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Overview

Premature Ejaculation - Symptom, Treatment And Causes

What exactly is a premature ejaculation?

When a person ejaculates without control before or shortly after penetration during a sexual intercourse the condition is known as premature ejaculation. It is accompanied by a minimal amount of sexual stimulation and a person does not really wish to ejaculate that quickly. The result is deriving unsatisfactory amounts of pleasure from the sexual act for both of the partners. The pressure to perform can get to a person and the added anxiety only adds to the woes of a patient. It is one of the commonest of the manifestations of sexual dysfunctions in males. Almost all men have fallen prey to this condition at one point in their sexual lives.

What are the causes of premature ejaculation?

The exact cause of the majority of cases of premature ejaculation is yet to be ascertained and there is a lack of clarity regarding the same. With the passage of time, men learn to postpone their orgasms slightly. New sexual partners often trigger premature ejaculation. Certain sexual situations may trigger such a condition. Even long periods of time between ejaculations may be the culprit. Psychological issues are also terrible important in this form of sexual dysfunction. It may result from guilt, anxiety and also depression. The cause may also be medical in nature like problems with hormones, an injury or as a side effect of certain medications.

How is the diagnosis made?

In order to diagnose premature ejaculation, the doctor examining the patient will have in-depth discussions regarding his sexual and medical history. A comprehensive physical exam will be performed on him. Doctors may also, in addition, want to discuss the condition with the partner of the patient. As seen earlier, there are multiple causes of premature ejaculation. Doctors will obviously want to rule out medical problems through laboratory tests also.

How is premature ejaculation treated?

In a vast number of cases, the condition gets better over time to own its own without medical intervention. One may try to learn techniques for relaxation and delayed ejaculation to get over the problem. Alcohol, drugs, and tobacco too affect premature ejaculation. Refraining oneself from using them might be of help.

Doctors generally often offer advice on learning scientific techniques to delay the ejaculation. Together with one’s partner, one can slow sexual stimulation through effective communication. Condoms may help to reduce sensation on his sexual organ. Some intercourse positions too are less susceptible to premature ejaculation. Behavioural therapy and counselling can help get rid of psychological issues if any.

Treatable by medical professional Require medical diagnosis Lab test sometimes required Chronic: can last for years or be lifelong Non communicable
Symptoms
Poor control on ejaculation Unsatisfactory sexual intercourse Ejaculation on very little sexual stimulation

Popular Health Tips

Learning to Treat the Most Common Penis Problems

Dr. Vinod Raina 95% (4126 ratings)
MD - General Medicine
Sexologist, Delhi
Learning to Treat the Most Common Penis Problems
When a man is paying close attention to good penis care, he will naturally eliminate several of the potential penis problems that could pop up. But even with the best care possible, a man will sometimes run into penis problems that he didn't anticipate. That awful itchy penis, a redness that won't go away, little irritations or even an attack of rank penis odor can all catch a man by surprise. When these things happen, he wants to find a remedy as soon as possible. The good news is that these common penis problems also have quite common treatments that a man can handle right at home. Here are some of the things most men will encounter at some point during their lives and the penis care regimens required to make them go away. 1. The itchy penis. In most cases, a suddenly itchy penis is caused by an attack of dry skin. This might happen more often during the winter, right after showering with a new cleanser or shortly after using a condom. The treatment for this includes moisturizing like mad, especially if a guy sees peeling, flaking or very dry skin when he inspects his penis. He should also reconsider his use of certain condoms or lube (choosing one that is less harsh on the skin), using only all-natural cleansers and using a humidifier to keep his home comfortable in the winter. 2. The chafed, irritated and red penis. In many cases, a man will know exactly what caused this - for instance, if he went commando and his penis rubbed against his jeans, or if he had a long sex session and didn't use enough lube. Rough masturbation, tight clothing and much more can cause those irritations that lead to redness. To alleviate this, a guy should give his penis a break from activity for a few days, use a good penis health cr me on a regular basis, and keep an eye out for things that might have caused an allergic reaction, such as a new detergent. 3. The smelly penis. A penis that suddenly has an off-putting odor might be much more than a lapse in good hygiene. When regular showers and careful cleaning doesn't do the trick, a guy's next step is to pay very close attention to what might be causing the issue. For instance, a yeast infection usually presents with a severe itching and a rash that spreads. Over the counter treatments might help with this, but it also pays for a guy to visit the doctor and get medications that work faster. 4. The red and inflamed penis. A penis that has too much warmth to it, as well as redness, swelling and pain, might be signs of a bacterial infection. In these cases, dry penis skin often leads to tiny openings in the skin, which are just enough for bacteria to invade. Once they set up shop, it can be almost impossible to get rid of them without a round of antibiotics. If the penis is looking rather red, inflamed and sickly, get to the doctor. 5. The constant penis problems. When a man has any of these issues and tries treatment but gets nowhere fast, it might be something more concerning, such as an STD or other type of infection. If this is the case, a guy should get to the doctor as soon as possible and let the experts check it out. Constant penis problems can diminish a man's self esteem and quality of life very quickly, so it's important to get the bottom of it right now. And of course, every man should remember that sudden penis pain, redness, soreness, discharge and the like calls for an immediate trip to the doctor - as there are some penis problems that require professional help!
4 people found this helpful

Common Myths About Nightfall!

