Premature ejaculation can be difficult for men to discuss, but it is a more common sexual complaint than you think and it can be treated if it occurs regularly.
Premature ejaculation occurs when semen leaves the body within one to three minutes of penetration during sexual intercourse. Most men experience premature ejaculation at one point or another in their sex lives. As many as one in three men say they experience it at some time. If it doesn’t happen often, it is typically not a reason for concern.
However, you may be diagnosed with premature ejaculation as a chronic issue if you:
- Ejaculate within one to three minutes of penetration every time during sexual intercourse or nearly every time.
- Lose control of when you ejaculate during every sexual contact or nearly every sexual contact.
- Feel anxiety and frustration before and during sexual contact because of it and tend to avoid sexual intimacy because of it.
But the good news is that premature ejaculation is a treatable condition. There is no need to avoid sexual contact because of it. There are medications, counseling and techniques that can be used to delay when you ejaculate during sexual contact. You do not have to live with the condition and you can take action to improve the sexual experience for you and your partner.
When it comes to what’s the main cause of erectile dysfunction, unfortunately there is no single answer that applies to every man. While age and hormonal changes can play a role in erectile dysfunction for some men, often times there are underlying medical conditions, psychological issues, or lifestyle choices that lead to this issue.
How do I know if I suffer from premature ejaculation?
As noted earlier, nearly all men are likely to experience premature ejaculation at some point in their sex lives. Premature can be defined as ejaculating within three minutes of initiating sexual contact. This can happen for many reasons, and it can even occur during masturbation. But it is not always a reason for concern.
When premature ejaculation occurs frequently, in some cases every time sexual contact is initiated, this can be considered a chronic condition that can impact the ability to enjoy sexual intimacy with a partner. It can even lead to avoiding sexual intimacy for some men who become too distressed or frustrated by the condition.
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Premature ejaculation is usually classified in one of two ways:
- Lifelong premature ejaculation: The inability to control ejaculation for more than three minutes in all or nearly all sexual contacts, starting with the first sexual experience and continuing throughout your sex life.
- Acquired premature ejaculation: The frequent inability to control ejaculation for more than three minutes during sexual activity that develops as a condition over time after having earlier sexual experiences without any difficulties controlling ejaculation.
While many men believe they suffer from premature ejaculation because of an occasional problem with controlling their climax, their symptoms do not meet the specific definition of the condition to justify a diagnosis. It is quite common for most men to experience occasional premature ejaculation, an occurrence that would not be considered a chronic condition or worthy of a diagnosis.
Premature ejaculation can lead to other problems in your life, including increased stress and tensions in a relationship. It can also make it difficult for couples to get pregnant. For example, ongoing problems may result in ejaculation outside of the vagina.
When should I discuss concerns about premature ejaculation with a doctor?
It can be embarrassing and difficult to talk about premature ejaculation, but this should not keep you from discussing the issue with your doctor. The time to talk to your doctor about the condition is if you find it happening during most of your sexual activities.
Your doctor can give you information and insights that can help you treat premature ejaculation. The time to talk to your doctor about this is when you feel you are ejaculating sooner than you would like in most sexual encounters.
A big benefit in discussing this with your doctor is that they may help reduce your concerns about this issue. Your doctor can also help you distinguish between the occasional premature ejaculation that is not a reason for concern and the actual diagnosis as a chronic condition that can adversely impact your sex life.
Your doctor can also give you helpful information about sexual health that can lessen your concerns. For example, it can be comforting to know that the average time to ejaculate during sexual activity is about five minutes, from the start of the activity to climax.
Your doctor also may be aware of or can identify medical advancements that can help you address premature ejaculation complications. Research has shown that Tramadol for premature ejaculation can be effective for some men. Dr. Rachel Rubin discusses how Tramadol works by changing how sensations are perceived during sex.
What is the cause of premature ejaculation?
Health care providers do not know the precise cause of premature ejaculation. It was once thought to be primarily a psychological condition. But eventually, health care providers realized the condition occurs as a result of a combination of biological and psychological factors.
The biological factors can include:
- Irregular hormone levels
- Irregular brain chemical levels
- Swelling and infection of the prostate or urethra
- Inherited traits
The psychological factors can include:
- Bad early sexual experiences
- Sexual abuse
- Poor body image
- Anxiety about premature ejaculation
- Anticipation of problems that lead you to rush through sex
Other factors that can play a role in premature ejaculation include:
- Erectile dysfunction: The inability to maintain an erection or anxiety about getting an erection can lead to rushing through sexual activity and ejaculation. Once established, this pattern of sexual activity can be difficult to modify.
- Anxiety: When you become overly concerned about sexual performance, this anxiety can lead to premature ejaculation. Anxiety and premature ejaculation often occur together.
- Relationship problems: When there are problems in a relationship, this can lead to or contribute to premature ejaculation.
- Stress: When you are experiencing emotional or mental difficulties in some part of your life, this can impact the ability to control ejaculation. Stress can make it difficult to relax during sex, which can lead to rushing through sexual activity and premature ejaculation.