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Last Updated: Oct 25, 2021
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Premature Ejaculation - Symptom, Treatment And Causes

About Types Symptoms Causes Diagnosis Treatment Medicine Recovery Post-treatment Guidelines Diet Cost Cure Side Effects Results Prevention Tips Alternatives Physical Exercises
Premature Ejaculation - Symptom, Treatment And Causes

What Is Premature Ejaculation?

Premature ejaculation is a condition when a person ejaculates without control before or shortly after penetration during sexual intercourse. 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 types of premature ejaculation?

Premature ejaculation types:

  • Lifelong: Lifelong premature ejaculation or primary premature ejaculation occurs at the time of the first sexual encounter.
  • Acquired: Acquired premature ejaculation of secondary premature ejaculation occurs or can develop after having sexual experience without having a problem during the previous one.

How long can the average man stay erect?

The average time of the erection of an average man according to the study is about 5.4 minutes but at times erection can last for about a few minutes or an hour. Lasting up of erection depends upon the four factors including age, health, and sexual activity.

How long should a man last before ejaculation?

This varies from person to person but the average time of man to last before ejaculation is between 4-11 minutes.

What are the symptoms of premature ejaculation?

Premature ejaculation symptoms:

The basic symptom of premature ejaculation after penetration there occurs the inability to ejaculate or there is an inability to delay in the ejaculate. The problem can occur after having sexual activity and even at the time of masturbation.

Is premature ejaculation permanent?

Premature ejaculation is a natural as well as a normal process that has a tendency to get better spontaneously with the commencement of time. It may not require treatment in most cases and hence not taken as a serious concern. However in some cases, when men face this issue from the time they get involved in sexual activity, it may persist for a longer duration. But it is quite possible to overcome this problem with the involvement of accurate treatment methods.

What is the main cause of premature ejaculation?

The exact cause of the majority of cases 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. Certain sexual situations may trigger such a condition. Even long periods of time between ejaculations may be the culprit.

Psychological issues are also terribly 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. A large number of men think that they are suffering from premature ejaculation but there are no criteria set for diagnosis.

Can premature ejaculation get a woman pregnant?

Premature ejaculation is completely a normal and natural process in men. It is usually not considered a serious concern as the possibility of pregnancy still persists in such conditions. The presence of sperm in prematurely ejaculated semen likely to occur and thereby chances of getting pregnant is quite obvious in this case.

Is premature ejaculation a serious problem

Although premature ejaculation is a common problem, it is possible for the condition to get treated and managed over a period of time. However, in some cases, it may be considered a matter of concern as most of the men develop a feeling of embarrassment regarding this. Besides this, some complications such as stress, unhealthy relationships, and fertility issues may also occur following the condition, which makes it a serious problem.

How premature ejaculation is diagnosed?

In order to diagnose, 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. Doctors will obviously want to rule out medical problems through laboratory tests also.

How is premature ejaculation treated?

Premature ejaculation treatments:

Topical anesthetics: These are creams which contain agent from numbing any portion which includes benzocaine, lidocaine or prilocaine, and sometimes these are used for curing premature ejaculation. At times there are side effects of these creams and can decrease the sexual pleasure or there is a temporary loss of sensitivity.

Oral medications: Some medications can delay orgasm and include antidepressants, phosphodiesterase-5 inhibitors, and analgesics. These medicines are prescribed by the doctor with a combination of other medications or alone. The medicines can be eaten daily or either on demand.

Oral medication can be divided into:

  • Antidepressants: These are the medicines which are given for the delay of premature ejaculation fluoxetine , sertraline , escitalopram , or paroxetine .
  • Analgesics: To treat the pain Tramadol is commonly used thus creating side effects which delay in ejaculation. Most of the time tramadol is prescribed with the combination of SSRIs
  • Phosphodiesterase-5 inhibitors: Some medications are used for treating problems with erectile dysfunction which include sildenafil, vardenafil, tadalafil.
  • Counselling: This is the session in which the doctor talks with the patient about his problem. It also releases performance pressure from the person and other ways are found to cope up with stress. Counselling and drug therapy are the procedures which take place together.

How long does premature ejaculation last?

The condition of premature ejaculation lasts for not more than two minutes of the time interval. That actually means that a person suffering from such a problem is not able to enjoy sexual intercourse for more than 2 minutes of time prior to ejaculation. This state may be accompanied by sexual disappointment as well as embarrassment that a man faces.

Can Premature Ejaculation go away on its own?

Premature Ejaculation is a commonly occurring health issue. It is not a serious concern in most cases and can be treated or controlled by self-care. Such issues should be shared with your partner. It makes them feel supported both morally as well as physically.

Both the partners can help each other with some strategies or techniques and can overcome this condition which can make any one of them embarrassed. Such techniques involve behavioral methods which include the squeeze method and “In the start-and-stop method”. Thought distractions are also one of the ways to prevent Premature Ejaculation.

Should I go to urgent care for Premature Ejaculation?

