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What is premature ejaculation?
Premature Ejaculation (PE) is when a man comes and ejaculates earlier than he or his partner wants. It usually happens in a short period, most commonly in less than one minute, after foreplay begins. It can even happen before sex. PE can affect emotional health, self-esteem, and relationships.
PE is very normal, but nobody ever speaks of it. Most guys don’t want to admit it, so they say nothing. They tell themselves it’s not a big deal, or that it will just go away on its own. But the longer they continue to deny the issue, the more troublesome it becomes.”
It’s very important to notice early symptoms. Early action saves men from experiencing long-term stress, relationship problems, and other sexual issues.
How common is premature ejaculation?
Premature ejaculation tends to happen to many men all around the world. According to medical studies, about 22.7% of men face this issue. The rate is 24.0% in the United States, 20.3% in Germany, and 20.0% in Italy. It affects men from different countries and cultures.
Age doesn’t make a big difference. Men over 24 years old report similar levels of PE. This means it’s not only a problem for young men. Even men with experience can struggle with PE. Men with PE often also have other sexual problems, like:
They may also feel sad, anxious, or stressed. Unfortunately, many don’t ask for help. In one study, only 9% of men with PE talked to a doctor. Most had to bring up the topic themselves, and over 90% said the treatment they got didn’t help.
Types of PE
Premature ejaculation is unique to every individual. Knowing the type assists doctors with choosing the appropriate treatment. There are two common types of PE:
Primary PE (lifelong)
It starts from a man’s very first sexual experiences. It happens every time he makes love. It may result from brain chemistry or nerve sensitivity. Men with primary PE usually need more long-term assistance.
Secondary PE (acquired)
This occurs later in life, following a period of normal sex life. It might be triggered by stress, sickness, or relationship issues. Luckily, this type of PE can typically be improved with treatment.
What are the Main Symptoms of Premature Ejaculation
There are several signs that show someone might have PE. These signs affect both the body and the mind:
Ejaculation Within One Minute of Penetration
This is the most common sign. The man climaxes very quickly, often within 60 seconds of starting intercourse.
Inability to Delay Ejaculation (Weakness)
The man wants to last longer, but he just can’t stop himself. Even if he tries, he still ejaculates too soon.
Lack of Control
PE means the man does not have control over when ejaculation happens. This can cause worry and reduce pleasure.
Dizziness and Poor Vision
Some men feel light-headed, dizzy, or experience blurry vision. This can be linked to nervous tension or low stamina.
Emotional Distress
PE may cause shame, guilt, sadness, or loss of self-confidence. Men may feel they are letting their partner down.
Avoidance of Sexual Intimacy
Over time, fear of failure can make men avoid sex completely. This may harm their relationships and self-worth.
Psychological vs. Physical Symptoms
Premature ejaculation can happen for different reasons. Sometimes it comes from emotional issues. Both mind and body have to be treated in those situations. Sometimes it is caused by physical issues. It can also be both at the same time.
Psychological Causes
Physical Causes
What Causes Premature Ejaculation?
There are many possible reasons why PE happens. Some are medical. Others relate to personal habits or body functions.
Weakness of Nerves and Muscles of genital organs
When the muscles near the penis are weak, it’s hard to control ejaculation. Strengthening these muscles may help.
Excessive Mental Stimulation
Being too excited or nervous can cause men to climax faster.
Excess Sanguine (Traditional View)
In ancient medical systems, too much heat or blood energy (“sanguine”) in the body was believed to cause fast ejaculation.
Lifestyle Habits
Lack of sleep, poor diet, alcohol, smoking, and no exercise all add stress. These can affect sexual timing and control.
Thin or Watery Semen
Some believe that semen that is too thin or fast-moving may lead to early release.
Dilated Ejaculatory Passages
If the pathway semen travels through is too wide, the body may lose control of its timing.
