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 – Better Health Channel

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Summary

Read the full fact sheet

• Premature ejaculation is the most common sexual problem in in the world.
• Occasionally losing control is normal. Most men orgasm sooner than they would like from time to time. 
• There is a variety of treatments to choose from, including exercises, therapy and medications.

Premature ejaculation is the most common sexual problem in in the world.

Most men orgasm sooner than they would like from time to time; that’s normal. If you ejaculate too quickly most of the times you have sex, and it’s a problem for you and your partner, there’s treatments that can help.

Some men ejaculate as soon as foreplay starts. Others ejaculate during penetration or very soon after.

Some men will have premature ejaculation from the time of their first sexual experience (lifelong), while in others, it will develop after a period of having a longer, satisfactory time to ejacualtion (acquired).

Causes of premature ejaculation

• Genetic causes related to the molecules that signal between nerves
• Psychological causes (e.g. anxiety, stress, relationship problems)
• Other health problems (e.g. abnormal hormone levels)

One-third to one-quarter of men with premature ejaculation also have problems with getting or keeping an erection.

Treatment for premature ejaculation

Seeking help for premature ejaculation from a GP (doctor) or sex therapist is a good idea.

Treatments for premature ejaculation vary depending on the cause and whether it is lifelong or acquired.

Treatments include:

• ‘The stop-start technique’. If you feel close to ejaculating during sexual activity, stop and rest until the feeling has gone, and then start again.
• ‘The squeeze technique’. If you feel close to ejaculating, squeezing your penis just below the glans (the ‘head’ of the penis) can make the feeling go away
• Acupuncture or pelvic floor exercises
• Masturbation before sex
• Reducing sensitivity of your penis (e.g. wearing a condom)
• Medication (e.g. antidepressants can slow the time to ejaculation)
• Treatment of the underlying problem (e.g. medication for erectile dysfunction, hormone treatment)

Where to get help

• Your doctor (GP)
• Sex therapist

• Premature ejaculationExternal Link, 2018, Healthymale.

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Reviewed on: 06-12-2022

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.

As part of the complex therapy of premature ejaculation, which is combined with erectile dysfunction, the biologically active food supplement Vuka Vuka ^® can be used.

It contains natural ingredients that have a versatile effect on the intimate sphere. In particular, such a component as dendritic heteromorph may be effective when used in the complex treatment of premature ejaculation.

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In addition, Vuka Long was created especially for men who want to increase the duration of sexual intercourse.

It contains L-Tyrosine, L-Tryptophan, L-Glutamine, Magnesium Citrate, Vitamin B ₆ , L-Isoleucine – components that can not only help prolong sexual intercourse, but also increase the brightness of orgasm, as well as improve general the well-being of a man. ⁶

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This is a potency improvement product with a new composition that allows you to maintain a normal level of sex hormones (which affects the duration of sexual intercourse), increase the overall tone of the body.
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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.