Premature Ejaculation

What is Premature Ejaculation?

It refers to ejaculation that occurs before a man wishes it, or too quickly during intercourse to satisfy his partner.

What are the Causes of Premature Ejaculation?

Premature ejaculation is primarily caused or aggravated by psychological factors such as fear, guilt, performance anxiety and interpersonal issues affecting the couple. It is more common in young men and those who lack sexual knowledge or experience, as well as with those with sexuality-associated guilt, fear or anxiety.

Treatment

Traditionally, premature ejaculation is treated by counselling on the cause of premature ejaculation and the use of techniques that help delay ejaculation. The two commonly used techniques are "stop and start" method and "squeeze" method.

"Stop and Start" Method

This involves stimulating the penis until the man feels that he is about to ejaculate. The stimulation is stopped for about 30 seconds. When the urgency to ejaculate subsides, stimulation is then resumed. This procedure is repeated until ejaculation is desired, and the stimulation is then continued until ejaculation occurs.

The "Squeeze" Method

This involves stimulating the penis until the man has had a firm erection for a while. At that point, he or his partner gently squeeze the end of the penis for several seconds, withholds further sexual stimulation for about 30 seconds and then resumes stimulation. The sequence is repeated until ejaculation is desired, and the stimulation is then continued until ejaculation occurs.

Drug Therapy

Recently, drug therapy has become the first line of treatment. The medication is taken 1-3 hours before intercourse and side effects are mild and tolerable.

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