Premature Ejaculation happens whenever a man ejaculates during sexual act sooner than he or his partner would want to. Premature Ejaculation is a commonly observed condition. Based on estimations, approximately 1 out of 3 men confirm this issue occurrence at certain times.
If the occurrence of Premature Ejaculation is not frequent, there is no reason to worry. However, Premature Ejaculation may be present if a man:
- Not able to postpone ejaculation while having sexual intercourse all the time or most of the time;
- All the time or approximately all the time ejaculates during one minute after penetration;
- Endures distress and frustration, and displays tendency of avoiding sexual intimacy due to that issue.
Biological and psychological factors may be a cause of Premature Ejaculation. Even though a lot of men feel embarrassment about discussing this topic, but Premature Ejaculation represents a general condition, which can be treated. Counselling, medical treatment as well as sexual methods that aid in delaying ejaculation and possible a combination of the aforesaid methods can assist in improving sex quality and duration.
Available Diagnosis Methods and Medications List
Undoubtedly, once first signs of Premature Ejaculation are observed, it is highly advisable that you visit a specialist and undergo a thorough consultation in order to address this serious issue. During consultation besides questions related about your sex life, the doctor will also ask regarding health history and may require to conduct a physical check. If Premature Ejaculation is accompanied with troubles in attaining or keeping an erection, the speciality may request blood tests in order to verify testosterone levels or conduct other related tests.
In specific situations, the healthcare provider may recommend to visit urologist or specialist dealing with a mental health and has sexual dysfunction specialization. Generally, treatment methods of Premature Ejaculation involve topical anaesthetics, behavioural techniques, medical treatment as well as counselling. You should understand that the suitable treatment might require a sufficient time. Behavioural treatment as well as drug treatment are among the most resulting methods.
Phosphodiesterase 5 inhibitors
Certain drugs that are generally applied for Erectile Dysfunction treatment (e.g. tadalafil (Cialis, Adcirca), sildenafil with dapoxetine (Viagra super force), vardenafil (Levitra, Staxyn) etc.), may also assist with Premature Ejaculation treatment. Side effects of these medications contain facial flushing, headache, indigestion and others. These drugs have shown a better effectivity once combined with SSRIs.
There are various medications that can delay orgasm. Even though none of those medications have specific approval by the Food and Drug Administration (FDA) to cure Premature Ejaculation, but specific drugs are applied to cure it, like: analgesics, antidepressants, phosphodiesterase-5 inhibitors and others. Abovementioned drugs may be prescribed for daily application or based on demand, and may be combined with other treatment methods.
Anaesthetic creams and sprays containing a numbing agent, like lidocaine, benzocaine, or prilocaine, are applied in certain cases to cure Premature Ejaculation. Such products are usually applied directly on the penis 10-15 minutes prior to sexual intercourse to decrees sensitivity and assist in postponing ejaculation.
A lidocaine-prilocaine cream (EMLA) comes with prescription to cure Premature Ejaculation, whereby lidocaine sprays are offered over-the-counter.
Even though topical anaesthetics show good efficiency and can be tolerated by majority of patients, but they also contain potential side effects, like: some men report temporary sensitivity loss and reduced sexual pleasure. Similar observations were obtained among female partners as well.
Among approved for application in the United States, the most efficient is Paroxetine. This drug generally requires 5-10 days to start causing an effect. However, the treatment may last up to 2-3 weeks until the complete effect is observed.
In cases when SSRIs don’t help with delaying the ejaculation, your healthcare provider may decide to prescribe the tricyclic antidepressant clomipramine (i.e. Anafranil). The side effects of antidepressants include perspiration, nausea drowsiness and reduced libido.
Besides that, certain antidepressants may cause delays in orgasm. In such situations, selective serotonin reuptake inhibitors (SSRIs), like sertraline (Zoloft), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem) or paroxetine (Paxil), are prescribed to assist ejaculation delay.
Premature Ejaculation is definitely a serious health condition that has a drastic impact on sexual life of every man and hereby should be taken serious and with maximum responsibility in order to find a timely solution that is both effective and reliable. A proper consultation with healthcare professional is a must in order to develop the most suitable solution and come up with the most reliable treatment, which will restore your sexual potential back to normal.
Most Common Symptoms of Premature Ejaculation
The most common symptom causing Premature Ejaculation include the inability to postpone ejaculation within one minute or more after initial penetration. Nevertheless, this issue still may appear in other sexual conditions as well, including masturbation.
The classification of Premature Ejaculation includes the following:
- Lifelong (primary) – observed all the time or almost all of the time starting from the first sexual encounters.
- Acquired (secondary) – tends to develop after some sexual experience without any issues related to ejaculation.
A lot of men have a feeling of possible Premature Ejaculation symptoms, however those symptoms don’t fit within the criteria of diagnostics of Premature Ejaculation. Such men may experience natural variable Premature Ejaculation, which contains periods of quick ejaculation mixed with periods of normal ejaculation.
Possible Causes of Premature Ejaculation
The specific reason of Premature Ejaculation is not completely confirmed yet. For a certain period, it was believed to have purely psychological reasons, but nowadays doctors understand that Premature Ejaculation includes a sophisticated mix of psychological as well as biological factors.
1. Psychological Factors
Psychological factors contributing to Premature Ejaculation are:
- Sexual abuse;
- Early sexual experience;
- Occasional or reoccurring depression;
- Improper body image;
- Feelings of guilt, which increase the tendency to rush through sexual intercourse;
- Worries associated with Premature Ejaculation.
Besides that, there are additional factors that can have influence on Premature Ejaculation, such as:
- Erectile Dysfunction. Men who feel anxiety regarding attaining or keeping an erection throughout the sexual act may develop a tendency to rush to ejaculate, which once formed, may be hard to alter.
- A lot of men suffering from Premature Ejaculation also experience issues related to anxiety, which may be related to sexual performance or other problems as well.
- Relationship issues. Situations when during satisfactory sexual relationships with other partners, a Premature Ejaculation took place occasionally – this could trigger interpersonal problems among partners, which contributed to Premature Ejaculation.
2. Biological Factors
The following biological factors may have an impact of Premature Ejaculation:
- Irregular levels of neurotransmitters inside the brain;
- Atypical levels of hormones;
- Inherited traits;
- Infection and/or inflammation of the urethra or prostate.
List of Associated Risk Factors and Complications That You Should Know
Diversified factors can contribute to worsen the risks of Premature Ejaculation, such as:
- Stress – mental or emotional disbalance at any part of life can become a reason of Premature Ejaculation, resulting in a limited ability endure relaxation and maintain focus throughout sexual intercourse.
- Erectile Dysfunction – occasional or consistent problems with attaining or keeping an erection may develop a higher risk of Premature Ejaculation. Fears associated with loss of erection may result in conscious or unconscious rushing during sexual act.
Premature Ejaculation can result in personal life issues, like:
- Fertility issues – Premature Ejaculation can cause occasional difficulties with fertilization among couples who try to conceive a baby when ejaculation doesn’t happen intravaginally.
- Stress and relationship issues – a commonly observed difficulty of Premature Ejaculation is related directly to relationship stresses.
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