What Is The Meaning Of Premature Ejaculation?
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Definition Of Premature Ejaculation
Premature ejaculation, sometimes referred to as rapid ejaculation or a decreased time to ejaculation refers to when an individual ejaculation before or shortly after sexual intercourse – they can’t voluntary control their ejaculation. PE can have an impact both on physical and psychological health affecting sexual relationships, forms of sexual activity, and sexual function in general.
While there is no “correct” time or ‘”time limit” to explain how long one should last during sex before ejaculating, the consensus among specialists is:
If a man ejaculates before penetration or lasts less than 2 minutes after penetration (all or most of the time), and/or if it leads to frequent dissatisfaction for him or his partner, he may have PE.
How Does Ejaculation Work?
During sexual activity – intercourse or outercourse – sexual stimulation allows for an individual to feel aroused. When an erection occurs shortly thereafter, the friction during sexual intercourse or any other forms of sexual activity allows for impulses to reach the spinal cord and then the brain.
Ejaculation is considered to be a reflex (an ejaculatory reflex) that is controlled by the CNS or central nervous system. When an individual reaches orgasm, ejaculation or release of semen occurs.
What are the different types of PE
Different Types of Premature Ejaculation
Primary Premature Ejaculation
Symptoms of PE occur all or most of the time during sexual encounters – including the first few ones.
Secondary Premature Ejaculation
Symptoms of PE occur after previous sexual encounters entailed no ejaculatory issues. In simple terms it means that the man did not have PE earlier, but, developed it later on in his sexual life.
Ejaculatory sexual dysfunction includes:
- Premature ejaculation
- Delayed ejaculation
- Retrograde ejaculation
Premature Ejaculation (PE): Causes, Symptoms, Treatment & Diagnosis
Premature Ejaculation Causes
PE is a common sexual disorder and has a variety of risk factors and causes associated with it. Understanding the causes behind Premature Ejaculation will allow you to identify the symptoms you may be experiencing. Just like most sexual concerns such as Erectile Dysfunction, PE too has its causes divided into two factors:
- Psychological factors: Contrary to popular belief, sexual disorders can be caused due to psychological concerns such as depression or anxiety.
- Physical factors
- Medical or chronic health conditions such as cardiovascular risk factors
- Hormone fluctuations
- Brain chemical imbalance such as Neurotransmitters levels can be irregular
- Reproductive infections such as in the prostate or the urethra
- Addictions or sexual disorders: Porn addiction, Erectile Dysfunction
Your sexual health is significantly impacted by both your physical and mental health.
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Premature Ejaculation Symptoms
The main symptom of Premature Ejaculation is ejaculation before penetration or less than 2 minutes after penetration – all or most of the time. PE can affect individuals at all ages and can impact sexual experiences as well – especially when experienced at a young age.
While there is only one main symptom of Premature Ejaculation, there are some negative domino effects that can affect an individuals life. Some of those include:
- Infertility: If the individual is unable to ejaculate into the vagina, conceiving may become challenging
- Interpersonal concerns with sexual partners
- Insecurity and self-esteem concerns
- The increased chances of acquiring sexual disorders such as Erectile Dysfunction
- Experiencing Performance Anxiety
Premature Ejaculation Treatment
Premature Ejaculation involves the lack of control over ejaculation. As mentioned above, there could be a variety of causes that could lead to PE symptoms. The goal of Premature Ejaculation treatment is to treat the exact cause behind an individuals symptoms. However, there are first-line or most common treatments for this condition which fall under two categories:
- Topical Anaesthetics: anaesthetic sprays and creams such as lidocaine, prilocaine, or benzocaine
- Oral Medications: These include antidepressants, phosphodiesterase-5 inhibitors (PDE-5), and analgesics.
- Lifestyle Exercises: The stop-start method or the squeeze method
- Psychological Therapy: Couples therapy, individual therapy, behavioural therapy
The medications have a particular prescription dosage and should be taken following the advice of a medical professional.
Premature Ejaculation Diagnosis: When to see a doctor?
