I. Introduction

Premature ejaculation or early ejaculation is a very common sexual dysfunction problem that affects many men. The definition of PE is a man unable to delay ejaculation long enough to satisfy his partner and themselves during sexual intercourse. In general, premature ejaculation is considered a problem when it happens within one minute of penetration. Early ejaculation can cause stress as well as relationship issues, but it can be treated smartly by using the right approach.

Premature Ejaculation Treatments
Fig.1 Premature Ejaculation Treatments

II. Causes of Premature Ejaculation

There are so many factors that can cause PE such as biological, psychological, and lifestyle.

Physical Causes:

  1. Hormonal Imbalance: Hormonal changes such as testosterone levels can affect the ejaculatory process and lead to ejaculation problem.
  2. Prostate Problems: Prostate problems such as infection or inflammation can affect the ejaculation process and lead to early ejaculation in men.
  3. Thyroid Problem: Hyperthyroidism is a thyroid disorder problem that can cause early ejaculation.
  4. Neurological Conditions: Parkinson’s or multiple sclerosis disease damages the nerves that help to control ejaculation and can cause PE.

Psychological Causes:

  1. Anxiety: Anxiety is a major cause of premature ejaculation. Fear of intimacy, anxiety performance, or worries about the sexual activity can lead to the PE problem.
  2. Depression: Depression is a leading disorder that affects a man’s sexual performance and can cause premature ejaculation.
  3. Relationship Problems: In a relationship, lack of communication, conflicts, and emotional distance can cause early ejaculation issues.
  4. Stress Level: stress is a very typical issue to lead premature ejaculation. Stress can badly reduce a man’s ability to control his ejaculation.
  5. Childhood Trauma: Childhood trauma means sexual abuse will one of the factors that cause the ejaculation process in adults.

Other Causes:

  1. Age Factor: Age is the leading factor that affects the ejaculation process such as men get older their ejaculatory ability diminishes.
  2. Substance Abuse: some drug addictions such as cocaine, alcohol, anxiety pills, etc. can easily affect a man’s ejaculation and not control for a long time.
  3. Genetics: According to research, the genetic component is also one of the risk factors for early ejaculation.
  4. Masturbation Habits: When masturbating with too much pressure or too quickly also leads to early ejaculation because it affects ejaculatory control in men.

III. Symptoms of Premature Ejaculation

Diagnosing premature ejaculation that includes a medical history, physical exam, and symptoms discussion. Here are some common symptoms of early ejaculation

  • Ejaculating within one minute of penetration: It is the most common symptom that occurs in men during sexual activity. Ejaculate within one minute is a difficult situation that affects men’s sexual performance and unable to satisfy their partner.
  • Inability to delay ejaculation: Men who experience premature ejaculation may find it difficult to delay ejaculation even though they know the techniques to slow down or stop sexual stimulation.
  • Ejaculating during foreplay: Some men may also ejaculate at the time of foreplay or before penetration.
  • Feeling anxious or stressed about sex: Men who suffer from premature ejaculation can feel anxious or stressed about sex because they lost confidence and control over ejaculation.
  • Relationship problem: It can also affect relationship problems as both partners feel frustrated and unsatisfied.
  • Low Self-esteem: Men who experience PE can also feel low self-esteem as well as feeling of inadequacy that can down their confidence in other areas of their life.

IV. Treatment for Premature Ejaculation

  • Behavioral Techniques: It can help men learn how to control their ejaculation and get a longer orgasm. In this technique, you can learn the start-stop method, in that, a man can stop sexual stimulation when he feels close to ejaculation, or the squeeze method, in that which the base of the penis is squeezed to prevent ejaculation.
  • Medications: Certain medications can help to control ejaculation. Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) and helps to increase the serotonin level in the brain as a result delay ejaculation. Dapoxetine medications such as Prejac 60mg help to increase the time of ejaculation during sexual activity.
  • Therapy: Therapy can help to identify and address the psychological problems that can be contributing to the premature ejaculation issue. Couple therapy is the best and most helpful to improve the relationship as well as premature ejaculation problems.
  • Pelvic floor exercises: Kegal exercises or pelvic floor exercises can help improve the strength of muscles that control ejaculation.

V. How to prevent Premature Ejaculation

There is no way to prevent PE, but some steps that can help to reduce their risk and improve the delay of ejaculation.

  • Masturbate before sex: This is the old technique to prevent premature ejaculation. Once a man masturbates before sex, it reduces the sensitivity of the penis and helps delay ejaculation during sexual activity.
  • Practice Relaxation Techniques: A man needs to practice some relaxation techniques such as deep breathing, yoga, and meditation to help prevent stress and anxiety and improve sexual performance.
  • Use Condoms: Using a condom at the time of intercourse help reduce sensitivity and prevent premature ejaculation.
  • Try Different Sexual Positions: some sexual positions may lead to more stimulation and cause early ejaculation. Couples can use some different sexual positions to find which works best for both and delay ejaculation.