Premature Ejaculation is more common than most people realize, affecting a large percentage of men at some point in their lives. While it can cause embarrassment and relationship issues, there are ways to address this common sexual concern through lifestyle changes, communication with partners, and proper medical guidance.
Let’s embrace the fact that premature ejaculation is a normal part of male sexuality, experienced by men from all backgrounds. With patience, openness, and the right treatment, most cases of premature ejaculation can be managed effectively.
Be wary of quick fixes like over-the-counter sexual enhancement drugs, which may provide only temporary relief and can even cause dependency issues. Instead, the first step towards overcoming premature ejaculation is a candid chat with your doctor or sex therapist, who can recommend lifestyle adjustments and behavioral techniques tailored to your specific situation.
With the right professional guidance and the understanding support of your partner, you can learn to regain confidence in your abilities in the bedroom and build a healthy sex life based on communication, trust, and mutual enjoyment – not performance anxiety. So if you or your partner is struggling with premature ejaculation, don’t despair. Some solutions don’t involve embarrassment or ineffective “quick fix” drugs. Start by having an honest conversation with a medical expert you trust, and take it one positive step at a time.
Premature ejaculation refers to a man’s inability to regulate the ejaculatory reflex during vaginal intercourse, resulting in persistently early ejaculation. This common sexual disorder affects all age groups, however, it’s more prevalent in younger men and university-educated men.
Causes and occurrence
Premature ejaculation may result from anxiety and is often linked to immature sexual experiences. Other psychological factors may include anxiety or guilt regarding sexual intercourse, unconscious fears about the vagina, and negative cultural conditioning.
However, psychological factors aren’t always the cause of premature ejaculation because this disorder can happen in emotionally healthy men with stable, beneficial relationships. Rarely, premature ejaculation may be connected to an underlying degenerative neurological condition, such as multiple sclerosis, or an inflammatory process, like posterior urethritis or prostatitis.
Frequent masturbation, especially at a young age, can also contribute to premature ejaculation risk. By masturbating quickly to ejaculation on a regular basis, men can condition themselves to reach orgasm rapidly during sexual stimulation. This learned response then carries over to partnered sex, resulting in premature ejaculation.
So while masturbation may be considered a healthy sexual outlet, practicing moderation and self-control techniques from an early age may help prevent hastened arousal responses that lead to premature ejaculation later on.
Signs and symptoms
Premature ejaculation may have a devastating psychological impact on some men, who may exhibit signs of severe inadequacy or self-doubt in addition to general anxiety and guilt.
The patient may be unable to prolong foreplay, or he may have prolonged foreplay capacity but ejaculates as soon as intrusion occurs. In other cases, however, premature ejaculation may have little or no psychological impact. In such cases, the complaint lies solely with the sexual partner, who may believe that the man is indifferent to her sexual needs.
Diagnosis
Physical examination and laboratory test results are usually normal because most men with this complaint are quite healthy. However, a detailed sexual history can help immensely in diagnosis. History of adequate ejaculatory control in the absence of psychological trauma should suggest an organic cause.
Treatment methods include:
Masters and Johnson have developed a highly successful intensive program synthesizing insight therapy, behavioral techniques, and experiential sessions involving both sexual partners. The program is designed to help the patient focus on sensations of impending orgasm.
The therapy sessions, which continue for two weeks or longer, typically include:
•Awareness building through mutual physical examination. Examining each other’s bodies increases awareness of anatomy and physiology while reducing shameful feelings about sexual organs.
•Sensate focus exercises. The partners caress each other’s bodies, without intercourse, focusing on the pleasurable sensations of touch.
•The Semans squeeze technique. The woman squeezes the man’s penis to help him gain control of ejaculatory tension. She applies and releases pressure periodically during a touching exercise to delay ejaculation by keeping the man at an earlier phase of the sexual response cycle.
• The stop-and-start technique. With the woman in the superior position, this involves pelvic thrusting until orgasmic sensations start, then stopping and restarting to aid in control of ejaculation. Eventually, the couple is allowed to achieve orgasm.
These methods aim to help the patient focus on sensations of impending orgasm while also improving communication, intimacy, and trust between partners through physical and psychological exercises.
However, these psychological techniques might not be effective for everyone and in such cases, one must consult a health specialist.
NB: Avoid the indiscriminate use of sexual enhancement medications such as sildenafil.
Always consult your doctor before initiating any medical treatment.
References
- Xanthopoulou, M. N., & Nomikos, M. (2019). Premature ejaculation: current and future treatments. Therapeutic Advances in Urology, 11, 1756287219834372. https://doi.org/10.1177/1756287219834372
- Rowland, D. L., & Patrick, D. L. (2016). The diagnosis of premature ejaculation and its associated sexual and psychological impact. Journal of Sexual Medicine, 13(2), 318–327. https://doi.org/10.1016/j.jsxm.2015.12.017
- Althof, S. E., McMahon, C. G., Waldinger, M. D., Serefoglu, E. C., Shindel, A., Adaikan, G., … Giraldi, A. (2014). An update of the International Society of Sexual Medicine’s guidelines for the diagnosis and treatment of premature ejaculation (PE). Journal of Sexual Medicine, 11(6), 1392–1422. https://doi.org/10.1111/jsm.12504
- McMahon, C. G. (2014). Premature ejaculation. Indian Journal of Urology, 30(4), 367–375. https://doi.org/10.4103/0970-1591.136553
- Waldinger, M. D., & Schweitzer, D. H. (2006). Changing paradigms from a historical DSM-III and DSM-IV view toward an evidence-based definition of premature ejaculation. Part II—proposals for DSM-V and ICD-11. Journal of Sexual Medicine, 3(4), 693–705. https://doi.org/10.1111/j.1743-6109.2006.00257.x
- Patrick, D. L., Althof, S. E., Pryor, J. L., Rosen, R., Rowland, D. L., Ho, K. F., … Waldinger, M. D. (2005). Premature ejaculation: An observational study of men and their partners. Journal of Sexual Medicine, 2(4), 358–367. https://doi.org/10.1111/j.1743-6109.2005.20340.x
- Shamloul, R. (2013). Natural aphrodisiacs. Journal of Sexual Medicine, 10(3), 726–727. https://doi.org/10.1111/jsm.12069
- Waldinger, M. D., & Schweitzer, D. H. (2006). Changing paradigms from a historical DSM-III and DSM-IV view toward an evidence-based definition of premature ejaculation. Part I—validity of DSM-IV-TR. Journal of Sexual Medicine, 3(4), 682–692. https://doi.org/10.1111/j.1743-6109.2006.00256.x
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