What is Premature Ejaculation?
Most men ejaculate sooner than they want during sexual intercourse which is normal and nothing to worry about. But if you orgasm too quickly every time you have sex, you could be suffering from premature ejaculation.
Symptoms of PE
Consistent and early occurrence of ejaculation, ineptitude to delay ejaculation, anxiety and stress, and avoidance of sexual intimacy i.e. fearing embarrassment of failure are some of the most common symptoms of premature ejaculation.
What Causes it?
Excessive masturbation, hurriedness of ejaculation to hide PE issues, performance anxiety and nervousness, thyroid, infection in the urethra or prostate, nerve damage, imbalanced hormones and low testosterone levels can be the causes of PE.
How Common is it?
is the average time a man takes to ejaculate
of men experience some degree of PE in their lives
of men over the age of 40 suffer from premature ejaculation
of men in India seek certified treatment for PE
Want to find out more? We worked with our doctors to create this Ultimate Guide to ED
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Myth 1: Men sexually inactive for a very long time now are more likely to experience premature ejaculation.
Fact: The false belief that young men or males who are not sexually active for a long time are more prone to premature ejaculation can be eliminated on the basis that PE is not a one-time event. Men involved in sexual activity and experiencing premature ejaculation for almost 6 months constantly need treatment. If PE persists for a very long duration and impacts your relationship with your partner then it can be a matter of concern. Men regardless of their age suffer from premature ejaculation. Moreover, erectile dysfunction can also accompany PE in some patients.
Myth 2: The male's inability to control the orgasm
Fact: It may not be entirely false because it is quite difficult but not impossible to control orgasm. However, there are techniques one can use to avoid premature ejaculation. When contacting a certified physician, you can be suggested some exercises to help you strengthen your pelvic area and help you control ejaculation.
Myth 3: Premature ejaculation is not linked to Erectile Dysfunction
Fact: Although these two conditions are different, they are greatly interrelated. Likely, a man going through PE can also have signs of ED. Although the problems are not related to age, it is found that most men suffer from PE at the age of 60 or above.
Myth 4: There is no such problem as premature ejaculation and it is a psychological problem.
Fact: Although physiological problems like stress and anxiety can trigger PE, it is not necessarily the sole reason causing the problem. Moreover, a lot of men are unaware of the fact that PE is a problem and not just something that is in your head.
Myth 5: PDE-5 inhibitors can be the sole solution to cure premature ejaculation
Fact: PDE-5 inhibitors are majorly used for increasing blood pressure and help in staying a little longer in bed. They can even aid in ED. The male genitalia is richly supplied with blood vessels, and the increasing blood pressure helps in erection. It may greatly work for a number of problems but it does not help with PE. Instead, a person can use other ways to stop PE:
References https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900#:~:text=Premature%20ejaculation%20occurs%20in%20men,it%20doesn't%20happen%20often. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851481/ https://www.healthline.com/health/mens-health/premature-ejaculation#symptoms https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation#symptoms-and-causes https://prioritymensmedical.com/blog/believable-myths-about-premature-ejaculation-debunked/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851481/ https://www.getmosh.com.au/premature-ejaculation
Premature Ejaculation: Causes, Symptoms and Treatment
Almost 30% of the total population of men in India experience PE commonly known as premature ejaculation at some point in their lifetime. Premature ejaculation is a complication that men face in which they ejaculate before time. Premature ejaculation is quite common nowadays since the probability of men suffering from premature ejaculation has increased in the last decade. However, it is manageable only when the patient can share it and take action as suggested by the physician.What is Premature Ejaculation?
Premature ejaculation (PE) occurs when a man ejaculates (expels semen) way before the desired time. One out of every three men faces this problem therefore the prevalence is very high. It is a common sexual problem but one should be able to differentiate between frequent PE and PE that occurs during rare events. The major cause of concern is premature ejaculation which occurs frequently. One can spot signs and identify if they are suffering from PE:- Ejaculation occurs within 1 to 3 minutes. It may happen even before one starts to indulge in sexual intercourse.
- If the person has no control over ejaculation and cannot last long enough.
- The person develops inferiority and avoids sexual intercourse as much as possible.
- Primary Premature Ejaculation: This type of PE is caused by physiological factors such as a history of sexual abuse, performance anxiety, or extreme relationship issues.
- Secondary Premature Ejaculation: In this type of PE, the patient suffers from health complications such as prostatitis or complications due to excess alcohol consumption.
