Ejaculation is the release of semen from the penis. This usually happens during an orgasm. A man is said to have premature ejaculation when he ejaculates faster than normal.
Premature ejaculation is very common. According to the Urology Care Foundation, at least 1 in 3 men between 18 and 59 years of age have this condition.
Premature ejaculation may also be referred to as:
Premature ejaculation is considered to be a form of sexual dysfunction. Sexual dysfunction refers to those issues that hinder the full enjoyment of sexual activity between couples.
Premature ejaculation should not be confused with erectile dysfunction (ED). In Erectile dysfunction, the man is unable to achieve an erection or to sustain it. In some cases, one may experience both premature ejaculation and erectile dysfunction.
The precise cause of premature ejaculation is not known. However, clinicians and medical researchers believe is involves both biological (physical) factors and psychological factors.
Several biological factors are involved in the occurrence of this condition. These include:
Psychological factors may contribute to the onset of this condition. For instance, a man may experience premature ejaculation just when he is beginning to have sex, but as he gets older and more experienced, he learns strategies that help him to delay the ejaculation.
Psychological factors that may contribute to premature ejaculation include:
Abnormal levels of some hormones, like testosterone or certain chemical messengers, may also cause premature ejaculation. Inflammation of the urethra or prostate may also contribute to premature ejaculation.
Symptoms of premature ejaculation
One may experience premature ejaculation occasionally. This is nothing to worry about. However, you may need to see your doctor if you experience this frequently or if it has occurred over a prolonged period.
The primary symptom of premature ejaculation is “fast release” or being unable to delay ejaculation for at least a minute after penetration during sexual intercourse. Some people may also experience rapid climax during masturbation.
If you ejaculate normally sometimes, and prematurely at other times, then you may be having natural variable premature ejaculation.
You should consult your doctor if premature ejaculation:
If you experience these problems, you can consult your doctor. A urologist is a doctor who treats diseases of the urinary system. He or she also specialises in the treatment of male sexual function.
You can also discuss confidentially with one of our doctors. At Access Doctor, we have a team of specialists who can assist you. Also, you don’t have to worry about the stress or awkwardness of a face-to-face consultation as we support online consultation service. Our doctors can also speak to you over the phone if need be.
When you are going for a consultation, go with the following information:
Available treatments for premature ejaculation
Available treatments for premature ejaculation include topical medications (creams), tablets, self-help techniques, and psychological assistance. One needs to find the treatment or therapy that is most suitable for one’s condition.
Creams: Anaesthetic sprays and creams can be used to treat premature ejaculation. These creams contain a numbing agent like prilocaine, lidocaine, or benzocaine. You will apply the product to your penis at least 10 minutes before sex. These products help to minimise sensation and delay ejaculation.
It is important to note that topical creams are well-tolerated and very effective. But they also have some side effects. For instance, some people may experience decreased pleasure during sex or loss of sensitivity.
Oral medications (tablets): some medications can help delay orgasm. Some include analgesics, antidepressants, and phosphodiesterase-5 inhibitors. Your doctor might prescribe these medications for daily use or on-demand. The drugs may also be prescribed alone or along with other medications. Examples of antidepressants that help to delay ejaculation include:
These are all selective serotonin reuptake inhibitors.
Phosphodiesterase-5 inhibitors that treat erectile dysfunction may also be useful in premature ejaculation. Drugs in this category include:
Psychological: This involves consulting a mental health professional. You can discuss with him/her about your experiences and relationship. Counselling sessions can reduce performance anxiety and help you to cope better with stress. Counselling works best when combined with drug therapy.
Self-help techniques: These include pelvic floor exercises, the pause-squeeze technique, and the use of condoms.
The weakness of the pelvic floor muscles impairs a person’s ability to delay ejaculation. These muscles can be strengthened with Kegel exercises.
In the pause-squeeze technique, you and your partner will engage in sexual acts. Your partner will stimulate your penis until you are on the verge of ejaculating, then you or your partner will squeeze the head of your penis until you no longer feel the urge to ejaculate. You can repeat this process as necessary. By repeating this process, you can penetrate your partner without ejaculating.
Condoms make your penis less sensitive. This helps to delay ejaculation. You can get control condoms over the counter. They contain lidocaine and benzocaine (both are numbing agents) and are produced with thicker latex to delay ejaculation.
Premature ejaculation is a common condition affecting at least 1 in 3 men. Needless to say, it is common. However, it can be contained with the help of a qualified doctor.
AccessDoctor offers a range of prescription only medications for the treatment of premature ejaculation, such as:
Our service is 100% confidential and served by qualified UK doctors.