Common Specialities
Common Issues
Common Treatments


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
Poor control on ejaculation Unsatisfactory sexual intercourse Ejaculation on very little sexual stimulation

Popular Health Tips

How Homeopathy Can Help In Achieving Erection?

Dr. Krishnarajsingh Thakur 93% (12 ratings)
MD - Homeopathy, BHMS
Homeopath, Akola
How Homeopathy Can Help In Achieving Erection?
Low libido is fundamentally a functional and emotional issue, which can lead to long term issues in terms of the relationship of the individual as well as the mental health of the patient. Homeopaths trust that it can be dealt with exceptionally well by homeopathy. Homeopathy can treat your low sex drive created by a number of reasons, ranging from depression, hormonal imbalance, and low self-esteem to unhappy marital relations. It helps in lifting up your mood and gets rid of the problem from the very root. Loss of sexual desire over a period of time is one of the symptoms of low libido. In case it is experienced suddenly, one may need to take a look at neurological issues. Less drive for sex, repellent to sex, and absence of joy in sexual activities are a part of the many symptoms of loss of libido. The treatment relies upon the cause behind the low sex drive. How soon would you be able to see the results? A homeopathic solution for your low sex drive can take more time to show results when compared with allopathy treatment, keeping in mind the side effects you encounter. Since homeopathic remedies are usually personalised, you have to ask your homeopath when you can hope to achieve the results promised. However, once relief is felt, you need to stop taking the medication. In case you are not seeing the results for a prolonged time, you may want to talk to your homeopath about changing the medicine or dosage. How homeopathy function to support libido? Homeopathy works by fortifying the body's own particular healing system. Your homeopath will recommend pharmaceuticals after an exhaustive assessment of your case to discover the cause and degree of the loss of your sex drive. They will make inquiries regarding your closeness with your partner. Homeopathy treats the basic problem, which might be the reason behind the low sex drive, as discussed previously. There are a number of cases in which low libido might manifest with no other reasons in the background. Homeopathy offers promising solutions about enhancing low libido. Here s how: Treating the basic disease Treatment for erectile dysfunction Reducing stress and enhancing your stretch coping mechanism Replacing your antidepressant medicines at whatever point possible Enhancing your temperaments and improving your sex drive You may also want to treat related ailments in order to improve your libido. For instance, hypothyroid and diabetes improve the interpersonal association with your partner, help you reduce weight in case you are obese, and assist in reducing stress as far as your job and personal relationships go. Change over to mild solutions, for example, homeopathy, for depression, tension issues, if that is the hidden cause.

How to Manage Premature Ejaculation? Medical Treatment Options

Dr. Shailesh Jain 87% (44 ratings)
Bachelor of Ayurveda, Medicine & Surgery (BAMS), MS-Ayurveda
Sexologist, Delhi
How to Manage Premature Ejaculation? Medical Treatment Options
As discussed earlier, premature ejaculation (pe) occurs when a man reaches the peak of sexual excitement and ejaculates before he wants it to happen. When pe interferes with the sexual pleasure of a man or his partner, it becomes a medical problem. Several factors such as psychological problems (eg. Anxiety), penile hypersensitivity, habituation of quick sex / masturbation, alcohol abuse, hormonal imbalance (e. G. Thyroid problem), and even genetic problems may cause pe. Medical (allopathic) therapy for pe treatment: Drugs used for the management of pe reduce sensitivity and anxiety, improve blood flow or even affect some chemical mediators present in the brain. These classes of drugs include local anaesthetics, antidepressants, and phosphodiesterase 5 inhibitors. Anaesthetic compounds were the first medical treatment proposed for pe management. They were applied topically to the surface of the skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays / creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of the penis, absorption in vagina resulting in vaginal numbness and irritation. Treatment medications include selective serotonin reuptake inhibitors (ssris), which interact with a receptor (5-ht2c) present in brain and increases the production of serotonin. They also help in reducing anxiety and depression associated with pe. Through this mechanism, they prolong the time to reach ejaculation. Several ssris have increasingly become used as" off-label" for pe. Among the available ssris, paroxetine and dapoxetine are more beneficial with lesser side effects as compared to other ssris. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent ssri which acts quickly and cleared rapidly from the body. Adverse effects with ssris are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term paroxetine. Another potential treatment option for pe are classes of medications which increase the blood flow by dilating the blood vessels of the penile region and prolong the ejaculation time (phosphodiesterase 5 inhibitors). But a headache, dizziness, flushing, body aches associated with them have limited their use in pe. At present, clinicians need to consider all treatment modalities when evaluating a man with pe, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects. Ayurvedic therapy for pe treatment: Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, vaji means horse, the symbol of sexual potency and performance thus vajikaran means producing a horse's vigor, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements) and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects. There are many formulations which are used in vajikaran. Some of the commonly used formulations include vrihani gutika, vrishya gutika, vajikaranam ghritam and upatyakari shashtikadi gutika. Vrihani gutika is one of the potent formulations while vrishya gutika is highly potent aphrodisiac used in the treatment of pe. Vajikaranam ghritam enhances the strength of penis. Upatyakari shashtikadi gutika is useful for the enhancement of the fertility. Also, chapdraprabha vati and kaunch pak are known to increase sexual vigor and semen consistency, thereby helping to prolong ejaculation time and sex pleasure.
3 people found this helpful

