Premature ejaculation disease: medications, symptoms, etc. & bull; hello healthy

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Definition

What is premature ejaculation?

Ejaculation is the release of sperm and semen through the penis. Ideally, a man needs a process from sexual stimulation to ejaculation.

Quoted from the Mayo Clinic, premature ejaculation is a condition when a man ejaculates faster than he wants during sexual intercourse.

The discharge of semen can occur before sexual intercourse, for example when starting out foreplay .

There are also men who experience it when they have just penetrated the vagina or some time after penetration.

What the three have in common is a loss of control over orgasm.

Losing control over ejaculation shouldn't be a problem if it only happens occasionally.

Like men who have not ejaculated in a long time, it is very likely to have an orgasm sooner.

This complaint only becomes a problem if it occurs every time you have sex. Disturbance during ejaculation is also not something that endangers men's health.

However, premature ejaculation that occurs continuously can be a problem for men and cause feelings of disappointment in the partner.

This is because gradually, this condition can trigger fertility problems.

What are the types of premature ejaculation?

Based on the time of occurrence, premature ejaculation is divided into the following two categories:

Primary ejaculation disorders

Ejaculation problems that arise once you start sexually active.

This condition can occur in a fairly frequent frequency or even every time you have intercourse.

Secondary ejaculation disorders

In contrast to primary disorders, this condition is new. Before, you never experienced any kind of distraction.

How common is premature ejaculation?

Among the many fertility problems in men, premature ejaculation is one of the most common complaints and can be experienced by all ages.

Especially for those of you who are prone to stress, erectile dysfunction, and have other factors that often go unnoticed.

The number of men who experience it varies, but at least 1 in 3 men have had the same complaint and face difficulties in overcoming it.

Does premature ejaculation affect fertility?

It can be said that premature ejaculation is not a direct cause of fertility problems in men.

Although, this condition can cause problems for couples who are planning a pregnancy.

This feeling of anxiety, embarrassment, and frustration can interfere with the quality of the relationship, thus affecting fertility indirectly.

However, you and your partner should not worry too much because premature ejaculation can still make women pregnant.

This is because the most important thing is that penetration remains in the vagina and does not use safety devices.

Semen generally contains 100 to 200 million active sperm in 2 to 5 ml of discharge.

Features & symptoms

What are the characteristics and symptoms of premature ejaculation?

The main symptom or characteristic of premature ejaculation is the inability to delay ejaculation more than one minute after penetration.

However, this condition can also occur in any sexual situation, including masturbation.

Normally, the average time it takes for a man to ejaculate will take about 4-5 minutes.

However, most health experts define one of the usual features of premature ejaculationin just 30-60 seconds orless than two minutes after penetration.

Premature ejaculation is also characterized by orgasm that occurs even after minimal sexual stimulation.

Men who have problems with ejaculation are very likely to experience a decrease in sexual desire. As a result, you will often feel guilty, embarrassed, and even frustrated.

However, ejaculation that occurs earlier does not automatically indicate that you have premature ejaculation.

Pay attention to whether this condition only occurs occasionally or recurs.

Do not hesitate to consult a doctor about the characteristics, signs, or other problems related to this condition.

When should I see a doctor?

Consult your doctor when you always have problems ejaculating every time you have sex.

Almost all men are embarrassed to talk about sexual health problems.

However, it is better to discuss this with a medical professional who understands your complaint.

Moreover, premature ejaculation is a treatable condition.

Cause

What causes premature ejaculation?

The cause of premature ejaculation is not known with certainty. In the past, the trigger was thought to only come from the sufferer's psychological factors.

Now, many experts agree that ejaculation that occurs out of control is a result of both psychological and biological problems.

Psychological factors that can cause ejaculation disorders include:

• Sexual experiences include trauma from sexual violence.
• Low self-esteem.
• Poor body image which lowers self-confidence.
• Unrealistic expectations regarding sexual performance.
• Psychological disorders such as depression, anxiety disorders, or prolonged stress
• Guilt that creates a tendency to rush during sexual intercourse
• Personal problems with partners
• Excessive sexual stimulation

Meanwhile, biological factors that can trigger this condition include:

• Abnormal hormone levels, including low levels of serotonin in the body.
• Abnormal levels of neurotransmitters in the brain.
• Abnormal reflex activity of the ejaculatory system.
• Thyroid problems
• Inflammation and infection of the prostate or urethra.
• Damage to nerves due to surgery or injury (very rare).

Risk factors

What increases my risk for premature ejaculation?

Just like other health conditions, problems with premature ejaculation also have a number of risk factors that can increase the likelihood of health problems.

Premature ejaculation is more common in men who experience erectile dysfunction, also known as impotence.

When receiving sexual stimulation, the body responds with an erection on the penis.

Worrying about not being able to maintain an erection can make you want to finish sexual intercourse, whether on purpose or not.

Several chronic diseases are closely related to problems with erection and ejaculation. Both are influenced by the nervous system and blood circulation to the penis.

If left untreated, then the reproductive organs will suffer the impact. The types of chronic diseases that can cause premature ejaculation include:

• Diabetes
• Heart disease
• High blood pressure
• Hormonal disorders
• Disorders of the prostate

Diagnosis

How do doctors diagnose this condition?

The diagnosis of ejaculation problems is based on the symptoms you are experiencing.

