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Last Updated: Dec 18, 2023
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Anxiety-induced Premature Ejaculation

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Dr. Rashmi PatilPsychiatrist • 15 Years Exp.MD - Psychiatry, Diploma in Child & Adolescent Psychology , MBBS
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Premature ejaculation is a condition that causes a lot of stress, especially as you age. In order to know more, you should understand premature ejaculation well. It is a condition wherein one ejaculates before or immediately after sexual penetration, with little or no sexual stimulation. This leads to poor sexual performance and anxiety issues.

Causes:

There is no specific cause for premature ejaculation. Regular issues such as sex with a new partner of having sex after a long time might trigger this condition. Factors such as anxiety, stress and guilt may also result in premature ejaculation. It may also be caused by medical issues such as an injury to the genitals or other hormonal problems.

In this article, the factor that will be focused on is anxiety that most often leads to premature ejaculation. Being anxious or nervous about one’s sexual performance can result in this condition. Your mind may be preoccupied with whether your partner is enjoying the entire experience or about the proper functioning of the genitals. Both these factors bring about anxious thoughts and thus, may make one unable to control his ejaculation. One ultimately stops focusing on the entire experience and starts to overthink.

How to Control Anxiety Before and During Intercourse:

  1. Go Again: If it happens the first time, then shoot again. Try another round and you may find that you are able to control your ejaculation better.

  2. Be honest about it: Being honest about the entire situation will reduce anxiety about the performance. Your partner may be understanding and would process the situation better. Thus, with subsequent sexual encounters, you are sure to get better.

  3. Take matters in your own hands: If the partner is aware of all the limitations, one can use other methods such as oral sex or other foreplay methods (read fingering and fisting) to satisfy her.

  4. Decide if You Need More or Less Foreplay: For some guys with PE, foreplay increases anxiety, because they become more and more anxious as they wait for the event. For others, foreplay decreases anxiety, because it gives them a chance to relax before the event takes place. Find out what helps you and talk to your partner about it

If none of the above mentioned methods seem to work, you can fall back on medications.

Certain medications such as antidepressants are used in the treatment of premature ejaculation. They use a two pronged approach; on one hand they reduce anxiety and on the other, this very trait leads to delayed ejaculation, which in turn helps remedy the situation.

Controlling Premature Ejaculation:

PE can hit you at any age. But the good news is that when your PE is caused by anxiety, it’s something you can also reduce by using the tips above to help control your anxiety and get used to the lovemaking experience. You will need an understanding partner, but most partners are understanding when they care about you, and eventually you’ll be able to fully unlock the sexual prowess inside you. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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