Premature Ejaculation: Causes & How to Treat The Condition?
Have you experience premature ejaculation by now? Regardless whether you experience this medical condition or you just want to stay well informed, you should go over the below lines and find out what is premature ejaculation or what are its causes.
Table of Contents
- 1 What Is Premature Ejaculation?
- 2 Causes of Premature Ejaculation
- 2.1 Premature Ejaculation of Neurological Type
- 2.2 Premature Ejaculation of Organic Type
- 2.3 Premature Ejaculation of Medication Type
- 2.4 Premature Ejaculation Due to Complex Psychological Issues
- 2.5 Premature Ejaculation of Psychological Nature
- 2.6 Premature Ejaculation Due to Couple Issues
- 2.7 Premature Ejaculation Because of the Lack of Sexual Abilities
- 3 4 Ways to Treat Premature Ejaculation
What Is Premature Ejaculation?
Over time, there were various definitions of this male sexual disorder, and depending on the duration or number of movements during sexual contact, it was considered that it can be talked about a medical condition as long as the ejaculation produces at 30 seconds to 1 minute from intromission or if it`s triggered after maximum 10 intravaginal movements. Simply put, premature ejaculation, shortly known as PE, can be defined as a sexual dysfunction in which the male tends to regularly ejaculate before he really wants to ejaculate.
At the present time, this is considered the most frequent issue encountered in sexual therapy, 1/3 of western men experiencing this medical condition Although the phylogenetic aspects consider that the male has a natural tendency to ejaculate quickly, with the cultivation of female sexual pleasure and the sexual opening of the west, men feel more and more obliged to acquire the ability of controlling their ejaculation and so to control the duration of the sexual contact.
Causes of Premature Ejaculation
Most of the times, the causes of premature ejaculation are intercorrelated and multiple.
Helen Singer Kaplan, a well known sex therapist as well as the founded of the very first clinic in the U.S., believed that anxiety is the underlying mechanism of premature ejaculation, accelerating ejaculation by stimulating the sympathetic nervous system and lowering erection. Installing anxiety may gradually lead to inhibition of sexual contacts as well, due to the result of the phobic mechanism which triggers.
In order to be able to treat and formulate an adequate therapeutic plan, it`s essential to acknowledge the causes as well as find the mechanisms which cause it.
Premature Ejaculation of Neurological Type
It`s that form of premature ejaculation of which main cause is the predisposition of the penis to be very sensitive and ejaculate very rapidly. It`s present in men who have a sympathetic nervous system hypersensitivity. This type of PE is native, the patient not experiencing another type of sexual conditions. It occurs with any partner, in any situation and is present during masturbation. The person cannot choose the moment of ejaculation, the control being almost absent.
It`s the most difficult form to treat and its therapy requires a lot of consistency and patience.
Premature Ejaculation of Organic Type
Certain diseases may cause PE. Now we are talking about an acquired issue; the patient hasn’t always been like this, but the condition manifests in any situation and with any partner.
Among the most frequent disease that may cause PE are urinary tract infections and prostate inflammation. Among the rare illnesses are: atherosclerosis, multiple sclerosis, diabetes, Peyronne syndrome, surgery on the prostate, kidneys or the pelvic area.
Premature Ejaculation of Medication Type
It occurs due to the discontinuation of specific medications in the range of opioids and tranchilizers, or the consumption of drugs known to cause PE, which contain ephedrine or pseudoephedrine.
Premature Ejaculation Due to Complex Psychological Issues
It might occur in chronic psychic disorders, like bipolar disorder, manic depressive psychosis, anxiety disorder, schizophrenia, chronic depression, obsessive behavioral disorder or various personality disorders caused by ADHS, drugs, post-traumatic stress syndrome or alcoholism.
Premature Ejaculation of Psychological Nature
Stressful life situation may lead to PE. Prolonged states of depression, emotional shock or anxiety may lead to PE. Actually, the literature suggests that most cases of PE are triggered by anxiety and stress, and are closely related to a self-confidence decrease and the occurrence of negative emotional states: sadness, negative feelings, frustrations or anger.
