When a guy ejaculates (comes) too rapidly during sexual intercourse, this is known as premature ejaculation. This is a common ejaculation issue.
What is premature ejaculation?
The average time for ejaculation was roughly 5-and-a-half minutes after commencing sex, according to research involving 500 couples. For males who have sex with other men, this time could be extended.
Premature ejaculation is defined as ejaculating regularly within 1 minute of entering your partner, according to international criteria.
It's up to you and your spouse to decide if the time it takes you to ejaculate is acceptable.
If you're having trouble with your ejaculation times, it's a condition that can be solved with treatment.
Types of premature ejaculation
Premature ejaculation can take two forms:
- Main premature ejaculation — this is an issue you've always had.
- Secondary premature ejaculation (also known as “acquired premature ejaculation”) occurs when the condition is new to you.
Primary premature ejaculation is frequently caused by psychological factors, such as a painful sexual encounter as a child. Both psychological and physical causes might cause secondary premature ejaculation. Drinking too much alcohol and inflammation of the prostate gland are two physical factors (prostatitis).
Treatment
If you have a physical condition that is causing your premature ejaculation, fixing the underlying disease should assist. A doctor can advise you on treatment options.
It can be more difficult to treat premature ejaculation caused by psychological reasons. However, most men who stick with treatment discover that the condition goes away.
Self-help
Before seeking medical care, you might try a variety of self-help options.
These include:
- Masturbating for 1 to 2 hours before sex
- Using a thick condom to help with sensation reduction.
- Taking a deep breath to stop the ejaculatory reflex for a few seconds (an automatic reflex of the body, during which you ejaculate)
- Having sex on top of your lover (so they can move away when you're about to ejaculate)
• Taking breaks during sex and thinking about something completely unrelated to keep yourself occupied.
• If you're in a long-term relationship, couples therapy may be beneficial.
You'll be encouraged to talk about any difficulties that are bothering your relationship, and you'll get advice on how to deal with them. Techniques to assist you “unlearn” the tendency of premature ejaculation may also be demonstrated.
Medicine
If self-help measures are ineffective, selective serotonin reuptake inhibitors (SSRIs) can be employed. SSRIs are used to treat depression, however, one of their negative effects is that they cause ejaculation to be delayed.
Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that is used to treat premature ejaculation. It can be used “on-demand.” It's normally recommended that you take it one to three hours before intercourse, but not more than once a day.
If dapoxetine doesn't work, your doctor might suggest trying an “off-label” SSRI. This occurs when a drug is utilized for a purpose other than the one for which it was approved. If it's in the patient's best interest, doctors can prescribe an off-label prescription.
Paroxetine, sertraline, or fluoxetine are some of the other SSRIs that may be recommended for premature ejaculation. You'll need to take these SSRIs for 1 to 2 weeks to see the full impact.
Lidocaine or prilocaine cream is anesthetic creams and sprays that can help by making your penis less sensitive. When combined with a condom, an anesthetic cream can be quite effective. A GP should be able to suggest an appropriate cream.
