Premature ejaculation cause and cures-Premature ejaculation: Treatments and causes

Back to Sexual health. Premature ejaculation is where a man ejaculates comes too quickly during sexual intercourse. It is a common ejaculation problem. A study involving couples found the average time for ejaculation was about five-and-a-half minutes after starting sex. This time could be longer in the case of men who have sex with men.

Premature ejaculation cause and cures

Premature ejaculation cause and cures

Premature ejaculation cause and cures

Premature ejaculation cause and cures

McMahon, C. Based on your answers, your acuse will provide a diagnosis. For some men, simply wearing a condom can help delay ejaculation because it may make the penis slightly less sensitive. Both psychological and biological factors can play a role in premature ejaculation. Is there an underlying problem that could be causing my premature ejaculation? Whether you have surgery, radiation or hormone therapy, you are likely to have side effects. Sexual dysfunction curs to any of several types of problems that keep a couple from fully enjoying sexual Premature ejaculation cause and cures. There are psychological or emotional components to PE, but there are also other factors that contribute to it.

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Prematue accept our privacy terms We use cookies and similar technologies to improve your browsing experience, personalize content and offers, show targeted ads, analyze traffic, and better understand you. Usually, practice makes perfect. All references are available in the References tab. But only some of them are worthwhile. Many men feel Preamture they have symptoms of premature ejaculation, but the Premature ejaculation cause and cures don't meet the diagnostic criteria for premature ejaculation. Also, try to be Blonde dirty dumb joke with your whole body during sex -- using full-body caresses and nongenital touching -- instead ejculation fixating on your penis. PE is considered a type of sexual dysfunction. To proceed, simply complete the form below, and a link to the article will be sent by Premature ejaculation cause and cures on your behalf. Overview Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse Pgemature he or his partner would like. This Alanna sheer requires JavaScript to be enabled. Elbardisi, H. There are many ways to improve your sexual performance. He and his partner may also be afraid that what they're doing is wrong, or worried they'll get caught in the act, so the sex is often rushed and unsatisfying. Castiglione F, et al.

Sexual concerns, including premature ejaculation PE , are relatively common.

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  • Ejaculation is the release of semen from the penis during an orgasm.
  • Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like.

Back to Sexual health. Premature ejaculation is where a man ejaculates comes too quickly during sexual intercourse. It is a common ejaculation problem. A study involving couples found the average time for ejaculation was about five-and-a-half minutes after starting sex. This time could be longer in the case of men who have sex with men.

International guidelines define premature ejaculation as regularly ejaculating within one minute of entering your partner. However it is up to you and your partner to decide if you are happy with the time it takes you to ejaculate.

If ejaculation times are causing you persistent distress then it is a problem that can be helped with treatment. The causes of primary premature ejaculation are often psychological, such as having a traumatic sexual experience at an early age. Secondary premature ejaculation can be caused by both psychological and physical factors. If your premature ejaculation is caused by a physical condition, treating the underlying condition should help.

Your GP can suggest possible treatment options. You will be encouraged to explore issues that may be affecting your relationship and be given advice on how to resolve them. You may also be shown techniques that can help you "unlearn" the habit of premature ejaculation.

Selective serotonin reuptake inhibitors SSRIs are available if the above self-help techniques don't improve the problem. SSRIs are mainly used to treat depression, but one of their side effects is delaying ejaculation. Dapoxetine can be used "on demand".

If you fail to respond to treatment with dapoxetine, your GP may recommend you try another SSRI on an "off-label" basis. This is when a medication is used for a different purpose than it was licensed for. Doctors can prescribe medication on an off-label basis if they decide it is the best interest of the patient on the basis of available evidence.

Other SSRIs that may be prescribed for premature ejaculation include paroxetine, sertraline or fluoxetine. You will usually need to take these types of SSRIs for a week or two before gaining the full effects. The use of anaesthetic creams and sprays such as lidocaine or prilocaine cream can help by making your penis less sensitive.

Combining an anaesthetic cream with a condom can be particularly effective. Your GP should be able to recommend a suitable cream. Page last reviewed: 15 August Next review due: 15 August Home Common health questions Sexual health Back to Sexual health. Can premature ejaculation be controlled? Some health professionals prefer to use the term "rapid ejaculation". What is premature?

