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Last Updated: Jan 29, 2020
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Premature Ejaculation - Symptom, Treatment And Causes

About Types Symptoms Causes Diagnosis Treatment Medicine Cost Cure Prevention Tips
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.

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.

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.

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.

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 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.

Popular Questions & Answers

I’m facing issues in retaining my erection. My age is 29 and I use suhagra 50 mg tablet to gain a strong erection. I’m able to get a good erection, but having problem in maintaining it throughout the activity. Please guide.

M.B.B.S, MD - Psychiatry
Psychiatrist, Ghaziabad
Hi lybrate-user, this is not usual to have erectile dysfunction at your age, if you don't have any other comorbid physical illness or substnace use disorder. It is also not usual to loose erection in the act with 50 mg of sildenafil. It's in your ...

I am having erection dysfunction due to masturbation and from past 2 months I am having nano leo and from past 15 days I am having tadalafil 5 mg but sometimes I losses my erection while having intercourse. Today I consulted new doctor he has stopped all past medicines and given uphold medicine having it on alternatives day one each.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Hello and welcome to Lybrate. I have reviewed your query and here is my advice. Erection problems may not be due to masturbation.I suggest telephonic counseling and online psychotherapy for you. You can contact me for further advice and treatment ...

I am taking beta blocker, calcium blocker, enapril & clopidogrel as I am having mvp. I am in my 50 age. Can I take tadalafil 2.5 mg to have better erection?

MBBS, MD - Psychiatry
Psychiatrist, Kurukshetra
The erection difficulty is due to side effect of beta blocker and calcium channel blocker. Here these medications are important to take, and alongwith your condition of mvp can cause extra load on your heart during sex. Better ask a physician pers...

Hi doc i'm 23 year old guy I am facing hair loss problems from my 12th age and now I came to know about finasteride 1 mg and I wanted to take it for further prevention of hair fall and I masturbate a lot but now for 1 month I am not doing it and I have no food allergies but have sebhorric dermatitis is it safe for me to use finasteride 1 mg please reply.

DNB (Dermatology), MBBS, Diploma in Trichology - Cosmetology
Dermatologist, Hyderabad
Hello Lybrate-user! hair loss can be due to various reasons, genetic, hormonal, nutritional, dandruff, stress ,pollution etc. We have to examine the scalp to know the reason for hair loss. If dandruff is present, it should be checked and be contro...

From 3 months I have taking medication for slip disc and due to this I have not getting nocturnal erection. Tab - etoshine 120 gabapin 100 pregabid cr 82.5 now which foods and v vitamins and minerals needed for stronger erection.

M.B.B.S, MD - Psychiatry
Psychiatrist, Ghaziabad
Hi lybrate-user you are experiencing erectile dysfunction as an adverse effect of the medicines you are consuming for slip disc. There is no vitamin or mineral which can reverse the ed caused by a drug. I would request you to consult your orthoped...

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