A list of possible causes for premature ejaculation

The list of possible causes for premature ejaculation is long and includes psychological and physical reasons for this embarrassing sexual problem. The treatment options are also numerous. These vary from simple changes in masturbation routine to various medications and sex techniques that can help delay ejaculation during intercourse.

If the cause is a physical problem, treating it with a topical numbing medication (a spray or cream) can be very effective. They work by temporarily desensitizing the head of the penis so the nerves don’t fire as quickly, and a man can prolong intercourse. However, the drug must be washed off, and a condom must be worn to ensure it is not accidentally transferred to the partner.

Behavioral methods for treating PE are also very helpful and can be easily learned by patients and their partners. Examples of these are “start-and-stop” and the “squeeze method.” In these methods, the male is encouraged to stimulate his penis until he feels close to ejaculating.

The psychological factors behind premature ejaculation

Most medical professionals agree that mental health issues partly cause PE. Various psychological problems can cause it, including severe anxiety, depression, and low self-esteem. If you have these problems, your GP can prescribe medication to help.

Psychotherapy can help people who have psychological causes of PE. Using it can help them reduce the anxiety that causes them to ejaculate and control it. Some forms of psychotherapy are better for some people than others, and the type of therapy you have will depend on your specific condition.

If your PE is due to a physical condition, such as prostate inflammation (prostatitis), treating the underlying problem should resolve it. Similarly, if your PE is caused by an emotional issue such as depression, it can usually be treated with medication.

The most common treatment for PE is behavioral therapy or counseling to address the underlying issue. Some medications may also be prescribed, such as fildena 100, vidalista 20 mg. In some cases, combining these treatments is the most effective.

Premature ejaculation and its physical factors

Premature ejaculation is when you ejaculate during sexual intercourse sooner than you and your partner want or before you reach climax. It happens more often with younger men but can affect anyone. It cannot be easy to cope with, but it is treatable.

Psychological treatment can help with PE by reducing anxiety and improving confidence. Couples therapy is another option that can be useful if you are in a long-term relationship and have underlying psychological, sexual, or relationship issues. If your doctor thinks that a physical cause is behind your PE, they may refer you to a urologist specializing in conditions affecting the urinary tract.

If you don’t have a medical issue causing your PE, lifestyle factors likely cause the problem, and it can be improved with self-help techniques.

How to diagnose premature ejaculation?

The first step in diagnosing PE is for the man to talk openly with his doctor. He needs to share his medical history and a detailed sexual history.

The next step is for the doctor to assess the symptoms. This includes asking how long it takes for ejaculation to occur after vaginal penetration, whether or not there is an orgasm, and how the PE impacts his sexual satisfaction. The doctor may also want to ask his partner about their experience. This can be uncomfortable, but diagnosing the disorder and finding effective treatment is important.

Medications used to treat PE include topical anesthetic creams and sprays that can reduce sensation and delay ejaculation by up to 30 minutes.

Psychological treatments like cognitive behavioral therapy and sex therapists can help the person learn to control his ejaculatory behavior. In some cases, medications such as SSRIs (clomipramine (Anafranil), sertraline (Zoloft), and paroxetine (Paxil) can improve PE by increasing serotonin levels.

In severe cases of PE, a man’s doctor might recommend surgery to implant a device that can help slow ejaculation. But this is rarely needed. PE usually improves on its own or with medication and counseling. If it is chronic, a mental health professional who specializes in male sexual disorders can help with distorted thinking that contributes to the disease, such as overgeneralization and catastrophizing.

Indications and Treatments for Premature Ejaculation

Despite the unrealistic depictions in pornographic movies, it takes only about five minutes from the start of sexual stimulation to ejaculation. If a man doesn’t feel in control of the process, he and his partner may become sexually dissatisfied.

A man’s doctor will first ask about his sexual and relationship history and do a physical exam. He’ll also ask about his emotional well-being and his family history. If he suspects that emotional problems are causing PE, he might refer him to a mental health professional working with people with sexual issues. If a physical cause is suspected, he might refer him to a specialist in conditions that affect the urinary tract (urologist).

Many people with PE can control it by using self-help techniques, such as masturbating an hour or two before sexual intercourse or engaging in other sexual play. Thought distractions—thinking about players’ names on your favorite sports team, for example—can also help delay ejaculation.

Medications that increase serotonin levels in specific areas of the brain can postpone orgasm in some men who have PE. These medications include cenforce 100, malegra 120 and Other drugs, such as the phosphodiesterase inhibitors sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis), may also help.