The physiological process of intercourse involves four stages excitement, plateau, orgasm and climax or resolution stage. Excitement is the first stage which, occurs with the physical or psychological stimuli to involve in sex. Plateau is the next stage which involves much of foreplay in which the partner involved is in physical arousal. Third stage is orgasm which involves the mating of the partners and actual act of sex and ends with the ejaculation of the semen. The last stage climax is the resting stage which most often delays for females and men achieve after the ejaculation of the semen. For those male with premature ejaculation the semen ejaculates too early with the initiation of the orgasm. They lack the control over the ejaculation of the semen.
Who is at risk?
Premature ejaculation is most common for those encountering psychological issues. Anxiety (performance anxiety) is the most common cause of premature ejaculation. Relationship issues, unresolved conflict and having sex for a limited number of times may also cause premature ejaculation.
Can it be treated?
Self-treatment: Males usually try self-treatment options like withdrawing themselves from their partner before the sense of ejaculation, slow thrusting or penetration force and purposeful masturbation before sex. Some may also try the use of extra condoms.
Sex therapy: Sex therapy involves doing exercise to improve the strength of the perineal muscle and increase the control over the ejaculation. This therapy involves Kegel’s exercise, stop – start technique this helps to desensitize the response of the men towards sex. This may also include squeeze technique, which involves squeezing at the tip of the penis near the shaft to hold the ejaculation manually by causing obstruction externally.
Psychoanalysis: Psychology states that men ejaculate too early because of the anxiety and over excitement. Many psychologist states that premature ejaculation can be treated with psychoanalysis, but this is much effective in all cases.
Medication: Selective serotonin reuptake inhibitors are commonly used to increase the serotonin level that helps to delay the ejaculation. Antidepressant drugs or topical application of anesthetics like lidocaine are also used to treat premature ejaculation. If you wish to discuss about any specific problem, you can consult a sexologist.