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Premature Ejaculation

What is premature ejaculation?

Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. This leads to unsatisfactory sexual experience for both partners. This can increase anxiety about sex which may worsen this condition. The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.

Premature ejaculation can be classified as:

  • Lifelong (primary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters.

  • Acquired (secondary). Acquired premature ejaculation develops after you've had previous sexual experiences without ejaculatory problems.

Many men feel that they have symptoms of premature ejaculation, but the symptoms don’t meet the diagnostic criteria for premature ejaculation. Instead these men might have natural variable premature ejaculation, which includes periods of rapid ejaculation as well as periods of normal ejaculation.

Causes

Most cases do not have a clear cause. However, the following are recognized;

  • Anxiety of a new partner

  • Psychological factors such as anxiety, guilt, or depression.

  • Medical factors such as hormonal problems, injury, or a side effect of certain medicines.

  • Certain sexual situations such as long time since the last ejaculation.

Diagnosis

Diagnosis of premature ejaculation is largely clinical. Your doctor will take your medical and sexual history followed by a physical examination. You might also want to discuss with your doctor along with your partner. Laboratory tests may also be ordered for to rule out medical problems.

Treatment

In some cases treatment may not be needed as premature ejaculation may resolve on its own. Certain lifestyle changes may however be of help, such as:

  • Practicing relaxation techniques or using distraction methods to delay ejaculation.

  • Stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may be of help.

  • Using a condom to reduce sensation to the penis.

  • Trying a different position during intercourse.

  • Behavioural therapy may help reduce anxiety.

  • Pelvic floor exercises (Kegels) to strengthen the pelvic floor muscles.

Medications

  • Antidepressants are sometimes used to treat premature ejaculation. They are used because one of their side effects is inhibited orgasm, which helps delay ejaculation. 

  • Opioids have been tried with some satisfactory results

  • Creams, gels, and spray such as lidocaine spray helps by reducing sensation to the penis. This may however reduce sensation for the partner also.

Prostate Assessment Clinic
Erectile dysfunction Clinic
Wellman clinic 

    • Prostate Assessment and Wellman clinic on Mondays, Thursdays & Saturdays 9:00am - 7:00 pm
    • Erectile Dysfunction Clinic on Wednesdays & Saturdays 9:00am - 6:00pm
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  • Call us on 01-2705803 , 01-2771707 , 07084358745 , 08063871481 , 08035288313| vantagemedicalcentre99@gmail.com for more details.