What causes a man to ejaculate quickly. 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 at some point in their lives. It occurs when a man reaches orgasm and ejaculates sooner than he or his partner desires during sexual activity. This can happen before or shortly after penetration, leading to feelings of frustration and embarrassment.

How common is premature ejaculation? Studies suggest that up to 40% of men experience this issue at some time, making it one of the most prevalent sexual dysfunctions. Despite its frequency, many men feel reluctant to discuss PE with their partners or healthcare providers due to feelings of shame or inadequacy.

Defining Premature Ejaculation

Is there a specific time frame that defines premature ejaculation? The answer is not straightforward. There is no universally agreed-upon duration for how long sexual intercourse should last. PE is generally considered to occur when ejaculation happens within one minute of penetration or before penetration occurs. However, the key factor is the lack of control over ejaculation and the distress it causes to the individual or their partner.

Recognizing the Symptoms 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 manifest differently for each individual. Some men may experience PE only in certain situations or with specific partners, while others may face it consistently.

• Ejaculation that occurs within one minute of penetration
• Inability to delay ejaculation during most sexual encounters
• Feelings of frustration, embarrassment, or avoidance of sexual intimacy
• Distress or relationship problems due to the condition

Do men with premature ejaculation experience physical symptoms beyond early ejaculation? In most cases, there are no additional physical symptoms associated with PE. The condition primarily affects sexual function and emotional well-being.

Exploring the Causes of Premature Ejaculation

The causes of premature ejaculation can be multifaceted, involving both psychological and physiological factors. Understanding these underlying causes is crucial for effective treatment and management of the condition.

Psychological Factors

Many cases of PE are rooted in psychological issues. These can include:

• Anxiety about sexual performance
• Stress and depression
• Relationship problems or poor communication with partners
• Negative sexual experiences in the past
• Guilt or shame associated with sexual activity

Physiological Factors

While less common, certain physical conditions can contribute to premature ejaculation:

• Hormonal imbalances
• Abnormal levels of neurotransmitters, particularly serotonin
• Inflammation or infection of the prostate or urethra
• Nervous system disorders
• Inherited traits

Can premature ejaculation be a sign of a serious health problem? In rare cases, PE may be associated with underlying health conditions such as nervous system damage from surgery or trauma. However, for the vast majority of men, PE is not indicative of a severe medical issue.

Diagnosing Premature Ejaculation: When to Seek Help

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

1. A thorough medical history, including sexual history
2. Physical examination to rule out underlying conditions
3. Discussion about symptoms, their frequency, and impact on quality of life
4. Possible laboratory tests to check hormone levels or other factors

Healthcare providers use the information gathered to determine if the symptoms meet the clinical criteria for premature ejaculation. They may also assess for other sexual dysfunctions that can co-occur with PE, such as erectile dysfunction.

Prevention and Avoidance Strategies for Premature Ejaculation

Can premature ejaculation be prevented or avoided? While not all cases of PE can be prevented, there are strategies that can help manage and potentially avoid the condition:

• Open communication with sexual partners about concerns and preferences
• Practicing relaxation techniques to reduce anxiety
• Maintaining a healthy lifestyle, including regular exercise and stress management
• Addressing underlying psychological issues through therapy or counseling
• Experimenting with different sexual positions or techniques

It’s important to note that prevention strategies may not work for everyone, and professional help may be necessary for persistent cases of PE.