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Also, there are various religious beliefs that are related to sexuality and expectations of sexual performance that are completely unrealistic and might lead to PE. Internal conflicts which arise due to the result of engaging in new roles like father, husband or grandfather, might influence sexual activity as well. In this case, PE is acquired, it occurs selectively under specific conditions and perhaps even with one single partner.
Premature Ejaculation Due to Couple Issues
The problems within the couple might lead to PE. A complicated and stressful relationship may determine the occurrence of PE. This kind of relationship is generally characterized by serious emotional conflicts, resentment, a feeling that your partner cannot understand you, lack of communication, fear on intimacy, reproaches or mistrust due to infidelity.
There are cases in which the man is pretty sensitive to the remarks of the partner, being afraid to disappoint her or feeling guilty, and also cases where the woman is too shy. There`s also the selfish type of man, online concerned by his own person and not really interested in the emotional necessities of his partner. – Read more info!
Sometimes there`s a sexual issue like premature ejaculation may mask other issues of the couple, being mainly related to a problem from the outside due to which there`s a lot of anxiety and dissatisfaction for both partners. There are cases when the PE of a man coexists along with a woman`s sexual issue such as: her negative attitude towards sex, lack of orgasm, lack of sexual arousal, pains during intercourse, all of which leading to PE. In this case, premature ejaculation is acquired and manifested selectively with a certain partner.
Premature Ejaculation Because of the Lack of Sexual Abilities
In this situation, the man find it hard to concentrate on his sensations or he`s too busy with the thought that he`ll fail, he doesn`t succeed to relax himself during sexual intercourse, which leads to sympathetic stimulation and triggers ejaculation. We would enumerate here the unrealistic expectations in regard to sexual performance, the lack of communication skills with his partner, the lack of knowledge of the sensations and mechanisms that precede ejaculation and the change in intensity of sexual contact.
In young adults, the lack of experience as well as low frequency of sexual contact might cause premature ejaculation to occur. And this type of PE happens at the onset of sexual life, but might not appear during masturbation.
Depending on the mechanism that is at the basis of its occurrence, there are various approaches. For situations where the psychological component is involved, sex therapy is the right choice. Until the appearance of this type of therapy, many men out there who experienced PE didn`t have a particular solution to solve this issue. At present, sexual therapy has significantly improved the prognosis of the medical conditions, presently 90% of cases may be considerably improved or solved after around 14 sessions of treatment.
4 Ways to Treat Premature Ejaculation
Unfortunately, there isn`t a specific pill that you could take and solve the issue overnight. However, it`s understandable if we are to consider that this sexual dysfunction doesn`t have any known causes.
There are some remedies where the signs can be improved, and the doctor might advise you to use any of these 4 methods.
Squeezing the Penis`s Head
When you feel you are about the ejaculate, squeeze the penis`s head using your fingers until it creates a bit of discomfort and you`ll manage to delay the ejaculation and enjoy more moments of sexual activity.
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However, not all doctors agree with this practice. Some of them think that squeezing the head of the penis in one of those intimate moments will lower the man`s performance and pleasure, while the main result will probably be unsatisfactory.
Think of Something Else!
There are men claiming that distraction is the main key in treating erectile issues, especially when talking about PE. The main thought is to distract your mind from what bothers you, meaning PE in this case. Try to replace your thoughts with something that is non-sexual or has nothing to do with your partner. – Click here!
There are men that when they think at solving math problems or at football players during sexual contact, they are less inhibited and have no difficulty whatsoever maintaining their erection for long periods of time.
Use Desensitising Creams
There are various products such as ointments that are based on lidocaine, which is an anesthetic agent which has the ability of reducing sensitivity in the region where it gets applied.
Still, if you think of using this method, don`t forget to use a condom as the “numbing” properties of the cream may be passed on the partner who, instead of enjoying the pleasure, may feel nothing due to your treatment.
Various Pills That Are Used to Treat Other Conditions
These pills might have beneficial effects in PE. Even though the reactions have been discovered without intention, there are medications which may improve the lives of those experiencing PE.
Analgesics and antidepressants are part of these drugs with a serotonin reuptake inhibiting medication, therefore delaying sexual activity. There are side effects that include nausea, drowsiness, headaches, difficulty in ejaculation, chills or decreased libido, which should make you think twice before using them.