Dr. Mehul Barai 87% (112 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jamnagar
Common Myths About Nightfall!
Nightfall, also known as wet dreams is very common among men, chiefly in adolescents. This condition is marked by spontaneous ejaculation during sleep at night or in the early hours of dawn. The intensity of occurrence of these emissions varies from one person to another. This condition is mostly experienced in the teenage years and very few people suffer it throughout their lives. Nightfall benefits the body in several ways. The ejaculation of seminal fluid through the genitalia prevents the accumulation of seminal fluid and helps in the formation of new healthy seminal fluid. This process also helps in improving metabolism. However, excessive emissions during the night can have negative effects such as weakening of body organs and a decrease in their efficiency. It can also lead to other sexual disorders such as infertility and reduced levels of libido. Some of the chief causes of nightfall are: Weak nerves Excessive masturbation that weakens the nerves connecting the brain with the reproductive system Men who indulge in excessive sex may have frequent sexual thoughts that can lead to nightfall Excessive smoking and drinking are also a reason behind nightfall as it leads to nerve damage which is the primary cause of the condition Lack of physical exercise and lethargy can also be responsible for nightfall Some of the common myths surrounding nightfall are: It is a rare condition Nightfall can lead to decreased sexual function Occurrence is only among young men who frequently masturbate Eating non-vegetarian food can worsen the condition Daily occurrence of nightfall can cause erection problems
1 person found this helpful

Premature Ejaculation (PE) - Worry or Not?

Dr. Vinod Raina 95% (4126 ratings)
MD - General Medicine
Sexologist, Delhi
Premature Ejaculation (PE) - Worry or Not?
The condition of premature ejaculation (PE) is a far more common male sexual dysfunction of middle age people. Generally, premature ejaculation is a male orgasmic disorder that causes an orgasm or "climaxing" faster than both partners' desire. The most couple found this condition irritating and undesirable while some considered it pleasing to them. If the problem of (PE) persists, it can have an adverse effect on the sexual satisfaction of the couple and disrupt the peace in their marital life. It's difficult to define specific time duration for PE because the length of ejaculation varies from one individual to another. Researchers have revealed that individuals who complain of (PE) reach their climax and ejaculate within 1-2 minutes of penile penetration compare to 7-10 minutes of other individuals who don't complain of the same condition. We can conclude that if a man comes in less than 90 seconds of penile penetration, it's likely that he's suffering from premature ejaculation. Causes of premature ejaculation: Several factors contribute to the condition of PE ranging from biological, psychological to social and cultural contributions. Although the exact cause of (PE) is not well known the latest researches have shown that factors that cause sexual dysfunction will cause premature ejaculation. Some physicians argued that serotonin, a neurotransmitter found in the gastrointestinal tract, central nervous system and platelet is very important in monitoring premature ejaculation. Other biological factors such as infection of the prostate, abnormal level of hormone, diabetes, drug abuse, inheritance can contribute to PE. Psychological factors that can affect PE include anxiety, depression, stress, sexual abuse, nervousness, early sexual experience and poor body image. Symptom of premature ejaculation: The major premature ejaculation symptom is the inability to delay ejaculation. When an individual sees that he cannot control or delay his ejaculation, it's likely to be suffering from PE. Remedies for premature ejaculation: A number of treatments have been described to counter premature ejaculation. These are psychological therapies, behavioral therapies, and medical therapies. In psychological therapies, the clinical psychologist tries to use psychological procedures to evaluate the cause of the man's (PE) problem and proffers a reasonable psychological advice or solution based on the identified cause of the PE. To carry out psychological therapy, a man with premature ejaculation is advised to be confident about his sexual performances and to be less anxious about it. This treatment is usually coupled with medical therapies in order to provide a lasting solution to the problem. Some of the questions which are often asked by the clinical psychologist from a sufferer include: What can you say about your present interest in sex? Do you experience pain during sexual intercourse? Do you usually engage in mutual romance before intercourse? Have you ever had a problem reaching climax? In behavioral therapies, the mutual cooperation of the partners is very important. There's a popular method of "squeezing". In this method, the wife stimulates her man by holding his penis until he's in the state of climax or orgasm. Prior to ejaculation, the wife squeezes the penis hard until he partially loses an erection. This purpose of this is to allow the man to be aware of when he's about to come in each sexual intercourse and begins to delay his ejaculation. In medical therapy, some pills used as depressant and anesthetic creams have been proved to be effective in slowing down ejaculation time in men although those pills are never approved for use by US Food and Drug Administration (FDA). These drugs include Prozac, Sarafen, Paroxetine, Clomipramine (Anafranil), Sertraline (Zoloft), and some other drugs capable of increasing the level of serotonin production. It's important to note that these drugs might have side effects if used as a treatment for (PE). Ayurveda treatment for premature ejaculation The cause of premature ejaculation with respect to ayurvedic perspective is the provocation of Vata (air) and Pitta Dosha at the commencement of the sexual intercourse. Dosha is known to be aggravated by anxiety and nervousness while Vata is known for its quality of swiftness and heightened sensitivity to the sense of touch.
9 people found this helpful

