What is premature ejaculation?
Premature ejaculation is one of the most common issues faced by men. Premature ejaculation is the early release of semen/ early ejaculation during sex. This might cause a lot of stress as you might want to experience sex for longer periods of time.
Estimates show that about 1 in 3 men has experienced premature ejaculation in their lifetime. Therefore, it is important to remember that premature ejaculation is normal. As long as it is occasional and infrequent.
The average time taken for ejaculation is about 5 to 7 minutes. This can vary due to ethnicity, genetics, age, and other factors. The range of time taken for ejaculation varies from person to person. In the US, the average time is about 13 mins and in India, it is about 7 mins.
Sometimes sex can last from a few minutes to even about half an hour. If you and your partner are satisfied with the amount of time taken for ejaculation, then it is completely normal.
Ejaculating within a minute of arousal is usually considered premature ejaculation. The symptoms of Premature Ejaculation (PE) include:
- Almost always ejaculating within one minute
- Unable to delay ejaculation during sex, almost all the time
- Avoiding sexual intimacy due to PE which leads to stress
- It does not have to be time bound but generally if you believe that you are ejaculating quicker than usual
Types of premature ejaculation
PE is usually of two types
- Lifelong – Premature ejaculation starts since your first sexual encounter and lasts for almost all your experiences.
- Acquired- This is more common and it is when you have normal sexual encounters and later on experience premature release. It is either due to psychological or physical reasons.
Causes/ reasons for quick ejaculation
Psychological reasons like
- Low self-esteem/ poor body image
- Sexual abuse
- Childhood trauma
- Performance anxiety
- Relationship issues
- Guilt over sex
- Abnormal hormonal levels
- Abnormal levels of neurotransmitters (decrease in serotonin and dopamine)
- Low testosterone levels can cause erectile dysfunction which can lead to PE
- Infections or inflammation of the prostate or urethra can cause PE
- Erectile Dysfunction or Porn-Induced ED
- Research shows certain links to issues in the nervous system may also cause PE
- Excess consumption of alcohol may cause PE
- Erectile Dysfunctions and other issues maybe the reason for Premature Ejaculation
Usually, if ejaculation occurs within one minute of penetration it is diagnosed as PE. From your experience, if the doctor believes that you are not able to last long enough in bed, then he may diagnose you with PE.
The doctor will ask several questions relating to your sexual health. Answer honestly, as this will help you receive a proper diagnosis. The doctor will conclude whether you have acquired it or not overtime.
A physical exam will be conducted if the doctor wishes to check for urological or other issues.
Questions regarding when it started and what the patient thinks are the triggers are noted down by the doctor. This helps to decide if a psychologist is required.
If you experience premature ejaculation only occasionally, then you will be diagnosed with natural variable premature ejaculation.
Tips to help with Premature Ejaculation
Here are a few self-help tips you can use to manage Premature Ejaculation:
- Using a condom during stimulation might help to reduce sensation, this may delay PE
- Masturbation before sex has been used to curb PE during sex
- Over-the-counter or prescription numbing creams are applied to the penis to reduce over stimulation
- Taking a deep breath or distracting your mind before ejaculation, so as to slow it down
- Taking breaks during sex
- Behavioural therapy – These exercises are used to strengthen weak pelvic muscles. It trains the body to delay the orgasms.
- Kegel exercises – These are clench and release exercises that help to strengthen the pelvic floor. Try holding your pee midstream. Do it about 10 times and hold it for 10 seconds each time.
- Start and stop – This is similar to edging where you and your partner stimulate the penis and stop right before you orgasm. Wait for 30 seconds to presume again. Repeat this ‘start and stop’ method for about 3-4 times before you orgasm.
- Squeeze therapy – Stimulate the penis and just before you orgasm, press the head gently to lose the erection. Continue again after 30 seconds.
If PE is due to psychological reasons like stress or performance anxiety, then a psychologist or therapist is recommended. Therapists help to uncover subconscious blocks in the mind that may have caused PE.
This may include sexual abuse (as a perpetrator or the victim), porn addiction, childhood trauma, relationship issues, daily stress, performance anxiety (which is more common than it seems) and other issues.
During psychotherapy, the therapist will ask you to open up about your life. To fully see a functional result, it is best to be as open and sincere during therapy. Activities or exercises are provided by the therapist to the patient for self-improvement.
A prescription for the appropriate medications will be provided by a general physician or urologist.
A physical exam can determine whether your PE is due to an infection or other pathophysiological reasons relating to your sexual organs. In such a situation, you will be referred to a urologist or any other specialist that is better equipped at dealing with it.
When you are requested to meet a specialist, several scans may be conducted to isolate the underlying issue.
Overall premature ejaculation is preventable and treatable and you have all the necessary resources required to help combat your issue. You can even visit a sex therapist if you believe the issue is related to your sexual health and behaviour.
It is always wise to seek professional help if you and your partner believe that you are facing this issue. You can focus on oral pleasure or acts of pleasure to enjoy your sex life to the fullest.
Experiment and figure out what is best suited for you and your partner.