At some point in their lives, most men will experience Premature Ejaculation (PE) which is having an orgasm sooner than he or his partner desires. Some men are able to conquer PE by themselves but some men need the help of a doctor or therapist in order to have a more satisfying sex life. Having PE is not a character flaw but it is often experienced as a personal failure.
The exact cause of PE is not well-defined but it can also be related to a combination of psychological problems like anxiety, post-traumatic stress disorder or medical problems like alcoholism, long-term drug abuse, diabetes, multiple sclerosis or prostate disease.
As medical conditions go, the symptoms of premature ejaculation are pretty straightforward. Men ejaculate with very little stimulation or even before they begin intercourse every time or almost every time the men engage in sex.
There are no other symptoms. However, over time PE can trigger other serious problems in men including depression, anxiety and problems with personal relationships.
The causes of premature ejaculation are currently not very well understood. It is believed though that for the majority of men it comes down to a combination of physiological and biological causes.
There are many physiological factors that may contribute to premature ejaculation. The anxiety caused by lack of sexual experience can be a big one. Having a new partner, or not having sex for a long time, can also induce premature ejaculation. Things like guilt, anxiety, and depression can also contribute to the issues. Some doctors theorize that early sexual experiences can also set a person up for premature ejaculation. If early experiences are rushed or you’re afraid of getting caught these feelings can stay with you and cause the problem. It can also sometimes be caused by the relationship with your partner.
There are biological factors that contribute to premature ejaculation as well. These include abnormal hormone levels, abnormal levels of neurotransmitters, some thyroid problems, diabetes, and inflammation or infection of the prostate or urethra.
The good news is that PE is often treatable. A medical exam and diagnostic tests like a blood test or a prostate exam can help rule out medical conditions that could cause or significantly contribute to PE. That condition is then treated.
SSRI antidepressants, commonly known as “the Prozac family” can also help with the psychological problems caused by and contributing to PE.
Men can also be taught exercises to help control their orgasms. Wearing condoms help some men because it reduces stimulation. Using anesthetic sprays help others. Having therapy helps relieve stress and any psychological trauma that may cause PE or contribute to it.
For example, some men raised in a very strict religious background may feel guilty about having sex of any kind. When they masturbated as boys, they had to be fast in order to not get caught and punished. This conditions the body to ejaculate prematurely. Working out these memories and feelings in therapy can help relive anxiety associated with sex.
There are many potential causes of premature ejaculation and how to prevent it largely comes down to figuring out what’s likely causing it.
If it’s likely caused by lack of sexual experience or by having a new partner, it’s a simple matter of practice makes perfect. Simply keep working on it and the problem will go away.
If you’re dealing with depression, shame, anxiety, or guilt there are many things that can be done to attempt to alleviate the symptoms. Exercise has been shown in over 25 studies to be effective at treating and preventing depression. Even a brisk 20 minute walk three times a week has shown improvement. Eating a healthy diet including lots of vegetables, fruits, whole grains, and fish has also been shown to reduce these problems. For many people, engaging in activities they find interesting and important helps as well. Journaling also helps many people and there are also options available through your doctor.
If the problem is caused by the relationship with the person in question, the best option is to attempt to talk to your partner and figure out what’s going on.
You can also gradually build control over your ejaculatory reflex through practice. Practice self stimulation and instead of rushing try to make it last longer. Practicing kegels has helped some as well. Wearing a condom during sex can also dull sensation somewhat, which leads to lasting longer.
There are also medicines available through doctors which help with premature ejaculation.