Therefore, doctors need to ask some questions to get an idea of ​​ejaculation disorders and their relation to sexual life.

Questions asked by doctors usually include:

• How long have you had problems with ejaculation?
• How often do you experience premature ejaculation?
• How much sexual stimulation does it take to make you ejaculate?
• Do you have ejaculation problems only occasionally or every time you have sex?
• Are you able to withstand ejaculation until the end of penetration?
• Does your partner feel uncomfortable or frustrated?
• How do ejaculation problems affect your sexual activity?
• How will ejaculation problems affect your quality of life?

If the sexual history is considered insufficient to describe the contributing factors, the doctor can also perform a physical examination and other examinations.

Investigations include examining the nerves, prostate, urine, hormone level tests, and other aspects.

Medicines & Medicines

The information provided is not a substitute for medical advice. ALWAYS consult your doctor.

What are the treatment options for me?

Most cases of early orgasm are caused by psychological factors and can be treated properly.

The choice of treatment used is through medical treatment or psychological therapy.

The following are methods for treating premature ejaculation that can be done with certain drugs:

Topical anesthesia

Anesthetic creams and sprays that cause a numbing sensation such as lidocaine or prilocaine are sometimes used to treat premature ejaculation.

These products are used on the penis just before sexual intercourse to reduce sensation and help delay ejaculation.

Although topical anesthetics are effective, they can also cause a number of side effects.

For example, some men complain of temporary loss of sensitivity and decreased sexual desire.

Medicines that are consumed directly

There are various types of drugs to treat premature ejaculation.

These drugs are generally included in the class of antidepressants, analgesics, and inhibitor phosphodiesterase-5.

Several types of drugs from the group serotonin reuptake inhibitors (SSRI) can also be used, of course, with a doctor's prescription.

Doctors usually will not recommend the use of drugs until they are absolutely sure that the cause is psychological.

This method is only recommended when the following conditions exist:

• Ejaculation occurs less than two minutes after penetration
• You have no control over ejaculation
• There are signs of frustration or stress from premature ejaculation
• Ejaculation occurs after you receive very little sexual stimulation before, during, or just after penetration
• Ejaculation problems have occurred every time you have sex during the last 6 months

The use of drugs has the potential to cause side effects so you should consult a lot with your doctor before using this method.

Side effects often faced by patients include nausea, temporary visual disturbances, dizziness, diarrhea, headaches, dry mouth, to decreased libido.

Psychological and behavioral therapy

Without having to always use drugs, you may experience premature ejaculation that goes away when you start sexually active.

In cases that have been going on for a long time, the doctor can suggest special therapy for the couple.

The following are psychological and behavioral techniques that are commonly used to treat premature ejaculation:

Behavioral techniques

Behavioral techniques for dealing with ejaculation problems consist of simple steps such as masturbating an hour or two before sexual intercourse.

Your doctor may advise you to temporarily stop having sex and use sexual toys as an alternative.

This method is quite effective as a way of dealing with 60-90% of cases of early orgasm.

However, it takes good cooperation between you and your partner to get optimal results.

Can come back at any time, so you may need to reapply as needed.

Stop-wringing technique

Your doctor can instruct you and your partner to use a method known as the stop and squeeze technique. How this method works, namely:

• Begin your usual sexual activity, including penile stimulation, until you feel you are going to ejaculate.
• Ask your partner to squeeze the base of your penis. Do it for a few seconds, then get back to doing it foreplay .
• Squeezing the penis will prevent an erection. When sexual stimulation is continued, erections will return.

After a few training sessions, your condition will probably improve and you no longer need this technique. You can also see an explanation from the video below:

Counseling

Consulting with a therapist about sexual experiences and relationships can also be done as a way to deal with premature ejaculation.

This is useful so that you can deal with stress and reduce anxiety during sexual intercourse.

Home remedies

What are some lifestyle changes or home remedies that can be made?

Premature ejaculation can be reduced by following habits and lifestyle:

• Maintain a healthy lifestyle and increase sports activity.
• Avoid smoking and consuming alcohol.
• Find ways to manage stress deeply.
• Improve the relationship with your partner, and take care of yourself.
• Use of condoms can reduce penile stimulation.
• Masturbate during the one or hour before sexual intercourse.
• Take deep breaths to prevent the ejaculation reflex before orgasm.
• Give pause during sexual intercourse and divert thoughts.

Pelvic floor strengthening techniques

You can also do pelvic floor strengthening techniques to regain control of ejaculation. This method is useful for extending the time before you have an orgasm.

The pelvic floor strengthening technique consists of the following four steps:

1. When you urinate, try to find specific muscles in your pelvis that you can control.
2. You can check this by stopping urinating for a few moments.
3. While lying down, contract your pelvic floor muscles for three seconds, then let the muscles relax for three seconds.
4. Do this 10 times in a row, at least three times a day.
5. Slowly but surely, increase the duration of the contraction and relaxation of the pelvic floor muscles. Try doing it in other positions such as standing, sitting, or walking.
6. Breathe in as you do this exercise and focus only on your pelvic floor muscles. Don't strain your stomach, thighs, or glutes.

Premature ejaculation is a common problem that can be treated through therapy, medication, and lifestyle improvements.

If the ejaculation problem persists or you have many unanswered questions, consult your doctor for a solution.