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Dr. David Shusterman Content Administrator Updated on: 26/09/2020. Next review: 26/03/2021
Premature ejaculation. Who is to blame and what to do

Premature ejaculation

About 20% of men between the ages of 18 and 60 suffer from premature (early) ejaculation, which allows us to consider "ejaculatio praecox" (premature ejaculation) a common and fairly common phenomenon. However, less than half of these men go to doctors with their problem. They are just shy, so they push the problem to the farthest corner and don't tell anyone about it. Our article explains the causes and consequences of premature (early) ejaculation and the solutions available.

The consequences of premature (early) ejaculation

Premature (early) ejaculation is one of the most common sexual dysfunctions in men under the age of 60. However, from an evolutionary perspective, premature ejaculation is not necessarily a disadvantage: Men who “come to the finish line” earlier can reproduce faster and more frequently. However, in modern society, in which the goal of sexual intercourse is much more often to get pleasure than to reproduce, ejaculating too quickly can greatly affect the relationship and either lead to a breakup or dysfunctions in the partner, for example, loss of libido or difficulty reaching orgasm.

It is customary to talk about premature ejaculation when a man ejaculates before entering a woman or immediately after that. Men who do not suffer from premature (early) ejaculation usually have some control over when they ejaculate. Men who suffer from "ejaculatio praecox" do not have this control. For a man, this is one of the especially unpleasant problems and often, in attempts to put pressure on himself, he loses the last remnants of control over his ejaculations.

Causes of premature (early) ejaculation

The causes of premature ejaculation are not fully understood. However, over the past 20 years, significant progress has been made in this area: while previously experts considered premature (early) ejaculation to be a purely psychological phenomenon, it has now been established that it is associated with both physical and neurobiological causes. Stress and relationship problems can also cause, or at least make an existing problem worse.

Other possible reasons include:

  • A man's fear of failure
  • Erectile dysfunction can also cause premature ejaculation
  • Physical illnesses such as urinary tract infections or diabetes mellitus
  • Using certain medications, such as pain relievers
  • Organic causes such as inflammation of the prostate, urethra, or balanitis. However, such causes have a limited duration and disappear after the cure of the disease that caused them.
  • Neurobiological causes such as disruptions in the production of the neurotransmitter, serotonin. Among other things, the substance serotonin controls ejaculation and therefore may be responsible for premature (early) ejaculation.
Premature ejaculation. Who is to blame and what to do

How to make ejaculation happen at the right time

The first and foremost rule: a man should talk openly with his partner about his feelings, fears and worries. It is also important that he asks his partner about her attitude towards the situation. Sometimes this question appears to a man more serious than a woman sees it; however, only in a strong relationship can both partners work together to solve problems. At the same time, you must seek the advice of a doctor. There are various treatments that, along with some psychological tools, can bring a man back to a carefree and calm life.

Experts suggest two methods that men and couples can integrate into their love life to overcome premature (early) ejaculation:

  1. First, the start-stop method. The man manually stimulates himself to the "point of no return", that is, the moment of greatest excitement, and stops stimulation. As soon as the arousal subsides, the man again brings himself to the “point of no return.” The cycle repeats several times. As a result, the man receives more information about the characteristics and possibilities of his own ejaculation. It is highly likely that at some stage he will be able to control himself better.
  2. Second, the compression method. It consists in squeezing the head of the penis with your fingers just before ejaculation. This can be done by both the man himself and his partner. After a short time, the man's desire to ejaculate should decrease. Then you should resume stimulation, again squeezing the head before ejaculation. The method is quite successful if the exercise is done for about 20 minutes.

Pelvic floor exercises (Kegel exercises) can also be helpful in this situation, although there is a widespread (and mistaken!) Belief that such exercises are primarily necessary for women. The sphincter muscle and the muscle that regulates urinary flow also exist in the male orgasm. Exercising these muscles by targeted tension can prevent premature (early) ejaculation.

There are a number of drugs for preventing premature ejaculation, which take different approaches to the problem: some drugs contain local anesthetics such as lidocaine or benzocaine. Lidocaine anesthesia usually takes about 20-30 minutes to work, which can greatly interfere with lovemaking. In addition, the partner's genital area can also be desensitized during intercourse.

What conclusion follows from the above? Premature (early) ejaculation is surmountable in most cases. A man, with the support of his partner, is able to turn the tide, and meet each of his sexual intercourse as a wonderful holiday, without fear of failure. The choice of ways to overcome the ailment, whether it be pelvic floor exercises or the methods described, will ultimately depend on the individual man. The main thing is that the chosen method best suits his needs.
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