Effective Treatment Options for Premature Ejaculation

Treatment for premature ejaculation often involves a combination of approaches tailored to the individual’s specific situation. What are the most effective treatments for premature ejaculation? Let’s explore the options:

Behavioral Techniques

Behavioral methods are often the first line of treatment for PE and can be effective for more than 50% of men. These techniques include:

• The start-stop method: Stimulation is paused when ejaculation feels imminent, then resumed after the sensation subsides
• The squeeze technique: Gentle pressure is applied to the head of the penis to reduce arousal
• Pelvic floor exercises: Strengthening the muscles that control ejaculation
• Masturbation before sexual intercourse to delay ejaculation during partnered sex

Psychological Interventions

For many men, addressing psychological factors can significantly improve PE symptoms. Options include:

• Individual psychotherapy to address anxiety, depression, or other emotional issues
• Couples therapy to improve communication and intimacy
• Sex therapy to address specific sexual concerns and techniques
• Cognitive-behavioral therapy to change negative thought patterns and behaviors

Medical Treatments

In some cases, medication may be prescribed to help manage premature ejaculation:

• Selective serotonin reuptake inhibitors (SSRIs): Originally developed for depression, these medications can delay ejaculation as a side effect
• Topical anesthetics: Creams or sprays that reduce penile sensitivity
• Phosphodiesterase-5 inhibitors: Medications used for erectile dysfunction may also help with PE in some men
• Analgesics: Certain pain medications may help delay ejaculation

It’s crucial to note that medications should only be used under the guidance of a healthcare provider, as they can have side effects and may interact with other medications.

Lifestyle Modifications and Home Remedies for Managing Premature Ejaculation

In addition to medical treatments and behavioral techniques, certain lifestyle changes and home remedies may help manage premature ejaculation:

• Practice mindfulness and meditation to reduce stress and anxiety
• Engage in regular physical exercise to improve overall health and reduce stress
• Experiment with different sexual positions that may provide less stimulation
• Use thicker condoms to reduce sensitivity
• Practice deep breathing exercises during sexual activity to maintain control
• Explore tantric sex techniques that focus on full-body pleasure rather than just genital stimulation

Can dietary changes affect premature ejaculation? While there’s limited scientific evidence, some men report improvements with certain dietary modifications:

• Increasing zinc intake through foods like oysters, pumpkin seeds, and beef
• Consuming foods rich in magnesium, such as dark chocolate, avocados, and bananas
• Incorporating foods high in L-arginine, like walnuts, salmon, and turkey
• Reducing alcohol consumption, as excessive drinking can affect sexual function

It’s important to remember that while these lifestyle modifications may be helpful, they should not replace professional medical advice or treatment for persistent PE.

The Impact of Premature Ejaculation on Relationships and Mental Health

Premature ejaculation can have significant psychological and emotional effects on both the individual experiencing it and their partner. How does PE affect relationships and mental health?

• Decreased sexual satisfaction for both partners
• Lowered self-esteem and confidence
• Increased anxiety about sexual performance
• Relationship strain due to sexual frustration or avoidance of intimacy
• Feelings of embarrassment or shame
• Depression or mood disturbances
• Difficulty in starting or maintaining relationships

Can premature ejaculation lead to other sexual dysfunctions? In some cases, the stress and anxiety associated with PE may contribute to the development of other sexual issues, such as erectile dysfunction or low libido. This highlights the importance of addressing PE promptly and holistically.

Coping Strategies for Individuals and Couples

Dealing with premature ejaculation can be challenging, but there are strategies that can help individuals and couples cope:

• Open and honest communication about sexual needs and concerns
• Focusing on other forms of sexual pleasure beyond penetrative sex
• Seeking support from a sex therapist or relationship counselor
• Practicing patience and understanding with each other
• Exploring non-sexual forms of intimacy to strengthen the relationship
• Educating oneself about PE to reduce stigma and increase understanding

Remember, premature ejaculation is a common and treatable condition. With the right approach and support, many couples can overcome the challenges it presents and maintain a satisfying sexual relationship.

Advances in Premature Ejaculation Research and Future Treatments

The field of sexual medicine is continually evolving, with ongoing research into new treatments and understanding of premature ejaculation. What are some of the latest developments in PE research?

