Premature Ejaculation

 

Premature ejaculation

Premature ejaculation occurs in men when semen leaves the body (ejaculate) sooner than wanted during sex. Premature ejaculation is a common sexual complaint. As many as 1 out of 3 people say they have it at some time.

Causes

The exact cause of premature ejaculation isn't known. It was once thought to be only psychological. But health care providers now know that premature ejaculation involves a complex interaction of psychological and biological factors.

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 can cause you to rush through sex

Other factors that can play a role include:

·         Erectile dysfunction. Being anxious about getting and keeping an erection might form a pattern of rushing to ejaculate. The pattern can be difficult to change.

·         Anxiety. It's common for premature ejaculation and anxiety to occur together. The anxiety may be about sexual performance or related to other issues.

·         Relationship problems. Relationship issues can contribute to premature ejaculation. This may be true if you've had sexual relationships with other partners in which premature ejaculation didn't happen often.

 

Biological causes

A number of biological factors might contribute to premature ejaculation. They may include:

·         Irregular hormone levels

·         Irregular levels of brain chemicals

·         Swelling and infection of the prostate or urethra

·         Inherited traits

Self-help

There are a number of self-help techniques you can try before getting medical help.

These include:

masturbating 1 to 2 hours before having sex

using a thick condom to help decrease sensation

taking a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body, during which you ejaculate)

having sex with your partner on top (to allow them to pull away when you're close to ejaculating)

taking breaks during sex and distracting yourself by thinking about something completely different

If you're in a long-term relationship, you may benefit from having couples therapy.

You'll be encouraged to explore issues that may be affecting your relationship and be given advice on how to resolve them. You may also be shown techniques that can help you "unlearn" the habit of premature ejaculation.

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