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| Latrayblog |
An estimated 39 percent of men suffer from premature ejaculation at some point in their life, but there are effective treatments available if you seek professional help. Sexual dysfunction can cause significant emotional distress and impact relationships, but rest assured you are not alone and help is available.
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What is premature ejaculation?Premature ejaculation is of course a relative term and is defined as when a man reaches orgasm, and therefore ejaculates, too quickly for his sexual partner to also achieve enjoyment from the act of sex.
How common is premature ejaculation?
It is very likely under-reported, as many people do not attend their doctor with a problem. The reason for this is that most people who suffer from premature ejaculation are younger men who may feel self-conscious and less confident about discussing it with their GP.
The estimated prevalence is up to one-third of all men will experience PE at some stage. Limited studies even suggest 2-5 percent of men will suffer from lifelong PE.
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What causes premature ejaculation?
No one really knows why one person gets it more than another, but it is considered to be multifactorial. However, unsurprisingly, there has been little objective research into this area. Likely factors causing premature ejaculation include the following:
Anxiety
Sexual expectation
Degree of sexual excitement
Penile sensitivity
Serotonin receptor dysfunction
PE can cause mental distress, anxiety, embarrassment, depression, and subsequently, sexual performance worsens. Interestingly though, PE is not affected by age, and there are no known risk factors.
It is generally accepted that most men with PE do not seek help. As there are a number of treatment options available, it is worth speaking to your GP and asking for help.
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What exacerbates premature ejaculation?
In general, it is a condition worsened by the patient’s feelings about it occurring - guilt, inhibitions or misinformation about sex, negative sexual experiences, anxiety, depression, and the impact of PE on the patient and their partner
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How can you treat premature ejaculation?
There are a number of self-help techniques that can treat premature ejaculation including non-pharmacological, talking therapy, medicine, and topical creams:
• Non- pharmacological
Try these non-pharmacological self-help tips for premature ejaculation which don't involve medication:
✔️ Masturbating an hour or two 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 ejaculation occurs).
✔️ Having sex with your partner on top (to allow them to pull away when you are close to ejaculating).
✔️ Taking breaks during sex and using distracting thoughts.
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• Couples therapiesSome couples find talking therapy is successful in treating premature ejaculation:
Firstly, couples are encouraged to explore issues that may be affecting their relationship, and given advice about how to resolve them. Secondly, couples are shown techniques that can help the man to 'unlearn' the habit of premature ejaculation.
The two most popular techniques to help with PE are the squeeze technique and the stop-go technique:
The squeeze technique: for the squeeze technique, the woman begins masturbating the man. When the man feels that he is almost at the point of ejaculation, he signals to the woman. The woman stops masturbating him and squeezes the head of his penis for between 10 to 20 seconds. She then let's go and waits for another 30 seconds before resuming masturbation. This process is carried out several times before ejaculation is allowed to occur.
The stop-go technique: this technique is similar to the squeeze technique except that the woman does not squeeze the penis. Once the man feels more confident about delaying ejaculation, the couple can begin to have sexual intercourse, stopping and starting as required.
• Medical therapy
The most common medical therapy for premature ejaculation includes the following medicines. Ask your GP for advice:
✔️ Selective serotonin reuptake inhibitor (SSRI) antidepressants commonly used off-label but need to be taken daily, as it takes one to two weeks for the effect to be achieved. Paroxetine, fluoxetine, citalopram, escitalopram, and sertraline have all been shown to be effective.
✔️ Some evidence for (SNRI) duloxetine is also effective.
✔️ Dapoxetine is a specific short-acting SSRI that has been specifically developed for the treatment of premature ejaculation - has been shown to be effective and is approved for use in the UK.
✔️ There is even some limited evidence for the use of tramadol and Phosphodiesterase type 5 (PDE5) inhibitors (such as Viagra) in PE but this is very anecdotal.
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