Premature ejaculation can be a difficult topic to talk about. Men often shy away from a conversation about this issues because of fear of being stigmatized or mocked. But it’s actually the most common sexual disorder in men. According to estimates, up to 39% of men worldwide experience premature ejaculation at some point in their lives.
When men are unable to delay ejaculation for less than 1 to 6 minutes, leading to relationship stress, they are said to be ejaculating prematurely. The average duration of intercourse prior ejaculation is 7.3 minutes according to a study of 1,587 men.
Ejaculation occurs when sensory receptors and neuronal processes in the brain act together. It’s essentially a reflex action designed to release sperm during sex. When these processes become disrupted, premature ejaculation may be the consequence.
Psychological issues are the most common cause of premature ejaculation. These includes depression, anxiety, and emotional stress. One study found that 64% of men with premature ejaculation said they experienced high levels of distress. It’s likely that highly anxious men are distracted from delaying ejaculation by their worries and attempts to control this issue. Delaying ejaculation requires concentration. What’s more, half of men with erectile dysfunction also suffer from premature ejaculation. In an attempt avoid losing their erection prior to ejaculation, men with erectile dysfunction tend to rush sexual intercourse.
Physical issues such as an inflamed prostate gland or a problem with the spinal cord may also result in uncontrolled ejaculations.
The diagnosis of premature ejaculation is fairly simple. Your doctor will usually ask questions about your sexual history. The more accurate you can be, the easier it will be to determine if your issues are emotional or if you require further examination for underlying physical conditions.
Prevention is the best medicine. A healthy attitude toward sex goes a long way. If you’re a bit anxious about your sex life, you could seek a therapist to help discuss your issues. Remember that there’s no such thing as the ‘right’ kind of sexual experience or ‘perfect’ sexual intercourse. Every couple is different. Talk to your loved one about your sexual preferences.
There are several approaches to treat premature ejaculation. If the condition is due to anxiety or another mental health issue, you could seek psychotherapy to talk about your fears.
Two common behavioral techniques are the “stop-start” technique and the “squeeze” technique.
During the “stop-start” technique, the penis is stimulated until the urge to ejaculate arises. Stimulation is then stopped until the feeling subsides. This is repeated a few times before allowing ejaculation, and can help train you to regain control over ejaculation.
The “squeeze” technique requires a partner to squeeze the penis just before ejaculation. Similarly, this is repeated a few times before allowing ejaculation.
Available drug treatments to delay ejaculation include serotonin reuptake inhibitors such as Prozac and phosphodiesterase inhibitors like Viagra. There are also creams available that numb the penis leading to reduced stimulation and delayed ejaculation. Another option to delay orgasms is to use multiple condoms.
Consult your doctor if premature ejaculation is having an adverse effect on your sexual pleasure or relationship.
In most cases, honesty is the best approach. Partners will usually be understanding of the issue and want to work together to find a solution. Don’t pressure each other or blame one another for the condition. Focus on a solution instead. Premature ejaculation is rarely inevitable and many therapeutic methods are available to help.