Psychological factors such as excitement, anxiety, guilt, trauma, depression, or demands from partners to provide the best performance are the most common and fundamental causes of premature ejaculation. Climax that is too fast than desired may occur only in certain sexual situations (for example, first sex), hypersensitivity from stimuli that are too intense, or the distance between ejaculations that are too short or long. Premature ejaculation can also occur with new partners or as a result of conflicts and / or tensions in relationships.
The psychological factors above can affect men who previously even have normal ejaculation - and often can develop into primary sex dysfunction, alias for life.
The inability to control ejaculation is rarely caused by a medical condition, although the doctor will need to eliminate the possibility, such as:
Diabetes
Impotence
Prostate disorders
Heart disease
High blood pressure (hypertension)
Levels of abnormal chemical compounds in the brain (neurotransmitters)
Abnormal hormone levels (problems with the thyroid gland)
History of alcohol, substance and drug abuse
Nervous system damage; by trauma or former surgery
Urethral inflammation
Side effects of prescription drugs for certain conditions
It is difficult to determine the root causes of premature ejaculation, whether it is caused by psychological factors, penile structural problems, or even a combination of both. Premature ejaculation can involve complex interactions of psychological and biological factors.
Therefore, when consulting a doctor about this problem, he will discuss your sexual life. In addition to asking about your sex life, your doctor will ask you about your medical history and maybe do a physical examination. If you experience premature ejaculation and difficulty getting or maintaining an erection, your doctor may order a blood test to check your testosterone level or other tests.
Premature ejaculation is a condition when a man takes out sperm (reaches a climax) too fast when having sex. Premature ejaculation can also be defined when ejaculation occurs before or shortly after sexual penetration.
Every man is confirmed to have experienced premature ejaculation. If this happens occasionally, there's no need to worry. But you are advised to see a doctor if 50 percent of the sexual intercourse you have ever done ends with premature ejaculation.
Causes of Premature Ejaculation
The causes of premature ejaculation vary. This condition can be caused by psychological or physical factors. Examples of psychological problems that can cause premature ejaculation are anxiety, stress, and depression. While examples of physical problems that can cause premature ejaculation are prostate and thyroid disorders. In addition, it can also be caused by the side effects of consuming illegal drugs.
It’s not really known. But your brain chemistry could be at least partly to blame. Men who have low levels of the chemical serotonin in their brains tend to take a shorter time to ejaculate.
Emotional factors can play a role:
Stress
Depression
Performance anxiety
Guilt
Relationship problems
Sometimes PE can be a problem for men with erectile dysfunction (ED). That’s when the penis does not remain firm enough for sex. Men who are worried they could lose their erection may develop a pattern of rushing to ejaculate. It can be a hard habit to break.
Treating the erectile dysfunction may make the premature ejaculation go away. There are many options including drugs like sildenafil citrate (Viagra), tadalafil (Cialis) or vardenafil HCI (Levitra). All of these help men maintain an erection.
When Should I See the Doctor?
Make an appointment if PE is bothering you or your partner. The doctor probably will ask if you’ve always had the problem or if it’s a new thing. He may ask about your sex life or your relationships. You’ll probably get a physical exam, too.
How Is It Treated?
Ninety-five percent of men are helped by behavioral techniques that help control ejaculation.
Stop and start: You or your partner stimulate your penis until your feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you actually ejaculate.
The Squeeze: It works the same way as the start and stop method. But, when you feel like you’re reaching orgasm, you or your partner squeezes the head of your penis until you lose the erection. Repeat this a few times before ejaculating.
Some men find that if they think of something else during sex they can last longer.
What Medications Can Treat PE?
There aren’t any medications specifically approved to treat it. But sometimes, doctors find that medications used to treat other things can help. This is called an off-label use.
These include:
Antidepressants: A side effect of some selective serotonin reuptake inhibitors (SSRIs) is delayed orgasm. But these medications also have side effects that include nausea and drowsiness. They also can throw a wet blanket on your desire to have sex. So, it’s possible you’re trading one problem for another. You and your doctor will decide what’s right for you.
Tramadol: This is a pain reliever that can delay ejaculation. It may be prescribed if antidepressants don’t help. This medicine is addictive, so it may not be an option for you.
