Premature ejaculation is a common sexual issue in men. It is estimated that at least 1 in 3 men experience this problem.
Premature ejaculation is considered a type of sexual dysfunction. Sexual dysfunction means any problem that keeps a couple away from enjoyable sexual activity.
Ejaculation is defined as the release of semen from the body. Premature ejaculation occurs when a man ejaculates semen early during sexual intercourse than his partner would like.
Premature ejaculation is also called rapid ejaculation, early ejaculation, or premature climax. It is not a reason to worry, but it can be frustrating for the person. It can impact your relationship and make your sexual experience less pleasurable.
What is premature ejaculation?
Premature ejaculation is the recurrent or persistent pattern of ejaculation during sexual activity within 1 minute of penetration and before the individual wishes it.
The person has no control over it.
It is considered an infertility problem if it occurs before vaginal penetration. It is classified as primary or secondary premature ejaculation. Primary premature ejaculation is characterized by onset from the first sexual experience, while secondary is a gradual or sudden onset following a typical ejaculation pattern before the onset.
Ejaculation is a sympathetic process of your body. Premature ejaculation usually occurs in anxiety and stress.
Sometimes premature ejaculation is associated with erectile dysfunction, in which men cannot attain a full erection.
Causes and risk factors of premature ejaculation
There is no definite cause of premature ejaculation. It is regarded as a neurogenic problem. It involves a complex interaction of psychological and biological factors.
Psychological causes that might play a role in premature ejaculation are:
- Early sexual experience
- Sexual abuse
- Depression or stress
- Poor body image or lack of confidence
- Guilty feelings
- Problems in your relationship
- Concern over the sexual performance
- Negative feelings regarding sex or sexual repression
Several biological factors also contribute to premature ejaculation, such as:
- Abnormal hormone levels
- Abnormal levels of neurotransmitters like serotonin
- Urologic conditions like urethritis, prostatitis, benign prostatic hypertrophy
- Neurological conditions like multiple sclerosis, alcoholic neuropathy, spinal cord tumors, and polyneuritis
- Inherited genes
It can happen at any age. Though, changes in erection and ejaculation do occur with age. Erection in older men is not as firm, and even ejaculation happens earlier.
Erectile dysfunction is a significant risk factor of premature ejaculation.
Diagnosis of premature ejaculation
It is typical for men to feel at least some control over ejaculation during patterned sexual intercourse. If you feel so, you should consult a medical expert. Premature ejaculation may be present.
If premature ejaculation gets in the way of your sexual experience, it's time to seek medical help. The diagnosis is based on whether you ejaculate early, late, or not. Your doctor will conduct a physical examination. They will talk to you about your sex life and relationship with your partner. You might be asked to run through some blood tests to check your testosterone levels.
The doctor might ask you questions like:
- How long have you had this?
- How often does it happen?
- Does it happen at every attempt?
- When did you first experience it?
- How is your interpersonal relationship?
- Is there anything like drugs or alcohol that makes premature ejaculation better or worse?
- Do you use any recreational drugs?
- Are you on any medication?
- How much premature ejaculation bothers you?
- Are you having problems maintaining an erection?
In some cases, your doctor might ask you to go to a urologist or mental health counselor.
Treatments for premature ejaculation
Standard treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications, and counseling. You should keep in mind that it might take time to find the proper treatment or combination of treatments for you. Behavioral treatment and drug therapy might be the most effective treatment.
Behavioral therapies are adopted for the treatment of premature ejaculation. It can be a simple step like masturbating an hour or two before intercourse so that you can delay ejaculation during intercourse.
Your doctor also may recommend avoiding intercourse for some time and focusing on other types of sexual activity so that pressure is removed from your sexual encounters.
Pelvic floor exercises
Weak pelvic floor muscles also impair your ability to delay ejaculation. Pelvic floor exercises, also called Kegel exercises, can help strengthen your pelvic muscles.
To perform these exercises:
- Find the right muscles.
Your pelvic floor muscles can be identified. Stop peeing in midstream or tighten your muscles to prevent passing gas. This uses your pelvic floor muscles.
- Master your technique.
Tight your pelvic floor muscles, hold the contraction for three seconds, and then relax. Repeat it a few times. When your muscles get stronger, you can try to perform these exercises in any position.
- Maintain the focus.
Focus on contracting your pelvic floor muscles for the best results. You need to be careful not to flex your muscles of the abdomen, thighs, or buttocks. Don't hold your breath and breathe freely during these exercises.
