Premature Ejaculation FAQs: Answering 6 Most Common Questions

In this article, we’ll answer some of the most common Premature Ejaculation FAQs that are making rounds on the internet.

Introduction

Premature ejaculation, also known as PE, is a condition that causes men to ejaculate before intercourse or less than a minute after beginning intercourse. Premature ejaculation is the most common sexual disorder that affects men. Nearly thirty to forty percent of men report having it at some point in their life.

Premature Ejaculation FAQs

Here are some frequently asked questions pertaining to premature ejaculation.

1. What Exactly Is Premature Ejaculation?

While there are many operational definitions of PE that take several variables into account, The World Health Organization (WHO) defines it as “… persistent or recurrent ejaculation with minimal stimulation before, on or shortly after penetration and before the person wishes it, over which the sufferer has little or no voluntary control which causes the sufferer and/or his partner bother or distress…”.

This definition of premature ejaculation is widely agreed upon as it encapsulates the three main aspects of PE: ejaculatory delay or latency, control over ejaculation, and sexual satisfaction of those involved.

2. How Can I Know If I Suffer From Premature Ejaculation?

All men experience premature ejaculation from time to time but you may have a sexual disorder in case you :

• Frequently ejaculate within sixty seconds of penetration during intercourse
• Cannot delay ejaculation before, during, or after intercourse
• Tend to get frustrated and reject sexual intimacy due to these problems

Intravaginal ejaculatory latency time or IELT is the amount of time it takes for a man to ejaculate during intercourse. Recent studies suggest that men who ejaculate in less than one minute have “definite” PE while men who have an IELT of one to one minute and thirty seconds have “probable” PE.

Estimates say about 1 in 3 men experience premature ejaculation.

3. What Are The Risk Factors For Premature Ejaculation?

One of the most searched Premature Ejaculation FAQs is related to its risk factors. There are multiple risk factors that increase the likelihood of PE, including:

• Erectile dysfunction: Also known as ED or impotence, erectile dysfunction is the biggest risk factor for premature ejaculation. A worry that you may lose your erection can cause you to ejaculate quicker. ED is also a very common sexual disorder.
• Stress: Excessive psychological strain may hamper your ability to relax during sex. Emotional and mental stress is also one of the risk factors for erectile dysfunction which may eventually lead to ejaculatory problems.
• Anxiety about sex: Sexual anxiety can include fear of sexually transmitted infections (STIs) or pregnancies, possibly due to previous experiences.
• Major surgery or trauma: Rarely, nerve damage resulting from major surgery or trauma can become a risk factor for developing PE.

4. What Are The Causes Of Premature Ejaculation?

The causes for PE can be divided into psychological, biological, and emotional factors. The exact reason for premature ejaculation is not yet known but we do know that it is caused by a complex interaction of the above-mentioned problems.

• 4.1. Psychological Causes

  • Previous sexual experiences: Negative sexual encounters can dampen sex in many ways for individuals. Teenage sexual experiences and abuse can have long-lasting effects on men, hindering their performance and leading to sexual disorders.
  • Low self-esteem: Poor self-confidence can stem from a variety of things such as body image issues, body dysmorphia, social anxiety, and abusive relationships. One or more of these can cause men to develop PE.
  • Depression: Depression is a mood disorder that can be linked with several other ailments. Many of these can be sexual disorders, including premature ejaculation.
  • Performance anxiety: Feeling extreme pressure to perform or the fear of not being adequate during intercourse may be putting you at a disadvantage. Many men suffer from performance anxiety. Communicating with your partner about these issues may help.
  • Sexual repression: Sexual repression is a condition in which a person is prevented from expressing their own sexuality. People affected by it associate shame and guilt with natural sexual impulses. What qualifies for sexual repression can greatly vary across cultures and moral systems. Therapy and counseling are advised for affected individuals.

