Premature EjaculationSEXUAL WELLNESS

PREMATURE EJACULATION(शीघ्रपतन ): Causes, Symptoms and Techniques to Treat by Sexologist Dr Nawal Kishore

Dr Nawal Kishore

Medishala had a talk with Dr. Nawal Kishore one of the Top Sexologist in Patna. So now let us see what he has to say about Premature Ejaculation : its cause, it’s preventions and Treatment:

What is Premature Ejaculation??

Ejaculation is the release of semen from the body. Premature ejaculation or PE is when ejaculation happens sooner than a man or his partner would like during sex. PE might not be a cause for worry for most of the times. It can be frustrating if it makes sex less enjoyable and impacts relationships. But if it happens often and causes problems, your health care provider can help.

However, you might be diagnosed with premature ejaculation if you:

  • Always or nearly always ejaculate within one minute of penetration.
  • Are unable to delay ejaculation during intercourse all or nearly all of the time.
  • Feel distressed and frustrated, and tend to avoid sexual intimacy as a result.

PE is also known as:-

  • Rapid ejaculation
  • Premature climax
  • Early ejaculation

How Does Ejaculation Work?

Ejaculation is controlled by the central nervous system. When men are sexually stimulated and aroused, signals are sent to your spinal cord and brain. When men reach a certain level of excitement, signals are then sent from your brain to your reproductive organs. This causes semen to be released through the penis (ejaculation).

Ejaculation has 2 phases: emission and expulsion.

Phase 1: Emission

Emission is when sperm moves from the testicles to the prostate and mixes with seminal fluid to make semen. The vasa deferentia are tubes that help move the sperm from the testicles through the prostate to the base of the penis. (When you are talking about just 1 of these tubes, it is called a vas deferens.)

Phase 2: Expulsion

Expulsion is when the muscles at the base of the penis contract. This forces semen out of the penis. Usually, ejaculation and orgasm (climax) happen at the same time. Some men climax without ejaculating. In most cases, erections go away after this step.

What Are The Symptoms??

The key symptoms of premature ejaculation include:

  • Ejaculation that routinely occurs with little sexual stimulation and with little control
  • Decreased sexual pleasure because of poor control over ejaculation
  • Feelings of guilt, embarrassment or frustration

What Are The Cause Of PE??

Psychological causes

Psychological factors that might play a role include:

  • Early sexual experiences
  • Sexual abuse
  • Poor body image
  • Depression
  • Worrying about premature ejaculation
  • Guilty feelings that increase your tendency to rush through sexual encounters
  • Relationship problems.

Biological causes

A number of biological factors might contribute to premature ejaculation, including:

  • Abnormal hormone levels
  • Abnormal levels of brain chemicals called neurotransmitters
  • Inflammation and infection of the prostate or urethra
  • Inherited traits
  • Erectile dysfunction

Medical causes:-

The following are possible medical causes of PE:

  • Diabetes.
  • Multiple sclerosis.
  • Prostate disease.
  • Thyroid problems.
  • Illicit drug use.
  • Excessive alcohol consumption.

What Are The Treatment Available?

Psychological Therapy:-

Therapy is a way to address the negative feelings and emotions that lead to problems with sexual relationships. Psychological therapy can be used as the only treatment, or it may be used along with medical or behavioral therapy

Behavioral Therapy:-

Behavioral therapy uses exercises to help build a tolerance to delay ejaculation. The goal is to help you train your body away from Premature ejaculation

The Squeeze Method:-

With this method, your partner stimulates your penis until you are close to ejaculation. When you are close, your partner firmly squeezes your penis so your erection partly goes away. The goal is for you to become aware of the sensations leading to climax. Then you can better control and delay climax on your own.

The Stop-Start Method:-

In this method, your partner stimulates your penis until just before ejaculation. Your partner then stops until the urge to climax lets up. As you regain control, you ask your partner to start stimulating your penis again. This process is repeated 3 times. You ejaculate on the fourth time. You repeat this method 3 times a week with your partner until you have gained more control.

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Drugs for PE can be taken every day or only before sex. Your health care provider will decide when you should take a drug based on your activity level. The best time to take the drug is not clear. Most doctors suggest from 2 to 6 hours before sex. PE can return if you stop taking these drugs. Most men with PE need to take these drugs on an ongoing basis.

Numbing Creams or Sprays:-

These creams/sprays are put on the head of the penis about 20 to 30 minutes before sex. If you leave the numbing cream/spray on your penis for longer than suggested, your erection may go away. Also, the numbing cream/spray should not be left on the exposed penis during vaginal sex because it may cause vaginal numbness

Talking with your partner…

If someone is experiencing PE, it’s important to talk about it with your partner, rather than ignore it or deny that it exists. Be calm and discuss your options.

Both of you should understand that:

  • PE is usually a treatable condition.
  • It’s very common. (1 out of 3 men)
  • Exploring the causes and treatments for PE may help resolve other issues related to the relationship and can even help in treatment for anxiety, depression, or other mood disorders, as well as hormonal or other physical causes.

If you are also suffering from PE first of all have a meaningful conversation with your partner this will help you out in every manner. As mentioned above 1 out of 3 men use to suffer from PE and it can be easily treated by going through some treatments and therapy. If you want to seek the help of doctor then you can book an online appointment of best doctors listed on Medishsla. Book Your appointment today either on Medishsla App Or website.


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