What is Premature ejaculation?
Premature ejaculation is the most common ejaculation problem faced by men. It is characterised as ejaculating too quickly during sexual intercourse. While there is no ‘normal’ standard for an erection to last, ejaculating before one minute is usually classified as being premature.
Occasional episodes of premature ejaculation are common and not a cause for worry, however if half or more attempts to have intercourse results in premature ejaculation, you might need treatment to manage the condition.
This condition can be primary or secondary in nature. For men who have always had premature ejaculation, it is a primary or lifelong condition. However, most men experiencing this problem, haven’t always had it, which is referred to as a secondary condition, brought on by certain factors.
Premature ejaculation affects almost one in fifty men in England and is more common in younger men. The inability to delay ejaculation during sex often causes feelings of shame or frustration, impacting quality of life.
The main symptom experienced is the inability to delay ejaculation during sex, every time or most times, for more than one minute after penetration, with minimal sexual stimulation.
Causes of premature ejaculation vary from person to person, they are often complex and determined by a number of factors. They can be physical or psychological causes, resulting in this inability.
Primary Premature Ejaculation is caused by a number of factors;
It is believed that early sexual experiences shape future sexual behavior. Therefore quick ejaculation in the early years may make it hard to sustain an erection later.
Traumatic sexual experiences
A traumatic sexual experience at an early age can cause lifelong sexual anxiety.
Men with a strict upbringing, where sex was appropriate only after marriage for example, often find it hard to relax during sex, disrupting sexual arousal.
Nerve signals or extra sensitivity in the penis, might result in little stimulation required to cause ejaculation.
Often if a close relative suffers from the condition, it increases your risk for the same.
Secondary Premature Ejaculation is acquired and can be caused due to physical or psychological factors;
- Multiple Sclerosis
- Prostate disease
- High Blood Pressure
- Thyroid conditions
- Using recreational drugs
- Too much alcohol intake
- Unresolved problems in a relationship
- Anxiety about sexual performance
If you are facing recurrent episodes of premature ejaculation, and are not being able to sustain an erection during sexual intercourse, you will usually be self-aware of the condition.
You can visit the GP to understand the problem and its cause. Your GP will likely ask about your family and medical history, looking for underlying causes such as diabetes, heart disease or high blood pressure. He may ask about your sexual and emotional health and study the patterns of your symptoms, and any medication you are on currently.
Ejaculation problems caused by physical conditions can often be treated with medication, while problems caused due to psychological factors can be more challenging to deal with.
We can prescribe Selective Serotonin Reuptake Inhibitors (SSRIs), which are a type of antidepressant, with a usual side effect of delaying ejaculation.
Some men experience an improvement in their symptoms as soon as treatment begins, however most take it for an entire course of one to two weeks.
The SSRI, Priligy, can be provided to use on demand as well. However it is not suitable for men with heart, kidney or liver problems.