Premature Ejaculation

Premature ejaculation means that you ejaculate earlier than 2 minutes of penetration. Many men ejaculate as early as few seconds or at the sight of their partners. Premature ejaculation is a distressing problem that not only disrtubs the relationship between the couple but is a great blow to the confidence of the man. Eventually this problems spreads from between the sheets to every aspect of life including social involvement, career and family life. Premature ejaculation is of two type and in this article both will be discussed.

Primary Premature Ejaculation

Primary PME or lifelong PME results from the reduced concentration of serotonin in the brain.

Patients with primary PME have never had a satisfying or prolong ejaculation. They have always come too soon.

Treatment of Primary Premature Ejaculation requires long term medications or on demand medications or surgery

Secondary Premature Ejaculation

Secondary PME or acquired PME is usually the result of stress or other external factors that reduce serotonin

Patients with secondary PME have experience of normal ejaculation sometime in their life

Treatment of secondary PME involves re training the mind to ejaculate on time

What are the causes of Premature Ejaculation ?

Premature ejaculation can occur either because of a primary alteration of serotonin receptors in your brain or it could be aggravated or result from the following factors:

  • Mental stress
  • Anxiety
  • Fear of performance during intercourse
  • Guilt
  • Sexual Abuse
  • Previous Unpleasant Sexual Experiences
  • Associated erectile dysfunction
  • Hormonal disturbances

How is Premature Ejaculation Treated ?

The first step to treat premature ejaculation is to understand whether it is primary or secondary. In both cases lifestyle changes are initiated along with medications that increase serotonin in the brain.

Lifestyle changes: Use of thicker condoms, masturbating a couple of hours prior to intercourse, diverting the mind from fantasy to other non erotic things are all good methods for mild PME

Stop and Squeeze Technique and Start Stop techniques can be used for diverting attention from sexual pleasure to mild pain to stop ejaculation. While you are in the act of coitus and about the ejaculate your partner can squeeze the penis or you can stop in between.

Medications: There are a number of medications available to cure PME by inhibiting the reuptake of serotonin in the brain. There are also medicines that you can take only when needed.

Botulinum Toxin Therapy: Botulinum toxin can desensitize nerves and weaken the muscles which cause ejaculation and thus help in many cases who do not want or are not relieved with medicines.

Selective Dorsal Neurectomy: Selective dorsal neurectomy can help cut nerves which carry signals from penis to the brain.

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