Premature ejaculation is a form of sexual dysfunction that can adversely affect the quality of a man’s sex life. It is when an orgasm or “climax” occurs sooner than wanted. Show There may occasionally be complication with reproduction, but premature ejaculation (PE) can also adversely affect sexual satisfaction, both for men and their partners. In recent years, the recognition and understanding of male sexual dysfunction has improved, and there is a better understanding of the problems that can result from it. The information here aims to demystify the causes of PE and outline effective treatment options. In most cases, there is a psychological cause, and the prognosis is good. If the problem occurs at the beginning of a new sexual partnership, the difficulties often resolve as the relationship goes on. If, however, the problem is more persistent, doctors may recommend counseling from a therapist specializing in sexual relationships, or “couples therapy.” No medications are officially licensed in the United States for treating PE, but some antidepressants have been found to help some men delay ejaculation. A doctor will not prescribe any medicines before taking a detailed sexual history to reach a clear diagnosis of PE. Drug treatments can have adverse effects, and patients should always discuss with a doctor before using any medication. Dapoxetine (brand name Priligy) is used in many countries to treat some types of primary and secondary PE. This is a rapid-acting SSRI that is also licensed to treat PE. However, certain criteria must be met. It can be used if:
Side-effects from dapoxetine include nausea, diarrhea, dizziness, and headache. Topical drugsSome topical therapies may be applied to the penis before sex, with or without a condom. These local anesthetic creams reduce stimulation. Examples include lidocaine or prilocaine, which can improve the amount of time before ejaculation. However, longer use of anesthetics can result in numbness and loss of erection. The reduced sensation created by the creams may not be acceptable to the man, and the numbness can affect the woman, too. Two methods that can be helpful for men are:
A man tries to achieve this upward of three or four times before allowing himself to ejaculate. Practice is important, and if the problem continues, it may be worth talking to a doctor. Researchers have found that Kegel exercises, which aim to strengthen the pelvic floor muscles, can help men with lifelong PE. Forty men with the condition underwent physical therapy involving:
They also followed a set of individualized exercises. After 12 weeks of treatment, over 80 percent of the participants gained a degree of control over their ejaculation reflex. They increased the time between penetration and ejaculation by at least 60 seconds. A number of factors may be involved. Psychological factorsMost cases of PE are not related to any disease and are instead due to psychological factors, including:
These common psychological factors can affect men who have previously had normal ejaculation. These cases are often called secondary, or acquired, PE. Most cases of the rarer, more persistent form—primary or lifelong PE—are also believed to be caused by psychological problems. The condition can often be traced back to early trauma, such as:
Medical causesMore rarely, there may be a biological cause. The following are possible medical causes of PE:
PE can be a sign that an underlying condition needs treatment. Medically, the more persistent form of PE, primary or lifelong PE, is defined by the presence of the following three features:
Psychological symptoms are secondary to the physical ejaculatory events. The man, his partner, or both may experience them. Secondary symptoms include:
Men who ejaculate too soon can experience psychological distress, but results of a study of 152 men and their partners suggest that the partner tend to be less worried about PE than the man who has it. The manual used by psychiatrists and psychologists for making a clinical diagnosis (known as the DSM-V) defines PE as a sexual disorder only when the following description is true:
However, a more loosely defined form of PE is one of the most common kinds of sexual dysfunction. A doctor will ask certain questions that are intended to help them assess symptoms, such as how long it takes before ejaculation occurs. This is known as latency. Questions might include:
Results from surveys suggest that PE affects between 15 percent and 30 percent of men. However, there are far fewer medically diagnosed and diagnosable cases. This statistical disparity does not in any way diminish the discomfort experienced by men who do not meet the strict criteria for diagnosis. Primary or lifelong PE is thought to affect around 2 percent of men. What is the normal discharge time of man?A study involving 500 couples found the average time for ejaculation was about 5-and-a-half minutes after starting sex. This time could be longer for men who have sex with men. International guidelines define premature ejaculation as regularly ejaculating within 1 minute of entering your partner.
How can I stop early discharge?Creams, gels and sprays that contain a numbing agent — such as benzocaine, lidocaine or prilocaine — are sometimes used to treat premature ejaculation. They're applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation. They're available without a prescription.
How can I increase my discharge time?Try the start-stop technique
Men who want to last longer during intercourse can try the start-stop technique . To use this technique, stop sexual activity every time ejaculation feels imminent. Breathe deeply and start again slowly, then stop to delay ejaculation for as long as desirable.
What is the reason of early discharge?Premature ejaculation occurs when a man has an orgasm and ejaculates earlier during intercourse than he or his partner would like. It's a common problem, affecting 30% to 40% of men. Causes include physical problems, chemical imbalances and emotional/psychological factors.
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