Everything You Need to Know About Premature Ejaculation
Premature ejaculation (PE) occurs when a man ejaculates earlier than desired during sexual intercourse, often before or shortly after penetration. This common condition affects around 1 in 3 men and is not a disease, despite some misconceptions.
Types of Premature Ejaculation
There are two main types of PE:
Lifelong: This type occurs from the first sexual encounter and persists throughout a man’s life.
Acquired: This type develops after a period of normal sexual functioning, typically after experiencing ejaculation without issues. Best Ayurvedic Sexologist in Delhi
Understanding the Mechanism Behind Premature Ejaculation
Ejaculation occurs in two phases:
Emission (Phase 1): This is when sperm moves from the testicles to the prostate gland, mixing with seminal fluid to form semen. The vasa deferentia (tubes) transport sperm to the prostate and then to the penis.
Expulsion (Phase 2): Muscles at the base of the penis contract to expel semen. Ejaculation and orgasm often happen simultaneously, although in some cases, orgasm occurs without ejaculation. Typically, erections subside after this phase.
Symptoms of Premature Ejaculation
The main symptom of PE is the inability to delay ejaculation for more than a few minutes after penetration. This may also occur during masturbation.
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Causes of Premature Ejaculation
Premature ejaculation can arise from physical, chemical, or psychological factors:
Physical and Chemical Factors:
Erectile dysfunction
Hormonal imbalances (e.g., oxytocin, luteinizing hormone, prolactin, thyroid-stimulating hormone)
Low levels of dopamine or serotonin
Over-sensitive penis
Emotional/Psychological Factors:
Performance anxiety
Stress or guilt
Depression
Relationship issues
Diagnosing Premature Ejaculation
A diagnosis typically involves reviewing the patient's sexual history and possibly conducting a physical examination. Blood tests may be ordered to check hormone levels if there are concerns about erectile dysfunction. Best Doctor for PE in Delhi
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Treatment Options for Premature Ejaculation
Treatment typically includes psychological therapy, behavioral therapy, and medical options:
Psychological Therapy: Focuses on addressing the emotional or psychological causes, such as performance anxiety or relationship issues, helping the individual and couple understand the root causes and build confidence.
Behavioral Therapy: Includes sexual exercises like the Squeeze method and the Stop-Start method to help delay ejaculation:
Squeeze Method: The man or his partner stimulates the penis to near ejaculation and then applies a firm squeeze at the base of the penis to reduce arousal and delay climax.
Medical Therapy: Antidepressants, numbing creams, and sprays can help delay ejaculation. Numbing agents should be applied 20-30 minutes before intercourse, but overuse can lead to loss of erection.
Home Remedies for Premature Ejaculation
There is limited evidence to support dietary changes for treating PE. However, some studies suggest that foods rich in magnesium and zinc (e.g., leafy greens, nuts, seeds, legumes, and salmon) might help boost testosterone levels and improve endurance.
Conclusion
Premature ejaculation is a common cause of sexual dissatisfaction, but it is treatable. With the right combination of medication, therapy, and behavioral techniques, many men can regain control and enjoy a fulfilling sexual life. Understanding the condition and seeking professional help is crucial to overcoming it.
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