Premature ejaculation: causes, treatment and exercises

Premature ejaculation - also known as "premature ejaculation" - is a sexual dysfunction in which a man regularly comes earlier than planned during sex without satisfying his partner.

This is a common problem in men. According to statistics, every third man is affected.

The good news is that premature ejaculation is treatable.

How early is "premature"?

Only you and your partner should decide how early is "premature" for your couple. Different couples enjoy intercourse for different lengths of time. What is premature for you may take forever for others. Premature ejaculation is when a man ejaculates within a minute of penetration (although this number is subjective).

The most important facts about premature ejaculation:

• The first case of premature ejaculation was recorded in 1887.
• Premature ejaculation is more common than delayed and retrograde ejaculation.
• Cumming too soon after masturbating is also called premature ejaculation.
• Most cases of premature ejaculation are not due to an underlying medical condition.

Occasional premature ejaculation is perfectly normal and should not be a cause for concern. However, if you find yourself coming early regularly, consider treatment options. You should always seek medical advice before starting any treatment.

In order to treat premature ejaculation effectively, its cause should first be identified.

What are the causes of premature ejaculation?

There are physical and psychological causes of premature ejaculation .

Physical causes include :

• prostate problems;
• drug consumption;
• inflammation of the penis;
• hormone imbalance.

Psychological causes include:

• depressions;
• anxiety disorders;
• stress;
• trauma;
• relationship problems.

If you are unsure about the cause of your condition, you should consult a doctor. It is far more common for the condition to stem from mental health issues. However, premature ejaculation can also indicate serious physical illnesses.

How is premature ejaculation treated?

There is much debate as to which treatment method is most effective: cognitive behavioral therapy, drug treatment, or sexual stimulation techniques (sex therapy).

Cognitive behavioral therapy (CBT) is a form of social therapy based on unconsciously associating your behaviors and impulses with negative thoughts.

Recognizing and eliminating these "bad" thoughts often changes distressing behaviors.

Cognitive behavioral therapy emerged in the early 1900s as a combination of two different approaches to psychological problems - behaviorism and cognitive therapy. Behaviorism proved that behaviors can be identified and changed. Cognitive therapy was founded by the psychotherapist Alfred Adler. He claimed that people have an internal conversation that dictates their behavior.

George Alexander Kelly, who published his work The psychology of personal constructs in 1955, played a fundamental role in the development of modern cognitive behavioral therapy.

It is believed that cognitive behavioral therapy is most effective when premature ejaculation is psychological.

What medications are used to treat premature ejaculation?

Drugs based on the drug dapoxetine are usually used to treat premature ejaculation . Dapoxetine is a selective serotonin reuptake inhibitor that was approved in 2009 under the trade name Priligy for the treatment of premature ejaculation in men. Priligy (dapoxetine) is available as film-coated tablets and is taken orally 1 to 3 hours before sexual activity as needed.

In addition to film-coated tablets, local anesthetic creams that are applied to the glans can also be used for premature ejaculation. However, the use of such creams is not always effective.

Top 3 exercises that delay ejaculation

It's a good idea to experiment with the following sexual stimulation techniques:

1. stop-start technique . This is perhaps the most popular technique, stimulating the male genitals until they are very aroused. Once arousal has subsided a little, a man continues to stimulate himself. The stop-start technique helps men to predict the moment of climax and thus keep ejaculation under control.
2. squeeze technique . With this technique, the penis is stimulated until just before orgasm. You then press the frenulum below the glans with your thumb to reduce arousal. Your partner can do this too. After that, wait about 30 seconds and then continue stimulating the penis.
3. pelvic floor exercises . The pelvic floor is a layer of muscles that supports other organs in your lower abdomen. Regular pelvic floor training is able to delay ejaculation.

If you suffer from chronic premature ejaculation, the most important thing is not to lose hope. There are many different therapy options, including effective medications, as well as professionals to help you if you cannot get rid of your sexual dysfunction with exercise.