• Gene therapy: Scientists are exploring genetic factors that may contribute to PE and potential gene-based treatments
• New drug formulations: Research into novel medications that specifically target PE without the side effects of current options
• Neuromodulation techniques: Investigating the use of electrical stimulation to modulate nerve signals involved in ejaculation
• Combination therapies: Studying the effectiveness of combining different treatment approaches for better outcomes
• Personalized medicine: Developing tailored treatment plans based on individual genetic and physiological profiles

How might future treatments for premature ejaculation differ from current options? Future treatments may offer more targeted approaches with fewer side effects, potentially including:

• On-demand medications that work quickly and wear off rapidly
• Non-invasive devices that use sound waves or electromagnetic pulses to modulate ejaculatory reflexes
• Advanced behavioral therapies incorporating virtual reality or biofeedback technology
• Nutritional supplements specifically formulated to support sexual function

While these potential treatments are exciting, it’s important to remember that they are still in various stages of research and development. Current treatment options, when used under medical guidance, can be highly effective for many men experiencing premature ejaculation.

The Role of Technology in PE Management

Technology is playing an increasingly important role in the management of sexual health issues, including premature ejaculation. How is technology being integrated into PE treatment?

• Smartphone apps for tracking sexual health and practicing ejaculation control exercises
• Telemedicine platforms providing discreet access to healthcare professionals
• Wearable devices that help monitor physiological responses during sexual activity
• Online support groups and forums for individuals dealing with PE
• Virtual reality simulations for practicing relaxation techniques and sexual scenarios

As technology continues to advance, we can expect to see more innovative solutions that make PE treatment more accessible, personalized, and effective.

Navigating the Healthcare System for Premature Ejaculation Treatment

Seeking help for premature ejaculation can be daunting, but understanding how to navigate the healthcare system can make the process easier. How should one approach getting help for PE?

1. Start with a primary care physician: They can provide initial assessment and referrals if necessary
2. Consider seeing a urologist: Specialists in male reproductive health can offer more targeted treatments
3. Explore mental health support: Psychologists or sex therapists can address psychological aspects of PE
4. Research specialized clinics: Some healthcare facilities focus specifically on sexual health issues
5. Investigate telemedicine options: Virtual consultations can provide a more comfortable and convenient option for some individuals

What should one expect during a healthcare visit for premature ejaculation? A typical consultation may include:

• Detailed medical and sexual history
• Discussion of symptoms and their impact on quality of life
• Physical examination (if deemed necessary)
• Explanation of treatment options and their potential benefits and risks
• Development of a personalized treatment plan
• Referrals to specialists if needed

Remember, healthcare providers are trained professionals who deal with sexual health issues regularly. There’s no need to feel embarrassed or ashamed when seeking help for premature ejaculation.

Insurance Coverage and Cost Considerations

The cost of premature ejaculation treatment can vary widely depending on the chosen approach and geographical location. How does insurance coverage factor into PE treatment?

• Many insurance plans cover medical treatments for PE, especially if it’s linked to an underlying health condition
• Psychological therapies may be covered under mental health benefits
• Over-the-counter treatments and supplements are typically not covered by insurance
• Some specialized treatments or newer medications may require pre-authorization or have limited coverage

It’s advisable to check with your insurance provider about specific coverage details for PE treatments. For those without insurance or with limited coverage, some healthcare providers offer sliding scale fees or payment plans to make treatment more accessible.

In conclusion, premature ejaculation is a common and treatable condition that affects many men. By understanding its causes, recognizing its symptoms, and exploring various treatment options, individuals can take proactive steps towards managing PE and improving their sexual health. Remember, seeking help from healthcare professionals is an important step in addressing this issue effectively. With the right approach and support, it’s possible to overcome the challenges of premature ejaculation and enjoy a satisfying 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.

Why does a man finish quickly? Causes and treatment.

Premature ejaculation occurs in men when semen leaves the body (ejaculate) earlier than desired during sex. Premature ejaculation is a common sexual complaint. Up to 1 in 3 people say they have ever had it.

