Premature ejaculation (PE) became a worldwide sexual health concern among men. The condition is characterized by persistent of recurring pattern of ejaculation, happening within one minute of vaginal penetration during sex. In America, about 1/3 of the male population have experienced acquired or lifelong premature ejaculation.
However, the condition of PE varies from each person. Some men experience reaching into orgasm and ejaculation even before the occurrence of physical stimulation. Others experience PE during the physical stimulation (like petting, oral sex, foreplay, intercourse and penetration). Some men always experience PE which classifies it as lifelong PE; and others develop it later in life which means that it is classified as acquired PE.
There are various possible origins to premature ejaculation and these include the following:
- Lack of sexual knowledge
- Physiological factors
- Hypersensitivity of the penis
- Genetic components
- Nerve conditions
- over-excitable bulbocavernosus reflex
- low serotonin levels
- side effects of medication
- Psychological factors
- Negative experience
- Anxiety on performance
- Substance abuse
- Relationship issues
- Sporadic vent on sex and masturbation
There are varying levels of effectiveness for the treatment of PE, but know that there are common methods or procedures for learning ejaculatory control.
- Squeeze Method
A behavioral kind of treatment wherein the penis is aroused greatly and then the stimulation is then stopped. Pressure is then put on the frenulum until the feeling of ejaculation slowly diminishes. Other variation for this is what they call, start-stop method, wherein squeezing of the frenulum is not used.
- Pelvic Floor Muscle Training
Helps to strengthen the penis and enables improvement on tone and reduction of PE symptoms. These exercises are also called as Kegel exercises and they can be performed either solo or partnered, with an erect or lax penis.
- Topical Desensitizing Sprays and Creams
Diminish the sensation for hypersensitivity of the penis as related to PE. These sprays or creams are usually lidocaine-based and must be absorbed by the skin in order to lower the risk of transfer of the numbing agent to the sexual partner. There are two popular desensitizing products often used for PE management—Dynamo and Promescent.
- Sex Therapy
Can be utilized to express and release anxiety and fears through self-defeating narratives, improvement of self-esteem and dealing with relational challenges or difficulties. Deep breathing exercises and meditation are common practices within this method.