Premature ejaculation occurs when a man ejaculates (releases sperm) too early during sexual intercourse. Some may even ejaculate before penetration at all. This condition is considered one of the most common sexual dysfunction in men because it occurs in about 40% of men at least once in their lifetime.

 

It is important to note that premature ejaculation is different from erectile dysfunction. Erectile dysfunction is a condition in which a man finds it challenging to get his penis up or finds it difficult to keep the erection after getting it up. It has been made known through research studies that premature ejaculation can result from erectile dysfunction. 

Sometimes, PE (premature ejaculation) can be a problem for men with erectile dysfunction (ED); other times, it might not. What you should know basically about ED is that – the penis doesn’t remain firm enough for sex. Men who are worried they could lose their erection may develop a pattern of rushing to ejaculate(premature ejaculation). It can be a hard habit to break. (1)

 

Classification of Premature ejaculation

Premature ejaculation is classified into two main categories, namely:

 

Primary Premature Ejaculation: 

Premature ejaculation is said to be primary if you have early ejaculation in all or almost all your sexual encounters, including your first time. This is also called Lifelong premature ejaculation

 

Secondary Premature Ejaculation: 

Secondary premature ejaculation occurs when you have an early ejaculation issue later in your sexual life after having had no problems in your previous sexual encounters. It can also be called Acquired premature ejaculation

 

Symptoms of Premature Ejaculation

Knowing you have a premature ejaculation condition is relatively easy and self-evident. When you cannot delay ejaculation and enjoy the pleasure of sex for over a minute, you most likely have premature ejaculation. Premature ejaculation is interchangeably called early ejaculation.

It may not be anything serious if you have an early ejaculation once in a while. It may be due to momentary emotional conditions like stress, anxiety, e.t.c. But some men have premature ejaculation frequently or all the time. This is when it should be taken seriously and tackled.

 

Common Causes of Premature Ejaculation

To effectively treat premature ejaculation, you have to know the cause of your condition to tackle it accordingly. There are different categories of causes, and each category requires a different approach for correction. Here are some of the causes of early ejaculation;

  • Emotional factors
  • Physical and underlying conditions
  • Psychological or mental factors
  • Others

Emotional factors

Emotional factors that cause premature ejaculation are usually related to the occasional occurrence. This type of premature ejaculation is automatically cured when the causing emotional state is returned to normal. They include;

  1. Stress: Physical, mental, or emotional stress may result in premature ejaculation during sex, as stress tampers with your ability to relax and focus during intercourse.
  2. Anxiety: Too much nervousness about the intercourse you are about to have can result in early ejaculation.  
  3. Guilt: You may ejaculate too early during sex if you feel guilty about the intercourse in any way. One may feel guilty for moral or religious purposes.

 

Physical and underlying conditions

Premature ejaculation may be due to underlying health situations or physical and biological conditions of the man. Examples are;

  1. Erectile dysfunction: As stated earlier, if you have difficulty in maintaining an erection,  you may knowingly or unknowingly develop a habit of rushing to attain ejaculation because of the fear of losing your erection. 
  2. Infections: Sexually transmitted infections that affect the prostate and urethra may cause early ejaculation during sex.
  3. Biological abnormalities: Abnormal levels of certain hormones, such as testosterone or chemicals produced by nerve cells called neurotransmitters, may contribute to premature ejaculation. (2)

 

Psychological or mental factors

Your mental and psychological state affects your overall performance and output in every area of life. Even sex. Therefore, mental and psychological factors may contribute to a sexual dysfunction like premature ejaculation. These factors may be;

  1. Depression: if you are depressed, you may have premature ejaculation since you may rush the intercourse because of the momentary pleasure that gives you a break from your thoughts. 
  2. Low self-esteem: Some people have poor body image and low self-esteem. They feel inferior to their partners and thereby are anxious or not focused during sex.
  3. Sexual abuse: Victims of sexual abuse develop various sexual conditions from their experiences. In men like this, premature ejaculation is not uncommon.

