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Premature ejaculation

Premature ejaculation

Page contents 

1.      What is premature ejaculation

2.      Syndrome

3.      Causes and risk factors

4.      Multiples

5.      The diagnosis

6.      treatment


Premature ejaculation, or premature ejaculation (premature ejaculation), as its name indicates, is the ejection of semen faster than it should.

The term that was used in the definition of this condition is subjective, but what is meant by it is the ejaculation or stream that occurs before or with the beginning of intercourse, and without reaching orgasm with a life partner.

Premature ejaculation, or premature ejaculation, is one of the most common sexual problems for men. Various research shows that 10% -30% of men experience this phenomenon at some point in their lives.

Symptoms of premature ejaculation

The main symptom is, in nature, premature ejaculation (the flushing occurs at a time earlier than desired by the spouses).

It should be noted that premature ejaculation also occurs when masturbation, not just during sexual intercourse.

The condition can be described:

  •  A flush that occurs almost always (or almost always) within a minute of penetration.
  •  Inability to delay flow after penetration.
  •  Psychological impact on the individual, such as: frustration, distress and avoidance of intimate situations.
  •  The usual time for a stream to occur ranges between 2-10 minutes from the start of sexual intercourse.

Causes and risk factors of premature ejaculation

The exact causes of premature ejaculation are still unknown. Today, it is known that the phenomenon of premature ejaculation does not occur as a result of a psychological disorder, but there are also biological factors that lead to this disorder.

1- Psychological factors

 There are those who believe that the occurrence of this condition in the past due to understandable reasons may lead to the pattern of premature ejaculation:

  • Sexual intercourse : Premature ejaculation was due to a desire to speed up the flow and end the sexual intercourse (for example, fear of being caught).
  • Sense of guilt : that leads to the end of sexual intercourse quickly.
  • Impotency : Men who suffer from impotence and lack of erection and want to achieve a rapid erection or maintain an erection during intercourse, may reach the pattern of premature ejaculation.
  • Anxiety : Many of the injured suffered from disorders of anxiety (Anxiety disorders) are different, including those related to this case directly, some of which have stemmed from other things are different.
  • Problems in marital relations : If the disorder was new, and it appeared after cases of healthy flow with previous partners - there is likely to be a link between the quality of the relationship between the spouses and the emergence of the new disorder.

2- Biological factors

  •  Improper hormone levels.
  •  Levels of neurotransmitters are abnormal.
  •  Improper reflexes in the streamer.
  •  Disorders of the thyroid gland.
  •  Disorders of the prostate gland or urethra (Urethra).
  •  Disturbances in the central nervous system (after a trauma or an accident).
  •  Weaning off drugs.

The prevailing opinion today is that if disorder has always been present, then it appears that the problem is biological.

3- Risk factors

  •  Impotence (Impotency) and the lack of erection : If a person has problems in erection - and the desire to try to reach an erection and maintain it - lead to premature ejaculation after a rush of no feeling when having sex.
  • Various health disorders : such as heart problems, are able to cause a person to hasten at the time of sexual intercourse, to the extent that they lead to a premature outflow. And all this against the background of the desire to urgently remove the burden from the affected devices.
  • Stress : Psychological stress, from any source, leads to a lack of calm and an inability to focus on the sexual relationship, which leads to a premature outflow.
  • Medicines : Certain drugs sometimes have side effects that cause premature flushing.

Complications of premature ejaculation

Often times, it is not the result of health complications, but rather psychological and social problems .

The tension in the marital relationship leads to an early stream of frustration in the spouses and leads to unnecessary tension, and to crises in the marital relationship against the background of dissatisfaction with the sexual life.

Premature draining may, in addition, lead to fertility disturbances when attempts to conceive are made.

Diagnosis of premature ejaculation

An examination of male sex hormones (testosterone) in the blood can also be used to diagnose the problem, when erectile dysfunction and impotence are present.

Treating premature ejaculation

Premature ejaculation may be treated with a combination of sex therapy, drug therapy and psychotherapy as follows:

1- Sexual therapy

Masturbation and flushing before intercourse may extend the time until the next stream. In addition, directing the sexual energy from intercourse to different sexual games that do not include intercourse - may relieve the tension that accompanies the sexual intercourse itself.

Squeeze Technique - Immediately when a flush is approaching, pressure can be applied to the genitals where the head of the penis comes into contact with the body of the penis itself. Physical pressure on this area causes a slight decrease in the degree of erection, but also prevents premature flow.

After several push-ups like this during intercourse - it can improve the sense of how to prevent flushing from an early flushing state.

2- Drug treatment

Many drugs are used to treat depression, in addition to anesthetic ointments, in the treatment of premature ejaculation and treatment of erectile dysfunction , but this phenomenon is not considered one of the indications for the use of these drugs.

  • Antidepressants : Delayed flushing is a common side effect of drugs from the antidepressant family. Therefore, the use of various antidepressants may lead to improvement in the treatment of premature ejaculation. These medicines have additional side effects such as nausea, dry mouth , drowsiness and decreased libido.
  • Anesthetic ointments : Many local anesthetic ointments lead to a loss of sensation in the penis and in this way, prevent premature ejaculation and delay the flow. Side effects of ointments are reduced sexual pleasure and sometimes local sensitivity .

3- Psychotherapy

This treatment may reduce performance anxiety and reduce the psychological stress that often contributes to premature flushing.

Premature flushing is a common condition and has many causes. This condition can be prevented by treating the causative agents, with behavioral therapies, and even with medication.

In general, treating the problem requires great openness and desire on the part of both spouses.