Do you also suffer from premature ejaculation? Let's talk about it!

Do you sometimes ejaculate before you expect? Or does this happen as soon as you start having sex with your partner? This can be a very stressful and distressing experience for you and your partner. It can also reduce the pleasure and satisfaction of your sexual life. Although many people are reluctant to talk about it, this is a more common problem than we think. So today we will talk in detail about premature ejaculation, or ``Premature Ejaculation``.

What is premature ejaculation?

Simply put, premature ejaculation (PE) is when you or your partner ejaculates before the expected time. This often happens right after you start having sex, or shortly after. For some people, it can be a lifelong problem, meaning it's something they've had since their first sexual experience. For others, it can be something they've never had before, but it can develop later. We call it 'acquired', meaning it's a condition that develops over time.

How long does it take for sperm to ejaculate before it is considered 'quick'?

Doctors generally consider premature ejaculation to be when you ejaculate within a minute of starting sex. However, this can vary from person to person, and only a doctor can tell you for sure if you have this problem. Most health organizations consider premature ejaculation to be:

• Premature ejaculation, whether you or your partner want it.
• This can cause anxiety and stress for one or both of you.
• This happens in every sexual encounter, or at least in most sexual encounters .
• Ejaculation within a minute of coitus.
• If this situation continues for more than six months, maybe even a year .

How common is this condition?

You may be surprised to hear this, but it's actually a very common condition. Between 30% and 40% of men experience premature ejaculation at some point in their lives. In fact, it's the most common sexual dysfunction in men. About 1 in 5 men between the ages of 18 and 59 have been reported to have premature ejaculation. So you're not alone.

What causes this?

There can be several reasons for this. Most of the time, the main cause is psychological factors such as anxiety . Also, sometimes the penile skin is more sensitive than usual .

Mental or emotional reasons:

• PerformancePerformance anxiety : This can be caused by nervousness when you're with a new partner, nervousness when you've been without sex for a long time, being overly excited, or other reasons. Think about it, how can you keep your mind free when thoughts like "Will I please her?" and "Will I not be able to perform well?" come to mind, right?
• Stress : Stress caused by work problems, family problems , problems in other relationships, and major life changes (e.g., a new job, moving house) can also affect this.
• Relationship problems: Bitterness due to things like bad relationships with your partner or past sexual assault.
• Depressive thoughts: Feeling guilty about yourself, feeling like you're bored with everything, that's what depression is.
• Low self-esteem: Feelings of inadequacy about one's body, lack of self-confidence, feeling like "I'm not enough."

Physical and chemical causes:

• Erectile dysfunction: This is the inability to get or maintain an erection that is hard enough for sexual intercourse. In such cases, you may ejaculate quickly, thinking, "I need to get this over with quickly."
• Hormonal issues: Changes in hormone levels, especially the hormone called `( Oxytocin )`, which affects sexual function, as well as `(Luteinizing hormone - LH)`, `(Prolactin)`, and `(Thyroid Stimulating Hormone - TSH)`.
• Low levels of serotonin or dopamine : These are important chemicals in the brain. They directly affect sexual desire and arousal. When these levels are low, it can be difficult to control ejaculation.
• Hypersensitivity to penis stimulation: Some people's penises are very sensitive to touch, so they can reach orgasm quickly with even the slightest stimulation.
• An inflamed prostate:The prostate is a small gland located below the bladder in men. If it is infected or inflamed, that can also be a cause.

But remember one thing. Most of the time, the reason for premature ejaculation is not a serious medical condition, infection, or serious problem with the reproductive system. Often, everything is working fine, and the problem is caused by the aforementioned stress, anxiety, and nervousness.

Are there any other symptoms?

Not really. The only symptom of premature ejaculation is ejaculation before expected. There are no other specific physical symptoms.

What complications can occur due to this condition?

Premature ejaculation is more psychologically damaging than it is physically damaging. Just think about how much it can affect your relationship with your partner.

• You may feel ashamed and very uncomfortable .
• You may feel guilty, saying, "I am unable to satisfy my partner."
• This can cause problems with intimacy and satisfaction in sexual life between the two.
• It is also common for this to sometimes lead to depression and severe frustration .
• Perhaps this problem could even delay the adoption of a child.

That's why it's important to seek help for premature ejaculation. This is a common and distressing condition that many men experience. Your doctor can help you determine the cause and determine the best treatment for you.

How to find the causes of premature ejaculation?

If you regularly ejaculate too quickly, or if it's causing you stress or anxiety and affecting your relationship, it's best to see a urologist, a doctor who specializes in the urinary and reproductive systems. The doctor will ask you a few questions about your sex life and experiences. For example:

• How long have you had this problem?
• In what situations does this happen most often?
• How often does this happen?
• Does this happen every time you have sex? Or just sometimes?
• Does this happen with every partner? (If you have had multiple partners)
• Do you ejaculate quickly when you masturbate?
• Do you have difficulty keeping your penis erect? That's a condition called `(Erectile dysfunction)`.

These questions may seem a bit personal, but it's very important that you tell your doctor the truth.. That's when he can find the real cause of your problem and treat it properly. The doctor will also ask about other medical conditions you have and the medications you're taking (including over-the-counter medications, supplements, and herbal products). He may also ask about your alcohol and drug use. Usually, this doesn't require a lot of lab tests. However, if the doctor suspects that another underlying condition is causing it, he may order blood tests.

How to treat premature ejaculation?

The good news is that premature ejaculation can be treated! There are a variety of treatments available, depending on the cause. These include behavioral therapy, counseling, and medication . Most often, it is treated first with behavioral therapy and/or counseling. This is because the cause is often psychological. You can try more than one treatment at a time. In fact, a combination of treatments may be more effective than a single treatment.