Due to the stigma associated with sexual dysfunctions, many individuals experiencing Premature Ejaculation hesitate to seek help from a sexual health expert or professional. While it is common that many are nervous to see a doctor, in a majority of the cases diagnosing Premature Ejaculation does not require a physical exam. Symptoms of PE can affect sexual performance, and affect mental health – if you are having any concerns or symptoms related to ejaculatory functioning – such as early ejaculation – we encourage you to reach out to a professional.
Due to the various causes behind PE, a holistic evaluation can provide the necessary insights on your symptoms. Based on this and your medical history, your PE symptoms and its underlying causes will be treated.
You should see your doctor if you are having:
- Doubts or concerns regarding rapid ejaculation
- If you’re experiencing any sexual dysfunction related to erections or ejaculation
- You have been diagnosed with chronic health conditions that can be a risk factor for Premature Ejaculation
- PE can lead to infertility or other sexual concerns such as Performance Anxiety or Erectile Dysfunction. It is important to speak to a professional at the earliest if you are experiencing symptoms.
- Delaying treatment can affect the effectivity of treatment: we encourage you to not ignore any symptoms you may be having.
- There is non-judgmental care and treatment available. Try to overcome your fears in approaching a professional. An online consultation from the comfort of your own home gives you more control of your health.
- Leave the internet out of this: your treatment and care has to be unique to your needs. Treatment for Premature Ejaculation is based on your symptoms, its duration and severity and your sexual wellness goals.
Frequently Asked Questions
(1) Can Premature Ejaculation affect your sex life greatly?
While sexual satisfaction is completely subjective, research has shown that sexual performance or ability can be affected by PE. Due to the fact that an individual with PE symptoms ejaculates early, it can affect the way the perceive sexual experiences. This can lead to fear, or performance anxiety because of the pressure they may experiencing to perform well. Due to this there can be concerns between partners, and sex life can be affected, so can quality of life.
(2) Does Premature Ejaculation require a sex therapist?
A Sex Therapist is a mental health professional (qualified in behavioral/ clinical sciences) trained specifically in the practice of sexology. They apply appropriate evaluation and psychotherapeutic treatment of sexual disorders. Therapy is greatly beneficial with sexual dysfunction – especially if the cause behind the symptoms are psychological factors. As for it being a requirement, this depends on the individual case as causes are unique to them. Therapy, such as behavioral therapy,
(3) Are there any Premature Ejaculation complications?
Premature ejaculation can affect your physical, mental and relationship health. Understanding and accepting that you may have sexual concerns is the first step in seeking the right help. As for complications, sexual disorders such as PE can affect a couples ability to conceive, and can lead to other sexual disorders such as Erectile Dysfunction. The individuals mental health can also be affected leading to depression and/or anxiety.
(4) Does Premature Ejaculation affecter sexual intercourse satisfaction?
While sexual satisfaction is subjective, some individuals and their partner(s) can be affected when it comes to sexual intercourse satisfaction. Due to the fact the PE leads to early ejaculation or poor control with ejaculation, this can reduce intimacy and/or foreplay, which can affect a relationship.
(5) Does excessive masturbation cause PE?
Masturbation is considered compulsive if it affects you physically and/or emotionally. This means it causes soreness, aggravates a porn addiction, relationship problems, and reduced stimulation leading to the inability to orgasm. If excessive masturbation has become a concerning behavioral habit, it can lead to instances of premature ejaculation. If a man ejaculates before penetration or lasts less than 2 minutes after penetration (all or most of the time), and/or if it leads to frequent dissatisfaction for him or his partner, he may have PE. In some cases, masturbation can help treat PE.
(6) Can PE cause infertility?
One of the complications of PE can be infertility. This is because premature or quick ejaculation can make fertilizations difficult for couples trying to conceive.
(7) Is PE the same as ED?
Both PE and ED are forms of sexual dysfunction, however, they are different otherwise. While ED is when a male is unable to get or maintain an erection, PE is when a male ejaculates too quickly during sexual activity.