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The incidence of premature ejaculation (PE) in men is reported to be 30% and is on the rise. It is the release or ejaculation of semen sooner than he would like during a sexual encounter with his partner. It is one of the most common male sexual problems.
It is considered that a man who can't 'last' for longer than five minutes would typically fit the definition of one suffering from 'premature ejaculation'.
Premature ejaculation can be a cause of embarrassment and can lead to frustration as sex may not lead to a pleasurable experience. Even partners of men who suffer from pe can be left feeling extremely dissatisfied. This can adversely affect relationships and have impacts on the affected person's self-esteem.
What causes premature ejaculation?
Ejaculation is controlled by the central nervous system. When a man is sexually aroused or stimulated, signals are carried from the spinal cord to the brain and from there sent to the reproductive organs to enable the release of semen through the penis. The exact cause of PE is still unknown. Many causes may attribute to PE from biological (low serotonin levels) to psychological factors and other related issues.
These are discussed further:
1. Biological causes: Serotonin is a natural substance made by the nerves. An increase in serotonin levels in the brain help men prolong the time taken to ejaculate and low levels of this substance can lead to PE.
2. Psychological factors: It is believed that following psychological factors can increase PE:
- Performance anxiety and unrealistic expectations
- Low self-esteem
- Relationship issues
It comes as a relief that PE need not be life-long and with some help it can be treated:
How is PE treated?
Quite often PE occurs with new partners and may decrease on its own over a period of time with absolutely no treatment. A urologist or sexologist may advice on certain techniques that you and your partner could try out to delay orgasm. A doctor may suggest use of numbing creams or gels if the skin of the penis is excessively sensitive. If the issue is a psychological one, therapy or counselling is advised which if followed can effectively reduce PE and help achieve a more satisfying sexual experience and subsequently improve relationships.