Early Ejaculation Treatment
What is Early Ejaculation? A men’s Clinic Expert Explains
Early ejaculation (PE) is when you have an orgasm before intercourse or less than a minute after you start. There is no set time when a man should ejaculate during sex, but if you ejaculate and lose your erection this soon, you and your partner may feel there’s not enough time to enjoy it.
It can be frustrating and even embarrassing, but it’s a common issue for men. Between 30% to 40% have it at some time in their life. So, keep in mind — it’s not something to worry about if it happens only occasionally.
jaculation occurs in men when semen leave the body (ejaculate) sooner than wanted during sex. Premature ejaculation is a common sexual complaint. As many as 1 out of 3 people say they have it at some time. Premature ejaculation isn’t cause for concern if it doesn’t happen often.
Early Ejaculation Causes and Risk Factors
The cause is not really known. But your brain chemistry could be at least partly the reason. Men who have low levels of the chemical serotonin in their brains tend to take a shorter time to ejaculate.
Emotional factors can play a role:
- Stress
- Depression
- Anxiety
- Guilt
- Relationship problems
- Lack of confidence or poor body image
- Concern over your sexual performance
- Negative feelings about the idea of sex (sexual repression)
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Some physical conditions may also cause PE, including:
- Unusual hormone levels
- Irregular levels of neurotransmitters (an imbalance of the chemicals in your brain that pass messages or impulses to the rest of your body)
- Inflammation or an infection in your prostate or urethra (the tube that runs from your bladder and sends pee out of body)
- Genetic traits you inherit from your parents
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Sometimes PE can be a problem for men with erectile dysfunction (ED). That’s when the penis doesn’t remain firm enough for sex. Men who are worried they could lose their erection may develop a pattern of rushing to ejaculate. It can be a hard habit to break.
Treating the erectile dysfunction may make the early ejaculation go away. There are many medication options.
Early Ejaculation Diagnosis
Your doctor probably will start by asking if you’ve always had the problem or if it’s a new thing. They may ask about your sex life or your relationships. You’ll probably get a physical exam, too.
If your doctor thinks emotional issues are causing your PE, they may refer you to a mental health professional who works with people who have trouble with sex. If a physical problem is causing it, they might recommend that you see a doctor called a urologist, who specializes in conditions that affect your urinary system.
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Early Ejaculation Treatments and Home Remedies
Ninety-five percent of men are helped by behavioral techniques that help control ejaculation.
Stop and start:You or your partner stimulate your penis until you feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you ejaculate.
The Squeeze:It works the same way as the start and stop method. But, when you feel like you’re reaching orgasm, you or your partner squeezes the head of your penis until you lose the erection. Repeat this a few times before ejaculating.
Some men find that if they think of something else during sex they can last longer.
If those don’t work for you, you can try a few other things:
Strengthen your muscles:Weak pelvic floor muscles sometimes contribute to PE. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for 3 seconds and then release them for 3 seconds. Do this 10 times, at least three times a day.
Wear a condom:It may desensitize you enough so you can last longer.
Get busy before you “get busy”: Some men find that masturbating a few hours before sex helps them stay in control during intercourse.
Seek counseling:A psychologist or psychiatrist can help you work through problems like depression, anxiety, or stress that may be contributing to your PE.
If none of these help enough, your doctor may talk with you about medication. While there aren’t any drugs specifically approved to treat PE, medicines used to treat other things may help in some cases. This is called an off-label use.
These include:
Antidepressants: A side effect of some selective serotonin reuptake inhibitors (SSRIs) is delayed orgasm. But these medications also have side effects that include nausea and drowsiness. They also can throw a wet blanket on your desire to have sex. So, it’s possible you’re trading one problem for another. You and your doctor will decide what’s right for you.
Tramadol: This is a pain reliever that can delay ejaculation. It may be prescribed if antidepressants don’t help. This medicine is addictive, so it may not be an option for you.
Anesthetic creams or sprays:You put these on the head of your penis to make it less sensitive. Leave it on for about 30 minutes. It must be washed off before sex so you don’t lose your erection or cause loss of sensation for your partner.
Medications for erectile dysfunction: These drugs may also help men maintain an erection. They include sildenafil citrate (Viagra), tadalafil (Cialis), or vardenafil HCI (Levitra).
How common is Early ejaculation?
Between 30% and 40% of men experience early ejaculation ejaculation at some point in their life. According to the American Urological Association, premature ejaculation is the most common type of sexual dysfunction in men. About one in five men between the ages of 18 and 59 report incidences of early ejaculation ejaculation.
What time frame medically defines a man’s ejaculation as premature?
Although the definition of premature ejaculation varies, the American Urological Association defines ejaculation as “premature” if it occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners. The American Psychiatric Association defines three levels of severity (mild, moderate, severe), based on time to ejaculation, with mild being under one minute. If pressed for a time frame, many doctors would define prematurity as ejaculation within a minute of beginning intercourse. Despite professional opinions, your feelings as to what is premature are also considered.
Men’s Clinic Advice About Ejaculation
Men’s clinic offers advice and treatment for all men with early or premature ejaculation problems. masturbating 1 to 2 hours before having sex. using a thick condom to help decrease sensation. taking a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body, during which you ejaculate) having sex with your partner on top (to allow them to pull away when you’re close to ejaculating)
What’s the difference between erectile dysfunction and ejaculation?
If you have erectile dysfunction, you can’t attain or maintain your erection. If you have premature ejaculation, you have an erection but you reach orgasm and ejaculate earlier than you or your partner would have liked.
However, erectile dysfunction can actually lead to the development of premature ejaculation. This happens when a man knows his ability to sustain an erection is poor, so he develops the habit of ejaculating soon after erection before he loses his erection.
Because of this connection between these two conditions, your urology will want to figure out if you have erectile dysfunction and, if so, treat that first.
Can drinking alcohol help delay ejaculation?
While it’s true that drinking alcohol can delay orgasm, it’s not a treatment for ejaculation.
A note from Pretoria Men’s Clinic
Your urologist and team of healthcare providers will come up with a plan to treat your premature ejaculation. Premature ejaculation is often easily treated with a few simple steps, so it is important to see your urologist or other doctors if you are experiencing premature ejaculation. Although it may be uncomfortable to talk with your doctors about sexual problems, know that they are professionals and want you and your partner to have a satisfying sex life. Remember, this is a common problem and you are not alone!