- Repeat three times a day.
It is better to try them for at least three repetitions a day.
The pause-squeeze technique
Your doctor may instruct you and your partner on the pause-squeeze technique. This method works as follows:
- Start sexual activity as usual, including stimulating the penis until you feel almost ready to ejaculate.
- Your partner can squeeze the glans of your penis, where the head joins the shaft, and maintain the squeeze for several seconds until your urge to ejaculate passes.
- Your partner can repeat the squeeze process as required.
This helps you in delaying the ejaculation. After some practice sessions, you will be habitual in delaying the ejaculation, and you won't require the pause-squeeze technique.
If the above-mentioned pause-squeeze technique causes pain or discomfort, another technique is to stop your sexual stimulation just before ejaculation, talk about something else with your partner, wait until the level of arousal diminishes, and begin again. This technique is known as the stop-start technique.
Condoms can decrease your penis sensitivity, which can help in delaying ejaculation. "Climax control" condoms are available in the market over the counter. These condoms contain anesthetic agents such as benzocaine or lidocaine or are made of thicker latex to delay your ejaculation.
Medication for premature ejaculation
Topical anesthetics medicines for premature ejaculation
There are several anesthetic creams and sprays that contain a numbing agent, like benzocaine, lidocaine, or prilocaine, which are sometimes used to treat premature ejaculation. These can be applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.
A lidocaine-prilocaine cream for premature ejaculation (EMLA) and lidocaine sprays for premature ejaculation are available by prescription and over-the-counter.
Albeit topical anesthetic agents are effective and well-tolerated, they have potential side effects like, some men complain of temporary loss of sensitivity and decreased sexual pleasure. Sometimes, female partners also have similar problems.
Oral medications for premature ejaculation
Many medications are used to delay orgasm. But none of these medicines are specifically approved by the Food and Drug Administration to treat premature ejaculation. These medications include antidepressants, analgesics, and phosphodiesterase-5 inhibitors. These medications are prescribed for either on-demand or daily use, alone, or with other treatments.
A side effect of some antidepressants is delayed orgasm. That's why selective serotonin reuptake inhibitors (SSRIs) such as sertraline (Zoloft), escitalopram (Lexapro), paroxetine (Paxil), or fluoxetine (Prozac, Sarafem) are used in the treatment of premature ejaculation.
It takes five to ten days for these medications to work. But it reaches its full effect after two to three weeks of treatment.
If SSRIs don't improve your premature ejaculation, your doctor might prescribe the tricyclic antidepressant clomipramine (Anafranil). It has other unwanted side effects such as nausea, perspiration, drowsiness, and decreased libido.
Tramadol is a medication used to treat pain. It also has side effects that delay ejaculation. Its unwanted side effects might include nausea, headache, sleepiness, and dizziness.
Tramadol is not used in combination with an SSRI
- Phosphodiesterase-5 inhibitors.
Some medications used to treat erectile dysfunction, such as , tadalafil (Cialis, Adcirca), sildenafil (Viagra) or vardenafil (Levitra, Staxyn), also might help premature ejaculation. The potential unwanted side effects include headache, facial flushing, and indigestion. These medications might be more effective when used in combination with an SSRI.
Potential future management
Research suggests several drugs that might help treat premature ejaculation, but more research needs to be done. These drugs include:
- Dapoxetine. This is also an SSRI often used as the first treatment for premature ejaculation. Some countries use this drug.
- Modafinil (Provigil). This is used as a treatment for the sleeping disorder narcolepsy.
- Silodosin (Rapaflo). This drug is used as a treatment for prostate gland enlargement.
Some people are benefitted from counseling. You can talk with a mental health expert about your relationships and experiences. Sessions can help you reduce performance pressure and anxiety and find better ways of coping with stress.
Counseling is more effective in combination with drug therapy.
Premature ejaculation can pose a problem in your relationship. You might feel less connected with your sexual partner. You might feel emotions like anger, shame, and sadness and turn away from your partner.
Your partner also can be upset with the change in sexual intimacy. In such a scenario, talking about the problem is a crucial step, and relationship counseling or sex therapy might be helpful.
Several alternative medicine treatments like yoga, meditation, and acupuncture have shown remarkable effects. However, this needs more research to evaluate the potential effectiveness of these therapies.
