There can be many causes of PE, ranging from physical to psychological factors, but the exact cause is unknown.
A number of physical factors can cause PE. These include:
Psychological factors are a little more complex. Feelings of anxiety and guilt can cause you to rush through sex and this can, in part, be due to previous sexual experiences that could have been unpleasant or traumatic.
Premature ejaculation usually takes a multi-pronged approach of medication and behavioural treatment. Our doctors will be able to recommend the most appropriate treatment course for you.
Psychological therapy is a way to work through the negative feelings and emotions that arise during sex. As you begin to manage your emotions better, you will gradually become less nervous and more confident about your sexual performance. This type of therapy can be used as the only treatment or in combination with medication or behavioral therapy.
The Squeeze Method
This method helps you become aware of the sensations leading to climax. With this method, your penis is firmly squeezed when you are close to ejaculation. As you become aware of what the climax feels like, you will slowly be able to better control your ejaculation.
The Stop-Start Method
This method helps you slowly regain control of your ejaculation. With this method, your penis is stimulated until you are close to climax and then stopped, allowing the urge to climax to let up. This process is repeated three times and you ejaculate on the fourth time.
This method is repeated three times a week until you have gained more control.
Pelvic Floor Exercises
To train your pelvic muscles, try Kegel maneuvers that essentially involve engaging and relaxing your pelvic muscles for three counts consecutively. Do this a couple of times a day, slowly building up to three sets of 10 a day.
Training your muscles may take some time to actually produce a difference. This also depends on whether this is the cause of your PE.
Depending on your condition, numbing agents and medication (e.g dapoxetine) may help. In the event that you experience ED concurrently with PE, it could be attributed to psychological factors.
Decreasing the sensitivity of your penis may help to delay ejaculation. You can do so by wearing a condom or applying a numbing agent directly.
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A GP can suggest possible treatments and methods may differ in accordance to your condition. The most important step is to first seek professional advice as most men who persevere with treatment find the problem resolves.
Weak pelvic floor muscles might make it harder to delay ejaculation - so if that is the cause of your PE, doing kegel exercises may help. Kegels work by strengthening the urinary sphincter and the muscles that control ejaculation. Again, treatment works differently for everyone - our doctors can advise better.
While not approved by the FDA to treat PE, some medications such as antidepressants, pain relievers and Phosphodiesterase-5 inhibitors (drugs for erectile dysfunction) can delay orgasm. Effects may take up to 3 weeks to take place.
No, premature ejaculation is a curable condition, although it may take some time to find the right combination of treatment methods that would work for you.
It is believed that excessive masturbation causes PE; however this theory isn’t true. In fact, one of the ways to treat PE is through controlled masturbation.
While PE can prevent the delivery of sperm into the vagina, there is no evidence that the condition itself causes low sperm count and sperm quality. PE is only a cause for infertility if ejaculation occurs before penetration.