What are the main causes of premature ejaculation. How can premature ejaculation be diagnosed and treated effectively. What lifestyle changes can help manage premature ejaculation. How does premature ejaculation impact relationships and sexual satisfaction.

Understanding Premature Ejaculation: Definition and Prevalence

Premature ejaculation (PE) is a common sexual dysfunction characterized by ejaculation that occurs sooner than desired, either before or shortly after sexual penetration, with minimal sexual stimulation. This condition affects a significant portion of the male population, with estimates suggesting that 20-30% of men experience PE at some point in their lives.

PE can occur in various situations:

• As soon as foreplay begins
• During penetration
• Shortly after penetration
• In all sexual situations, from the onset of sexual activity

Is premature ejaculation always problematic. While occasional instances of early ejaculation are normal, PE becomes a concern when it occurs frequently and causes distress to the individual or their partner. The impact on sexual satisfaction and relationships can be significant, often leading to emotional turmoil, embarrassment, and a sense of loss of control.

Psychological Factors Contributing to Premature Ejaculation

Several psychological factors can contribute to the development and persistence of premature ejaculation:

Early Sexual Experiences

Formative sexual encounters can establish patterns that persist into adulthood. How do early experiences influence PE. In some cases, rushed sexual experiences during adolescence, often driven by fear of discovery, can condition the body to reach climax quickly. This learned behavior can be challenging to overcome without intervention.

Performance Anxiety

Anxiety about sexual performance is a significant contributor to PE. The pressure to perform well sexually can lead to overstimulation and a loss of control over ejaculation. This anxiety can create a self-fulfilling prophecy, where the fear of premature ejaculation actually causes it to occur.

Erectile Dysfunction Concerns

For some men, the worry about maintaining an erection can lead to rushed ejaculation. In an attempt to climax before losing their erection, they may inadvertently train their bodies to ejaculate quickly. This pattern can be difficult to break without addressing the underlying anxiety.

Biological and Physical Causes of Premature Ejaculation

While psychological factors play a significant role, various biological and physical conditions can also contribute to PE:

• Hormonal imbalances, particularly abnormal levels of testosterone or thyroid hormones
• Low levels of serotonin, a neurotransmitter involved in mood regulation and sexual function
• Abnormalities affecting the ejaculatory system
• Inflammation or infection of reproductive organs, such as prostatitis
• Neurological damage from trauma or surgery
• Certain medications or recreational drugs
• Chronic health conditions like diabetes or cardiovascular disease

Can medical conditions directly cause PE. Yes, several health issues can lead to premature ejaculation. For instance, hyperthyroidism can increase nervous system activity, potentially causing PE. Similarly, chronic prostatitis can lead to inflammation and increased sensitivity in the prostate region, contributing to early ejaculation.

Diagnosis and Assessment of Premature Ejaculation

Diagnosing PE involves a comprehensive approach that considers both physical and psychological factors:

Medical History

A thorough review of the patient’s medical history is crucial. This includes discussing the frequency and duration of PE symptoms, as well as any relevant health conditions or medications that might contribute to the problem.

Physical Examination

A physical exam can help identify any underlying health issues that may be causing or contributing to PE. This may include an examination of the genitals and prostate.

Psychological Evaluation

Given the significant role of psychological factors in PE, a mental health assessment may be necessary. This can help identify any underlying anxiety, depression, or relationship issues that may be contributing to the problem.

How is the severity of PE measured. While there’s no definitive test for PE, doctors often use criteria such as the time to ejaculation (intravaginal ejaculatory latency time or IELT), the degree of control over ejaculation, and the level of distress caused by the condition to assess its severity.

Behavioral Techniques for Managing Premature Ejaculation

Several behavioral strategies can help men gain better control over their ejaculation:

The Stop-Start Technique

This method involves stimulating the penis until just before the point of ejaculation, then stopping all stimulation until the urge to ejaculate subsides. This process is repeated several times before allowing ejaculation. Over time, this can help increase ejaculatory control.

The Squeeze Technique

Similar to the stop-start method, this technique involves squeezing the head of the penis for several seconds when nearing climax. This can help delay ejaculation and, with practice, improve control.

Pelvic Floor Exercises

Strengthening the pelvic floor muscles through Kegel exercises can improve ejaculatory control. These exercises involve contracting and relaxing the muscles used to stop urination midstream.

