What is Premature or Early Ejaculation?
A very common sexual problem known as premature ejaculation (PE), or early ejaculation, happens when a man ejaculates prior to or immediately after sexual penetration. There isn’t one definition that applies to all cases of PE. But, Premature Ejaculation is typically defined as ejaculation within a minute of penetration or earlier than the man or his partner would prefer. However, I believe the most helpful way to describe early ejaculation is when a man does not have voluntary and conscious control over the timing of his ejaculation in the majority of his sexual encounters.
Unfortunately, both the man and his partner suffer from the consequences of PE on their sex life. The impact of PE sometimes goes beyond the couple’s sex life and bleeds into other aspects of their relationship. For example, some couples have found their level of connection and satisfaction from the relationship lessened over time as a result of PE.
Potential causes of Premature Ejaculation
PE has a number of psychological and medical reasons. Psychological ones include interpersonal problems, depression, anxiety, performance anxiety or erectile dysfunction. Medical reasons might be a result of a brain chemical imbalance that lowers the ejaculatory threshold.
Treatments for Premature Ejaculation
Behavioural strategies, such as the “stop-start technique” and the “squeeze technique” are common in treatments of PE.
The stop-start technique involves self or partner, stimulation to the verge of ejaculation. Then stopping the stimulation in order to lower the arousal level. You can repeat this a few times before eventually allowing ejaculation to happen. The purpose of this technique is to assist men in recognizing and managing the sensations prior to ejaculation. This eventually leads to improving their ability to extend the time from the beginning of arousal to ejaculation.
The Squeeze technique involves holding the tip of the penis between the thumb and index finger. Then gently putting pressure on the head of the penis. You can use this technique when you are close to ejaculation. The aim of this technique is to assist men in gaining better control over the timing of their ejaculation. It also aims at enhancing their sexual satisfaction as well as their partner’s. The individual or his partner can both perform the technique. You can also combine it with other forms of therapy or treatments.
Other sexological treatments to delay ejaculation using behavioural strategies involve learning to modulate arousal and tolerating pleasure and excitement for longer periods of time.
Medications such as Selective Serotonin Reuptake Inhibitors (SSRIs) have been used to treat Premature Ejaculation. They work by decreasing the penis’s sensitivity and lengthening the time until ejaculation occurs. Even though literature supports the use of SSRIs in PE treatment, I recommend that you consider them after addressing medical, relational and psychological issues. Sex and relationship therapy might assist you in locating and addressing any underlying psychological or relational causes of PE.
It is important to know that Premature or Early Ejaculation is one of the most common sexual problems reported by men, especially when they are under stress or going through difficulty in their relationships. If you or your spouse are experiencing PE, it’s beneficial to speak with a licenced sex therapist who can assist you in creating a customised treatment plan that takes into account the unique causes and symptoms of your PE.
I wish you all the best.