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Causes of Premature Ejaculation: Root Causes And Solutions In 2023

Why is premature ejaculation a touchy topic amongst young men? and why is male sexual dysfunction such a taboo? A lot of men both young and old have at one time experienced quick ejaculation, and the stigma that follows erectile dysfunction may also become a silent burden. And as a result, have experienced feelings of disappointment. Firstly, premature ejaculation may cause unhappiness in your relationships.

Secondly, the verbal shaming that comes with sexual dysfunction in men, and if this happens often, the feeling of being less of a man, or no man at all. Almost every man has at one time experienced premature ejaculation it may be due to psychological causes like relationship issues. Male sexual orgasm may be quick and enjoyable, but what about your partner? don’t you want to satisfy her?

This article is about understanding premature ejaculation, what causes premature ejaculation, how to prevent premature ejaculation, and how to seek help when you need it.

What is Normal Ejaculation?

 Normal Ejaculation is a natural and essential part of the male sexual response. It occurs when a man reaches sexual climax and involves a series of rhythmic contractions of the pelvic muscles, resulting in the release of semen from the penis. Semen is a mixture of sperm cells, seminal vesicle fluid, prostate fluid, and other components, and it typically appears as a white or off-white fluid.

When ejaculation happens, the muscles in the pelvic region contract, propelling semen out of the penis in a forceful manner. The intensity and duration of ejaculation can vary among individuals, but it generally lasts a few seconds and can propel semen several inches or more. Sensations of pleasure and release are often associated with ejaculation, and it is a normal and healthy physiological process.

It’s important to note that the volume, consistency, and appearance of semen can vary from person to person and may change over time. Factors such as age, overall health, sexual arousal, and frequency of sexual activity can all influence the characteristics of ejaculation.

Definition of Premature Ejaculation?

This is when a man ejaculates or releases sperm during sexual intercourse sooner or quicker than his or her partner would like. It can also be said that premature ejaculation occurs when a man always or almost always ejaculates within a minute of penetration. This condition can lead to frustration for both parties involved and can impede sexual function in the male. It can also lead to avoidance of sexual intimacy which in turn can lead to relationship problems.

According to experts, 1in 3 men, aged 18 to 59 is affected by premature ejaculation. Around 30% to 40%  of men will experience premature ejaculation in their life. In more recent findings it is said that premature ejaculation is a common issue with a lot of teenagers and young adults.

Symptoms of Premature Ejaculation

  1. Ejaculation that consistently occurs within one minute of starting a sexual activity or even before penetration.
  2. Inability to delay ejaculation during sexual activity, leading to dissatisfaction for both the individual and their partner.
  3. Persistent or recurrent premature ejaculation that causes distress, frustration, and/or interpersonal difficulties.
  4. Lack of control over ejaculation, with a feeling of inevitability or inability to stop the ejaculation process once it has begun.
  5. Reduced sexual pleasure or satisfaction due to the rapid onset of ejaculation.
  6. Avoidance of sexual intimacy or reluctance to engage in sexual activity due to fear of premature ejaculation.
  7. Negative impact on self-esteem, self-confidence, and overall quality of life.

Causes of Premature Ejaculation

The main cause of premature ejaculation is still a case of ongoing study. However, it is believed that there are psychological/emotional, physical, and biological causes. These causes have the ability to lead to premature ejaculation.

Emotional/Psychological

When it comes to having an ejaculation problem, the below listed can be part of the emotional/psychological causes

  • Anxiety
  • Guilty feelings
  • Stress
  • Depression
  • Lack of confidence
  • Poor body image/low self-esteem

In cases that involve emotional root causes, seeing a mental health professional is considered a step in the right direction. 

Physical

Biological

Diagnosis And Treatment

Diagnosis of Premature Ejaculation

In order to diagnose premature ejaculation, you should schedule a visit with your doctor. Your doctor will proceed to ask you common male sexual health questions like

    • How often does it happen

    • How long have you had it?

    • Does it happen with just one person or multiple sexual partners

    • Do you do any intimate sensual activity before sex e.g foreplay

    • Are you having trouble at home or work?

    • Any new challenges in life
    • How is your sex life in general

    • Have you been on medication for any ailment?

    • Are you currently on any medication?

    • Is there anything that makes it better or worse?

Your doctor may order a systematic review in the form of lab tests when you come in. This depends on if he finds anything suspicious during the medical exam. 

NB: Please always speak to a doctor about premature ejaculation, and even if it’s just one consultation you have, always ask what you can do to prevent premature ejaculation. It doesn’t matter how embarrassing it is.

