Defining premature ejaculation.
Premature ejaculation is defined as ejaculation that happens right after penetration. In some instances, this can be before penetration. It is normally uncontrollable and happens with very little stimulation. The result is usually a frustrating sexual experience for both partners. It is among the most commonly stated male sexual dysfunctions and has affected almost every man at some stage in his life.
Causes of premature ejaculation.
It has not yet been conclusively established what causes premature ejaculation. As men grow older and gain more sexual experience, they learn how to delay their orgasms. In some cases, the premature ejaculation occurs when a man has intercourse with a new partner. Premature ejaculation normally takes place in certain special situations or when it has been long since the man last ejaculated. Other stated causes of premature ejaculation include depression, guilt and anxiety. Some medical problems have also been attributed to premature ejaculation. These include side effects from taking certain medicines; injuries or hormonal problems.
Symptoms of premature ejaculation.
The primary symptom is an uncontrolled ejaculation before or shortly after penetration.
Diagnosis of premature ejaculation.
You will discuss your sexual and medical history with your doctor. The doctor will take you through a thorough physical examination. The doctor may also ask to speak to your sexual partner. Since there are many causes of premature ejaculation, the doctor may do several lab tests to ensure that the problem is not caused by any other medical condition that you may have.
Treating the problem.
Many doctors say that the problem usually gets better with time. Treatment may be unnecessary. Practising delay techniques or distractions has been recommended by many as a way of delaying ejaculation. Others have strongly recommended a reduction in smoking and consumption of alcohol and illicit drugs to enable one better control ejaculation.
Some doctors normally recommend that the man and his partner practise certain delay tactics. For instance, it is possible to identify the sensations that you get right before ejaculating. Once you have identified these, it is possible to let your partner know that she should slow down during such a time. Using a condom is also helpful since it reduces the sensations to the penis. You can also try using different positions to establish which one keeps you going for longer. Behavioral therapy and counseling can also help reduce premature ejaculation as they reduce anxiety.
In some cases, antidepressants are used in the treatment of premature ejaculation. Paroxetine (Paxil) and clomipramine (Anafranil) are two of the most commonly used antidepressants to treat this problem. The reason that they are used is that they have the side effect of limiting orgasms. For many years, tramadol (Ultram) has been recommended by doctors to control pain. It can also be used to control ejaculation.
There are some commercially available sprays, gels and creams which one can buy and use to help delay ejaculation. They do this by reducing stimulation. These are meant to be applied to the penis before one has sex. However, these have the disadvantage of affecting the man’s partner since they reduce her sexual sensation.