Premature ejaculation is a plague to a man’s sex life. It attacks their sexual performance, which in turn affects their mental state and messes their overall well-being as a person. It’s a known fact that society is filled with men suffering from premature ejaculation.
According to Healthline.com, 1 in 3 men suffer from premature ejaculation (PE). Additionally, Medsacpe.com project that more than 30% of men aged 18-19 have at one point in their life suffered from it. It is a problem that we need to embrace and address as a society. But first, it is essential to understand what PE is, its causes, and how to handle it.
The International Society for Sexual Medicine defines premature ejaculation as a male dysfunction characterized by ejaculation that happens before or within a minute of vaginal penetration during all or nearly all attempts of vaginal intercourse.
The duration of vaginal intercourse is referred to as intravaginal ejaculatory latency time (IELT). The average IELT for a normal person is between 51/2 to 8 minutes.
There are two main types of premature ejaculation:
Life-long PE – Where ejaculation happens in under a minute in all sexual encounters. Caused by variations in sensitivity of the serotonin receptor.
Acquired PE – Here, ejaculation occurs within three minutes or less. Caused by sexual performance anxiety, psychological concerns, prostatitis, hyperthyroid, erectile dysfunction, withdrawal from drugs, and metabolic syndromes such as diabetes.
There are two other types of premature ejaculation which are primarily situational.
Variable premature ejaculation – this happens when a man who usually ejaculates occasionally experiences premature ejaculation.
Subjective ejaculation – these are men who perceive that they have premature ejaculation, but in reality, that’s not the case.
These two can be triggered by stress factors, performance anxiety, erectile dysfunction, relationship issues, and hormonal variation.
Why is premature ejaculation a problem?
PE causes significant distress to one’s self and their partner. Where premature ejaculation happens, there is no sexual satisfaction. For men, this is usually a vulnerable moment that leaves most of them embarrassed, leading to frustration or anxiety. Partners may feel disconnected, resulting in broken relationships.
Is there a solution for premature ejaculation?
Yes. The most effective solution is receiving a proper diagnosis from a certified health specialist. Diagnosis is based mainly on a patient’s self-report. However, fighting premature ejaculation is that most victims fail to seek health advice, and they instead retreat to their silent self, which is a terrible option. PE is a common problem affecting many men. Do not be afraid of seeking help.
There are several ways of treating premature ejaculation. Some effective methods include:
Multiple studies have shown that weight loss and improved cardiovascular fitness, especially in men, improve premature ejaculation and erectile dysfunction. For effective results, exercises need to be done at least three times per week, and each session should last for at least 30 minutes. The key is making your body sweat. One can also incorporate pelvic floor therapy exercises.
Psychosexual Therapy (Sex Therapy)
This form of therapy entails individual or couple counseling. It helps in expanding sexual repertoire and allowing people to discuss their problems which enables the specialist to recommend an effective solution. One can combine it with medical treatment for good results.
It usually entails a wide range of options and methods done to improve things. They include:
Start-stop method- To perform this technique, a man needs to get stimulated with their partner until the point he’s about to climax, then stopping the process. This should be done three times, then allowing yourself to ejaculate on the fourth. This method helps train the body to take a little longer to get to the point where one can have satisfactory IELT.
Squeeze method- involves squeezing the head of the penis until the urge to ejaculate subsides. Usually suitable for short-term success.
Men experiencing premature ejaculation tend to have a lower sensory nerve threshold in the penis. They involve the use of creams or sprays put on the penis 20-30 minutes before sex which then helps to numb the sensory nerves resulting in improved ejaculation. If you have erectile dysfunction, this will not be suitable for you. Some topical anesthetics include lidocaine products and prilocaine creams.
Off Label Medication
Typically used for depression that works by boosting serotonin levels in the body. The help improves IELT, and improved results occur after three months. Daily therapy is usually more effective. Some commonly used drugs include paroxetine, sertraline, and fluoxetine.