How effective are these behavioral techniques. While success rates vary, many men find significant improvement with consistent practice of these methods. They are often most effective when combined with other treatments, such as counseling or medication.

Pharmaceutical Interventions for Premature Ejaculation

Several medications have shown promise in treating PE:

Selective Serotonin Reuptake Inhibitors (SSRIs)

Originally developed to treat depression, certain SSRIs have been found to delay ejaculation as a side effect. Drugs like paroxetine, sertraline, and fluoxetine are sometimes prescribed off-label for PE.

Topical Anesthetics

Creams or sprays containing mild anesthetics like lidocaine can help reduce sensitivity and delay ejaculation when applied to the penis before sexual activity.

Phosphodiesterase-5 Inhibitors

Medications used to treat erectile dysfunction, such as sildenafil (Viagra), may also help with PE in some cases, particularly when PE is secondary to erectile dysfunction.

Are there any side effects associated with these medications. Yes, like all pharmaceuticals, these treatments can have side effects. SSRIs may cause decreased libido or erectile dysfunction in some men, while topical anesthetics can potentially reduce sensation for both partners if not used correctly. It’s crucial to discuss potential side effects with a healthcare provider before starting any medication.

Psychological Approaches to Treating Premature Ejaculation

Given the significant psychological component of PE, various forms of therapy can be beneficial:

Cognitive Behavioral Therapy (CBT)

CBT can help identify and change negative thought patterns and behaviors associated with PE. This may involve challenging unrealistic expectations about sexual performance and developing coping strategies for performance anxiety.

Couples Therapy

When PE affects a relationship, couples therapy can be valuable. It can improve communication between partners, address relationship issues that may be contributing to PE, and develop strategies for mutual sexual satisfaction.

Mindfulness and Relaxation Techniques

Learning to be more present during sexual activity and managing anxiety through relaxation techniques can help improve ejaculatory control. Practices like mindfulness meditation or guided imagery may be recommended.

How long does psychological treatment typically take to show results. The duration of treatment can vary significantly depending on the individual and the severity of the problem. Some men may see improvements within a few weeks, while others may require several months of therapy. Consistency and commitment to the therapeutic process are key factors in success.

Lifestyle Modifications to Support PE Management

In addition to medical and psychological interventions, certain lifestyle changes can support the management of PE:

• Regular exercise to reduce stress and improve overall health
• Stress management techniques such as yoga or meditation
• Limiting alcohol consumption, as excessive drinking can impair sexual function
• Open communication with sexual partners about PE and sexual preferences
• Experimenting with different sexual positions or techniques that may allow for better control
• Practicing mindful masturbation to improve awareness of arousal levels and ejaculatory control

Can dietary changes help with PE. While there’s limited scientific evidence directly linking diet to PE, a balanced diet that supports overall health may indirectly benefit sexual function. Some studies suggest that certain nutrients, such as zinc and magnesium, may play a role in sexual health, but more research is needed in this area.

The Impact of Premature Ejaculation on Relationships and Quality of Life

PE can have significant psychological and relational consequences:

Emotional Distress

Men with PE often experience feelings of inadequacy, low self-esteem, and anxiety about sexual performance. This emotional distress can extend beyond the bedroom, affecting overall well-being and confidence.

Relationship Strain

PE can lead to frustration and dissatisfaction for both partners. It may result in avoidance of sexual intimacy, communication breakdown, and overall relationship discord.

Sexual Dissatisfaction

Both the man with PE and his partner may experience reduced sexual satisfaction. This can lead to a cycle of anxiety and avoidance that further exacerbates the problem.

How can partners support men dealing with PE. Open, non-judgmental communication is crucial. Partners can offer emotional support, participate in couples therapy if needed, and be patient during the treatment process. Exploring alternative forms of sexual intimacy that don’t focus solely on penetration can also help maintain a satisfying sexual relationship while addressing PE.

Premature ejaculation, while common and often distressing, is a treatable condition. With a combination of medical interventions, behavioral techniques, and psychological support, many men can significantly improve their ejaculatory control and sexual satisfaction. It’s important for individuals experiencing PE to seek professional help, as effective treatments are available. By addressing both the physical and psychological aspects of PE, men and their partners can work towards a more fulfilling and satisfying sexual relationship.

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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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.

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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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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.