Make an appointment at the Farvater Center

Premature ejaculation is not a cause for concern if it happens infrequently. But you may be diagnosed with premature ejaculation if you:

• Always or almost always ejaculate within 1-3 minutes of penetration
• Unable to delay ejaculation during sex
• Feel frustrated and frustrated and tend to avoid sexual intimacy as a result.

Premature ejaculation is a curable disease. Medications, counseling, and methods to slow down ejaculation can help improve sex for you and your partner.

Symptoms
The main symptom of premature ejaculation is the inability to delay ejaculation for more than three minutes after penetration. But it can happen in all sexual situations, even during masturbation.

Premature ejaculation can be classified as:

Lifetime . Lifelong premature ejaculation occurs all or almost all of the time from the first intercourse.
Purchased . Acquired premature ejaculation develops after a previous sexual experience without problems with ejaculation.
Many people believe that they have symptoms of premature ejaculation, but these symptoms do not meet the criteria for a diagnosis. Sometimes there is early ejaculation.

When to see a doctor
Talk to your doctor if you ejaculate earlier than you would like during most sexual encounters.

Talking to a sexologist can help reduce anxiety. For example, you may find it comforting to know that you experience premature ejaculation from time to time. It is also useful to know that the average time from the onset of intercourse to ejaculation is about five minutes.

Causes
The exact cause of premature ejaculation is unknown. It was once thought that this was only a psychological factor. But medical professionals now know that premature ejaculation is linked to a complex interplay of psychological and biological factors.

Psychological causes
Psychological factors that may play a role include:

• Early sexual experience
• Sexual abuse
• Bad body image
• Depression
• Concern about premature ejaculation
• Feelings of guilt that can make you rush during sex
  Other factors that may come into play include:
• Erectile dysfunction. Anxiety about achieving and maintaining an erection can lead to the urge to ejaculate.
• Anxiety. Often, premature ejaculation and anxiety occur at the same time. Anxiety may be related to sexual behavior or other problems.

Relationship problems. Relationship problems can contribute to premature ejaculation. This may be true if you have had sexual relationships with other partners who have not experienced premature ejaculation often.

Biological causes
A number of biological factors can contribute to premature ejaculation. They may include:

• Irregular hormone levels
• Irregular levels of brain chemicals
• Edema and infection of the prostate or urethra
• Inherited traits
• Risk factors
  Various factors may increase the risk of premature ejaculation. They may include:

Erectile dysfunction . You may be at an increased risk of premature ejaculation if you have trouble getting or maintaining an erection. The fear of losing your erection can make you rush into sex. This can happen whether you are aware of it or not.
Stress . Emotional or mental stress in any area of ​​life can play a role in premature ejaculation. Stress can limit your ability to relax and focus during sex.
Complications
Premature ejaculation can cause problems in your personal life. These may include:

Stress and relationship problems . A common complication of premature ejaculation is relationship stress.
Fertility problems . Premature ejaculation can sometimes prevent a partner from getting pregnant. This can happen if ejaculation does not occur in the vagina.

How to make an appointment with a sexologist?
You can make an appointment with a sexologist by filling out a simple form on the website or by calling

Call from 10:00 to 22:00 (7 days a week)

8 499 649-90-69

We are located in the center Moscow: Furmanny lane 9/12. The center is located 5 minutes from the Red Gate metro station and 10 minutes from Chistye Prudy metro stations.

Here you can get advice and diagnosis of various diseases. Our doctors are true professionals in their field who are focused on the result of joint work with the patient. If you have any questions, you can ask them to a call center employee by phone.

Contacts: 🌍 Our website: https://bit.ly/site_Farvater ☎️ Make an appointment by phone: 8 499 649-90-69 (from 10-00 to 22-00) 🏟

We are in social networks: Telegram: https://t.me/fairway743

Diagnosis

Your doctor may also perform a physical examination. If you have both early ejaculation and problems with or maintaining an erection, your doctor may order blood tests. Tests can check hormone levels.

