Premature ejaculation

What is premature ejaculation?

Premature ejaculation, also called rapid ejaculation, is a condition in which a man ejaculates too quickly, often before or very shortly after he has penetrated his partner, resulting in an unsatisfactory sex life.

There is no clear definition of ‘too quickly’: it varies from person to person and relationship to relationship. Coming ‘too quickly’ can be defined as coming (ejaculating) before you would like to or before your partner is satisfied. Most men experience premature ejaculation at some time, but it becomes a problem with sexual relations if it occurs during most sexual encounters.

It’s common in adolescents because the younger a man is, often, the more quickly he will get an erection and ejaculate (‘come’), and the less time he needs between erections before he can have sex again.

What causes premature ejaculation?

Traditionally, premature ejaculation has been regarded as having a psychological cause, usually some form of anxiety. More recently there has been interest in looking for neurobiological causes, such as increased penile sensitivity and lower ejaculatory threshold. In any particular man it may be impossible to be certain about the cause.

There are many types of anxiety that may cause a man to ‘come’ too quickly, such as anxiety about his performance while having sex, fear of being caught in the act, concern about making his partner pregnant, or worry about catching a sexually transmitted disease (STD).

What treatments are available?

Often, the problem of premature ejaculation diminishes as you become more secure with your partner or the circumstances in which you’re having sex. It is important to include your partner as much as possible in therapy, and to remove as much as possible feelings of pressure, shame or failure. Generally it is wise to avoid intercourse and associated feelings of failure until the premature ejaculation is treated. Your general practitioner, counsellor or therapist will be able to show you and your partner techniques to help delay ejaculation.

Behavioural therapy

One type of behavioural therapy, known as the stop-and-start technique, allows your partner to stimulate your penis until you feel you are about to ejaculate. On your signal, your partner stops stimulation, waits for 20 or 30 seconds and then begins stimulation again. Over time, and with practice, this technique has been shown to help many men to get improved control of their ejaculation.

The squeeze technique has also been commonly used. This involves withdrawing the penis (or stopping foreplay) prior to orgasm and squeezing the end of the penis, where the head (glans) joins the shaft, for several seconds until the urge to ejaculate passes. Sexual activity can then be resumed.

Medicines

A variety of medicines have also been used to treat premature ejaculation. Topical anaesthetics are sometimes prescribed, but these have obvious limitations, including reducing the partner’s sensation, and are often not successful.

Selective serotonin reuptake inhibitors (SSRIs, a type of antidepressant) are often used to treat premature ejaculation. Some SSRIs are more effective than others, but they can help delay ejaculation significantly. An SSRI called dapoxetine (Priligy) is available as a specific treatment for premature ejaculation for some men. SSRIs can sometimes be taken on an ‘as needed’ basis, an hour before intercourse, or they can be taken on a regular basis.

There has been some literature on using medicines that are normally used for erectile dysfunction for premature ejaculation, but this is probably only successful where there is also a component of erectile dysfunction.


 
Sponsored links
Advertisement
Advertisement
Advertisement
Advertisement
This web site is intended for Australian residents and is not a substitute for independent professional advice. Information and interactions contained in this Web site are for information purposes only and are not intended to be used to diagnose, treat, cure or prevent any disease. Further, the accuracy, currency and completeness of the information available on this Web site cannot be guaranteed. Cirrus Media Pty Ltd, its affiliates and their respective servants and agents do not accept any liability for any injury, loss or damage incurred by use of or reliance on the information made available via or through myDr whether arising from negligence or otherwise.
See Privacy Policy and Disclaimer.