Ejaculatory dysfunction or premature ejaculation is a curable and a common condition found among 1 in 3 men. Most men remain too nervous or feel uncomfortable talking about it. In this condition, the men ejaculate sooner in a sexual act than expected by him or his partner. The cause of this happening can be both biological and psychological.
All this is easily treatable. Besides medications, ejaculation can also be delayed through certain sexual techniques and some amount of counseling.
Premature ejaculation happens due to a complex interaction between psychological and biological factors. Hence, its exact cause is not known.
Psychological causes that might contribute include:
Biological causes that contribute include:
The main symptom is ejaculation happening within a minute of penetration. It can also occur during masturbation. Premature ejaculation can be categorized into two types:
Many men suspect themselves of having all the above symptoms, however, they end up not meeting the diagnostic norms defined for it. Such men tend to have natural variable premature ejaculations that include periods of both rapid and normal ejaculations.
Diagnosis is generally done basis on discussion with the doctor about your sexual health history and a physical exam. If you suffer from both premature ejaculation and erectile dysfunction then the doctor might ask you to undergo a blood test to check your testosterone hormonal level. Some cases can be resolved by seeking help from an experienced urologist or a psychologist who specializes in sexual disorders.
A host of treatment options can be considered while treating a premature ejaculation. With some time, you will be able to understand which treatment or a combination of treatment is working for you. Following are the treatment options one can consider:
Behavioral technique of masturbating an hour or two before the sexual intercourse will assist you in delaying the ejaculation. Focusing on foreplay or other sexual intimacy before instead of sexual intercourse can also assist in reducing the mental pressure of performance.
Ability to delay ejaculation can be impaired by weak pelvic floor muscles. Pelvic floor exercises (Kegel exercises) helps to strengthen these muscles.
These exercises can be performed as follows:
This method works as follows: When the man feels the urge to ejaculate in between a sexual activity, the partner can help by squeezing the end of the man’s penis. The female needs to keep squeezing the end of the penis until her partner loses the urge to ejaculate. The process can be repeated whenever necessary.
If the pause-squeeze technique is painful or uncomfortable, then try another technique of preventing sexual stimulation just before the ejaculation. Wait till you don’t feel aroused at all. Then start again. This technique is called stop-start technique.
Climax control condoms containing numbing agents like benzocaine or lidocaine can be used to delay ejaculation. They reduce the penile sensitivity helping in delaying ejaculation.
Your doctor might suggest various topical and oral medications to prevent early ejaculation. These can be combined with one or more treatments.
Premature ejaculation can make you feel helpless, anxious, angry, ashamed and upset. However, proper sexual counseling and talking with your spouse about the problem candidly can go a long way in finding a solution to this treatable condition.
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