioral therapy (CBT)
• Couples counseling
• Sex therapy
• Psychodynamic therapy

These approaches can help address underlying psychological issues, improve communication between partners, and develop coping strategies.

Medical treatments for premature ejaculation

Several medical interventions can be effective in treating premature ejaculation:

• Topical anesthetics: These creams or sprays can reduce penile sensitivity and delay ejaculation.
• Selective serotonin reuptake inhibitors (SSRIs): Originally developed as antidepressants, some SSRIs have shown efficacy in delaying ejaculation.
• Phosphodiesterase-5 inhibitors: Medications used to treat erectile dysfunction may also help with premature ejaculation in some cases.
• Analgesics: Certain pain medications may help delay ejaculation.

It’s important to note that some of these medications are used off-label for premature ejaculation and should only be taken under the guidance of a healthcare provider.

Preventing and Managing Premature Ejaculation

While not all cases of premature ejaculation can be prevented, there are strategies that can help manage the condition and improve sexual satisfaction:

• Open communication with your partner about sexual needs and concerns
• Regular exercise and stress reduction techniques
• Practicing mindfulness and relaxation during sexual activity
• Experimenting with different sexual positions or techniques
• Using condoms to reduce sensitivity
• Maintaining a healthy lifestyle, including a balanced diet and limited alcohol consumption

Can lifestyle changes help prevent premature ejaculation

While lifestyle changes alone may not completely prevent premature ejaculation, they can significantly improve overall sexual health and potentially reduce the frequency and severity of PE episodes. Maintaining a healthy weight, getting regular exercise, managing stress, and avoiding excessive alcohol consumption can all contribute to better sexual function.

The Impact of Premature Ejaculation on Relationships and Quality of Life

Premature ejaculation can have significant psychological and emotional effects on both the individual and their partner. These may include:

• Decreased sexual satisfaction and intimacy
• Relationship strain and conflicts
• Low self-esteem and confidence
• Anxiety and depression
• Avoidance of sexual situations

Addressing these issues is an important part of treating premature ejaculation. Couples counseling or sex therapy can be particularly helpful in improving communication and intimacy between partners.

How can partners support each other when dealing with premature ejaculation

Open and honest communication is key when dealing with premature ejaculation as a couple. Partners can support each other by:

• Discussing sexual desires and concerns without judgment
• Exploring alternative forms of sexual pleasure and intimacy
• Participating in treatment together, such as couples therapy
• Being patient and understanding throughout the treatment process
• Focusing on overall intimacy and connection, not just sexual performance

Future Directions in Premature Ejaculation Research and Treatment

As our understanding of sexual health continues to evolve, researchers are exploring new avenues for treating premature ejaculation. Some promising areas of research include:

• Novel pharmaceutical treatments with fewer side effects
• Gene therapy approaches to address potential genetic factors
• Advanced neuromodulation techniques
• Improved delivery methods for existing treatments
• Integration of technology in behavioral therapies

These advancements hold the potential to provide more effective and personalized treatment options for men dealing with premature ejaculation.

What role might artificial intelligence play in treating premature ejaculation

Artificial intelligence (AI) could potentially revolutionize the treatment of premature ejaculation in several ways:

• Personalized treatment algorithms based on individual patient data
• AI-powered apps for tracking and managing symptoms
• Virtual reality-based therapy sessions
• Predictive models for treatment outcomes
• AI-assisted diagnostic tools for healthcare providers

While these applications are still in development, they represent exciting possibilities for the future of premature ejaculation treatment.

In conclusion, premature ejaculation is a common and treatable sexual concern. By understanding its causes, recognizing its symptoms, and exploring various treatment options, men and their partners can work towards improved sexual satisfaction and overall quality of life. If you’re experiencing symptoms of premature ejaculation, don’t hesitate to seek help from a healthcare provider or sexual health specialist. With the right approach and support, it’s possible to effectively manage this condition and enjoy a fulfilling sex life.

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.