Causes and Treatment of Premature Ejaculation
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Causes and Treatment of Premature Ejaculation

In most cases, premature ejaculation is simply caused by extreme arousal. But often, there are common psychological factors that result in premature ejaculation in men; for example, stress over financial issues, depression, sexual repression, lack of confidence etc. Sometimes, lack of proper intimacy between partners, hurt feelings, and lack of interest also contributes to it. One psychological factor is that in males, where sex is often infrequent, the common feeling is to quickly attempt to use that "potentially limited opportunity" in a very little time.

Premature ejaculation (PE) is a state where the man ejaculates semen quite earlier than expected. This happens in more than 50% cases, where the male ejaculates before his counterpart reaches orgasm in their sexual intercourse. Sometimes, premature ejaculation occurs within 2 minutes of penetration.

CAUSES OF PREMATURE EJACULATION

To get the proper treatment, the correct cause of premature ejaculation needs to be traced.

In most cases, premature ejaculation is simply caused by extreme arousal. But often, there are common psychological factors that result in premature ejaculation in men; for example, stress over financial issues, depression, sexual repression, lack of confidence etc. Sometimes, lack of proper intimacy between partners, hurt feelings, and lack of interest also contributes to it. One psychological factor is that in males, where sex is often infrequent, the common feeling is to quickly attempt to use that "potentially limited opportunity" in a very little time.

Another cause is neurological case of premature ejaculation, which can also lead to some forms of sexual dysfunction.

TREATMENT OF PREMATURE EJACULATION

Treatments for premature ejaculation include options of medications, sexual therapy, medications and psychotherapy.

MEDICATIONS: Certain topical anesthetic creams and antidepressants are given for premature ejaculation treatment. Although, such medications are not approved by FDA for this kind of treatment, they are very often used by doctors.

ANTIDEPRESSANTS: Certain antidepressants have a side-effect of delayed orgasm, that actually benefits indirectly in people suffering from premature ejaculation.

But this method also has drawbacks from other side effects like decreased libido, dry mouth, nausea and drowsiness. Medications are given based on selective serotonin reuptake inhibitors (SSRIs). It is very important to understand that antidepressants are not supposed to treat premature ejaculation like this; but rather benefit is taken from the side-effect of this medication.

TOPICAL ANESTHETIC CREAMS: Creams containing prilocaine or lidocaine reduce the sensation on the penis which helps to delay in ejaculation. It is applied before the act of sexual intercourse, and after the sensation of the penis has alleviated, the cream is wiped off. This process will delay the ejaculation as the penis is less sensitive now. With the application of these creams, sometimes men report reduced sexual pleasure because of the reduced sensitivity. Sometimes female partners also report of reduced sensitivity and pleasure, even if the cream in properly wiped off from over the penis. Allergic reaction due to such creams is very rare.

SEXUAL THERAPY: Sexual therapy involves simple steps, such as masturbating about an hour before intercourse; as this might delay the ejaculation during sex. Avoiding intercourse for some time, and focusing on sexual plays may also benefit in the procedure.

THE SQUEEZE TECHNIQUE : This technique involves "squeezing" the glans-penis (head of penis) for about 10-15 seconds, then release it and wait for some time. This squeezing causes the penis to become less erect for some time. It can be repeated many times and the person gradually benefits after some practice sessions.

COGNITIVE BEHAVIORAL THERAPY: This method involves counseling over the issues by the doctor; and is often discussed with the man together with his counterpart. The doctor can solve some underlying problems, and can also help to alleviate cases of stress and depression.

See also- Psychological Causes for Erectile Dysfunction

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