Overview
Premature ejaculation occurs when a man climaxes before he wants, typically within one minute of sexual activity or intercourse. It is one of the most common forms of male sexual dysfunction and has probably affected every man at some point in his life.
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Cause
There are emotional and physical causes for premature ejaculation. It may occur with a new partner, in certain sexual situations or if it has been a long time since the last ejaculation. Anxiety, guilt or depression also may contribute. In some cases, premature ejaculation may relate to an underlying medical issue such as hormonal problems, injury or medicinal side effects.
Symptoms
The primary symptom is an uncontrolled and undesired ejaculation, with minimal sexual stimulation.
Diagnosis
A physician conducts a thorough exam, including a discussion about medical and sexual history. Semen, urine and blood tests may rule out more serious medical problems.
Treatment
Thousands of men have overcome premature ejaculation with help from The Urology Group:
- Behavioral changes: Relaxation or distraction exercises can help delay ejaculation; counseling or behavioral therapy may be advised. Cutting down on alcohol, tobacco or drug use may also help.
- Medication: Certain antidepressants may be used to treat premature ejaculation because these medications inhibit or delay orgasm as a side effect.
- Topical therapy: Anesthetic creams and sprays that contain a numbing agent, such as prilocaine or lidocaine, are sometimes used to treat premature ejaculation. These products are applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.
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