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Premature Ejaculation Premature Ejaculation

Premature Ejaculation

Do you experience uncontrolled ejaculation either before or shortly after sexual penetration?

Visit Steinberg Urology for a consultation with our urologists to address your concerns, perform diagnosis and provide you on advice as to what treatments are likely to fit your individual circumstances.
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Premature Ejaculation

In premature ejaculation, a man has an orgasm and ejaculates earlier during intercourse than he would like. It often happens very early during intercourse, with little stimulation. It can be a frustrating experience for both sexual partners.

Premature ejaculation is the one of the most common sexual condition affecting men under the age of 40. It is said to affect about one in five men between the ages of 18 to 59. It is also likely that premature ejaculation will affect most men during some point in their life.

There is no medical time-limit that defines ejaculation as “premature,” but ejaculating within a minute from the beginning of intercourse is regarded as premature by many doctors. A man’s feeling as to what is premature for him is also a factor in diagnosis.

Any male past puberty can suffer from premature ejaculation. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it’s not cause for concern.

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There is no medical time-limit that defines ejaculation as “premature,” but ejaculating within a minute from the beginning of intercourse is regarded as premature by many doctors. A man’s feeling as to what is premature for him is also a factor in diagnosis.

Any male past puberty can suffer from premature ejaculation. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it’s not cause for concern.

SYMPTOMS

The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.

The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.

Premature ejaculation can be classified as :

  • Lifelong (primary): Premature ejaculation is experienced since the first sexual attempt.
  • Acquired (secondary): Premature ejaculation is experienced after a period of normal sexual function.
  • Generalized: Premature ejaculation occurs with different partners and situations.
  • Situational: Premature ejaculation occurs only with a specific partner and situation.

Many men feel that they have symptoms of premature ejaculation, but the symptoms don’t meet the diagnostic criteria for premature ejaculation; this is called variable or subjective premature ejaculation. They have subjective concerns about duration, lack of control, or short latency.

CAUSES OF PREMATURE EJACULATION

The causes of premature ejaculation are not known. Premature ejaculation is more often caused by a psychological stressor such as anxiety or depression. It is much less common, but it can also have a physical cause such as:

  • An injury
  • An infection
  • A hormonal problem

Sometimes, premature ejaculation can occur with a new partner, due to nervousness. If a man has not had sex for a long time, he may also experience premature ejaculation when he becomes sexually active again. Many men learn to delay ejaculation as they become older and more skilled sexually.

RISK FACTORS

Various factors can increase your risk of premature ejaculation, including:

  • Erectile dysfunction. You might be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection. Fear of losing your erection might cause you to consciously or unconsciously hurry through sexual encounters.
  • Stress. Emotional or mental strain in any area of your life can play a role in premature ejaculation, limiting your ability to relax and focus during sexual encounters.

DIAGNOSIS

If you or your partner has frequent premature ejaculation, or if premature ejaculation is causing you anxiety or depression affecting your relationship, you should see a urologist.

Your doctor will discuss your medical and sexual history with you. He or she will do a thorough physical exam. Your doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order laboratory tests to rule out any other medical problem.

diagnostics

Lab Test

TREATMENT FOR PREMATURE EJACULATION

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner. Your healthcare provider will best be able to come up with a plan to treat your premature ejaculation. It is often easily treated with a few simple steps, so it is important to see your urologist.

MEDICATION

Antidepressants. A side effect of certain antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs) are used to help delay ejaculation. There are also medications that are applied to the penis before sex to reduce sensation and delay ejaculation.
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BEHAVIORAL TECHNIQUES

Your doctor may recommend the “stop-start” technique, that involves the man or his partner stimulating the penis until he feels the urge to ejaculate, then stopping until the sensation passes; this is repeated a few times before allowing ejaculation to occur.
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PELVIC FLOOR EXERCISES

Weak pelvic floor muscles might impair your ability to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.
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The images and/or videos are not presented as a guarantee of result. The results may vary. Patients gave their consent for the publication of images and/or videos.

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At Steinberg Urology we pride ourselves on our compassionate care we offer to those facing challenges that affect their quality of life. Our urologists have years of experience and a commitment to excellence.

If you need to discuss this sensitive medical concern, schedule a consultation at our clinic in a safe confidential environment. Let us help you achieve optimal health and wellness in a professional setting.

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