Premature Ejaculation - Best Ayurvedic Herbs That Can Treat It Effectively!

Dr. Nilesh Nigam 86% (49 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Premature Ejaculation - Best Ayurvedic Herbs That Can Treat It Effectively!
In today's stress filled life, most of us struggle from a number of problems, be it physiological or psychological. Premature ejaculation is the uncontrolled ejaculation that occurs when a man experiences orgasm and expels semen soon after sexual intercourse. 1 out of the 3 men faces this problem. If it is happening on a regular basis then it is a cause of concern. Causes for premature ejaculation: Biological cause Abnormal hormone level Abnormal levels of brain chemicals Thyroid problem Damage of nervous system Infection in the urethra or prostate Heredity Psychological cause Erectile dysfunction Anxiety about intercourse Cultural guilt related to sexual pleasure Relationship problems This problem can be treated using modern techniques like sex therapy, medication or cognitive behaviour therapy. Our ancient Indian literature like 'kamasutra' describes various methods of Ayurvedic treatment by combining various herbs and natural ingredients. Following are some of the Ayurvedic ingredients for treating premature ejaculation: 1. Safed musli (Chlorphytum Borivillianum) - It is a small herbs rich in saponnins. It acts as natural source of antioxidants. 2. Kali musli (Curculigo Orchiodes) - It is a small herb rich natural tannins. It's a small shrub having thick leaves. 3. Semal musli( Salmalia Malabarica) - It is a herb the extracts of which contains tannic acid and gallic acid as active chemicals. 4. Gokshur( Tribulus Terrestris) - It is a herb that acts as a urinary bladder cleanser. 5. Shatavari( Asparagus Racemosus) - It is a herb that helps overcome physical weakness. 6. Ashwagandha( Withania Somniferum) - It is a dense and hairy shrub that boosts stamina, gives rejuvenation and helps in secretion of semen. 7. Akarkara( Anacyclus Pyrethrum) - It is a hairy shrub that improves the level of stamina. 8. Jaiphal( Myristica Fragrans)- The barks and leaves of jaiphal boosts energy and fights microbial infections. The above mentioned ingredients can be combined together in form of a churan and can be taken to overcome the problem of premature ejaculation. Ayurveda is one of the oldest forms of medicine providing natural solution with no side effects. Hence it should be given a preference over the modern techniques.
4 people found this helpful

Premature Ejaculation - Treatment Options Available For It!

