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Premature ejaculation: Treatment, symptoms, advice and help

About premature ejaculation

Premature ejaculation - also known as ‘rapid ejaculation’ or ‘early ejaculation’ is a disorder in men characterised by the loss of ejaculatory control during a sexual activity. It may also be defined as occurrence of ejaculation in a man earlier than his own or his partner’s wishes. It is one of the commonest occurring sexual dysfunction seen in men.

Premature ejaculation: Incidence, age and sex

Premature ejaculation is a common sexual dysfunction encountered in all men almost once in their lifetime. It may affect almost 30% of all men in the general population and this prevalence remains the same in all age groups.

Signs and symptoms of premature ejaculation: Diagnosis

Premature ejaculation may be primary or secondary, depending upon the time of its onset. Premature ejaculation is termed as primary when the affected individual has experienced it since the commencement of puberty or from the time of first sexual experience. On the other hand, secondary premature ejaculation refers to poor ejaculatory control some time later in his sexual experience with normal sexual past history.

The diagnosis can be established by thorough medical and sexual history of the affected individual. Detailed medical history along with clinical examination may help in ruling out any other medical condition which may be leading to this sexual dysfunction.

Causes and prevention of premature ejaculation

The exact cause of premature ejaculation is not known. However certain psychological factors like emotional stress, depression, history of sexual trauma, anxiety or even performance stress may lead to premature ejaculation. Occasional instances of premature ejaculation may occur due to intense sexual excitement.

Premature ejaculation: Complications

Premature ejaculation may lead to intense psychological distress and emotional trauma. Furthermore, it may augment anxiety during a sexual activity, which in turn may result in persistent and repeated instances of premature ejaculation.

Premature ejaculation: Treatment

The treatment of premature ejaculation includes various modalities including exercises, medication, psychological support and adequate management of any concurrent serious diseases. It is important for the individuals to get appropriate therapy for their psychological problems hampering their sexual activities. Moreover certain exercises of pelvic muscles may result in improvement. Techniques like ‘start-stop’ or ‘squeeze-pause’ may also be considered, which have led to considerable improvement in many individuals. Medications like selective serotonin reuptake inhibitors (SSRIs) namely Dapoxetine may also be prescribed. It is advisable to take this drug 1 to 2 hours prior to sexual activity. In resistant cases, an intracavernous drug therapy may also be used. In this procedure a vasodilator drug is injected directly into the penis, which then helps in proper adequate control of the ejaculation, thereby preventing early ejaculation.