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Today in Health & Wellness
HEALTH CONDITIONS

Premature Ejaculation (PE)

Overview
Symptoms
Risk Factors
Commonly Prescribed Drugs
Treatment and Management
Doctors to Consult
Overview

Common names: Early ejaculation, rapid ejaculation, rapid climax, premature climax.

Uncontrolled ejaculation that occurs too early, usually before, upon, or shortly often a minute or two after penetration with minimal sexual stimulation, which may result in an unsatisfactory sexual experience for partners. It is one of the most common forms of male sexual dysfunction.

Classifications

  • Lifelong PE - A condition which has existed since the onset of sexual activity and is not dependent on either the conditions or the environment under which sexual activity is taking place.

  • Acquired PE - Develops in an individual who has previously had normal ejaculatory control and can develop gradually or suddenly.
Symptoms

The primary sign of premature ejaculation is ejaculation that occurs before partners wish, causing concern or stress. However, the problem may occur in all sexual situations, even including during masturbation.

Lifelong PE as characterized by International Society for Sexual Medicine:

  • Ejaculation that always or nearly always occurs within one minute of vaginal penetration
  • The inability to delay ejaculation on all or nearly all vaginal penetrations
  • Negative personal consequences, such as stress, frustration or the avoidance of sexual intimacy

Secondary or acquired PE is generally understood to share the same symptoms as lifelong premature ejaculation, but with one key difference:

  • Secondary ejaculation develops after the patient had previous, satisfying sexual relationships without ejaculatory problems
Risk Factors
  • Sexual experience and age.
  • Psychological factors: anxiety, guilt, or depression
  • Very sensitive penile skin
  • Prostitis or a nervous system disorder
Commonly Prescribed Drugs
  • Selective serotonin reuptake inhibitor (SSRI), such as dapoxetine
Treatment and Management
  • Practicing relaxation techniques, behavior modification therapy, counseling, or using distraction methods.
  • Stopping or cutting down on the use of alcohol, tobacco, or illegal drugs.
  • Perform specific techniques to help delay ejaculation. These techniques may involve identifying and controlling the sensations that lead up to ejaculation and communicating to slow or stop stimulation.
  • Sex therapy eg, instruction in the stop-start or squeeze-pause technique popularized by Masters and Johnson
  • Second attempt at coitus. If another erection can be achieved shortly after an episode of premature ejaculation, ejaculatory control may be much better the second time
  • Other options include using a condom to decrease sensation to the penis or trying a different position (such as lying on your back) during intercourse.
Home Remedies
Doctors to Consult
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