The main symptom of PE is the regular inability to delay ejaculation for more than a minute after penetration during intercourse. Rapid climax during masturbation may also be an issue for some people. If you experience premature ejaculation sometimes and normal ejaculation other times, you may be diagnosed with natural variable premature ejaculation. There are psychological or emotional components to PE, but there are also other factors that contribute to it.
Some psychological components may be temporary. For example, a person may have experienced PE during early sexual experiences, but as they grew older and had more sexual encounters, they learned strategies to help delay ejaculation. Likewise, PE may become an issue as a person gets older and has more trouble maintaining an erection.
Physical causes can also play a major role in PE. If you have difficulty maintaining an erection because of ED, you may rush through intercourse so that you complete it before losing the erection. Abnormal levels of certain hormones, such as testosterone, or chemicals produced by nerve cells called neurotransmitters may contribute to PE. Inflammation of the prostate or urethra can also cause numerous symptoms, including PE and ED.
You may start with a primary care physician or seek out a urologist. A urologist is a doctor who specializes in the health of the urinary system and male sexual function. In addition to working with a urologist or other physician, you may be advised to work with a mental health professional who specializes in sexual dysfunction. You may be advised to masturbate an hour or so before intercourse, as this may help you delay ejaculation with your partner. You may also try temporarily avoiding intercourse altogether and engaging in other sexual activity and play with your partner.
That may help relieve the pressure of performing during intercourse. Find Roman ED medication online. Two strategies you and your partner can employ are the start-and-stop method and the squeeze method. Ask your partner to repeat this two more times. Then engage in a fourth attempt, allowing yourself to ejaculate. Then your partner firmly squeezes your penis until your erection starts to weaken. This should help you better realize the sensation just before climaxing so you can develop better control and be able to delay ejaculation.
These strategies could take several weeks to become effective, and there is no guarantee that they alone with solve the issue. Show references Ferri FF. Ejaculation and orgasm disorders. In: Ferri's Clinical Advisor Elsevier; Accessed August 19, Saitz TR, et al.
Advances in understanding and treating premature ejaculation. Nature Reviews Urology. Gur S, et al. Current therapies for premature ejaculation. Drug Discovery Today. Wein AJ, et al. Disorders of male orgasm and ejaculation. In: Campbell-Walsh Urology.
Philadelphia, Pa. Accessed Sept. Althof SE, et al. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation PE. The Journal of Sexual Medicine. Cooper K, et al.
Behavioral therapies for management of premature ejaculation: A systematic review. You are here Mens health. Premature ejaculation. What is premature ejaculation? How soon is too soon? How common is premature ejaculation? There are two types of premature ejaculation. What causes premature ejaculation? Questions to ask your doctor What treatment options are available for premature ejaculation? Will counselling or sex therapy help treat this condition?
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