Treatment Options for PE
The good news is that PE can be treated in most cases. Doctors might suggest that multiple methods be tried simultaneously. Finding what works might take some time. Many men find a big improvement using a mix of these methods:
Premature ejaculation can normally be successfully controlled using a combination of treatments and methods. However, since it’s an addiction, it’s typically a temporary solution under strict medical control. The proper method is left to the individual, but the following are the main ones doctors can prescribe:
Behavioral Techniques
These are physical methods that help delay ejaculation. Popular methods include the “start-stop” method and the “squeeze” method. Over time, they can train the body to be more in control when having sex.
Psychological Support or Cognitive Behavioural Therapy (CBT)
Therapy consultation may help reduce anxiety and change negative thought patterns around performance. Stress or emotional problems enhanced sex in most men to a great degree.
Medications
These drugs increase blood flow and control over arousal, which can help to delay climax in men with both PE and erectile dysfunction. In some cases, doctors will prescribe tramadol, an opioid medication, which has the potential to delay ejaculation as a side effect. Various drugs have been found beneficial in managing PE, especially in cases involving erectile dysfunction. These include:
Numbing Creams or Sprays (Topical Anaesthetics)
These drugs decrease penis sensitivity and enable men to last longer during sexual intercourse. They are applied a few minutes before intercourse and then rinsed off before penetration.
Is there a cure for premature ejaculation?
PE can often be managed well, especially secondary PE. For some men, lifestyle changes or therapy alone are enough. Others may need medication or regular practice to improve.
Primary PE, which has been present from the beginning, may not go away fully, but it can be reduced. Long-term support and patience are key. While a total cure is not guaranteed, many men enjoy a healthy sex life after treatment.
Prevention Techniques/Precautions
You can lower the chances of PE or reduce its effect by making healthy choices:
Talk openly with your partner
Communication reduces stress and increases trust. Honesty about your feelings makes your partner more supportive and tolerant. This offers a comfortable space where the two of you will be comfortable and relaxed while intimate.
Use relaxation methods
Deep breathing, meditation, or taking it slow can help keep calm. These simple techniques calm your body and mind before sex. When you feel less nervous, it becomes easier to control ejaculation.
Do pelvic floor muscle (Kegel) exercises
These tend to strengthen the muscles responsible for ejaculation. Doing them daily can improve control and stamina over time. Stronger pelvic muscles can also boost overall sexual health and function.
Avoid triggers
Stay away from things that overstimulate you, like certain media or overly fast foreplay. Learning what makes you climax quickly helps you change habits. Reducing stimulation gives you more time to enjoy intimacy.
Try new positions
Some positions may give better control and reduce sensitivity. Slower or more comfortable positions can delay climax. Trying new ways can also keep sex exciting and improve your connection.
Live a healthy lifestyle
Get enough sleep, eat a balanced diet, and keep active. This is good for sexual wellness. Avoid smoking and heavy drinking, as they can lower stamina and affect performance.
Get help when needed
If PE is damaging your confidence or relationships, consult a doctor or counsellor. Professional guidance may lead you in the direction of the most favourable treatment. Discussing it with someone makes you feel supported and optimistic.
Focus on intimacy, not just performance
Being close with your partner matters more than lasting long. Enjoying the moment can take the pressure off. Focusing on emotional closeness can improve satisfaction for both of you.
When should I see my healthcare provider?
If you often climax too early and feel upset about it, it’s time to talk to a doctor. Your doctor can figure out what is happening and offer great treatment options. Don’t wait too long. Early help gives the best results. You should also see a provider if:
Conclusion
There is a genuine problem of premature ejaculation found in the majority of men. But it cannot be camouflaged or concealed. Most men can take back control over their sexuality with the appropriate steps. If the condition is physical, emotional, or both, it can be reversed through treatment. It is also important to be patient with yourself during the process. Improvement may be time- and effort-consuming, but small actions can pave the way to greater achievements. Having a supportive partner or therapist will help. Sexual health is all about well-being, and it brings a healthier, happier life.