Premature Ejaculation
Understanding Premature Ejaculation
Ejaculation is the discharge of seminal fluid from the male genitalia. Premature ejaculation (PE) manifests when a man climaxes sooner than desired by either himself or his partner during sexual activity. Commonly referred to as rapid ejaculation, premature climax, or early release, PE is typically not a grave medical concern but can prove frustrating and strain sexual partnerships. Seeking guidance from a medical professional can be beneficial if PE occurs frequently and affects both partners. Globally recognized as a prevalent issue, PE can often be effectively managed and treated.
How does Ejaculation happen?
Ejaculation is controlled by the central nervous system. Sexual stimulation triggers signals from the spinal cord to the brain. Upon reaching sufficient arousal, the brain signals the reproductive organs to eject semen through the penis.
The process of ejaculation consists of two phases:
- Emission: Sperm travels from the testes to the prostate, where it mixes with seminal fluid to form semen.
- Expulsion: Muscles at the base of the penis contract, expelling semen. Ejaculation and orgasm usually happen together. After ejaculation, the erection gradually subsides.
Causes of Premature Ejaculation
The exact causes of PE are unknown, factors such as depression, stress, guilt, unrealistic sexual expectations, lack of confidence, and relationship issues. Doctors often evaluate psychological problems before recommending treatments.
PE often occurs in men with erectile dysfunction (ED). Successfully treating ED can sometimes resolve PE.
Diagnosing Premature Ejaculation
Men experiencing difficulties in managing the timing of ejaculation during sexual activity or masturbation, and perceiving its negative impact on their sexual experiences, may pursue treatment for premature ejaculation (PE). Doctors commonly inquire about the frequency and duration of PE episodes, its occurrence across various sexual partners, and its influence on interpersonal relationships.
Treating Premature Ejaculation
PE treatment combines psychological and behavioural therapy with medications. Psychological therapy can alleviate anxiety, boost confidence, and enhance partner satisfaction. Medications, available as tablets or creams, can delay ejaculation by reducing sensitivity.
Behavioural therapy includes exercises to help delay ejaculation. Common methods are the squeeze technique and the stop-start method. These techniques help men become aware of sensations leading to climax and gain control over ejaculation.
A combination of medications, behavioural therapy, and psychological therapy can significantly improve outcomes.
For those experiencing PE, consultation and treatment are available at KLEM Clinics.
