September 4, 2017
Premature ejaculation is an unfortunately common condition. It is one of the most embarrassing things that men (and their partners) often fear. The truth is that at least a third of all men worldwide have suffered from premature ejaculation at some point in their lives.
What is premature ejaculation?
Premature ejaculation (PE) is uncontrollable ejaculation that occurs before or within a minute of penetration. Because it happens before the man desires, it is considered premature (hence the term ‘one minute man’).
How often does PE occur?
PE is quite common in young adults under the age of 35 years, particularly with the excitement that comes with having a new partner. However older men can also experience it. Premature ejaculation can be a serious concern if it occurs often.
What causes PE
It can be difficult to figure out the exact cause but both biological and emotional factors can predispose a man to being a one minute man.
- Having a hypersensitive penis (more common in the uncircumcised)
- Reduced serotonin levels (a brain chemical that is also low in those who suffer from depression)
- Physical injury (direct injury to the penis or to the spinal cord)
- Infections (untreated STDs can cause PE, even when no other symptoms are available)
- Hormonal imbalances (particularly low testosterone)
- Side effect of certain medications
- Early sexual experiences that were hurried done, making it difficult to adjust in adulthood
- Bad sexual experiences, particularly sexual abuse and rape.
- Depression, low self-confidence, anxiety and relationship issues.
- Strict religious or moral upbringing resulting in guilt and shame about sex.
Anyone who experiences premature ejaculation should see a doctor and find out if there are any biological problems present. Those need to be sorted out first.
Sometimes, your doctor may prescribe an antidepressant. Other medication that may be useful are tramadol (a painkiller) and Viagra (for erectile dysfunction). The person may also need to see a psychologist, psychiatrist or a sex therapist.
Try this at home
First of all, ensure that you keep open and honest communication with your spouse or partner. This can help to trash out emotional issues. It also helps you to relax when you know that you do not need to put on a performance!
Then you can improve your sexual stamina by:
- Masturbating to ejaculation few hours before your sexual encounter
- Distracting yourself with thoughts of other things during sex
- Engaging in more of foreplay with your partner
- Using a condom, especially if you have a hypersensitive penis. Some advocate for the application of a local anaesthetic just before penetration but your partner may be react to it. Also, pleasure may be reduced for the both of you because of the resultant numbness.
- Performing pelvic floor exercises
- Working on your control using the start and stop technique…by stopping before you climax and then resume. This works best during masturbation.
- Practicing the squeeze technique with your partner…withdraw when you’re about to reach orgasm and squeeze the tip of the penis before inserting it again.
Sexual performance issues can lead to relationship problems; emotional issues like depression, anxiety; and even poor performance at work. If you or someone you know has trouble lasting long in bed, then get the help needed on our platform:
DoctorDial is a confidential service, so you have no worries about talking or chatting with any of our doctors online!