Premature Ejaculation is a commonly occurring health issue. It is not a serious concern in most cases and can be treated or controlled by self-care. However in some cases when the tendency for the occurrence of such conditions or frequency gets high and it interferes with any individual’s sexual life, there arises a need for urgent medical care and attention.

A specialist should be consulted in this case who, starting with the physical examination and some personal questions, will reach the proper diagnosis depending upon which an accurate treatment plan will be executed.

Who is eligible for the treatment?

Premature Ejaculation is a commonly occurring health issue. It is not a serious concern in most cases and can be treated or controlled by self-care. However in some cases when the tendency for the occurrence of such conditions or frequency gets high and it interferes with any individual’s sexual life, there arises a need for urgent medical care and attention.

A specialist should be consulted in this case who, starting with the physical examination and some personal questions, will reach the proper diagnosis depending upon which an accurate treatment plan will be executed.

Who is not eligible for the treatment?

Premature Ejaculation is a commonly occurring health issue. It is not a serious concern in most cases and can be treated or controlled by self-care. Such issues should be shared with one’s partner. Both the partners can help each other with some strategies or techniques and can overcome this condition which can make any one of them embarrassed.

Such techniques involve behavioral methods which include the squeeze method and “In the start-and-stop method”. Thought distractions, the use of condoms, and counseling of the couple are also ways to prevent Premature Ejaculation. In such cases, medical treatment and care are not needed.

Which is the best medicine for premature ejaculation?

Premature ejaculation pills:

SSRIs are the kind of drugs used in the treatment of premature ejaculation brought a revolutionary change in the treatment. Drugs such as fluoxetine, paroxetine, or sertraline and tricyclic antidepressants like clomipramine are given.

How long does it take to recover from Premature Ejaculation?

Condition of Premature Ejaculation when undergoing required treatment with certain medicines, it usually takes at least five or ten days to see any visible effect of the medicines. However, the overall time duration that is needed for recovery in such cases varies depending upon the cause and severity of the condition. On average, a time period of approximately two to three weeks is required to get recovered almost completely.

What are the post-treatment guidelines?

Some of the post-treatment guidelines include:

  • Mental and moral support from the other partner.
  • Avoiding overuse of medicines related to antidepressants and analgesics.
  • Coping well with the side effects of the treatment which usually include nausea and vomiting with a feeling of dizziness.
  • Proper diet modification such as the incorporation of sources of zinc and magnesium in regular diet.
  • Lifestyle changes including physical activity and exercise.

What to eat in Premature Ejaculation?

Diet modification may help in the control and management of Premature Ejaculation. Some of the food items preferred to be consumed in such conditions include sources rich in minerals such as zinc and magnesium. Those sources maybe yoghurt, spinach, almonds, beans like soybeans, rajma, chickpeas and peas, seeds like pumpkin seeds and sesame seeds, beef, herbs and spices like garlic, whole grain, etc.

What not to eat in Premature Ejaculation?

Some food items may adversely affect the condition of Premature Ejaculation. Such food items and food habits which need to be avoided in such conditions include the following:

  • High-sugar diet.
  • Diet rich in high starch content.
  • Excessive consumption of alcohol.
  • Taking nicotine on a regular basis such as smoking.
  • Junk and processed foods.
  • Excess intake of carbonated drinks.

What is premature ejaculation surgery cost in India?

The charge of the per-session depends upon how long the session goes and what all are the concerns which are covered in that session.

Is premature ejaculation curable?

Premature ejaculation cures:

Premature ejaculation is a condition which can be treated and has become a common condition nowadays. Men can go for sex treatment, meditation or counselling if they are having a delay in ejaculation thus improving sex life with your partner.

How can I increase my ejaculation time?

The occurrence of premature ejaculation in men is quite common. The problem tends to get better over an interval of time. However, some natural remedies are quite preferable in this case and may help in improving and managing the concern. Those remedies include the consumption of ayurvedic herbal medicines as well as Chinese herbal medicines, topical application of the cream on the penis, lidocaine spray, supplements of zinc, dietary changes, exercises like pelvic floor exercises, masturbation, and techniques like stop-start technique and pause-squeeze technique.

What are side-effects of Premature Ejaculation treatments?

The treatment of Premature Ejaculation usually involves the application of drugs including analgesics and antidepressants such as tramadol. These medicines have side effects which are responsible for a delay in ejaculation. However, the side effects which are unwanted and harmful in such cases include the following:

  • The feeling of nausea, followed by vomiting.
  • A strong feeling of dizziness and fatigue.
  • Feeling sleepy most of the times.

Are the results of the treatment permanent?

Results of the treatment may be permanent in some of the cases of Premature Ejaculation while it may not be in certain cases. It usually depends upon the cause of the abnormality as well as the severity or frequency of the condition. When it is caused due to any systemic or physiological conditions, followed by proper treatment under the supervision of a specialist, the outcome received may be permanent.

However, when the cause is psychological, it may or may not be so.

How to prevent premature ejaculation?

