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Premature Ejaculation

The incidence of ejaculation disorders in men stands at around 30% globally and males below 40 years of age are mostly affected.

Ejaculation disorders can be classified as follows:

Inhibited or retarded ejaculation: When ejaculation is slow to occur or delayed, it's termed as inhibited / retarded ejaculation. Psychological factors play an important role in retarded ejaculation.

Retrograde ejaculation: When the ejaculate goes backwards into the urinary bladder instead of being expelled out through the outer end of the penis, it's termed as retrograde ejaculation. Surgery on the bladder neck or prostate, diabetes, etc. can be the cause for this.

Premature ejaculation: This is the commonest of ejaculation disorders and refers to ejaculation that occurs before or soon after penetration. There is nothing like a time-limit to classify the time of ejaculation as this may vary from case to case. However, if ejaculation occurs before the person (or his partner) wishes i.e. prematurely, it may leave the couple feeling dissatisfied. This may occur before vaginal penetration or at a point just after penetration.
Premature ejaculation tends to be common in young males due to hyperexcitability and often due to excess stimulation. It generally improves with the adoption of premature ejaculation treatment combined with the right kind of treatment.

Listed here are some of the causes of premature ejaculation:

  • Concern / anxiety about sexual performance
  • Marital discord, lack of attraction for the partner
  • Depression
  • Guilt
  • Past sexual trauma
  • Stress
  • Fixed mindset that believes sex is sinful

Premature ejaculation can rarely be caused due to:

  • Damage to the spinal cord or the back
  • Medication such as anti-depressants, etc.

Premature ejaculation can be classified as primary or secondary:

  • Primary premature ejaculation is a condition in which the male has always ejaculated prematurely ever since he became sexually active (after puberty)
  • Secondary premature ejaculation is a condition in which the person has had control over his ejaculation in the past but later developed premature ejaculation due to any of the reasons discussed above.

Besides medication for effective treatment of premature ejaculation, here are some techniques that can be useful to patients in dealing with their condition:

'Stop and start' method:
To obtain effective control over the ejaculatory process, the sexual stimulation is allowed to advance to a point where the man is just about to reach orgasm. At this point, the stimulation is stopped for about 30 seconds and the process is repeated all over again. This can be continued till the man wishes to ejaculate on the last instance.

'Squeeze and pause' method:
In this method also, the sexual stimulation is allowed to advance to a point where the man is just about to reach orgasm. Thereafter, the man or his partner must gently squeeze the end of the penis (where the glans meets the shaft) for some seconds. The stimulation must be stopped for about 30 seconds and then resumed again. This process can be repeated till the man wishes to ejaculate on the last instance.

Homeopathy medicine for premature ejaculation can provide good relief to patients. Click here to read more. To understand more about coping with premature ejaculation, click here.

Male Sexual Dysfunction