Others

Other factors that may be responsible for early ejaculation during sex include:

  1. Lack of Confidence in one’s sexual ability: You may experience early ejaculation if you keep doubting your sexual ability before and during sex.
  2. Little or no experience: Premature ejaculation sometimes may result from being a newbie. You will get a hold of delaying your ejaculation as you explore more and gain more sexual experiences.

 

Self-help techniques to tackle Premature Ejaculation

1. Desensitization

(I) Use of condoms

The use of thick condoms can help you to reduce sensitization during sex. Reduced sensitization will help you take a longer time to reach climax, thereby delaying ejaculation.

(II) Use of desensitizing creams

Also, desensitizing creams or numbing creams may be rubbed on the penis before sex to reduce sensitization. This should be used along with a condom so that the cream doesn’t rub off on your partner’s vagina and denies them full sensitization and pleasure.

 

2. Squeeze Method

This is a self-help method that helps to build tolerance and delay ejaculation. 

How it is done:

While having sex, when you feel you are reaching climax and approaching ejaculation, you or your partner can squeeze your penis tightly. This partly reduces your erection, and when you feel you are distant from climax, you can continue the sexual stimulation. Repeat the process till you are actually ready to ejaculate.

 

3. Stop and Start Method

This method is very much similar to the squeeze method.

 

How it is done:

In this method, you or your partner stimulates your penis until just before ejaculation. When you are about to climax, you or your partner stops until the urge to climax lets up. As you regain control, you and your partner start stimulating your penis again. This process is repeated three times. You ejaculate on the fourth time. Repeat this method three times a week until you have gained more control. (3)

 

4. Distraction

Some men distract themselves from the pleasure of sex by thinking about other unrelated things. This helps them to take their mind off the stimulation and thereby delays ejaculation. This method does not work for everyone, though.

 

5. Urine therapy

This is a tolerance and endurance method that is practiced during urination.

How it is done

While urinating, seize the flow of urine midstream for a few seconds and release. Do it about three times in each urination period. This method acts as a simulation of the ejaculation process and can help you delay ejaculation during sex.

 

6. Exercises

Certain muscle exercises may also help. In particular, you may benefit from male pelvic floor exercises. To find your pelvic floor muscles, concentrate on stopping urination in midstream or using certain muscles to keep you from passing gas. Once you understand where the muscles are, you can practice exercises known as kegel maneuvers. You can do them standing, sitting, or lying down. (2)

These exercises only work if these muscles are the root cause of your early ejaculation.

 

7. Masturbation

Studies show that masturbating and ejaculating an hour or two before sex helps to delay ejaculation during sex. In addition, it helps you to practice methods to delay ejaculation yourself.

 

Medication treatment for Premature Ejaculation

Antidepressants are known to cause delayed ejaculation as a side effect. Therefore they can be used in treating early ejaculation. Also, some other drugs are known to improve serotonin levels. A high amount of serotonin in the brain can prolong ejaculation time. 

It is advised to seek medical guidance from certified practitioners or doctors before taking these drugs. They may have side effects or induce another sexual condition. Your doctor will give you a prescription based on your activity level. And they will also provide you with other information as to how often you should take the drugs and how many hours before sex these drugs should be used for maximum effect.

Therapy also works wonders in treating premature ejaculation, most especially those caused by emotional or psychological factors. Once the therapy gets through to you and the factor is gone, your ejaculation is most likely to return to normal.

 

Recap

Premature ejaculation may cause you to feel unfulfilled sexually. This can lead to low self-esteem and sexual repression. Because men feel ashamed to share their condition, they do not know it can be easily treated with behavioral therapy, psychological therapy, medication, or any combination. 

Men should know early ejaculation is a common condition and should not be ashamed to seek help when they ejaculate faster than normal.

 

Reference

  1. https://www.webmd.com/men/what-is-premature-ejaculation
  2. https://www.healthline.com/health/mens-health/premature-ejaculation
  3. https://www.urologyhealth.org/urology-a-z/p/premature-ejaculation