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 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.