Premature ejaculation is a sexual disorder in men, characterized by the loss of voluntary control of ejaculation, occurring orgasm and elimination of semen soon after penetration or before.
Premature ejaculation can be related to psychological factors such as stress, anxiety or fear, for example, but it can also occur from biological causes, such as low serotonin levels or hormonal changes, for example.
The treatment of premature ejaculation is done by the urologist who may indicate exercise, psychotherapy or, in some cases, use of remedies.
Symptoms of premature ejaculation
The main symptoms of premature ejaculation are:
- Inability to delay ejaculation in all or almost all sexual relations;
- Ejaculation before or 1 to 3 minutes after the start of penetration;
- Ejaculation in the absence of sufficient erection for intimate contact.
In addition, when premature ejaculation is frequent, it can cause decreased self-esteem, distress, depression, frustration or problems in the relationship, and can cause the man to avoid intimate contact.
In the case of a man presenting symptoms of premature ejaculation, it is important to consult the urologist, so that the most appropriate treatment is made and the most appropriate treatment is indicated.
If you have symptoms of premature ejaculation, make an appointment with a urologist in the nearest region:
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What is the normal time for man to ejaculate?
The average time for most men to ejaculate after penetration is about 5-7 minutes in the general population, but this can vary from man to man and depends on many factors.
How to confirm the diagnosis
The diagnosis of premature ejaculation is clinical, being made by the urologist through the evaluation of symptoms, health history, sexual history, libido and erectile dysfunction.
In the consultation the doctor should ask what average time the man takes to ejaculate, how often premature ejaculation has been happening and how long and when the symptoms started, for example.
In addition, the doctor should perform a physical examination, and in some cases, order blood tests to measure the hormonal levels of testosterone, prolactin, FSH, LH and thyroid hormones. Look at the main tests that evaluate the thyroid.
Possible causes
The cause of premature ejaculation is multifactorial, and may be physical, psychological or chemical.
The main causes of premature ejaculation are:
- Depression, anxiety or stress;
- Unrealistic expectations about sexual performance;
- Low self-esteem or concern for body image itself;
- Low levels of serotonin or dopamine in the body;
- ED);
- Genetic predisposition;
- Hormonal changes of prolactin, LH or TSH.
In addition, some health conditions may contribute to the development of premature ejaculation, such as hypogonadism, hyperthyroidism, diabetes, neuropathy or alcoholism, for example.
Types of premature ejaculation
The main types of premature ejaculation are:
1. Primary premature ejaculation
Primary premature ejaculation is characterized by an ejaculation that always or almost always occurs before or within 1 minute after the onset of penetration, from the first sexual experience.
2. 2. Acquired premature ejaculation
In acquired or secondary premature ejaculation there is a reduction in the latency period of ejaculation, that is, the man starts to have ejaculation in 3 minutes or less.
This type of premature ejaculation suddenly or gradually begins in men who have had normal ejaculatory experiences.
3. Situational premature ejaculation
Situational premature ejaculation can occur in some specific situations, such as having a new partner, the type of stimulus during intimate contact, or some unusual situation during intercourse, for example.
How the treatment is done
Treatment of premature ejaculation should be done with urologist guidance and usually involves behavioral therapy, exercise, psychotherapy, and/or use of medications.
The main treatment that can be recommended by the doctor are:
1. Behavioral therapy
Behavioral therapy aims to increase tolerance and delay ejaculation through training using different techniques.
Thus, the technique “start-stop” or compression technique can be indicated by the doctor. See how to do these techniques.
In addition, it may be recommended by the doctor other techniques that involve masturbation 1 or 2 hours before intercourse or use of thicker condoms, as they can help improve stiffness, erection time and prolong pre-ejaculatory time.
2. 2. The Exercises of Kegel
Kegel exercises can also be indicated to help treat, minimize or prevent premature ejaculation because they work on the strengthening of the pelvic floor muscles, which are the group of muscles that is in the pelvic region and around the urethra.
Thus, man may be able to be better able to control ejaculation, preventing it from occurring when he contracts the muscles of the pelvic floor, for example. Here’s how to do Kegel exercises.
3. Psychotherapy therapyotherapy
Psychotherapy may be indicated in cases of premature ejaculation having been caused by psychological or emotional factors.
This type of treatment also helps treat depression, stress, frustration, performance anxiety and relationship problems caused by premature ejaculation, increasing sexual confidence.
4. 4. Medications
Premature ejaculation medications are usually indicated when other techniques do not present the expected results, or they may be used in association with the other treatments.
These remedies should always be indicated by the urologist, who may recommend the use of remedies for erectile dysfunction, antidepressants, analgesics or local anesthetics, to help delay the urge to ejaculate. Check out the main remedies for premature ejaculation.