In some cases, your doctor may suggest that you see a urologist or psychiatrist who specializes in sexual problems.

Care
General treatment options for premature ejaculation include behavioral therapies, medications, and counseling. It may take time to find a treatment or combination of treatments that works for you. Behavioral treatment plus drug therapy may be most effective.

Behavioral techniques
In some cases, the treatment of premature ejaculation involves simple steps. They may include masturbation an hour or two before intercourse. This may allow you to delay ejaculation when you are having sex with your partner.

Your doctor may recommend that you avoid sexual intercourse for a certain period of time. Focusing on other types of sex play can relieve the pressure you may feel during intercourse.

Pelvic floor exercises

Weak pelvic floor muscles can make it difficult to delay ejaculation. Pelvic floor exercises (Kegel exercises) help strengthen these muscles.

To do these exercises:

Find the right muscles. To find your pelvic floor muscles, stop urinating halfway through. Once you have identified your pelvic floor muscles, you can train them in any position.
Improve your technique. Tighten your pelvic floor muscles, hold for three seconds, and then relax for three seconds. Try several times in a row. Once your muscles are strong, try doing Kegel exercises while sitting, standing, or walking.
Stay focused. For best results, focus on tensing only the pelvic floor muscles. Be careful not to tighten the muscles in your abdomen, thighs, or buttocks. Avoid holding your breath. Instead, breathe freely during exercise.
Repeat three times a day. Try to do at least three sets of 10 repetitions per day.

Pause-Squeeze Technique

This method works like this:

Begin sexual activity, including penile stimulation, until you feel almost ready to ejaculate.
You or your partner can then squeeze the end of the penis where the glans meets the shaft. Keep squeezing for a few seconds until the urge to ejaculate has passed.
Repeat the compression process as needed.
By repeating as many times as necessary, you can reach the point of entry into your partner without ejaculating. After some practice, delaying ejaculation can become a habit that no longer requires the pause-squeeze technique.

If technique pause-squeeze causes pain or discomfort, you can try the stop-start technique. This includes stopping sexual stimulation just before ejaculation. Then wait until the level of arousal subsides and start again.

condoms
Condoms can make the penis less sensitive, which can help delay ejaculation. . These condoms contain painkillers such as benzocaine or lidocaine to delay ejaculation. They can also be made from thicker latex.

Medications
Local anesthetics
Creams, gels and sprays containing pain relievers such as benzocaine, lidocaine or prilocaine are sometimes used to treat premature ejaculation. They are applied to the penis 10 to 15 minutes before intercourse to reduce sensitivity and help delay ejaculation. They are available without a prescription.

Although topical pain relievers are effective and well tolerated, they have potential side effects. They can cause a decrease in sensitivity and sexual pleasure in both partners.

Oral drugs
Many drugs can delay orgasm.

These medicines can be given either on demand or for daily use. In addition, they may be prescribed alone or with other treatments.

Antidepressants. A side effect of some antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors are used to treat premature ejaculation.

Painkillers.

Side effects may include nausea, headache, drowsiness and dizziness. T

Phosphodiesterase-5 inhibitors. Some medications used to treat erectile dysfunction can also help with premature ejaculation. These drugs include sildenafil (Viagra), tadalafil (Cialis, Adcirca), avanafil (Stendra), and vardenafil. Side effects may include headache, facial flushing, and upset stomach.

Specialists working in this field

Fedorova Olga Vladimirovna

Psychiatrist, psychotherapist, sexologist.
Doctor of the highest category
Medical experience over 25 years

How to make an appointment with a sexologist?

You can make an appointment with a sexologist by filling out a simple form on the website or by calling

Call from 10:00 to 22:00 (7 days a week)

8 499 649-90-69

We are located in the center Moscow: Furmanny lane 9/12.