Anesthetic creams or sprays: You put these on the head of your penis to make it less sensitive. Leave it on for about 30 minutes. It must be washed off before sex so you don’t lose your erection or cause loss of sensation for your partner.
Psychological factors such as excitement, anxiety, guilt, trauma, depression, or demands from partners to provide the best performance are the most common and fundamental causes of premature ejaculation. Climax that is too fast than desired may occur only in certain sexual situations (for example, first sex), hypersensitivity from stimuli that are too intense, or the distance between ejaculations that are too short or long. Premature ejaculation can also occur with new partners or as a result of conflicts and / or tensions in relationships.
The psychological factors above can affect men who previously even have normal ejaculation - and often can develop into primary sex dysfunction, alias for life.
The inability to control ejaculation is rarely caused by a medical condition, although the doctor will need to eliminate the possibility, such as:
It is difficult to determine the root causes of premature ejaculation, whether it is caused by psychological factors, penile structural problems, or even a combination of both. Premature ejaculation can involve complex interactions of psychological and biological factors.
Therefore, when consulting a doctor about this problem, he will discuss your sexual life. In addition to asking about your sex life, your doctor will ask you about your medical history and maybe do a physical examination. If you experience premature ejaculation and difficulty getting or maintaining an erection, your doctor may order a blood test to check your testosterone level or other tests.
Premature ejaculation is a condition when a man takes out sperm (reaches a climax) too fast when having sex. Premature ejaculation can also be defined when ejaculation occurs before or shortly after sexual penetration.
Every man is confirmed to have experienced premature ejaculation. If this happens occasionally, there's no need to worry. But you are advised to see a doctor if 50 percent of the sexual intercourse you have ever done ends with premature ejaculation.
Causes of Premature Ejaculation
The causes of premature ejaculation vary. This condition can be caused by psychological or physical factors. Examples of psychological problems that can cause premature ejaculation are anxiety, stress, and depression. While examples of physical problems that can cause premature ejaculation are prostate and thyroid disorders. In addition, it can also be caused by the side effects of consuming illegal drugs.
What Causes It?
It’s not really known. But your brain chemistry could be at least partly to blame. Men who have low levels of the chemical serotonin in their brains tend to take a shorter time to ejaculate.
Emotional factors can play a role:
Stress
Depression
Performance anxiety
Guilt
Relationship problems
Sometimes PE can be a problem for men with erectile dysfunction (ED). That’s when the penis does not remain firm enough for sex. Men who are worried they could lose their erection may develop a pattern of rushing to ejaculate. It can be a hard habit to break.
Treating the erectile dysfunction may make the premature ejaculation go away. There are many options including drugs like sildenafil citrate (Viagra), tadalafil (Cialis) or vardenafil HCI (Levitra). All of these help men maintain an erection.
When Should I See the Doctor?
Make an appointment if PE is bothering you or your partner. The doctor probably will ask if you’ve always had the problem or if it’s a new thing. He may ask about your sex life or your relationships. You’ll probably get a physical exam, too.
How Is It Treated?
Ninety-five percent of men are helped by behavioral techniques that help control ejaculation.
Stop and start: You or your partner stimulate your penis until your feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you actually ejaculate.
The Squeeze: It works the same way as the start and stop method. But, when you feel like you’re reaching orgasm, you or your partner squeezes the head of your penis until you lose the erection. Repeat this a few times before ejaculating.
Some men find that if they think of something else during sex they can last longer.
What Medications Can Treat PE?
There aren’t any medications specifically approved to treat it. But sometimes, doctors find that medications used to treat other things can help. This is called an off-label use.
These include:
Antidepressants: A side effect of some selective serotonin reuptake inhibitors (SSRIs) is delayed orgasm. But these medications also have side effects that include nausea and drowsiness. They also can throw a wet blanket on your desire to have sex. So, it’s possible you’re trading one problem for another. You and your doctor will decide what’s right for you.
Tramadol: This is a pain reliever that can delay ejaculation. It may be prescribed if antidepressants don’t help. This medicine is addictive, so it may not be an option for you.
Anesthetic creams or sprays: You put these on the head of your penis to make it less sensitive. Leave it on for about 30 minutes. It must be washed off before sex so you don’t lose your erection or cause loss of sensation for your partner.