Dr. Pradeep Kolhe 86% (22 ratings)
Postgraduate Diploma in Sexology , M.D., Ph.D.
Sexologist, Nagpur
Premature Ejaculation - Treatment Options Available For It!
Since long, ailments which can hamper your physical intimacy with your partner are of grave concern and amongst these premature ejaculation tops the list. Thus it is important that you discuss it out with your partner along with a therapist and resolve it through medical help. It is important that we understand what is premature ejaculation in order. Premature ejaculation is uncontrolled ejaculation either before or shortly after penetration.It may result in unsatisfactory intercourse for both partners. This can increase the anxiety of that person. It is one of the most common forms of male sexual dysfunction. What are the causes behind PE? The exact cause of premature ejaculation is unknown, but it's often rooted in physical, psychological, or emotional issues. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. Other causes may include: Early experiences with masturbation and sex. Erectile Dysfunction. Relationship problems. Intercourse with a new partner. What are the symptoms?: The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation. How it is diagnosed?: Premature ejaculation is diagnosed based on typical symptoms. To understand your problem, your doctor will need to discuss your sexual history with you. Be frank and open. The more your doctor knows, the better he or she can help you. Ayurvedic Premature Ejaculation Treatment According to Ayurvedic perspective, premature ejaculation is caused by aggravation of Vata (air) and Pitta Dosha at the commencement of physical mating. These doshas can be aggravated by anxiety or nervousness before the sexual act. Vata is characterized by its qualities of quickness and heightened sensitivity to the sense of touch. This gives a predisposition towards quicker ejaculation. Pitta plays a role in thinning of the semen, thereby supporting its early ejaculation. Secondly, these aggravated doshas cause hyperactivity of muscles in the male organ, thus increasing sensitivity to vibration and hence leading to early ejaculation. Ayurvedic treatment of premature ejaculation is aimed at keeping the Vata and Pitta in balance by eating a balanced diet. Problems of stress and anxiety during sexual intercourse can be effectively dealt with rejuvenating herbs, yoga, meditation and counseling.
4638 people found this helpful

5 Ways to Make Sex Last Longer!

Dr. Hitesh Shah 89% (209 ratings)
M.A. (Scholar), BHMS
Sexologist, Mumbai
5 Ways to Make Sex Last Longer!
How to last long in bed? Lack of control over ejaculation or ejaculation occurring too early is called as premature ejaculation. Psychological factors act as the major cause. There are two types of premature ejaculation. Lifelong premature ejaculation and acquired premature ejaculation. Lifelong premature ejaculation noted in teenagers who try first sexual contact and involves deeper psychological causes. Acquired premature ejaculation occurs in later stages of life which may involve both physical and psychological cause. Ways to control ejaculation Try to reduce anxiety: Understand that your partner gets more satisfied with extended period of orgasm and your anxiety is going to be a great hindrance for this pleasure. Once you analyse yourself and realize the dissatisfaction and disappointment that your anxiety gives to both you and your partner, the ways to overcome it naturally comes into strike. If not don t hesitate to seek assistance from sexual health care advisers to overcome the battle. Avoid too much of sexual thoughts: If your mind gets occupied with too much of sexual thought always try to divert yourself with your favourite sport or activity that you re much interested. Give a short break of 5 to 10 minutes before you feel to ejaculate. Change position: Try position like allowing your partner on you and side by side position as this may cause fewer stimuli to your penis and may delay the ejaculation. Avoid rear entry and missionary position as these are very active and may still activate your ejaculation faster. Make yourself slow: Activity level of the orgasm stage changes with every individual. It is much essential for the male to sense their emotions and the physiological stages of sexual changes that their body undergo. Slowing down during the orgasm stage or a matured control of the orgasm helps a lot for occurrence of premature ejaculation. Make sure you also don t drop the sexual desire of your partner and engage her emotions with the act of foreplay. Concentrate much on foreplay: Premature ejaculation may cause depression and dissatisfaction to your partner and even yourself. So it will be much better if you focus much on foreplay and it will be also better if you develop the practice of foreplay in between the orgasm.
13 people found this helpful

Popular Questions & Answers

I have a problem with premature ejaculation. Can you suggest any ayurvedic pill similar to covert50 or 100 mg forte same? Caverta has loads of side effects.

