Premature ejaculation is a form of male sexual dysfunction. The manual used by psychiatrists and psychologists for making a clinical diagnosis (known as the DSM-V) defines premature ejaculation as a sexual disorder only when the following description is true:
“Ejaculation with minimal sexual stimulation before or shortly after penetration and before the person wishes it. The condition is persistent or occurs frequently and causes significant distress.”
Worry about premature ejaculation reinforces false ideas that men are known to have, that they feel they are to blame, have failed, are alone in their problem, or cannot be treated – when the opposite of these is true.5 A lot of embarrassment and stigma can be attached to a boy’s or man’s concerns about sexual performance.
There is no biological test or device that can confirm a problem with premature ejaculation – it is purely a process of taking history about a man’s or a couple’s experiences that will reveal the problem.
From the point of view of the man and his sexual partner, premature ejaculation means the man having an orgasm or ‘climaxing’ sooner than wanted.
Estimates of the prevalence of men who think they have had premature ejaculation range between 15% and 30% – these are figures of ‘self-reported’ prevalence obtained through surveys.
However, premature ejaculation in general remains the most common form of male sexual dysfunction – more common than erectile dysfunction.
What causes premature ejaculation?
Most cases of premature ejaculation are not related to any disease and are instead due to psychological factors. Examples of psychological causes include: Sexual inexperience, Novelty of a relationship, Overexcitement or too much stimulation, Relationship stress, Anxiety, Guilty feelings, Depression, Issues related to control and intimacy.
Medical causes of premature ejaculation
Possible medical causes include: Diabetes, Prostate disease, High blood pressure (hypertension), Thyroid problems (overactive or underactive thyroid gland), Illicit drug use, Excessive alcohol consumption, Erectile Dysfunction, Low levels of serotonin, Multiple sclerosis
Treatment of premature ejaculation
Majority of cases have a psychological cause, and the prognosis is “good.” If the problem is at the beginning of a new sexual relationship, PME is likely to resolve as the relationship matures.
In most of the cases involving any psychological or relationship issue, – a session with the doctor may be of vital help.
Pills to treat premature ejaculation
Some antidepressants may help men to delay ejaculation, including selective serotonin reuptake inhibitors (SSRIs).
Methods / Techniques to improve ejaculation timing
Two methods that can be tried in the privacy of a man’s or a couple’s home without any other treatment intervention:
The start-and-stop method
The squeeze method.