Premature Ejaculation
Premature Ejaculation is a condition in which a man ejaculates earlier than he or his partner would like during sexual activity. It may also refer to a man who is unable to delay ejaculation during intercourse.
Causes of premature ejaculation
- Psychological factors such as anxiety, depression, and stress
- Biological factors such as abnormal hormone levels, abnormal reflex activity of the ejaculatory system, or certain genetic traits.
- Combination of psychological and biological factors
- Certain medications
- Medical conditions such as thyroid problems, prostate infection, and nerve damage.
Most important are the following:
There are a variety of potential causes of premature ejaculation, which can be divided into psychological and physical causes.
- Psychological causes:
- Anxiety or stress, including performance anxiety
- Relationship problems
- Childhood sexual abuse or trauma
- Depression
- Physical causes:
- Abnormal hormone levels
- Abnormal levels of neurotransmitters in the brain
- Thyroid problems
- Inflammation or infection of the urethra or prostate
- Certain medications
- Neurological conditions such as multiple sclerosis
- Chronic illnesses such as diabetes
Types:
There are two types of premature ejaculation: primary and secondary.
- Primary premature ejaculation refers to a condition in which a man has always had difficulty with premature ejaculation, and has never been able to control his ejaculation.
- Secondary premature ejaculation refers to a condition in which a man has developed premature ejaculation after previously having had control over his ejaculation. This type of premature ejaculation may be caused by psychological or physical factors.
List of medication causing Premature Ejaculation:
- Selective serotonin reuptake inhibitors (SSRIs) - These are commonly used to treat depression and anxiety, and can delay ejaculation. Examples include fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), and fluvoxamine (Luvox).
- Tricyclic antidepressants - These are also used to treat depression, and may also delay ejaculation. Examples include clomipramine (Anafranil) and imipramine (Tofranil).
- Opioid pain medications - These medications can affect hormone levels and neurotransmitters in the brain, which may lead to premature ejaculation. Examples include tramadol (Ultram), morphine, and fentanyl.
- Antipsychotics - These medications are used to treat mental illnesses such as schizophrenia and bipolar disorder, and may also delay ejaculation. Examples include risperidone (Risperdal) and olanzapine (Zyprexa).
Treatment for premature ejaculation:
There are several medications that are used to treat premature ejaculation:
- Dapoxetine
- Tramadol
- Lidocaine cream or spray
- Prilocaine cream or spray
- Tadalafil (Cialis)
- Sildenafil (Viagra)
- Fluoxetine (Prozac)
- Paroxetine (Paxil)
- Sertraline (Zoloft)
- Clomipramine (Anafranil)
- Dapoxetine - This medication is a selective serotonin reuptake inhibitor (SSRI) that is specifically designed to treat premature ejaculation. It is taken orally, usually one to three hours before sexual activity.
- Tramadol - This medication is an opioid pain reliever that has been found to be effective in treating premature ejaculation. It is taken orally.
- Anesthetics - Topical anesthetics such as lidocaine or prilocaine cream, or sprays, can be applied to the penis before intercourse to reduce sensitivity and delay ejaculation.
- Phosphodiesterase-5 inhibitors (PDE5 inhibitors) - These medications, such as tadalafil (Cialis) and sildenafil (Viagra) are primarily used to treat erectile dysfunction, but they have also been found to be effective in treating premature ejaculation when used in combination with other treatments.
- Behavioral techniques - Behavioral techniques such as the "squeeze technique" and the "stop-start technique" can be used to help men learn to control their ejaculation.
NOTE:
It's important to note that not all men respond to these treatments and that it is important to consult with a doctor to determine the best treatment for you. The most appropriate treatment will depend on individual factors such as the cause of the premature ejaculation.
Common side effects of these drugs:
The side effects of these drugs can vary and may not be experienced by all individuals who take them. Some of the possible side effects of these drugs include:
- Dapoxetine: Nausea, diarrhea, headache, dizziness, insomnia, and decreased libido.
- Tramadol: Drowsiness, dizziness, nausea, constipation, dry mouth, and headache.
- Lidocaine cream or spray: Localized numbness, itching, burning, or redness of the skin.
- Prilocaine cream or spray: Localized numbness, itching, burning, or redness of the skin.
- Tadalafil (Cialis): Headache, muscle aches, back pain, indigestion, and stuffy or runny nose.
- Sildenafil (Viagra): Headache, flushing, indigestion, and visual disturbances such as blurred vision or blue-tinted vision.
- Fluoxetine (Prozac): Nausea, diarrhea, insomnia, dry mouth, and decreased libido.
- Paroxetine (Paxil): Nausea, diarrhea, insomnia, dry mouth, and decreased libido.
- Sertraline (Zoloft): Nausea, diarrhea, insomnia, dry mouth, and decreased libido.
- Clomipramine (Anafranil): Drowsiness, dry mouth, constipation, blurred vision, and decreased libido.
Sildenafil and Heart Patient:
Sildenafil (Viagra) is a medication that is primarily used to treat erectile dysfunction. However, it may also be used to treat other conditions, such as pulmonary hypertension.
In general, sildenafil is considered to be safe for most men. However, there are certain groups of people who may need to use the drug with caution, or not use it at all. This includes men with certain heart conditions.
Sildenafil works by relaxing the blood vessels in the penis, allowing for increased blood flow to the area and facilitating an erection. However, this same mechanism of action may also lead to a decrease in blood pressure, which can be dangerous for men with certain heart conditions.