Treatment for Premature Ejaculation

The treatment of premature ejaculation is characterized by three main methods

    • Psychological therapy

    • Behavioral therapy

    • Drug therapy

Psychological therapy

Psychological treatment involves working through emotions that may affect the individual sexually. The aim of this therapy is to find out if there is any psychological/emotional source of the problem and the hope that once found, it may help delay ejaculation. This works with the help of a psychologist, psychiatrist, or sex therapist.

see therapist for quick ejaculation
therapy with a licensed professional

Behavioral Therapy

This involves exercises that can be done in the comfort of your home and in complete privacy. The pelvic floor muscles are heavily involved in these exercises. These exercises help build up a tolerance to delay quick ejaculation. Even though these exercises will help improve tolerance over time, they may not be a lasting solution.

The most popular methods are

Squeeze method

In this method, stimulation is involved. You or your sexual partner will stimulate your penis until you are about to ejaculate, then you firmly squeeze your penis till the erection partly goes away. The goal is to help you delay and control climax on your own.

Stop/start method

In this method, you or your partner stimulates your penis until you are about ejaculate, then you stop till the urge to climax goes. You repeat this process three times and then ejaculate the fourth time. It is advised that this method be practiced three times a week.

These methods may help you to be able to delay ejaculation.

NB: There is also the anecdotal tale that wearing a condom helps in preventing premature ejaculation because the condom reduces the sensation during intercourse while this may also help, it is not a lasting or feasible solution.

Medical therapy

drugs for premature ejaculation

medication to help treat quick ejaculation

Medical practitioners noticed that most individuals on anti-depressants experienced delayed ejaculation. E.g clomirapine and tramadol affect neurotransmitter levels of serotonin. This is called off-label use ( this happens when a drug is used for a different reason than the drug’s original intended use).

Some other drugs used in treatment include Viagra, Cialis, etc. Even though they are primarily used for the treatment of erectile dysfunction, these medications also maintain erections. Drug treatment for premature ejaculation should only be done by a certified medical practitioner. Most of the time when you book an appointment with a General practitioner, if your case is kind of severe. He may refer you to a urologist. 

Urology is a medical specialty that focuses on the diagnosis, treatment, and management of conditions related to the urinary tract and male reproductive system

A drug called Dapoxetine is currently being used to treat premature ejaculation.

The treatment approach that you take should be up to you and your healthcare provider especially after you have been diagnosed.

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Prevention of Premature Ejaculation

  1. Practice relaxation techniques: High levels of anxiety, stress, and tension can contribute to premature ejaculation. Learning and practicing relaxation techniques such as deep breathing, meditation, or mindfulness may help manage anxiety and promote relaxation during sexual activity.
  2. Engage in sexual foreplay: Spending ample time on sexual foreplay, including kissing, touching, and other forms of sensual stimulation, can help build arousal gradually, allowing for better control over ejaculation. This can also make sure you don’t lose your erection.
  3. Practice pelvic floor exercises: Strengthening the muscles of the pelvic floor through exercises, such as Kegel exercises, can help improve ejaculatory control.
  4. Communicate with your partner: Open communication with your partner about your sexual experiences, desires, and concerns can help reduce anxiety and performance pressure, leading to better sexual satisfaction and potentially preventing premature ejaculation.

Complications

Relationships can be affected by quick ejaculation thus seeking help and talking about it to a licensed professional could prove to be very helpful. Problems with premature ejaculation could lead to low bedroom self-esteem, which in turn leads to depression which also affects libido. This is usually a cause for concern. Talking to fertility experts could broaden your options if the management of premature ejaculation becomes an issue that affects conception. 

Conclusion

It’s important to know that premature ejaculation is a treatable condition, and there are strategies that can help manage and potentially prevent it. Behavioral techniques such as the “start-stop” method and the “squeeze” technique, which involve learning to recognize arousal levels and using techniques to delay ejaculation, can be effective. Pelvic floor exercises, medications such as selective serotonin reuptake inhibitors (SSRIs), and addressing any underlying psychological factors through therapy or counseling can also be helpful. 

It is important to note that if your first sexual experience involved quick ejaculation, it does not mean that you have premature ejaculation. Factors like anxiety, discomfort, and inexperience play a role.

It’s important to have open communication with your partner ( I mean, ejaculating sooner than you wish should be enough to start communication) and seek support from a qualified healthcare professional, such as a urologist or a sexual health specialist. 

With all this information at your fingertips, you are well on your way to stopping the pattern of rushing to ejaculate and tackling sexual problems or issues that may arise from this condition.

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