Premature Ejaculation - Tips For Better Control Over It!

Dr. Masroor Ahmad Wani 93% (4074 ratings)
MD
Sexologist, Srinagar
Premature Ejaculation - Tips For Better Control Over It!
Premature ejaculation refers to the inability to retain the erection until the end of the intercourse and usually happens when the male ends up ejaculating sooner than planned, or immediately upon penetration. Premature ejaculation is a condition that many men suffer due to the advancement of age as well as low pelvic strength and other ailments. Also, it can be caused due to stress and panic regarding one's performance. Whatever be the cause, it is an embarrassing situation that calls for help if it persists for too long. Here are a few tips to ensure that you gain better control over premature ejaculation. Deep breathing Exercise: Sometimes, too much of excitement can lead to a variety of problems including premature ejaculation. If this becomes a normal occurrence, you can try practicing deep breathing during the act of sex to calm yourself down and slow down the frenzy so that you are more attuned to your surroundings and partner rather than yourself and the panic you may be feeling. Taking deep and slow gulps of air can ensure that you focus on the act rather than getting caught up in the excitement. Medications: there are broadly two kinds of medical treatments - local application anaesthetic gels that numb the area around the tip of penis and tablets that prolong ejaculation time. One needs to consult a sexologist, psychiatrist or a urologist to know more about them. Stop and Start: This is a method that many sexologists recommend. The stop and start method is one that will have to be practiced individually so that you are able to retain more control over your ejaculation when you are with your partner. Basically, in this method, you are required to start the process of masturbation and stop just short of ejaculation. After doing this several times and on a regular basis, you will find that your brain reacts in the same way when you are having intercourse, which will delay the ejaculation to a normal period. Kegel: If you thought that kegel exercises are only for women, then you need to think again. Premature ejaculation also signifies low pelvic strength for many cases and you would do well to invest time in a few exercises like the kegel, which will build up your pelvic strength so that you are able to control premature ejaculation in a better way. Persistent problems that are not fixed with these methods should be addressed with a visit to a doctor.
22 people found this helpful

3 Types Of Ejaculation Problems

Sexual Health Clinic
Sexologist, Delhi
3 Types Of Ejaculation Problems
How to handle ejaculation problems in men? Having problems ejaculating at the right time can prevent you and your partner from feeling satisfied during sexual intercourse. Nonetheless, premature ejaculation is not the only type of ejaculation issues you should know about. In addition to this other forms of ejaculation that make up this group of sexual dysfunction are delayed ejaculation and retrograde ejaculation. Here's how you need to handle the different types of ejaculation problems Premature ejaculation The first very common ejaculation that all men in the world experience is premature ejaculation. This kind of sexual dysfunction occurs when you ejaculate either before or after penetration with least amount of sexual stimulation. To treat the problem, medicines, primarily a form of anti-depressant drug known as selective serotonin reuptake inhibitors (ssris) are recommended for bringing about a delay in the expulsion of semen. Even couple therapy can help to treat the problem as this form of counseling helps in coming up with methods that both the partners can perform to prevent premature ejaculation. Delayed ejaculation You're said to suffer from instances of delayed ejaculation if you exhibit these characteristics: - unable to expel semen even though you may want to and your erection is normal - experiencing considerable delay in reaching orgasm - if you're suffering from a constant as well as an unwanted delay lasting between 30 and 60 minutes, you're said to be experiencing delayed ejaculation - unable to attain ejaculation no less than half the times you have sexual intercourse Treatment for this problem usually involves going to the root cause of the problem. Many times, the cause could be an effect of the medication you may be taking. If the cause is psychological in nature, you may require counseling. Retrograde ejaculation This happens when the ejaculate matter rather than exiting through the penis goes back into the bladder and comes out later during urination. Retrograde ejaculation commonly occurs in diabetics, especially those that suffer from nerve damage brought on by diabetes. This type of sexual dysfunction doesn't require treatment as you can still experience a healthy sex life. In certain cases, the use of drugs can also help in restoring your normal ejaculation prowess. If you would like to consult with me privately, please click on 'consult'. Related Tip: Knowing Premature Ejaculation - PART 4: Treatment Options
18 people found this helpful

Popular Questions & Answers

He has premature ejaculation .what did he do for long time sex. M sending his sperm report tell me about his ability to pregnant his wife.

