What is premature ejaculation?

Premature ejaculation occurs when orgasm is difficult to control and occurs too quickly. Premature ejaculation is the most common s*xual problem in men. Many people ejaculate prematurely, or "come too soon," at some point in their lives.

There is no set time limit for ejaculation. Generally, ejaculation occurs within one minute of penile penetration. It can also occur during foreplay or during penile insertion during intercourse.

Some people suffer from premature ejaculation their entire lives, while others develop it. Premature ejaculation can occur at any age, but it is more common in younger men. Ejaculation tends to take longer with age.

Symptoms of Premature Ejaculation

The main symptom of premature ejaculation is the inability to delay ejaculation for more than three minutes after penetration. However, it can occur in any s*xual situation, even during masturbation.

Premature ejaculation can be classified as follows:

• Continuous: Permanent premature ejaculation occurs consistently or almost always from the first s*xual encounter.
• Acquired: Acquired premature ejaculation develops after previous s*xual intercourse without ejaculatory problems.

Many people experience symptoms of premature ejaculation, but these symptoms do not meet the criteria for a diagnosis. It is normal to experience premature ejaculation from time to time.

What causes premature ejaculation?

Premature ejaculation is sometimes a permanent problem that begins from the first s*xual encounter. This may be due to:

• Abnormal hormone levels
• Genetic causes that affect nerve transmission

Premature ejaculation can also occur after a period of normal ejaculation. It is usually due to another problem, such as:

• S*xual anxiety
• Generalized anxiety
• Stress
• Erectile dysfunction 
• Psychological or relationship problems

Alcohol and drug abuse can worsen premature ejaculation.

Diagnosing Premature Ejaculation

To diagnose premature ejaculation, your doctor will first ask if you've always had this problem or if it's a recent one. He or she may also ask you about your s*x life and relationships. He or she will likely perform a physical exam.

If your doctor thinks emotional problems are the cause of your premature ejaculation, he or she may refer you to a mental health professional who helps people with s*xual difficulties. If a physical problem is the cause of your premature ejaculation, he or she may recommend seeing a urologist, who specializes in urinary tract disorders.

How is premature ejaculation treated?

Treatment for premature ejaculation depends on the cause. You can try some home remedies.

• Self-care at home

Here are some home remedies you can try:

1. Masturbate one or two hours before intercourse.
2. Use a condom to lessen the sensation. Breathe deeply: This briefly interrupts the ejaculatory reflex.
3. Try different positions that may seem less arousing.
4. Take a break and think about something other than sex. Use the "second try" trick: You may experience delayed ejaculation the second time you have s*x after the first.

• Medications for Premature Ejaculation

You can buy a local anesthetic spray at the pharmacy without a prescription. Spray it on the glans 10 minutes before intercourse.

It's important to follow the instructions. Also, keep in mind that the spray can affect your partner, which may cause a temporary decrease in sensitivity.

Your doctor may prescribe other medications to treat premature ejaculation.

Erectile dysfunction medications can help restore normal ejaculatory control.

• Other Treatment Options

Consulting with a s*xologist or psychologist may be beneficial for treating premature ejaculation and other s*xual problems.

Therapy can help you identify any underlying psychological, s*xual, or relationship issues. It can also help improve other problems related to premature ejaculation, such as anxiety.

If you're in a long-term relationship, couples therapy may be beneficial.

There are techniques to help overcome premature ejaculation. S*x therapists can advise you on available techniques, including "stop-start" and "squeezing" techniques.

Can exercise help combat premature ejaculation?

Men were trained to strengthen their pelvic floor muscles for 12 weeks, following exercises similar to those used to relieve incontinence.

The men performed these exercises three times a week, in 20-minute sessions, and the results were surprising.

Thirty-three participants (82%) experienced an improvement in delayed ejaculation. Two others experienced improvements but dropped out of the program before completing it, and five experienced no improvement at all.

At the start of the trial, the average participant ejaculated in 32 seconds, but by the end, that average time had increased to almost 2.5 minutes. Exercise is the winner!

With this in mind, it's logical to think that strengthening this part of the body would improve s*xual performance. These exercises, which aim to retrain the pelvic floor muscles to contract or lengthen as needed, must be performed regularly for the treatment to be effective.

The main advantage of Kegel exercises for combating premature ejaculation is undoubtedly their cost-effectiveness and naturalness, which virtually eliminate the risk of side effects.

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