Types of premature ejaculation There are two types of premature ejaculation: primary premature ejaculation — where you have always had the problem secondary premature ejaculation or "acquired premature ejaculation" — where you recently developed the problem The causes of primary premature ejaculation are often psychological, such as having a traumatic sexual experience at an early age.

Treatment If your premature ejaculation is caused by a physical condition, treating the underlying condition should help. Self help There are a number of self-help techniques you can try before seeking medical help. These include: masturbating an hour or two before having sex using a thick condom to help decrease sensation taking a deep breath to briefly shut down the ejaculatory reflex an automatic reflex of the body, during which ejaculation occurs having sex with your partner on top to allow them to pull away when you are close to ejaculating taking breaks during sex and distracting yourself by thinking about something completely different If you are in a long-term relationship, you may benefit from having couples therapy.

Medication Selective serotonin reuptake inhibitors SSRIs are available if the above self-help techniques don't improve the problem. Dapoxetine is an SSRI specifically designed to treat premature ejaculation.

In: Campbell-Walsh Urology. In addition to working with a urologist or other physician, you may be advised to work with a mental health professional who specializes in sexual dysfunction. PE is common. Accessed Sept. Since there usually isn't a physical cause for rapid ejaculation, try working on your master sex organ -- your brain.

Premature ejaculation cause and cures

Premature ejaculation cause and cures

Premature ejaculation cause and cures

Premature ejaculation cause and cures

Premature ejaculation cause and cures

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This statistical disparity does not in any way diminish the discomfort experienced by men who do not meet the strict criteria for diagnosis. Primary or lifelong PE is thought to affect around 2 percent of men. Article last updated by Yvette Brazier on Mon 11 December All references are available in the References tab. Byers, E. Premature or rapid ejaculation: heterosexual couples' perceptions of men's ejaculatory behavior [Abstract].

Archives of Sexual Behavior. Ejaculation problems. Hatzimouratidis, K. Guidelines on male sexual dysfunction. Ishak, W. DSM-5 changes in diagnostic criteria of sexual dysfunctions. McMahon, C. Premature ejaculation [Abstract]. Indian Journal Of Urology, 23 2 , Dapoxetine: a new option in the medical management of premature ejaculation.

Therapeutic Advances in Urology. The pathophysiology of acquired premature ejaculation. Translational Andrology and Urology, 5 4 , Majzoub, A. Elbardisi, H. Premature ejaculation in type II diabetes mellitus patients: association with glycemic control. Translational andrology and urology, 5 2 , Premature ejaculation and erectile dysfunction prevalence and attitudes in the Asia-Pacific region [Abstract].

Miller, S. Premature ejaculation. Pastore, A. Carbone, A. Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach. Therapeutic Advances in Urology, 6 3 , Patrick, D. Jamieson, C. Premature ejaculation: an observational study of men and their partners [Abstract]. The Journal of Sexual Medicine. Previnaire, J. Sexual disorders in men with multiple sclerosis: evaluation and management.

Annals of physical and rehabilitation medicine, 57 5 , What is premature ejaculation? MediLexicon, Intl. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional.

Privacy Terms Ad policy Careers. Visit www. All rights reserved. Search Go. Please accept our privacy terms We use cookies and similar technologies to improve your browsing experience, personalize content and offers, show targeted ads, analyze traffic, and better understand you. Scroll to Accept. Get the MNT newsletter. Email an article. You have chosen to share the following article: How elderberries can help you fight the flu To proceed, simply complete the form below, and a link to the article will be sent by email on your behalf.

Send securely. Message sent successfully The details of this article have been emailed on your behalf. By Markus MacGill. Fast facts on premature ejaculation Here are some key points about premature ejaculation.

In the majority of cases, an inability to control ejaculation is rarely due to a medical condition, although doctors will need to rule this out. PE can lead to secondary symptoms such as distress, embarrassment, anxiety , and depression. This content does not have an Arabic version. Overview Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter.

References Ferri FF. Ejaculation and orgasm disorders. In: Ferri's Clinical Advisor Philadelphia, Pa. Accessed Sept. Saitz TR, et al. Advances in understanding and treating premature ejaculation.

Nature Reviews Urology. Gur S, et al. Current therapies for premature ejaculation. Drug Discovery Today. Wein AJ, et al. Disorders of male orgasm and ejaculation. In: Campbell-Walsh Urology. Althof SE, et al. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation PE.