Types of Premature Ejaculation
Premature ejaculation may not seem to be that much complex but it has its further types. PE is further divided into two main types namely:- Lifelong Premature Ejaculation:
- Acquired Premature Ejaculation:
- Variable Premature Ejaculation:
- Subjective Premature Ejaculation:
How common is Premature Ejaculation?
As much as 20 to 30 per cent of men in their sexually active years suffer from premature ejaculation. Moreover, 32% of people over the age of 40 experience early ejaculation and require assistance. Premature ejaculation is mostly experienced by men in the age group of 18 to 59 years, therefore it is not linked to men getting old and fairly affects men in the early sexually active phases. However, PE has been shown to decrease with age. The cases of PE are higher than erectile dysfunction, it is just that most of the cases remain unreported as males hesitate to reach out to a doctor out of embarrassment.Symptoms and Causes of Premature Ejaculation
There are no specific symptoms for premature ejaculation. The inability to last long and ejaculate even before initiating sexual intercourse indicates premature ejaculation. The major causes of premature ejaculation include psychological, physical, emotional, and hormonal factors.- Physical and Hormonal Complications:
- Extensive masturbation can increase the risk of PE
- A person suffering from PE might be practising hurriedness during sexual intercourse in order to hide PE which can further worsen the problem
- A person may be suffering from erectile dysfunction which further causes premature ejaculation
- Low testosterone can greatly contribute to PE
- Infected urethra or prostate can trigger PE
- Oxytocin commonly called "a love or cuddle hormone" plays a vital role in men while they connect with females for sexual intercourse. Some other hormones fluctuating during sexual activities include luteinizing hormone and thyroid stimulating hormones (TSH). The imbalance of these hormones can cause premature ejaculation.
- Sexual desire and urge to indulge in sexual activity are stimulated by dopamine and serotonin levels inside the body. An imbalance in these hormones can increase the chances of premature ejaculation.
- A super-sensitive penis can also ejaculate in no time causing PE.
- A person may be suffering from nerve damage that greatly impacts longevity in bed and can also be a major cause of ED.
- Emotional and Psychological Problems:
- External pressure: The pressure to perform well in bed can give you performance anxiety. It could be due to the consciousness and anxiety about performing well with the new partner, no confidence and excess stimulation.
- Depression, relationship problems and stress can also lead to premature ejaculation.
Myths and Facts Related to Premature Ejaculation
Premature ejaculation can be a hoax for males, especially at their young sexually active ages. There are several beliefs that keep men away from the right diagnosis and treatment of the disease. The most common of them include:Myth 1: Men sexually inactive for a very long time now are more likely to experience premature ejaculation.
Fact: The false belief that young men or males who are not sexually active for a long time are more prone to premature ejaculation can be eliminated on the basis that PE is not a one-time event. Men involved in sexual activity and experiencing premature ejaculation for almost 6 months constantly need treatment. If PE persists for a very long duration and impacts your relationship with your partner then it can be a matter of concern. Men regardless of their age suffer from premature ejaculation. Moreover, erectile dysfunction can also accompany PE in some patients.
Myth 2: The male's inability to control the orgasm
Fact: It may not be entirely false because it is quite difficult but not impossible to control orgasm. However, there are techniques one can use to avoid premature ejaculation. When contacting a certified physician, you can be suggested some exercises to help you strengthen your pelvic area and help you control ejaculation.
Myth 3: Premature ejaculation is not linked to Erectile Dysfunction
Fact: Although these two conditions are different, they are greatly interrelated. Likely, a man going through PE can also have signs of ED. Although the problems are not related to age, it is found that most men suffer from PE at the age of 60 or above.
Myth 4: There is no such problem as premature ejaculation and it is a psychological problem.
Fact: Although physiological problems like stress and anxiety can trigger PE, it is not necessarily the sole reason causing the problem. Moreover, a lot of men are unaware of the fact that PE is a problem and not just something that is in your head.
Myth 5: PDE-5 inhibitors can be the sole solution to cure premature ejaculation
Fact: PDE-5 inhibitors are majorly used for increasing blood pressure and help in staying a little longer in bed. They can even aid in ED. The male genitalia is richly supplied with blood vessels, and the increasing blood pressure helps in erection. It may greatly work for a number of problems but it does not help with PE. Instead, a person can use other ways to stop PE:
- Using special condoms.
- Using superficial anaesthesia to reduce sensitivity.
- Consulting a doctor to help with physiological problems.