Ayurvedic Medicines for Premature Ejaculation and Early Discharge
There are several ayurvedic medicines for early discharge and premature ejaculation. Gud Healthy provides one of the best herbal and ayurvedic medicines.
These tablets are herbal medications and best medicine for early discharge. They show promising effects in problems like quick, uncontrollable ejaculation. It increases blood circulation in the penis and helps in more substantial and harder erections.
These capsules are 100% natural and help tackle problems like lack of libido, low sperm count, and premature ejaculation.
Manhance Oil is entirely safe, 100% natural, and has no side effects. It has shown sound effects in men suffering from premature ejaculation. It prevents erectile dysfunction or impotence, enhances your sex drive, helps in stronger erection, balances testosterone, and increases libido.
These capsules help in treating male sexual problems. It is entirely organic and safe to use. This is effective medicine for premature ejaculation. It regulates hormones like testosterone in men and stimulates sexual desire and vigor in men. These tablets are beneficial in treating male infertility and sperm potency.
Performer+ premature ejaculation capsules are made from natural ingredients. It is solely for males. It is a penile enhancement supplement. It helps develop a larger penis, firmer erections, and pleasurable orgasm.
It improves overall sex health in men. It boosts self-confidence. There are no potential side effects. It expands the girth and length of your penis.
It is recommended to take these medicine twice daily for three months for better and improved sexual health.
These capsules are a combination of natural and Unani ingredients. It prevents premature ejaculation and erectile dysfunction in men. It brings stability and hardness in erection during a sex act. It also helps in stronger erections and increases the size of the penis effectively.
These tablets are non-hormonal, natural, Ayurvedic endogenous testosterone enhancers. It helps improve the loss of libido and is effective in oligospermia. It also improves the strength of penile tissue and increases erection timing.
It helps in overcoming stress, fatigue, and anxiety. It helps in managing erectile dysfunction and premature ejaculation. Fytum helps in increasing stamina, vigor, and vitality.
Home remedies for premature ejaculation
There are countless home remedies for premature ejaculation. Some of them are listed below:
Cinnamon is the most effective herb for treating premature ejaculation and prolonging intercourse.
Cinnamon contains natural chemicals and aromatic compounds. You can dink cinnamon with honey two hours before sexual activity.
You can also add it to your meals for its health benefits.
The oats are effective in relaxing the tensed muscles. Thus, they contribute significantly to delay in ejaculation in men and increase the duration of intimacy.
Oatmeal relieves tension and anxiety. It brings a feeling of calmness and pleasure and helps in increasing the secretion of neurotransmitters.
You can directly consume roasted oats or soaked oats before sexual intercourse.
Natural oils play a vital role in eliminating the problem of premature ejaculation. Peppermint oil is one of the most effective oils for this role. It promotes better erectile function in men.
It decreases the sensitivity of the penis and helps in delaying ejaculation. It also increases the quality of sperm and enhances your manhood.
You can massage peppermint oil before intercourse if you suffer from premature ejaculation.
Zinc can help you if you suffer from erectile problems and premature ejaculation. Food rich in zinc boosts your immune system. It helps in the production of testosterone in men. You can replenish zinc in your body by consuming food items like pumpkin seeds, milk, etc.
Vaseline is a cosmetic substance, but it can help you if you are suffering from problems like premature ejaculation. It increases blood supply to the penis and contributes to strengthening the erection.
It creates a thick layer on the organ, which decreases sensitivity and prolongs intercourse and the time of ejaculation.
Magnesium is also said to help treat premature ejaculation. It helps in healthy sperm production and maintaining reproductive health. Magnesium helps in muscle contraction, which is common in orgasm. A low level of magnesium contributes to premature ejaculation.
You can also do pelvic floor exercises, change your diet, avoid intercourse for some time, and masturbate before sexual intercourse to prolong it.
Premature ejaculation affects many people at one time or another in their lifetime. It can be stressful for men if it causes problems in their sexual activity.
Though your doctor can diagnose premature ejaculation, you should consult your doctor if you experience early discharge during intercourse or feel no control over it. There are various options available, like medications, numbing creams, and sprays. You could also try pelvic floor exercises to strengthen your muscles.
It can also be due to stress and performance pressure. Try talking to your partner about the issue; otherwise, your relationship may suffer.
Some home remedies can also be helpful for you. Try to eat nutritious food rich in minerals like zinc and magnesium.
You can also use Ayurvedic products from Gud Healthy to cope with your problem of premature ejaculation. These products can help improve your overall sexual health.