Dr. R Grover 89% (2006 ratings)
Fellowship, Council of Sex Education & Parenthood, BAMS, B-Pharm
Sexologist, Jaipur
Initially avoid any medicine. They have lot of side effect The following tips n. It will help you 1 the better option is to relax your mind and to increase timing you can do kegel's exercise also try the stop/start method 2 increase the amount of time spent during foreplay. Make sure the genitals are not rubbed against the other's body or on the bed as this might also lead to ejaculation 3. Use a condom preferably a thick one or extra time its easily available in market. This will reduce the sensitivity of the penis. In herbal medicine you can use aswdhanda 50gm+satwari 50gm safadmusli 25gm +silageet10gm mix and use 1\2sppon morning evening with milk or consult with sexologist.
2 people found this helpful

Mera fast relaese ka problem hai. Jaise intrcourse karta hu 5 secnod me release ho jata he. Kya prob he yeh. 5 second me koi kaise partner ko satisfied karega.

Dr. S K Kaushik 93% (1663 ratings)
Sexologist, Gurgaon
Hi its premature ejuculation problems so you start physical exercise daily and avoid junk foods and porn videos and consult privately for medicine.

Since marriage I am not able to perform, early discharge and semen is said to be unlike what it should be and wife complains her previous relationships the intimacy was better.

Dr. P.K. Srivastava 89% (1080 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
Mr. lybrate-user As you asked about your problems related to your early ejaculation during sex with your wife I would like to advise you that it is happened because of getting either excessive indulgence in sex or it may be due to Metabolic imbalance and sex harmonic changes. It is happened with stressful mind during foreplay also. You need to consult me privately for your Pulse Diagnosis and proper treatment privately It is curable but takes time about 3-6 months regular treatment. Call me for your appointment one day before visiting me for your confirmation.

I have a sexual problem with my wife I can't satisfy more than 30 seconds so please suggest me a healthy and powerful treatment.

Dr. Col V C Goyal 94% (9171 ratings)
CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Do following exercise do as if stop urination in midstream or tighten the muscles that keep you from passing gas. These maneuvers use your pelvic floor muscles. You can do the exercises in any position, although you might find it easiest to do them lying down at first. Tighten for 3 seconds and loose for three sec do 10 times. Three times in day for one month for medicine contact on private chat.

Health Quizzes

Premature Ejaculation - Know All About It!

Dr. Sangeeta P 92% (431 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Sindhudurg
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.
Start Quiz
89 people took this quiz

Premature Ejaculation - What Should You Know About It?

Dr. Satyan Nanal 86% (14 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), BHMS, MCSEPI
Sexologist, Pune
One of the causes of premature ejaculation could be Erectile dysfunction. True or false? Take this quiz now to find out now.
Start Quiz
247 people took this quiz

Premature Ejaculation - Is It Common A Problem?

Dr. Vikas Deshmukh 87% (51 ratings)
MBBS, M.D Psychiatry , Diploma In Psychological Medicine
Sexologist, Navi Mumbai
Premature ejaculation can be caused by excessive self-indulgence and is usually incurable. True or False? Take this quiz to know now.
Start Quiz
160 people took this quiz

Premature Ejaculation - All About It!!

Dr. Mahesh Nawal 87% (572 ratings)
Sexologist, Indore
Premature ejaculation can be caused by excessive self-indulgence and is usually incurable. True or False? Take this quiz to know now.
Start Quiz
108 people took this quiz

Premature Ejaculation - Ways That Can Help You Get Over It!

Dr. Deepak Agrawal 92% (265 ratings)
Sexologist, Jaipur
Premature ejaculation is an incurable condition, especially among older men. True or False? Take this quiz to know now.
Start Quiz
591 people took this quiz

Popular Health Packages

28 Days validity  •  Medicines included
180 Days validity  •  Medicines included
30 Days validity  •  Medicines included
45 Days validity  •  Medicines included
45 Days validity  •  Medicines included