Men with a history of heart attack or stroke within the last six months, or those who have low blood pressure or uncontrolled hypertension, should not take sildenafil. Men with a history of heart disease or heart failure should also use sildenafil with caution and only under the close supervision of their doctor.
FOODS FOR PREMATURE EJACULATION:
Follow the saying" Treatment is better then cure", start these foods early to avoid premature ejaculation.
- Oysters
- Spinach
- Dark chocolate
- Pomegranate
- Nuts and seeds (almonds, pumpkin seeds, sunflower seeds)
- Figs
- Garlic
- Avocados
- Watermelon
- Bananas
- Oysters: Oysters are rich in zinc, which is essential for the production of testosterone, a hormone that plays a key role in sexual function.
- Spinach: Spinach is rich in magnesium, which is important for maintaining healthy blood flow to the genitals.
- Dark chocolate: Dark chocolate is rich in antioxidants and can help to improve blood flow and lower blood pressure, both of which are important for sexual function.
- Pomegranate: Pomegranate is rich in antioxidants and can help to improve blood flow to the genitals, which can help to prevent premature ejaculation.
- Nuts and seeds: Nuts and seeds, such as almonds, pumpkin seeds, and sunflower seeds, are rich in zinc and other nutrients that are important for sexual function.
- Figs: Figs are high in natural sugars and can help to boost energy levels and improve stamina.
- Garlic: Garlic can help to improve blood flow and lower blood pressure, which can help to prevent premature ejaculation.
- Avocados: Avocados are rich in healthy fats and can help to improve cardiovascular health, which is important for sexual function.
KEGEL EXERCISE:
Kegel exercises are a type of exercise that target the pelvic floor muscles, which can help to improve sexual function and prevent premature ejaculation. These exercises are named after Dr. Arnold Kegel, who developed the exercises in 1948 to help women with urinary incontinence. However, these exercises have been found to be beneficial for men as well.
The pelvic floor muscles are the muscles that support the pelvic organs and are responsible for controlling urine flow. When these muscles are weak, it can lead to premature ejaculation. By strengthening these muscles through Kegel exercises, men can improve their ability to control their ejaculation and last longer during sexual activity.
To perform Kegel exercises, men should first locate their pelvic floor muscles by stopping the flow of urine midstream. Once the muscles have been identified, the exercises can be done by contracting the muscles for a count of three to five seconds, and then releasing them for the same amount of time. This should be done several times a day, gradually increasing the number of repetitions and the duration of the contractions as the muscles become stronger.
OTHER EXERCISES:
In addition to Kegel exercises, there are other exercises that can help to improve sexual function and prevent premature ejaculation:
- Pelvic thrusts: These exercises involve contracting the pelvic floor muscles and lifting the hips off the floor, similar to the motion of thrusting during sexual activity. This can help to improve muscle control and delay ejaculation.
- Squeeze technique: This technique involves stopping sexual stimulation just before ejaculation and squeezing the head of the penis or the space between the testicles and anus to prevent ejaculation. This can help to improve control over ejaculation.
- Start-stop technique: This technique involves becoming familiar with the sensation of approaching ejaculation and stopping sexual stimulation before ejaculation occurs. This can help to improve control over ejaculation and prolong sexual activity.
- Masturbation: Masturbating an hour or two before sexual activity can help to delay ejaculation during intercourse.
- Cardio exercises: Regular cardio exercises can help to improve cardiovascular health, which is important for sexual function.
- Yoga and meditation: Yoga and meditation can help to reduce stress and anxiety, which can contribute to premature ejaculation.
NOTE:
- It's important to note that these exercises may not be suitable for everyone, and should be done under guidance of a specialist such as a urologist or a sex therapist.
- It's also important to note that these exercises may take time to show their effects and it's recommended to be consistent with the practice.
- It's also important to consult with a doctor before starting any new exercise routine, especially if you have any pre-existing medical conditions.
THINGS THAT WILL HELP TO IMPROVE THE RESULT OF TREATMENT:
In addition to medications, exercises, and foods. There are other things that can help to improve sexual function and prevent premature ejaculation:
- Stress Therapy: Talking with a therapist or counselor can help to address underlying psychological issues that may contribute to premature ejaculation, such as anxiety or stress.
- Communication: Open communication with your partner about your sexual concerns can help to improve sexual function and prevent premature ejaculation.
- Relaxation techniques: Relaxation techniques such as deep breathing, meditation, or yoga can help to reduce stress and anxiety, which can contribute to premature ejaculation.
- Sleep: Adequate sleep and healthy sleep habits can help to improve overall health and sexual function.
- Avoiding alcohol and drugs: alcohol and drugs can have a negative impact on sexual function and should be avoided or used in moderation.
- Using condoms: Using condoms can help to reduce sensation during sexual activity and delay ejaculation.
- Lubrication: Using a water-based lubricant during sexual activity can help to reduce friction and increase pleasure.
- Keeping a healthy lifestyle: A healthy lifestyle, including regular exercise, a balanced diet, and not smoking, can help to improve overall health and sexual function.
In conclusion, premature ejaculation is a common condition that affects many men. While it can be an embarrassing and frustrating issue, it is treatable and manageable. There are several treatment options available, including medication, exercises, therapy, and lifestyle changes. It is important to consult with a doctor or a health professional to determine the best treatment for you. Remember that premature ejaculation is not a sign of weakness, and that seeking help is a sign of strength. With the right treatment, you can improve your sexual function and enjoy a more satisfying sex life.
