Premature ejaculation (PE) happens when a man cannot control the release of his sperms. The situation may make both partners embarrassed and not sexually satisfied. Premature ejaculation can happen in as little as 30 seconds to a minute, and may even occur before penetration. The average time it takes before a man ejaculates during intercourse is about four to five minutes. In this article, we will try to understand the causes of premature ejaculation and how to deal with the situation.
Premature ejaculation may occur with other sexual conditions. Other sexual dysfunctions include erectile dysfunction and low libido which can happen to men of all ages. However, premature ejaculation is prevalent in younger men. For much older men, there is usually some degree of early ejaculation. Sometimes ejaculation takes place when the penis is flaccid
What causes premature ejaculation?
The causes of premature ejaculation are often connected to physical, psychological, or emotional or even medical conditions. Chemical imbalances in vital brain centers that lower the onset of ejaculation can cause premature ejaculation. Since these men do not require much stimulation, ejaculation can occur earlier than expected. Psychological issues such as performance nervousness may be secondary to lifelong early ejaculation instead of being the main reason.
Acquired early ejaculation can be attributed to performance anxiety. The anxiety could be due to sexual performance or fear of being found in the act. Some religious views may also cause nervousness in a man about engaging in sex.
Other causes of acquired premature ejaculation could be issues like erectile dysfunction. The situation may be due to the need for a powerful stimulation to get and maintain an erection or from concern about the erection issue.
The condition can also be caused by a combination of both physical and psychological factors.
Physical causes of PE
Several physical causes were linked to PE. Mostly the pelvic muscles, particularly those muscles that surround the erectile bodies in the penis, are in a hyperactive condition in men with PE.
Recent studies have also shown that infection of the prostate(prostatitis) can also cause premature ejaculation.
Psychological causes of PE
Most men with PE usually deal with psychological problems. This could be because of a failed first sexual experience, where there is a lot of pressure to perform and suddenly he ejaculates. It could make the man feel inadequate and can manifest again as performance worries and may even escalate the problem. This may result in years of feeling inadequate and frustrated. Some men go through their whole lives wondering how to delay ejaculation.
Summary: Premature ejaculation lowers the self esteem of any man.
Medical causes of early ejaculation
At times, medical conditions and illnesses may cause premature ejaculation. Here are some of the infections that may cause this.
- Multiple sclerosis.
- Prostate disease.
- Thyroid problems.
- Illicit drug use and alcohol abuse.
Note: PE can be a sign that an underlying condition needs treatment.
Prevention of premature ejaculation
There are no known ways of how to avoid premature ejaculation. However, men can try to delay premature ejaculation. Below are some methods of how to delay ejaculation and fulfill both your partner and yourself.
The most efficient way is to be relaxed before sexual intercourse. Do not let any negative thoughts affect your sexual act.
2. Physical exercise
One of the most efficient ways of how to prevent early ejaculation includes physical exercise. Staying fit is important due to the increase in mental stress in daily life. Physical exercise improves and strengthens an individual.
3. Pelvic floor muscle training
One of the most efficient methods to avoid premature ejaculation is strengthening the pelvic muscles. The pelvic muscles assist control and support the penis. The can also prevent early ejaculation when they are actively involved immediately before reaching the point of no return.
In most men, these muscles are weak and continue weakening as they age hence increasing the possibility of the condition. Research shows that this exercise is more effective than medication for premature ejaculation.
4. Pause-start method
If the above exercise is not adequate to control the PE, the man may have to stop thrusting totally while maintaining penetration for the urgency to ejaculate to fade away. Once the feeling to ejaculate diminishes, the pelvic thrusting can be continued. Engaging the pelvic muscles after pausing the thrust helps to lessen the sensation.
5. Use condoms with benzocaine
Condoms with benzocaine are known as climax-control condoms. They can extend sexual activities longer than expected. They have a numbing effect on the male part hence reducing the sexual sensation when he is about to cum and in this way, the sexual activity gets prolonged. He can take the condom off when he is masturbating on you, but the partner can always suggest him to try the condom when he is masturbating on his own.
6. Squeeze technique
As impending ejaculation nears, the penis is withdrawn and its head is squeezed until the feeling of ejaculation goes away, then intercourse continues. It works, however, it requires sexual interruption, is cumbersome and the partner must be very cooperative.
7. Avoid sex for some time
The approach seems counter-intuitive. However, concentration on other sexual activities instead of intercourse may help relieve the pressure from your sexual experiences. Think of other ways to pleasure your partner since penetration is not the only way to get aroused.
8. Seek expert advice
Reaching out to an expert or a medical practitioner is also an excellent approach to learn how to avoid premature ejaculation. It never hurts to seek advice about sexual health.
Treatment of premature or rapid ejaculation
A general practitioner can give suggestions if the condition is due to an underlying condition. Treatment of premature ejaculation caused by psychological reasons is possible.
There are also home remedies for premature ejaculation. A man can do these things at home with the help of his spouse.
1. Seeds of green onions
The aphrodisiac qualities present in the seeds of green onion can help how to avoid premature ejaculation. You can also consider using white onions, which enhance your sexual stamina and control. This can help reduce this sexual problem.
2. Ginger and Honey
Ginger helps to increase the flow of blood to the penile area. It assists in giving control to ejaculate. Honey is an aphrodisiac of strength and this can enhance the potency of ginger. The results are not immediate; however, you will soon notice the difference.
It helps in increasing the blood flow to the penis and it can help in heating up your body. You can heat the garlic in a low flame using cow's ghee till it turns a golden brown color. Take this every day or you simply chew 3 to 4 cloves of garlic to decrease premature ejaculation and erectile dysfunction.
4. Half-boiled egg mixed with grated carrots
Mix 3 teaspoons of honey with half boiled egg and grated carrots. Take this every day for three months for great results. You can gradually stop taking the egg once the problem fades away.
The aphrodisiac properties can help in lessening the problem of early ejaculation in men. Consume 3 to 4 teaspoons of asparagus powder or root by mixing it with a glass of milk. You can also boil the milk with asparagus roots and then drain the roots. Drink this milk twice a day to improve strength and other sexual dilemmas in men.
Just as with any condition, premature ejaculation has been researched. Even though the causes of the condition are attributed to psychological issues, its medical treatment is also closely related to dealing with anxiety and other issues that may affect a man’s psychology. Luckily, other than home remedies and physical exercises, medications for premature ejaculation exist to assist men to deal with this sexual issue.
1. Selective serotonin reuptake inhibitors (SSRIs).
These medications are mainly for treating depression, but one of their side effects is postponing ejaculation. Dapoxetine is an SSRI specifically designed to treat premature ejaculation. If you don’t respond to the drug, the medical practitioner may recommend you try another SSRI. Other SSRIs for this sexual problem are paroxetine, sertraline or fluoxetine. You will usually need to take these types of SSRIs for a week or two before gaining the full effects.
2. Anesthetic creams and sprays
They can also help in alleviating the problem. These include lidocaine or prilocaine cream, which help by making the penis less sensitive. Using an anesthetic cream with a condom can be very effective. It is recommended to seek the advice of a physician to recommend the appropriate cream.
Outlined above are the ways on how to deal with premature ejaculation. There are unrealistic expectations in the modern society and this could cause anxiety leading to premature ejaculation. All the causes of premature ejaculation can be controlled and managed.
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