Premature Ejaculation: Causes and Treatments

What is premature ejaculation?

Premature ejaculation is a type of clinical of dysfunctional sexual conduct when a male attains orgasm and dispels semen sooner than preferred by him as well as the partner. It often takes place before or after intercourse or if intercourse has not taken place at all. Premature ejaculation may be aggravating for both you and your sexual partner, making your sex life less satisfying. In the United States, approximately one in every three males aged 18 to 59 suffers with Premature ejaculation. The issue is frequently assumed to be psychological, although biology may also be involved.

What causes PE?

Though the actual cause of PE is unknown, serotonin may have a role. Serotonin is a naturally occurring chemical in your body that is produced by nerves. Serotonin levels in the brain increase the time it takes to ejaculate. Low levels can cause PE by shortening the time to ejaculation.

Premature ejaculation may also be caused due to physical as well as psychological factors.

Physical factors:

• A diagnosis of underlying erectile dysfunction.
• Some physiological problem with oxytocin which later also come in the picture with male sexual performance. Fsh, lh, progestogen, estrogen, testosterone, amino acids, dopamine, no and SHBG are one some of the hormones that affect the sexual activity.
• A part of the male genitalia which becomes easily erect or gets easily irritated.

Psychological Factors:

Performance anxiety

Stress

Depression

Relationship issues

What is the management of PE?

The major treatments of premature ejaculation are counseling, behavioral therapy, and drug therapy. Several forms of therapy could be given at the same time

Psychological counseling:

• Consult a psychologist, psychiatrist, couples therapist, or sex therapist if you believe performance anxiety, depression, stress, or a dysfunctional relationship are the root causes of your premature ejaculation.

Behavioral therapy:

Start and stop method

This technique involves you or your partner stimulating your penis near the point of orgasm, then stopping the stimulation for around 30 seconds until you regain control of your response. Before allowing yourself to orgasm, repeat this “start and stop” strategy three or four times. Continue to use this strategy until you have solid control.

Squeeze method

You or your spouse stimulates your penis until you are close to ejaculation using this approach. When you are near, you or your lover squeezes your penis tightly, causing your erection to partially disappear. The idea is to make you conscious of the feelings that build up to the climax. On your own, the squeeze method may assist you in better controlling and delaying climax.

Medications:

Premature ejaculation medications such as dapoxetine hcl helps to treat early orgasm in men. Premature ejaculation has also been treated with erectile dysfunction medications such as sildenafil, tadalafil, vardenafil, and Avanafil, particularly in men with underlying erectile dysfunction.