What is premature ejaculation? 7 ways to treat premature ejaculation

What do you know about premature ejaculation? What treatments do you know for this sexual disorder? Premature ejaculation is the most common sexual dysfunction in men and causes distress to many men of different ages. However, shame prevents them from going to a specialist. Doctors estimate that 20-30% of men, that is at least one fifth of men, suffer from premature ejaculation, however, premature ejaculation does not have a comprehensive definition in medical science. In this article, from Dr. Salam’s sexual department, we will examine premature ejaculation or premature ejaculation.

What is premature ejaculation?

Premature ejaculation is a condition in which a man ejaculates quickly – generally one or two minutes after penetration – and the affected people are divided into two main categories:

  • Lifelong premature ejaculation: Those who have always suffered from premature ejaculation since the beginning of sex.
  • Acquired premature ejaculation: Acquired premature ejaculation in which a man suddenly ejaculates is more common and is caused by various physical factors.

Physical causes of premature ejaculation

Research shows that men with hyperthyroidism are more likely to experience premature ejaculation, and when the thyroid is treated, the likelihood of premature ejaculation is also reduced.

Premature ejaculation may be due to chronic prostate infection, and successful prostate treatment can reduce premature ejaculation. A theory also examines the relationship between premature ejaculation and penile sensitivity due to circumcision.

One school of thought holds that circumcision reduces the sensitivity of the lymph nodes and is therefore better for treating premature ejaculation, while Tet Yap, a urologist at Princess Grace Hospital, part of the UK Medical Center, believes that male circumcision It cuts and stimulates the glands and increases premature ejaculation. Psychological factors also play a role in premature ejaculation, thus the sympathetic nervous system is activated under the influence of anxiety and leads to premature ejaculation and premature ejaculation.

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Psychological and emotional factors

In addition to anxiety, other psychological factors such as depression, stress and sexual injuries in childhood cause lifelong and acquired premature ejaculation.

Clinical lead Peter Saddington says premature ejaculation can start early in life as a result of anxiety about sex, masturbation or not experiencing relaxing sex.

He says: “If this condition occurs later in life, it may be due to anxiety in a new relationship, a difficult experience, illness or sexual injury. Anxiety affects this situation”.

Suddington believes that body touch in various forms helps to treat premature ejaculation. “Touching your partner’s body helps the brain and body and reduces anxiety,” he says.

Watching pornography may change men’s view of natural ejaculation. A study of 500 couples from five different countries showed that the average time of ejaculation during intercourse was about five and a half minutes, but we should know that relationships are different and no law can determine the duration of sex.

“Men are more upset and worried about their sexual partners,” Seddington says. They feel ashamed and feel that their masculinity is being questioned due to their inability to ejaculate. “Overall, the biggest effect is increased anxiety, which is not good for a healthy relationship.”

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Increased serotonin levels and premature ejaculation

The good news is that the physical and psychological causes of premature ejaculation are treatable. Usually, the doctor will ask questions about the sexual history of the patient to complete a questionnaire to know if he really has premature ejaculation or if he is just worried.

“Premature ejaculation is very common, but is sometimes mistakenly called premature ejaculation,” Saddington said.

An overactive thyroid is usually treated with carbimazole, radiation therapy, or thyroid surgery. Acute prostatitis is usually treated with a course of antibiotics: chronic prostatitis may be treated with antibiotics if it continues for three months, but sometimes a specialist should be consulted.

Increasing serotonin levels with antidepressants such as fluoxetine and dapoxetine is also helpful in helping patients with premature ejaculation. It is worth noting that dapoxetine is a new drug and is sometimes not available.

Yap says that “Serotonin reuptake inhibitors delay ejaculation by increasing serotonin in the nervous system. We prefer to treat patients with dapoxetine because it has a faster response and fewer side effects, especially when the drug is discontinued. 50 mg of tramadol two hours before sex also increases serotonin in the nervous system. Another method is to treat erectile dysfunction that affects premature ejaculation. The prescription of Viagra is still controversial, but we think that it reduces sympathetic contraction, relaxes the muscles of the reproductive system, and reduces premature ejaculation. Not many studies have been done on this, but in some trials, the success rate It is high – about 60%.”

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Are behavioral therapies helpful for premature ejaculation?

Psychosexual behavioral therapies are also useful in helping men with premature ejaculation. For example, masturbation before sex using the stop-start technique, in which the woman delays orgasm by stimulating the man’s penis until ejaculation and then stopping until the peak of pleasure, is useful for treating young men. .

“The goal is to take 15 minutes while training your mind and body to handle higher levels of arousal,” says Dr. Saddington.

Likewise, in the “pressing” technique, the sexual partner must press the head of the penis before ejaculation.

7 ways to treat premature ejaculation

Discovery of mental disorders

In most cases, premature ejaculation is caused by psychological issues. When a man becomes too sexually stimulated, he loses ejaculation control and suffers from premature ejaculation. One of the ways to fix this problem is to stop being irritated. Try to focus your mind on normal things like numbers and figures and math calculations or your shopping list.

Use of control techniques

There are exercises and techniques you can use to prevent premature ejaculation, including:

Stop and push method

Just before ejaculation, stop sex and squeeze the tip of your penis. You must do this at the right time to avoid premature ejaculation.

Retreat technique

As soon as you feel that you are on the verge of satisfaction, pull back until your sexual arousal subsides. This technique should be done exactly like the previous method on time to prevent premature ejaculation.

Stop and start method

In this method, you should stimulate your penis until you feel that you are close to the moment of orgasm. Your sexual partner can do this for you. The important thing is to stop after sexual stimulation for about 30 seconds until your arousal subsides and then resume the stimulation of the penis again. Do this 3 to 4 times until ejaculation occurs.

Masturbating before sex

Masturbating 1 to 2 hours before sex can reduce libido and delay ejaculation. In this way, you can have longer sex because generally, after one satisfaction, the second ejaculation happens later.

play love

Most men put their main focus on satisfaction and ejaculation; While a big part of a successful sex relationship is making love and paying attention to the other person’s sexual satisfaction. Foreplay before intercourse not only increases the pleasure of your sex, but also increases its duration. Therefore, it is better to try to understand what your sexual partner enjoys and pay attention to his wishes.

Use thick condoms

Thick condoms reduce the sensitivity of the penis and thus prevent premature ejaculation. However, many men do not like to use thick condoms because it either prevents them from being aroused or has a negative effect on their sexual feelings.


Talk to your wife. Tell him how you feel and what problem you are facing. In this way, you can think about solving the problem together and using different methods to prolong your sexual relationship. In addition, talking to your other party will help you understand better and improve your relationship and reduce the frustration of solving the problem.

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going to the doctor

If none of the mentioned methods are effective, it is better to consult a doctor. You may have erectile dysfunction or diabetes, both of which require treatment. After all, if necessary, the doctor can prescribe you effective drugs in the treatment of premature ejaculation.

When should we see a doctor?

As with all sexual problems, the first step is often the hardest; See a general practitioner or sexual health specialist. “Research shows that only 5% of men with premature ejaculation go to the doctor and 70% of these men try other ways before going to the doctor,” says Yap.

“If men have tried a lot of things and it’s not working, I recommend seeing a sex therapist,” Seddington says.

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