Behavioral modification therapy

These treatments involve trying out different practical methods to delay your orgasm. The goal is to teach you to control your body and emotions. These methods include:

• The 'Start and stop' technique: This is very simple. You or your partner stimulate your penis until you are close to orgasm. When you feel "this is it," stop the stimulation for about 30 seconds. Wait until you feel control again, that is, until the urge to ejaculate has subsided. Then start again. Do this 'start and stop' technique three or four times, then allow yourself to orgasm. You need to practice this technique until you have good control.
• Squeeze technique: This is similar to the first one. You or your partner stimulates your penis until you are close to orgasm. Then, the head of your penis, the top of your penis, is gently squeezed for about 30 seconds. This will start to reduce your arousal and reduce the likelihood of ejaculation. This technique can be repeated several times to allow you to reach orgasm. Practice this technique until you have control over your orgasm.
• Distracted thinking: This is a slightly different approach. The idea is to divert your attention to something completely different, non-sexual, during sexual activity. Naming things in order is a good way to focus. For example, when you go to the gym, imagine the names of every shop you see on the street, or mentally name every player on your favorite cricket team. Doing something like this can help you to reduce your thoughts about sexual arousal.

Counseling

If your premature ejaculation is caused by a mental, emotional, or relationship issue – such as performance anxiety, depression, stress, guilt, or a troubled relationship with your partner – it may be worth seeking help from a psychologist, psychiatrist, or sex therapist . Your urologist can refer you to these professionals. Sometimes, it can be helpful to go to counseling together.

Medicines

Your doctor may recommend certain medications to help you ejaculate faster.

• Antidepressants: Although these are actually medications for depression, they can also delay ejaculation. Therefore, they are a first-line treatment for premature ejaculation. However, this is an “off-label” use (meaning it has not been specifically approved by the Food and Drug Administration for this purpose). Talk to your doctor about the side effects of these medications and make sure they are right for you. For example, tricyclic antidepressants such as clomipramine (Anafranil®) and selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa ® ) , escitalopram (Lexapro ® ) , fluoxetine (Prozac ® ) , paroxetine (Paxil ® ) , and sertraline (Zoloft ® ) .
• Anesthetic creams and sprays: These are applied to the head and shaft of your penis. These are another first-line medication option that can help delay ejaculation. Your penis absorbs the cream or spray over a period of 10 to 30 minutes. This reduces the sensitivity of the penis. The most important thing is to wash your penis thoroughly before having sex. Otherwise, your partner's genitals may become numb.
• Erectile dysfunction medications: These include sildenafil (Viagra ® ), tadalafil (Cialis ® ), vardenafil (Levitra ® ), and avanafil (Stendra ® ). These can help treat premature ejaculation in men with underlying erectile dysfunction.
• In some cases, your doctor may also prescribe a painkiller called `tramadol`.

Some people use alternative therapies to treat premature ejaculation, but there is not enough scientific evidence to prove that they are actually effective.

Is there a permanent cure for this?

Many people find relief with one or more of the treatments mentioned above. Behavioral therapy and various methods of delaying ejaculation are the most helpful. Rather than a complete "cure," it's better to think of this as a manageable condition.

Would reducing the frequency of sex help?

No. In fact, it makes the problem worse. Because it makes you more sensitive to sexual stimulation. So, it's better to face the problem than to run away from it.

Can I prevent this?

Yes, it is possible! Depending on what is causing it, you can take steps to prevent it. The best thing to do is to talk openly with your doctor about your feelings and the problem you are having. He or she can then help you find the cause and recommend appropriate treatment and prevention methods.

Is premature ejaculation harmful? Or is it a sign of another disease?

Premature ejaculation is not the only thing that can cause serious physical harm. However, some other health problems can contribute to this condition. Such health problems include:

• Erectile dysfunction
• Chronic pelvic pain syndrome (long-term pain in the pelvic area and urinary problems)
• Thyroid disorders
• Substance use disorders

Will using a condom help with this?

Yes, absolutely. Using a condom will reduce the sensitivity of your penis a little. So it can help delay ejaculation. You might also want to try thicker condoms or special condoms designed to delay ejaculation (delay condoms).

What is the difference between erectile dysfunction and premature ejaculation?

Don't confuse the two.

• If you have erectile dysfunction , you cannot get or keep an erection.
• If you have the problem of premature ejaculation , your penis becomes erect, but you reach orgasm and ejaculate before you or your partner expect.

However, erectile dysfunction can also cause premature ejaculation. Here's how it works: You know you're having trouble keeping your penis erect. So, you unconsciously try to ejaculate quickly before you lose your erection. Because of this connection between the two conditions, your urologist will first check to see if you have erectile dysfunction. If so, he or she will treat it first.

Finally, a few things to remember

So, premature ejaculation is a condition that affects many men, but it can be controlled with proper treatment and advice. There is no need to be ashamed or feel bad about it. The most important thing is that you do not have to face it alone.

• This is a common situation.Understand that you are not the only one with this problem.
• Talk openly about this with your partner. Since this affects both of you, it's very important to find a solution together. Her support will be a great strength for you.
• See a specialist (Urologist) to find the exact cause and get the right treatment. Don't believe everything you find on the internet.
• There are various treatment options, including behavioral therapy, counseling, and, if necessary, medication. Talk to your doctor to decide what is best for you.
• Take heart. With the right help, you can definitely overcome this situation and live a happy, fulfilling sex life.

Remember, your happiness and that of your partner are at stake. So it's best for both of you to come together, understand each other, and find a solution.