Premature Ejaculation: Symptoms, Causes and Treatments

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premature-ejaculation

What is Premature Ejaculation?

Premature ejaculation is a phenomenon where men ejaculate with minimal penile stimulation shortly after sexual intercourse or even before intercourse. Premature ejaculation is the most prevalent sexual dysfunction affecting men across all age groups. One out of every five men in America suffers from premature ejaculation. A common misconception concerning this condition is that younger men do not experience it as much as older men. On the contrary, men across all age groups can suffer from premature ejaculation.

The ejaculation process takes place in two phases. The first phase is the emission phase where semen is formed and deposited at the posterior end of the urethra. The second phase is the expulsion phase where the urethra rhythmically contracts to expel semen leading to ejaculation and an orgasm. Ejaculation can be controlled to some extent. Men who suffer from premature ejaculation feel less in control of the ejaculation process as they ejaculate before they wish to.

Does it Matter for a Happy Sex Life?

Premature ejaculation can affect the quality of one’s sex life hence it matters. Premature ejaculation can reduce sexual enjoyment. This is because once a man ejaculates, he loses his erection. Therefore, it makes sex short and unfulfilling. This can be frustrating for a man and his lover. The frustration can escalate to relationship distresses that can ultimately threaten the future of the relationship.

What is the Average Time until Ejaculation?

The typical ejaculation latency for the average man is three to eight minutes. Premature ejaculation is said to occur if a man ejaculates within a minute or less than a minute after sexual intercourse.

How common is Premature Ejaculation?

Premature ejaculation is the most common sexual dysfunction affecting men. One out of every five men in America suffers from premature ejaculation. However, one out of every three men feel that they ejaculate too soon and wish they could stay longer before ejaculation. Medical dictionaries define premature ejaculation as ejaculation within a minute. Some men feel like they are suffering from the problem if they ejaculate in less than three minutes. However, this is normal as most men actually ejaculate within three minutes of penetration. Therefore, there is the medically defined premature ejaculation and the type that only exists in a man’s mind. Both are the same; the only difference is the ejaculatory latency.

In terms of age, premature ejaculation mostly affects men between the ages eighteen and fifty nine years old. The prevalence is estimated at forty one percent. Premature ejaculation is not an old man’s disease as it affects men across all age groups. In fact, the percentage of men affected is much higher with men under forty years old.

What are the Symptoms of Premature Ejaculation?

Premature ejaculation is often associated with the following physical manifestations:

  • Extra sexual excitement than usual which can indicate performance anxiety
  • Ejaculating shortly after sexual intercourse within a minute
  • Ejaculating before sexual intercourse simply due to sexual excitement
  • Erectile dysfunction

What Causes Premature Ejaculation?

Understanding premature ejaculation can be quite problematic as it has no fixed causes. On the contrary, it is caused by a combination of various factors. The following factors can cause premature ejaculation though rarely by themselves. They are usually combined. They include:

  • Excitement for sexual intercourse after a period of no sex or infrequent sex
  • Performance anxiety
  • Pre-adulthood conditioning where men unknowingly train themselves to ejaculate quickly during masturbation
  • Genetic predisposition
  • Atypical penile nervous transmission and neurotransmitter abnormalities
  • Heightened penile sensitivity
  • An inflamed prostate or urethra may cause premature ejaculation
  • Stress and depression
  • Unresolved conflicts in the relationship
  • Unrealistic expectation on sexual performance
  • Hormonal imbalances
  • Disorders associated with the thyroid gland

What other Adverse Effects Result from Premature Ejaculation?

Premature ejaculation hinders sexual enjoyment and affects a man’s ability to satisfy his partner. This can be humiliating and demeaning to the masculine ego. As a result, more problems can occur and affect the individual as well as his romantic and social relationships. They include:

  • Low self-esteem
  • Frustration and depression
  • Withdrawal from one’s lover leading to a strenuous relationship
  • Desperation leading usage of ‘remedies’ that may be harmful
  • Loss of interest in sex

How is premature Ejaculation Treated?

There are three ways to treat premature ejaculation. They are as follows:

  • Medication: A visit to the doctor can be helpful as the FDA has approved medication for premature ejaculation. First and foremost, several medical tests will be done before medication is prescribed. Antidepressants are normally prescribed as it was noted that one of the side effects of taking antidepressants is delayed ejaculation. Serotonin increasing drugs are also helpful as this neurotransmitter can signal the brain to delay ejaculation. In addition, local anesthesia creams are effective in treating premature ejaculation as they desensitize the penis which in turn delays ejaculation.
  • Psychological Therapy: Premature ejaculation is often associated with psychological problems. Psychological therapy simply refers to receiving counseling as an individual or couples’ therapy. Therapy will give you an opportunity to express your feelings and mental distresses. Sorting them out will free your mind and deal with premature ejaculation effectually.
  • Sex Therapy: Sex therapy involves reconditioning your mind to delay ejaculation after a life time of masturbation. This form of therapy is not as easy as it sounds as it takes time and requires commitment. Support from your lover is recommended. Sex therapy also includes sex education on techniques and Kegel exercises.
    All in all, premature ejaculation is a highly common condition. However, it can be treated. The most effective form of treatment is medical treatment. Psychological therapy and sex therapy are also a safe bet to sort out any psychological distresses that may be causing the problem and learn sex techniques. Men are notorious for sitting on their problems instead of talking about them. Resist the urge of getting quick fixes and visit your doctor. The problem is more common than you think.

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One comment

  • Hi Dorothy,
    You have shared a great and comprehensive information about premature ejaculation. As you mentioned in the article that 1 out of 5 American suffering from premature ejaculation, readers may look out for the cause and symptoms of it. Because PE can definitely affect sexual life if they are suffering from PE.

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