According to stats, 1 out of every 3 men experiences this type of sexual problem. Occasional attack of PE is considered as normal, but frequent episodes suggest some underlying medical condition, which should be treated as soon as possible to avoid further complication.
Uncontrolled ejaculation much before a person wishes or shortly after penetration may lead to frustration, embarrassment, irritability and disappointment due to unsatisfactory sexual intercourse. Many men with PE suffer from anxiety disorders and depression. Let us discuss about its causes and treatment aspects.
What are the causes of PE?
The exact causative factor is idiopathic and hard to elicit out. Physicians often describe PE as a physiological factor that varies from person to person; they say PE can be due to a complicate process between psychological and biological factors. Predominantly, psychological problems are the main culprits in developing PE.
Psychological causes –
• Over-excitement while performing sexual activity
• Guilt feelings that makes one rush towards sexual session
• Anticipatory anxiety – Anxiety disorders are often associated with PE
• Prolonged stress and depression – May be due to other sexual problems, like erectile dysfunction
• Relationship issues – Interpersonal issues can affects one’s sexual life that can lead to sexual dysfunction
Physiological causes –
• Erectile dysfunction – Inability to achieve and sustain an erection during sexual activity
• Hormonal imbalance
• Abnormal levels of neurotransmitters/brain chemicals
• Uncontrolled diabetes
• Neurological problems
• Thyroid disorders
• Genetic predisposition
• Inflammatory conditions of prostate or genital
• Nerve damage due to injury or surgery
Diagnostic criteria for PE –
If a man experiences expulsion of semen within a minute of penile penetration with minimal stimulation frequently, then he is diagnosed as a victim of premature ejaculation. Men fail to delay their ejaculation during sexual intercourse nearly every time while indulging in lovemaking, and avoid sexual activity due to fear of early ejaculation. Although men may hesitate or feel embarrassed to discuss about this problem; but the good news is PE can be treated with medications, counseling and various techniques that can delay ejaculation.
Treatment options for PE –
• Oral medications
There are various oral medications available for treating premature ejaculation, which are approved by the Food and Drug Administration (FDA). Medicines include antidepressants, analgesics and anti-impotent drugs. Physicians often prescribe a combination of these medicines to treat PE. Antidepressants such as Tadapox, Dapoxetine, Sertraline and Paroxetine act on certain neurotransmitters that delay orgasm and ejaculation process. Analgesics are used to reduce pain. Anti-impotent drugs such as Sildenafil Citrate, Tadalafil and Vardenafil are prescribed to treat erectile dysfunction.
• Behavioral techniques
Few simple sexual techniques, like masturbating an hour before indulging in sexual intercourse help delay ejaculation during penetration. The pause-squeeze-pause technique is also helpful in delaying ejaculatory process. In this technique, during sexual activity and stimulation of penile organ, perform intercourse and stop when you are about to ejaculate, ask your partner to squeeze the tip of male organ for few seconds to control the ejaculation, wait for 30 seconds; start the foreplay again followed by penetration. Again if you feel that you are about to expel the semen, perform the squeeze procedure again. By using this technique, you can achieve satisfactory sexual intercourse session; make a habit of this technique to get rid of PE naturally.
• Local anesthetic application
Anesthetic sprays and creams, such as Lidocaine or Prilocaine are used to delay ejaculation. These medications are applied to the penile organ before sexual activity to reduce the sensitiveness and thus help delay ejaculatory process.
Counseling helps in venting out emotions and relationship issues you are facing. Also, this type of approach helps in reducing the anticipatory anxiety and gives opportunity to find better ways to cope with stress and depression. Counseling in association with medication or sexual techniques will help one overcome PE.