- Length of the duration during which you have been facing the problem
- Circumstances that are mostly triggering the problem
- Frequency of premature ejaculation
- Are you experiencing PE during each sexual encounter?
- Possibility of facing premature ejaculation with different partners. It could possibly indicate performance anxiety if the PE is happening only during sexual encounters with one partner.
- If PE is accompanied by erectile dysfunction
- Probability of premature ejaculation even while masturbating
- If you are taking any additional medications including over-the-counter medicines
Treatment Options for Premature Ejaculation
Only 12.5% of men in India seek treatment for premature ejection. It is evident that PE is not something that is just in our heads, it needs medical assistance. At the same time, it is not something to make a hoax of and is easily curable. There are a number of PE treatments available varying as per the cause. The treatment starts with meeting a counsellor for the concerned cause. The counsellor will help with behavioural treatment therapy to help with PE causes such as emotional burden and performance anxiety. It first starts with behavioural therapy:- Behavioural Therapy:
- Start and Stop: You basically take breaks by stopping and then starting over again before climaxing in this type of technique. You and your partner reach the stimulation to the peak and then you stop before the orgasm. In between you take a break of 30 seconds and then start over again. This increases your ability to stay erect for longer durations and therefore you can avoid PE using this.
- Squeeze Technique: The squeeze technique is another way to hold onto your ejaculation. You and your partner take the simulation to the peak and then before you expel semen, you gently hold the foreskin so that you slowly lose erection. Then you take a break of 30 seconds and repeat the process till you gain control over your orgasm.
- Distracted Thoughts: This is an effective method to delay your ejaculation. Once you start having sexual intercourse you have to keep strong control over your thoughts. You simply have to avoid having any intimate or sexual thoughts and focus on anything that does not stimulate your sexual desire. Majorly think about anything except sexual activities with your partner. This way you can effectively control your ejaculation.
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Medical Assistance:
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Drug Therapy:
Prevention of Premature Ejaculation
The prevention of premature ejaculation can be done using DIY techniques. A few of them include:- It is advised to masturbate at least 1 or two hours before you prepare yourself for sexual intercourse.
- The usage of thick condoms is recommended to reduce sensitivity and elongate your stay in bed.
- Before you ejaculate, stop and take a deep breath. Start again and take a long breath before ejaculation. It will prevent you from ejaculating.
References https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900#:~:text=Premature%20ejaculation%20occurs%20in%20men,it%20doesn't%20happen%20often. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851481/ https://www.healthline.com/health/mens-health/premature-ejaculation#symptoms https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation#symptoms-and-causes https://prioritymensmedical.com/blog/believable-myths-about-premature-ejaculation-debunked/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851481/ https://www.getmosh.com.au/premature-ejaculation
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Is premature ejaculation issue 100% treatable?
Yes, premature ejaculation (PE) is treatable, and there are a variety of treatment options available. However, the effectiveness of each treatment may vary depending on the individual, the underlying causes of the condition, and overall health. It is crucial to consult a certified doctor to evaluate your condition and recommend the best treatment based on your specific needs.
I have premature ejaculation as well as erectile dysfunction; I am worried, what should I do?
Don't worry. Inability to maintain an erection and premature ejaculation are common sexual issues that many men experience. It's natural to feel concerned, but solutions are available. Start by consulting a professional and experienced doctor to discuss your ED and PE concerns. They can guide you through various treatment options, including medication, techniques, and lifestyle changes.
Are there any exercises that could help me with premature ejaculation?
Yes, one of the most effective approaches to addressing premature ejaculation (PE) is starting with Kegel exercises, which are designed to strengthen the pelvic floor muscles. Additionally, yoga poses such as Kapalbhati, Dhanurasana, Paschimottanasana, Ashwini Mudra, Matsyasana, and Mayurasana can also be beneficial. Consistency with these exercises is crucial, as it will help you improve your condition over time.
Will the treatment plan be customized according to my needs or will it be standard?
Our treatment plans are completely customized according to the patient’s body needs. After the purchase, your condition is evaluated by our panel of professional doctors based on your medical history, lifestyle habits, and concerns. This way, they are able to personalize your treatment plan tailored to your specific needs.
Is premature ejaculation related to infertility?
No, premature ejaculation (PE) is not directly linked to infertility. However, if a man has difficulty lasting longer during sexual activity, it might impact his ability to father a child. This is because PE can create challenges in the process of sperm reaching the uterus, potentially complicating fertilization.