Premature ejaculation (PE) is a common sexual health concern that affects a significant number of men worldwide. It refers to a condition where a man ejaculates earlier than desired during sexual activity, often leading to distress and dissatisfaction for both partners. This blog aims to provide a comprehensive understanding of premature ejaculation, including its causes, treatment options, and management techniques.

I. What is Premature Ejaculation?

Premature ejaculation is a condition occured in men when semen is released from the penis earlier than desired during sexual activity. It Happens with minimal sexual stimulation and before the person desires. It can happen during vaginal intercourse or other forms of sexual activity. While there is no specific time limit to define premature ejaculation, it is generally considered if it occurs within one minute of penetration.

Frustration and anxiety may arise as a consequence of premature ejaculation. In certain cases, people experiencing this condition may have a lower frequency of sexual activity than desired or choose to avoid it altogether. However, there are available treatments that can provide assistance.

II. Causes of Premature Ejaculation or quick release of sperm

Premature ejaculation, or quick release of sperm, can have various causes, including:

1. Psychological or emotional Factors: Performance anxiety, stress, depression, guilt, relationship issues, Lack of confidence or poor body image, Negative feelings about the idea of sex or past traumatic experiences can contribute to premature ejaculation.
2. Biological Factors: Hormonal imbalances, abnormal levels of neurotransmitters in the brain, genetic predisposition, inflammation or infection of the prostate or urethra, or certain medical conditions can play a role.
3. Early Sexual Experiences: Negative or hurried early sexual experiences can lead to conditioned responses that contribute to premature ejaculation later in life.
4. Erectile Dysfunction: Men who experience difficulty achieving or maintaining an erection may develop a pattern of rapid ejaculation to compensate for the erectile issue.
5. Lifestyle and Habits: Excessive alcohol consumption, substance abuse, smoking, and poor overall health can contribute to premature ejaculation.

III. Treatment/Cure or Self Cure Options for Premature Ejaculations:

Curing premature ejaculation involves a multifaceted approach. Here are some strategies that can help:

1. Behavioral Techniques:
• Start-stop method: This involves stopping sexual stimulation before reaching the point of ejaculation and then resuming after a brief pause.
  
  
• Squeeze technique: The base of the penis is gently squeezed to decrease arousal and delay ejaculation.
• Masturbating before sex: This can help some men prolong their sexual performance during intercourse.
• Strengthen your muscles: To enhance muscle strength, focus on your pelvic floor muscles as they can play a role in premature ejaculation. Consider practicing Kegel exercises to strengthen them. Identify the relevant muscles by pausing the flow of urine midstream. Contract and hold them tightly for 3 seconds, then release for 3 seconds. Aim to repeat this exercise at least three times a day, completing 10 repetitions each time.
  Note: Start-stop method & squeeze method are most trust methods is recommended by urology care foundation.
2. Medications:
• Topical creams or long time sprays: These numbing agents are applied to the penis to reduce sensitivity and delay ejaculation.
• Selective serotonin reuptake inhibitors (SSRIs): Certain antidepressants like fluoxetine and sertraline have been found to help delay ejaculation. However, they should only be used under medical supervision.
3. Counseling:
• Couples therapy: Involving both partners can address relationship issues and improve communication and intimacy.
• Individual therapy: Psychotherapy can help identify and address psychological factors contributing to premature ejaculation.
4. Counseling or Therapy:
• Seeking the guidance of a sex therapist or counselor can be beneficial, particularly when psychological factors contribute to premature ejaculation.

IV. Management Techniques:

1. Pelvic floor exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve control over ejaculation.
2. Sexual techniques: Experimenting with different sexual positions and pacing can help prolong sexual activity and delay ejaculation.
3. Open communication: Talking openly with your partner about expectations, desires, and concerns can reduce anxiety and enhance intimacy.

V. When to Seek Professional Help:

If premature ejaculation becomes a persistent problem and significantly affects your sex life and overall well-being, it is advisable to consult a healthcare professional like PositiveGems' Expert Team. They can provide a proper diagnosis, identify underlying causes, and recommend appropriate treatment options.