Premature Ejaculation (PE): Effective Solutions

Table of contents

What is Premature Ejaculation ?

Unlike the Delayed Ejaculation (DE), Premature Ejaculation (PE) is recognized as a prevalent sexual disorder among men who ejaculate faster then usual. It is primarily defined based on the intravaginal ejaculatory latency time (IELT), which measures the duration from the start of vaginal penetration to ejaculation.
IELT Explained:
  • Definite PE: Men with an IELT of less than 1 minute.
  • Probable PE: Men who have an IELT between 1 and 1.5 minutes.

Myths and Facts on Premature Ejaculation

When discussing Premature Ejaculation (PE), it’s crucial to differentiate between myths and facts to understand and manage the condition accurately:
  • Myth: PE isn’t common. 
  • Fact: PE is a widespread condition affecting many men at some point in their lives.
  • Myth: Only psychological factors cause PE. 
  • Fact: While stress and anxiety can contribute to PE, biological factors play a significant role as well.
  • Myth: PE means a lack of control. 
  • Fact: PE often results from complex physiological processes, not merely self-control.
  • Myth: PE cannot be treated.
  • Fact: Various effective treatments are available, from behavioral techniques to medication.

What is the impact of Premature Ejaculation ?

Premature ejaculation (PE) is a common sexual concern where ejaculation occurs sooner than desired, often with minimal sexual stimulation. Understanding PE is crucial as it affects sexual satisfaction for both partners, leading to stress, embarrassment, and strained relationships. Addressing PE can significantly improve one’s sexual health and relationship quality.
  • Commonality: PE is among the most common forms of sexual dysfunction in men.
  • Impact on Relationships: It can cause distress for both the individual and their partner, impacting sexual satisfaction.
  • Need for Open Discussion: Despite its prevalence, many hesitate to discuss or seek help for PE due to embarrassment or misconceptions.

What causes Premature Ejaculation ?

Premature ejaculation (PE) is influenced by a mix of psychological and biological factors, making it a complex condition to understand and treat.
  • Genetic Factors: Some evidence suggests PE may run in families, indicating a possible genetic link.
  • Neurological and Hormonal Issues: Imbalances in certain neurotransmitters and hormones are believed to play a role in PE.
  • Psychological Factors: Emotional or psychological stress, including performance anxiety and relationship issues, can trigger or exacerbate PE.
  • Associated Conditions: Conditions like erectile dysfunction, prostatitis, or thyroid problems can also contribute to PE.

When to seek professional help when you have Premature Ejaculation ?

Seeking professional help for Premature Ejaculation (PE) is crucial when it negatively impacts your life. Here’s when to consult a healthcare provider:
  • Persistent or Recurrent PE: If episodes of PE are consistent and causing distress.
  • Impact on Relationship: When PE is causing problems in your personal relationships.
  • Emotional or Psychological Distress: Feelings of shame, frustration, or avoidance of sexual intimacy.
What to Expect:
  • Comprehensive Evaluation: A healthcare provider will assess your medical and sexual history.
  • Physical Examination: Sometimes necessary to rule out other health conditions.
Discussion of Treatment Options: Including behavioral strategies, medications, and other therapies tailored to your specific needs.

How to diagnose Premature Ejaculation

Premature Ejaculation (PE) presents through key symptoms and requires specific diagnostic approaches. The common indicator is ejaculation occurring sooner than desired, often within one minute of penetration, leading to personal distress or relationship issues.
Guideline-Based Diagnosis classifies PE into categories for precise management:
  • Lifelong PE: Consistently happens from the onset of sexual activity.
  • Acquired PE: Develops after a period of normal ejaculatory control.
  • Subjective PE: Individual feels the ejaculation is rapid, even if it happens within a normal time range. Treatment may be indicated if the need
  • Variable PE: Occurs sporadically, not consistently over time.
Diagnosis hinges on patient reports and clinical evaluation, emphasizing the necessity of understanding these distinctions for effective treatment planning.

How to treat Premature Ejaculation

Treatment for Premature Ejaculation (PE) encompasses a range of strategies, tailored to individual needs for effective management:
  • Medications: Selective Serotonin Reuptake Inhibitors (SSRIs) are often prescribed for their delay in ejaculation effect. Other options might include topical anesthetics to decrease penile sensitivity.
    • Dapoxetine (known as Priligy) is one of the SSRI medications which is approved by US FDA for treating Premature Ejaculation (PE). It can be taken only once a day, and it is on-demand use due to the rapid onset of action within 1-2 hours. It can increase your time up to 2-4 folds from baseline. The medication works 70-90% of a time, but the result may be varied due to each individual.
  • If the medication you are taking is not working, contact HUM Clinic for other alternatives.
  • Shockwave Therapy: This procedure can treat the patient who has Acquire PE caused from Erectile Dysfunction (ED). When the ED gets better, the PE will be better.
  • Non-Medical Strategies: These include behavioral techniques, like the start-stop or squeeze methods, and lifestyle changes aimed at reducing anxiety and enhancing sexual performance.
  • Counseling and Therapy: Psychological support, either individually or with a partner, can address underlying issues contributing to PE.
  • Kegel Exercises: Strengthening pelvic floor muscles can provide better ejaculatory control.
Each treatment option has its unique benefits, and a healthcare provider can guide the best approach based on the individual’s condition and preferences.

Can Premature Ejaculation be cured ?

The question of curing Premature Ejaculation (PE) often depends on its type:
  • Lifelong PE might not have a permanent cure but can be effectively managed with continuous treatment strategies.
  • Acquired PE could sometimes be addressed by treating underlying conditions, as indicated by specific blood tests for hormonal levels.
The prognosis for PE varies; while a total cure may not always be achievable, many men find successful management of the condition with appropriate treatment, leading to a satisfactory sexual life.

Get Premature Ejaculation treatment at H.U.M. Clinic

At HUM Clinic, we understand the complexities of Premature Ejaculation (PE) and offer specialized care to address this condition. Our approach combines:
  • Understanding and Support: Providing a compassionate environment for discussing and managing PE.
  • Experienced Professionals: Our team has extensive experience in diagnosing and treating various forms of PE, ensuring you receive expert care.
  • Personalized Treatment Plans: We tailor treatments to meet individual needs, focusing on the most effective strategies for each case.
Navigating PE challenges is possible with the right support and treatments. HUM Clinic is committed to helping individuals improve their condition and enhance their well-being through comprehensive care and personalized approaches.

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