Understanding Premature Ejaculation
In order to completely rid yourself of this sexual problem, it is not only necessary to understand the problem, but also to understand yourself. Here is our guide on this sexual problem that is embarrassing for a couple, but devoid of any seriousness or health risk.
Causes of premature ejaculation
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Premature ejaculation is a sexual disorder and not a disease; therefore, there is no pathogen specifically associated with this disorder (which is regarded more as a mere “problem”). This dysfunction is sometimes a sign of a lack of sexual maturity, or of an overly-intense sexual desire.
The situation is generally improving, with the regularity of sex, which suggests that premature ejaculation has a psychological link. Indeed, fears about sex, or about your partner, can be the source of the problem. A “desire to do well” the first time a couple have sex can exert mental pressure on the male individual, which can lead to premature ejaculation.
Therefore, it often happens that the more a couple builds their trust, the less the problem manifests itself! This also tends to happen as the sufferer gets older. Indeed, gaining experience and confidence in your abilities over the years means that your premature ejaculations could spread out, and then even completely disappear.
But long-term couples are equally susceptible to premature ejaculation, having never experienced this sexual problem so far. There can be numerous causes:
Potential causes of Premature Ejaculation
| a fight | marital tension |
| high stress in professional or personal life | anxious tendencies |
| Other warning signs of early depression |
In these cases, it is also necessary to focus on communication. If this is impossible, you can turn to psychotherapists specialised in couples’ difficulties.
In addition to these causes, “erectile dysfunction“ can also be cited as a cause on a sexual level or even prostatitis and hyperthyroidism on a biological level. Too short a foreskin can also cause sexual problems, but in this case, it is necessary to consult a surgeon for a possible operation because Priligy will be less effective.
Other causes of Premature Ejaculation
| major and chronic alcoholism | diabetes |
| hypertension | hormonal problem |
| brain tumours |
Symptoms & signs of premature ejaculation
In principle, it is possible for a man to control his ejaculation, but if he is unable to do so, there are appropriate treatments and self-control exercises intended to delay his orgasm.
Ejaculation results from the combined action of the sperm’s hypertension in the prostatic urethra, a relaxation of the striated urethral sphincter, and contraction of the pelvic floor muscles, allowing the release of sperm. When it is ‘premature’, ejaculation occurs (on average) in the first minute of vaginal penetration. This orgasm can also occur in the build-up to the sexual act, and be triggered by a simple thought, which leads to his desire being so intense that is impossible to control.
Note: It is difficult to speak of an “ideal duration” for sex, just as it is impossible to quote a number of minutes for a duration considered to be too short, simply because sex is unique to each couple, and the best cure for repeated premature ejaculations is to talk directly with your partner. Also remember that penetration or ejaculation is absolutely not synonymous with enjoyment, as each couple will have their own means and methods to reach climax, but the essential thing is to talk!
Treatments
The treatments for premature ejaculation are diverse, with varying efficiencies. It is also about knowing your own body so that you learn to recognise pre-orgasmic sensations, and also minimising symptoms in order to manage systemic factors that intervene in the couple’s sex lives.
As well as this, there are drug prescriptions available that enable better control of symptoms. Thus, there are two steps to follow in the treatment process.
- Initially,it will be about putting the patient under conditions conducive to healing by suppressing the symptoms (for example it is strongly recommended to consult a specialist, sexologist or psychologist).
- After this comes sex-therapy which makes sure the problem is cured. It is not recommended to perform intracavernous injections, taking PDE 5, tramadol, anti-blocking drugs, or to take yourself to climax outside of sexual relations (which tends to violently stimulate those susceptible to prematurity).
There are other ways to delay ejaculation and prevent premature ejaculation. One of them is the ” Squeeze Technique”.
This is when the patient’s partner presses the tip of the foreskin (the fold of skin at the tip of the penis) with the left-hand thumb and forefinger, and with the right-hand thumb, exercise pressure at the base of the penis. This must be done for 10 to 15 seconds when the penis is erect. To complete this method, the patient must be able to recognise when they cannot control their ejaculation any longer.
Another method, the Stop and Go, is for the patient to stop the back and forth movement when there is impending ejaculation, and resume sex after the feeling of ejaculation has passed (between 20 to 45 seconds).
Finally, it is also advisable to try relaxation methods to try to break the negative mental barriers that promote prematurity. It is possible to take up yoga, meditation or try hypnosis, for example.
Sources
- Premature ejaculation, what is it? Netdoctor
- Definition of Premature ejaculation: NHS
- Causes of Premature Ejaculation: Webmd
Other information
Medical review on January 7, 2021 by Dr. Davis Taylor
