Dr. Rahul Yadav is currently Senior Consultant in Department of Urology and Renal Transplant, Apollomedics Super Speciality Hospital, Lucknow discusses about Premature Ejaculation, Signs, Diagnoses, Treatments, Behavioral methods, questions etc.
What is premature ejaculation?
Premature ejaculation happens when a man has an orgasm sooner than he or his partner would like. Premature ejaculation can happen before or shortly after penetration.
There is no set time for how long a man should "last" during sex. But when a man has an orgasm before he wants to, he loses his erection and can't continue with intercourse. Premature ejaculation can be frustrating and embarrassing. You may feel you don't have enough time to enjoy sex. You may have difficulty satisfying your partner. For some men, embarrassment about premature ejaculation can cause problems with intimacy and damage their relationships.
Premature ejaculation is a common problem among men. About 30% to 40% of men have this problem at some time in their lives.
Causes
What causes premature ejaculation?
A number of emotional and physical factors can lead to premature ejaculation. It may happen when a man becomes too excited or stimulated, or if his penis is very sensitive. It may also happen if a man is nervous or uncomfortable with a new partner. Other common causes include the following:
Men who have a low amount of a special chemical called serotonin in their brain may have problems with premature ejaculation.
· Anxiety about performance
· Guilty feelings
· Depression
· Stress
· Relationship problems
Is premature ejaculation a sign of a serious health problem?
Not in most cases. Rarely, premature ejaculation results from a serious health problem, such as nervous system damage from surgery or trauma.
How Is Premature Ejaculation Diagnosed?
To make a diagnosis, the health care provider asks questions about sexual history: experience, emotions, fears, and sexual disorders. For the diagnosis, premature ejaculation must cause distress or problems with a relationship. It can’t be related to drugs, such as narcotics.
Treatment
How is premature ejaculation treated?
If it happens frequently, and it makes you or your partner unhappy, you may want to talk to your family doctor. There are several possible methods for delaying orgasm.
Behavioral methods
Behavioral methods are helpful for more than 95% of men who have premature ejaculation. In this type of treatment, you practice controlling your ejaculation, either alone or with a partner.
In addition to using a behavioral method, you may want to try thought distractions. For example, while you're being sexually stimulated, think about the names of players on your favorite sports team.
· In the start-and-stop method, you or your partner will stimulate your penis until you feel like you are about to have an orgasm. Then the stimulation stops for about 30 seconds. Once you regain control of your response, stimulation begins again. This process is repeated 3 or 4 times before you allow yourself to have an orgasm.
· The squeeze method, works in a similar way. When you feel like you are about to ejaculate, you or your partner will gently squeeze the head of your penis for about 30 seconds so that you begin to lose your erection. You repeat this process several times before you allow yourself to reach orgasm.
Psychological Assistance
Anxiety, depression and other emotional issues can lead to premature ejaculation. For these issues, seeking the help of a psychologist, psychiatrist or sex therapist may be helpful. Couples therapy may also help if relationship problems are the cause of premature ejaculation.
Medical Treatments
Several medical treatments may help men who have premature ejaculation. Some antidepressants seem to help delay ejaculation, including antidepressants called selective serotonin re-uptake inhibitors (SSRIs). These antidepressants are available with your doctor's prescription. Also, antidepressants may cause side effects such as nausea, dry mouth and drowsiness. Antidepressants may also decrease your desire to have sex. Your family doctor can help you decide if an antidepressant is right for you.
Anesthetic creams can also be used to prevent premature ejaculation. These creams are applied to the head of the penis to make it less sensitive. Usually, the cream is applied about 30 minutes before sex and then washed off once it has decreased the feeling in your penis. The cream must be washed off before sex. If it is left on, it can cause a loss of erection and vaginal numbness.
For some men, simply wearing a condom can help delay ejaculation because it may make the penis slightly less sensitive.
Questions?
· What can I do to stop myself from ejaculating so quickly?
· Is there a medicine that I can take that will help?
· I'm embarrassed by this—is there someone I can talk to about it?
· Premature ejaculation is causing problems in my relationship; should we go to counseling?
· Should I wear a condom when I have sex?
· Is there an underlying problem that could be causing my premature ejaculation?
DO’s and DON’Ts in Managing Premature Ejaculation:
· DO have the best atmosphere for sex. Fear of interruption and secret sex increase chances of premature ejaculation.
· DO talk with your partner, so you both can express feelings and expectations about sex. Together you may work out methods to prolong erections.
· DO try to relax. Anxiety (especially performance anxiety) makes the condition worse.
· DO call your health care provider if you cannot have an erection. Call if you’re depressed about premature ejaculation.
· DO call your health care provider if you have a bloody or bad-smelling discharge or pain during sex.
· DON’T use risky birth control methods such as withdrawal before ejaculation.
· DON’T feel embarrassed to discuss this condition with your health care provider.
This post first appeared on Dr. Rahul Yadav Urologist In Lucknow (UP) India, please read the originial post: here