• 4.2. Biological Causes

  • Hormonal imbalances: A deficiency in male sex hormones (testosterone, androgens) may be a cause of PE. Imbalances in serotonin and oxytocin can also trigger premature ejaculation and erectile dysfunction.
  • Abnormalities in neurotransmitter levels: Neurotransmitters are chemical messengers that transmit signals in the body. Dopamine is one such neurotransmitter, and it plays a big role in how we feel pleasure. Low levels of neurotransmitters can often cause sexual issues in both men and women.
  • Prostate or urethral problems: The prostate is a gland that is located between the bladder and penis, and the urethra runs through the center of the prostate.

• 4.3. Emotional Causes

  • Emotional disturbances like problems in your relationship can create issues during intercourse. Couples counseling and establishing healthy communication with your partner can remedy this.

5. What Are The Home Remedies For Premature Ejaculation?

• 5.1. Behavioral Methods

Behavioral methods are successful in helping a vast majority of men suffering from PE. These methods teach men how to control their ejaculation, either alone or with a partner.

• • Start and stop method: In this method, you or your partner have to stimulate your penis to the point when you are about to orgasm. Then the stimulation stops for half a minute. Once you regain control of your response, stimulation begins again. This can be done up to three or four times before you allow yourself to orgasm.
  • Squeeze method: This method functions in a similar way. When you feel like you are on the brink of ejaculation, you or your partner has to gently squeeze the head of your penis for about thirty seconds till you lose your erection. This process should be repeated multiple times before you allow yourself to orgasm.
  • Distraction method: While you are being sexually stimulated, try to distract yourself by thinking of different things unrelated to sex.

• 5.2. Herbal Medicine

  • Ayurvedic herbal medicine like kaunch beej, yauvanamrit vati, and vidrawan ras are said to treat PE when taken in the capsule form twice a day with water. You can even try Chinese herbal medicine, Qilin or Yimusake tablets, as they may boost stamina and cure premature ejaculation. However, you may experience some side effects like abdominal pain and dizziness.

• 5.3. Strengthen Your Muscles

  • Kegel exercises can help strengthen your pelvic floor muscles, as a weak pelvic floor can be the underlying cause for erectile dysfunction as well as premature ejaculation. Hold them tight for 3 seconds and then release them for 3 seconds. This should be repeated ten times, up to three times daily.
  • Relaxation exercises to quell stress can also help. One such exercise involves tensing and relaxing each of your muscle groups, starting with your feet and then moving up your body. Doing each muscle group for about 10 seconds is said to tackle stress.

• 5.4. Topical Creams

  • Topical anesthetic creams containing numbing agents can reduce sensation and delay climax. Studies have shown that topical anesthetics help increase ejaculation time by a few minutes.

• 5.5. Zinc Supplements

  • Zinc has many benefits, one of which is the increased production of testosterone and a boosted libido. The recommended amount of zinc per day is 11 milligrams, and a deficiency may be the reason for PE.

6. What Are The Treatments For Premature Ejaculation?

Treatment options are one of the most common Premature Ejaculation FAQs.

6.1. Therapy

Seeking the help of a psychologist, psychiatrist, or sex therapist could be the treatment you need as most men develop PE due to emotional or psychological stress. More than one type of treatment may be used at the same time.

6.2. Dapoxetine

Many doctors use Dapoxetine to treat PE. Dapoxetine is a rapid-acting selective serotonin reuptake inhibitor or SSRI that works by increasing serotonin levels and delaying orgasm. Some doctors prescribe mild antidepressants to patients as they work in a similar fashion.

6.3. Tramadol

Tramadol is a centrally acting opioid analgesic that delays ejaculation. A dose of 50mg is to be taken up to 24 hours before having intercourse and can offer reasonable improvement. Drugs such as fluoxetine, paroxetine, sertraline, clomipramine can also help affect serotonin levels and reduce PE. These drugs are generally used to treat other disorders but many doctors use them to treat PE.

Also Read: Best Home Remedies For Premature Ejaculation

Premature Ejaculation FAQs: Conclusion

It can be extremely upsetting to experience recurring PE, but it is crucial to remember that premature ejaculation is nothing to be ashamed of. A sex-positive outlook can go a long way in helping you get rid of sexual disorders. 95 out of 100 men will be able to overcome PE with the aforementioned techniques- with determination and persistence.