Premature Ejaculation Consultation
Premature ejaculation is an extremely common type of sexual dysfunction among men of all ages. There are several different definitions of premature ejaculation. Colloquially, any time that a man does not last long enough during sexual intercourse, it is considered premature ejaculation. There is an element of subjectivity regarding this, but generally, if a man achieves orgasm within two minutes of initiating sexual intercourse, it is considered premature ejaculation. Some men experiencing premature ejaculation may also be experiencing erectile dysfunction, or inability to develop or maintain an erection for the desired amount of time, but the two problems can exist independently.
If premature ejaculation happens only every so often, it is not a sign of a serious problem, as it happens to nearly every man at some point. However, if it happens on a regular basis, it can be very distressing for both partners involved and embarrassing for the man. Some estimates based on survey results suggest that almost all men have this problem at some point in their lives, but for most it is not a chronic concern. About one third of men may have problems with premature ejaculation frequently or severely enough that they may feel the need to seek medical advice and treatment for the condition. However, many of these men may not receive medical treatment because of shyness or embarrassment regarding the issue.
Premature Ejaculation Causes
Premature ejaculation is only caused by a serious medical problem in extremely rare cases. It is more often the case that psychosocial factors contribute to the development of problems with premature ejaculation. Stress and anxiety regarding sexual performance make it much more likely for premature ejaculation and/or erectile dysfunction to occur. Poor communication between partners, guilt and depression are also some possible contributing factors. In some circumstances, it may also be the case that there are no problems causing premature ejaculation and it is simply due to a heightened state of sexual arousal.
Erections and ejaculation are not controlled by the voluntary parts of the brain. Figuring out the reason why premature ejaculation occurs can often be confusing and frustrating for a man and his sexual partner. In many cases, premature ejaculation is more common early in relationships and may resolve on its own later on. It is also more common among inexperienced individuals, although it can affect anyone at any age or level of experience.
Premature Ejaculation Treatment
Many cases of frequent premature ejaculation can be helped through non-medical treatments. One of the main techniques for delaying the male orgasm is for the man to try to mentally distract himself to make sexual intercourse last longer by thinking about a topic that is not sexual in nature. A man and his partner can also take short breaks of about thirty seconds if he feels like he is about to ejaculate and then resume sexual intercourse. A break of this time is sufficient to delay ejaculation yet preserve the sexual arousal of both partners. For some men, these distraction techniques will be immensely helpful, but for others a combination of techniques and medications may be necessary.
If premature ejaculation occurs due to performance anxiety, it is important for there to be good communication between both partners to break the cycle of premature ejaculation and anxiety about sexual performance. In many relationships, especially new ones, this will occur naturally over time. It may help for a couple to seek the advice of a sex therapist if they have continuing problems with sexual dysfunction. This can improve relationships between partners both physically and emotionally.
Premature Ejaculation Medication
Sometimes, frequent problems with premature ejaculation can be helped through the use of medication. If a man is experiencing premature ejaculation and erectile dysfunction, medications that are used to treat erectile dysfunction, such as the phosphodiesterase type 5 inhibitors, can help with both problems. A type of antidepressant medication called a selective serotonin reuptake inhibitor (SSRI) can help with premature ejaculation issues because one of the main side effects of these drugs is to delay ejaculation. Other potential medications for premature ejaculation include topical numbing creams to help reduce sensation and delay the male orgasm.
Are there any side effects?
Any medication that is used for any medical condition has potential side effects. The side effects of phosphodiesterase type 5 inhibitors and SSRIs are usually mild, but in extremely rare cases, more serious side effects may occur.
Who should not take this medication?
- You have heart failure or other serious heart problems such as a heart arrhythmia.
- You have moderate or severe liver problems.
- You have previously had a bad reaction when taking an SSRI anti-depressant.
- This medication is indicated for men only.
Premature Ejaculation Online Consultation
If you are a man who has experienced frequent problems with premature ejaculation that persist after you have tried the techniques to prevent ejaculation, you may benefit from medication for premature ejaculation. An online consultation can connect you to an expert who can help you figure out the best premature ejaculation treatments for you. Upon completing the online consultation, a doctor will review your information and send you personalised information regarding treatment for premature ejaculation.
