Premature ejaculation (PE) is a common sexual dysfunction characterized by a man reaching orgasm too quickly during sexual activity. Symptoms of PE can include:
- Ejaculating within a minute of penetration
- Inability to delay ejaculation during intercourse
- Feelings of embarrassment or frustration
- Distress or anxiety related to sexual performance.
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rapid ejaculation occurs when a man biologically speaking reaches orgasm and ejaculates precipitously. Treatments in these cases should focus on psychosexual counseling and prior medical treatment where necessary.
It should be said that it has been seen that behavioral techniques are effective for the treatment of rapid ejaculation when it is acquired since their origin differs.
symptoms of premature ejaculation
It should be said that people with rapid ejaculation do maintain their sexual desire and interest in sex, this does not have to be affected. On the other hand, the main symptoms that corroborate that the person is suffering from rapid ejaculation are:
- Low latency time until ejaculation (before penetration or just at the start of it).
- The low feeling of control over ejaculation.
- The feeling of anguish.
- Interpersonal problems related to ejaculatory dysfunction.
- Low satisfaction in the sexual relationship.
- Difficulty relaxing during the act.
- Less frequent sexual relations.
- Decreased self-confidence in the individual and in the relationship.
- Shame, which makes few people seek treatment.
Causes of premature ejaculation
Although the etiology of rapid ejaculation is not completely clear in terms of supporting the biological and psychological hypotheses, it seems to be closely related to anxiety, hypersensitivity to the penis, and serotonin reuptake (5-HT) dysfunction.
Despite the fact that everything seems to point to the non-relationship of the marital situation or the level of income, some risk factors have been found, such as:
- Being of Hispanic, Black, or Islamic “race.”
- Lowest educational level.
- Genetic predisposition.
- Poor overall health.
- Inflammation of the prostate.
- Thyroid hormone disorders.
- Emotional problems and stress.
- sexual traumas.
- Neurological diseases.
- urinary infections.
- Bad masturbation habits.
- Lack of sexual information.
- Self-esteem issues and guilt.
- Fear of failure.
Solutions to cure premature ejaculation
How to stop being a premature ejaculator? When we talk about primary rapid ejaculation, which occurs from the beginning of sexual intercourse, pharmacological use is recommended as the main line that can be combined with other techniques and exercises.
Pharmacological treatment for premature ejaculation
Drug treatment should be withdrawn after 6-8 weeks of administration. Some of those that have been found to be effective in solving Rapid ejaculation are:
- Topical analgesics: local analgesics in order to desensitize the glans and delay ejaculation without causing a great affectation on the ejaculatory sensation. It is advisable to use this technique with a condom so as not to anesthetize the areas of the other person involved in intercourse. Some examples of pain relievers would be: lidocaine-prilocaine cream, SS-cream
- Selective serotonin reuptake inhibitors (SSRIs): 5-HT is known to be involved in ejaculatory processes. In the administration of these drugs, we can find side effects such as drowsiness, tiredness, yawning, vomiting, nausea, dry mouth, diarrhea, mild sweating, and, on occasions, decreased libido, anorgasmia, anejaculation, and erectile dysfunction. The SSRI used for these cases is Dapoxetine.
- Phosphodiesterase type 5 inhibitors: in order to reduce performance-related anxiety due to better erections and lowered erectile threshold, thus solving rapid ejaculation.
Natural treatments for premature ejaculation
These techniques are based on the premise that a man fails to appreciate the sensations of heightened arousal and to recognize the feeling of inevitability of ejaculation. Therefore, this training aims to attenuate the stimulus-response connections by exposing the patient to progressively more intense and prolonged stimulation, while maintaining the intensity and duration of the stimulus just below the threshold to trigger the response.
Here I show you the main techniques that seem to have been shown to be effective in solving rapid ejaculation:
- “Stop-start” program developed by Semans: this exercise can be carried out alone (oneself) or with a partner. It consists of stimulating the penis until the patient has the desire to ejaculate. At that moment, the stimulation is stopped, it waits until the sensation and the desire to ejaculate have passed, and then the stimulation is resumed.
- “Compression” technique proposed by Masters and Johnson: it is a technique similar to the previous one, with the difference that at the moment the patient feels the desire to ejaculate, the glans is manually and immediately pressed until the desire disappears.
- Relaxation techniques: use of diaphragmatic breathing in order to reduce anxiety symptoms and stress.
- Psychotherapy techniques: if it is a secondary consequence, it is recommended to treat the main cause in psychotherapy or couple/sexual therapy.
Other commonly used techniques for premature ejaculation
Some men, in order to last longer in relationships, use masturbation prior to the sexual encounter, since thanks to the refractory period the penis is desensitized.
Others use a technique similar to “stop-start,” so that when they feel they are about to orgasm, they work to keep their level of sexual arousal below the optimal threshold of intensity. Many do it by mentally changing the focus, or, for example, stopping penetration to give pleasure only to the other person.
This article is merely for informational purposes, at Psychologyorg we do not have the power to make a diagnosis or recommend treatment. We suggest you go to a psychologist to treat your specific case.
In conclusion, rapid ejaculation is a common sexual health issue that affects many men at some point in their lives. It can cause significant distress and impact the quality of life for both the individual and their partner. While the exact causes of rapid ejaculation are not fully understood, several physical and psychological factors can contribute to its development. Fortunately, there are several effective treatments available, including behavioral techniques, medication, and counseling. Seeking professional help is crucial in managing rapid ejaculation and improving sexual health and overall well-being. With the right treatment approach and support, men can overcome rapid ejaculation and enjoy fulfilling sexual relationships.
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