Premature ejaculation prevention:

These are the steps through which we can prevent premature ejaculation:

A. Stop and start method: If you are seeing yourself near the climax in the beginning only then the best thing you can do is withdrawing your penis out of your partner and relax a bit, then start again. This will help you in having a long sexual experience.

B. Squeeze method: in this method the top of the penis is pressed or squeezed by the man, or by his partner for about 10-20 seconds at the time of imminent ejaculation to withhold the stimulation. Until ejaculation is required squeeze method can be repeated along with start and stop.

How to deal with premature ejaculation?

Premature ejaculation cure tips:

  • Self-distraction: If you are getting excited at the beginning then you must think about something boring or distract yourself by taking deep breaths.
  • Desensitizing cream: To make the are less sensitive, desensitizing cream can be used and can be applied at the end of the penis.
  • Masturbation: If you are having premature ejaculation then you must let your body respond to the stimulation and learn how to delay ejaculation. By thinking of having good sex or if you have had good sex then you can prevent it.

Summary: Premature ejaculation is completely a normal and natural process in men. The condition lasts for not more than two minutes of time interval but is usually accompanied by sexual disappointment as well as embarrassment. Home remedies for its management include the consumption of ayurvedic herbal medicines, topical application of the cream on the penis, lidocaine spray, supplements of zinc, dietary changes, exercises like pelvic floor exercises, and masturbation.

What are the alternatives to the treatment?

The treatment for Premature Ejaculation involves antidepressant drugs as well as analgesics. However, there are some alternative methods also which are preferred in several conditions. It can also be treated or controlled by self-care techniques. One of such methods involves sharing such issues with your partner. It makes them feel supported both morally as well as physically.

Both the partners can help each other with some strategies or techniques and can overcome this condition which can make any one of them embarrassed. Such techniques involve behavioral methods which include the “squeeze method'' and “In the start-and-stop method”. Thought distractions, the use of condoms, and counseling of the couple are also ways to prevent Premature Ejaculation.

Physical Exercises for the people suffering from Premature Ejaculation:

Exercises are a way to good health. Some of the preferred exercises to be done in the condition of Premature Ejaculation which can help a couple, include the following:

  • Pelvic floor muscles exercise: It is performed by tightening or contracting the pelvic floor muscles, followed by relaxation. The time interval is 3 seconds for contraction as well as relaxation. It should be repeated a few times.
  • Kegel exercises: It should be done maintaining the postures such as sitting, standing as well as walking.
  • Focus: It is important while doing such exercises and complete and proper breathing is also necessary.
Summary: Premature Ejaculation is a commonly occurring health issue. It is not a serious concern in most cases and can be treated or controlled by self-care. Such issues should be shared with one’s partner. It makes them feel supported both morally as well as physically. Both the partners can help each other with some strategies or techniques and can overcome this condition which can make any one of them embarrassed.

Popular Questions & Answers

I cannot sex now due to long term masturbation. I used to manforce before sex. But while using manforce sperm not coming out but, sperm coming when I masturbate. I am planning for a baby. What is the solution.

MD - Psychiatry
Psychiatrist, Dharwad
Need a detailed evaluation by sexologist. Probably you have erectile problem and that's why you used manforce for sustained erection and if there is sustained erection .sometimes it is difficult to have ejaculation. While you masturbate, you do it...

Tried suhagra100/50, vigora 100/50, for longer time erection but experienced upset stomach along with other side effects last few time had vomiting as well. Is there any way to avoid these side effects specially upset stomach and vomiting. Or any alternative.

MD - Psychiatry
Psychiatrist, Dharwad
Stomach upset is not a common side effect due to viagra. It could be other common conditions like acid peptic disease/ commonly called gastritis. Take pan - d for 5 days before breakfast in morning and see if your symptoms subside.

My father passed away on "dec 1, 2020" being affected with covid-19. I went into severe depression following this and was recommended 'daxid 100 mg' tablets (1 after breakfast and 2 after dinner). After continuing the medication for more than a year, I stopped taking it. As i've married recently, my wife is worried about any related side-effect of this medication in conjugal life/intercourse and any risk in welcoming a child, as I continued it for such a long time. Do I need to take any remedial measures?

MSC Applied Psychology, PG Diploma in Counselling and Psychotherapy, Certified NLP Practioner, Certified Professional Supervisor, CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND
Psychologist, Coimbatore
Hi lybrate-user, if you are feeling better and able to cope with life situations then its fine. In case, if you find any disturbance in your routine you can consult a doctor. As a remedial measure, do practice regular physical exercise, healthy fo...

My father passed away on "dec 1st, 2020" due to cavity19. It took me into severe depression. I was recommended "daxid (300 mg)" and revived gradually. Is there any impact of the medication on conjugal life as I have married recently and my wife has concern regarding intake of medicines.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
These are the common side-effects of taking Daxid: Common Side Effects Delayed ejaculation Erectile dysfunction Indigestion Insomnia (difficulty in sleeping) Low sexual desire Nausea Tremor Diarrhea Increased sweating Loss of appetite But if you e...

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