The Journal of Sexual Medicine. Cooper K, et al. Behavioral therapies for management of premature ejaculation: A systematic review. Sexual Medicine. Serefpglu EC, et al. Premature ejaculation: Do we have effective therapy? Translational Andrology and Urology. Siegel AL.

Premature Ejaculation - Harvard Health

Premature ejaculation occurs when a man reaches orgasm and ejaculates too quickly and without control. In other words, ejaculation occurs before a man wants it to happen. It may occur before or after beginning foreplay or intercourse. Some men experience a lot of personal distress because of this condition. As many as one in five men experience difficulty with uncontrolled or early ejaculation at some point in life.

When premature ejaculation happens so frequently that it interferes with the sexual pleasure of a man or his partner, it becomes a medical problem. Several factors may contribute to premature ejaculation. Psychological problems such as stress, depression and other factors that affect mental and emotional health can aggravate this condition.

Rarely, premature ejaculation can be caused by a specific physical problem, such as inflammation of the prostate gland or a spinal cord problem. Premature ejaculation is diagnosed based on typical symptoms. To understand your problem, your doctor will need to discuss your sexual history with you. Be frank and open. If your sexual history fails to reveal significant mental or emotional factors that may contribute to premature ejaculation, your doctor may want to examine you.

Your doctor may examine your prostate or do neurological tests tests of your nervous system to determine if there is a physical problem that could be causing premature ejaculation. Sometimes, premature ejaculation goes away on its own over weeks or months. Working to relieve stress or other psychological issues may help the situation to improve.

Other men have lasting difficulties with premature ejaculation, and require professional help. Some men respond to treatment promptly, while others struggle with this problem over a prolonged period. Effective treatment is available. There is no known way to prevent premature ejaculation. However, you should consider the following advice:.

Maintain a healthy attitude toward sex. If you experience feelings of anxiety, guilt or frustration about your sex life, consider seeking psychotherapy or sexual therapy. Keep in mind that anyone can experience sexual problems. If you experience premature ejaculation, try not to blame yourself or feel inadequate. Try speaking openly with your partner to avoid miscommunication. Behavioral therapy is one possible approach for treating premature ejaculation.

If a man senses that he is about to experience premature orgasm, he interrupts sexual relations. Then the man or his partner squeezes the shaft of his penis between a thumb and two fingers.

The man or his partner applies light pressure just below the head of the penis for about 20 seconds, lets go, and then sexual relations can be resumed. The technique can be repeated as often as necessary. When this technique is successful, it enables the man to learn to delay ejaculation with the squeeze, and eventually, to gain control over ejaculation without the squeeze.

However, it requires the cooperation of both partners. Also, premature ejaculation often returns, and additional behavioral therapy may be needed. Another possible treatment is prescription medication that helps to delay ejaculation. Delayed orgasm is a common side effect of certain drugs, particularly those used to treat depression. This is true even for men who are not depressed.

When this type of medication is given to men who experience premature ejaculation, it can help to postpone orgasm for up to several minutes. Drugs used for this type of treatment include selective serotonin reuptake inhibitors SSRIs , such as fluoxetine Prozac , paroxetine Paxil or sertraline Zoloft ; and tricyclic antidepressants, such as clomipramine Anafranil. Some men with premature ejaculation may benefit from drugs called phosphodiesterase inhibitors, such as sildenafil Viagra , vardenafil Levitra , and tadalafil Cialis.

A phosphodiesterase inhibitor can be used alone or in combination with an SSRI. One drug should be started at a time, preferably at a low dose. Some men with premature ejaculation also benefit from reducing the stimulation they experience during sex. A number of creams are available that can partially anesthetize numb the penis and reduce the stimulation that leads to orgasm. However, these techniques may interfere with the pleasure experienced during sex.

Speak with your doctor if you consistently ejaculate before you want to. Remember, one instance of premature ejaculation does not mean that you have a condition that requires treatment. Your doctor may refer you to a sex therapist if premature ejaculation is causing major problems in your sex life or personal relationships or if you would like to consider behavioral therapy. Many men experience a brief period of premature ejaculation, then improve on their own.

Even for men who require medical treatment, the outlook is usually good. Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Premature Ejaculation What Is It? Published: May, E-mail Address. First Name Optional.

Premature ejaculation cause and cures

Premature ejaculation cause and cures

Premature ejaculation cause and cures