Dr. G.R. Agrawal 94% (17503 ratings)
DHMS (Hons.)
Homeopath, Patna
Hello, No report of your friend has been received yet. Moreover, Tk,  plenty of water to hydrate his body. Go for meditation to reduce his stress, strengthening pelvic, groin & penile muscles to improve libido & premature ejaculation. Tk,  apples, carrots,  spinach,  pumpkins seeds, almonds, ,black chocolates to improve testerstone level to check erectile dysfunction, premature ejaculation, ensuring raised sperm count. His, diet be easily digestible on time to avoid gastric disorder. Tk,  homoeopathic medicines:@ Acid phos 1000-6 pills,  wkly. @ DamianaQ -10 drops,  thrice with little water. Avoid,  junkfood,  alcohol &  nicotine. Tk,  care.

Hello, I am 25 and married. I was used to masturbate when I was 20 or 21 years old. Later I realized the problem and quit the habit. But right now when I am married I am facing premature ejaculation problem and hardly last 3 to 4 minute. Can I please get the solution of the problem. Is there any medicine suitable for my age and need. Thank you very much for you time.

Dr. Nazima 85% (1122 ratings)
MD PHYSICIAN
General Physician, Delhi
Ejaculation can be considered premature when it occurs 30 seconds to 4 minutes into sex. You can overcome premature ejaculation by: 1)Using Thicker condoms: a thicker wall can decrease the sensitivity of the penis 2) Behavioural strategies: "start-stop" and "squeeze techniques" often prove effective. 3) Focus on other sexual pleasures: this can decrease anxiety and help you gain better control over your ejaculation. Consult a sexologist for prescription of medications that reduce penile sensitivity (for example, EMLA a cream, or Priligy an oral tablet) for better solution and they eventually improve control over ejaculation.

When I see my sperm comes out within 2 min so I'm not satisfied my sex life please tell what I do.

Dr. (Lt Col) Dinesh Kumar 92% (1517 ratings)
MBBS
General Physician, Greater Noida
With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve how well they can control ejaculation. A private consult is strongly recommended to you.
5 people found this helpful

Am suffering from sexual problem that is early ejaculation within 30 seconds. please give me a suggestion so that I would enjoy my young life.

Dr. Sarthak Dave 90% (204 ratings)
Psychiatrist,
Sir, you need to understand premature ejaculation and how it works. Sperms are produced in our body for 24 hrs 365 days. If you won't remove it by regular sexual inter course or regular masturbation, what'd happen is that it would accumulate and come out on its own by early ejaculation or night falls. When you ejaculate within 1 minute of beginning of the inter course and if it happens every time since last 6 months, it can be considered as premature ejaculation. Most of the cases of premature ejaculation in our country are due to faulty practice or over expectations or ignorance and can be relieved just by understanding the physiology and anatomy of human sexual organs. U can try the 'start stop' technique or the 'squeeze technique' U can Google the exact method. U can increase the duration of your sexual activity by increasing the frequency of sexual inter course to 7-8 times a week or increasing the frequency of masturbation to 6-7 times a week. If you follow this sincerely for two weeks, I'm sure you won't require any medications. U can contact me again after 15 days.
1 person found this helpful

Health Quizzes

Premature Ejaculation - What to Know?

Dr. Masroor Ahmad Wani 93% (4074 ratings)
MD
Sexologist, Srinagar
Premature ejaculation doesn't occur during masturbation. True or False. Take this quiz to know now!
Start Quiz

Premature Ejaculation and Ayurveda

Dr. Deepak Arora 90% (3724 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jodhpur
Having less sex and meditating will cure premature ejaculation. True or false? Take this quiz to find out.
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All About Premature Ejaculation

Dr. Prof.(Dr.)Saransh Jain 89% (63 ratings)
D.Sc (Urology), PhD (Pscho Sexual Medicine)U.K., M.D.(Medicine)GOLD MEDALIST, M.B.B.S.
Sexologist, Lucknow
Physical injuries and your new partner may be the cause for your premature emissions. True or false? Take this quiz now to find out now.
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Know Everything About Premature Ejaculation

Mr. Nitin Sharma 86% (63 ratings)
BASM, NDYSE, Mater of Yoga
Sexologist, Delhi
Premature ejaculation is an incurable condition, especially among older men. True or False? Take this quiz to know now.
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Ways to keep your sexual life healthy

Dr. Rahul Gupta 94% (13435 ratings)
MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Watching adult movies helps you perform better in bed. True or False? Take this quiz to know now.
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