Premature Ejaculation: 5 Things To Know

Saturday, May 23, 2015

Premature ejaculation is one of those areas in Urology that isn’t necessarily black and white. It is defined as an ejaculatory latency period that is not satisfactory to a man and/or his partner. This latency period may be anywhere between 15 to 120 seconds after stimulus. Determining whether or not an ejaculation occurred too soon during sexual intercourse is something the man and his partner will have to decide.However, there are certain things you should know when considering this issue. Let’s take a look at it from physiological, neurological and experiential perspectives.Understanding the erection: An erection forms after a series of processes take place within the body following some sort of stimulus. This can be mental, visual or physical. The stimulus sends nerve impulses down to the penis, which allows more blood flow into the penis, thus enlarging it. Once an ejaculation occurs, the blood flow leaves the penis and it returns to a non-erect state.Defining Premature EjaculationInability to delay ejaculation during sexual intercourse.Experiencing an ejaculation within one minute each, or nearly each, time.Becoming frustrated or distressed because of lack of ejaculation control and avoiding sexual activity.Lifelong (primary) Premature Ejaculation:  Lifelong PE means that the issue has existed since your very first sexual encounter and persists to this day. Some common causes of lifelong PE may be:Psychological issuesSexual anxiety that may relate to traumatic experiences during development.Genetic disorders, nerve disorders, issues with Serotonin receptorsAcquired (secondary) Premature Ejaculation: Acquired PE will have the same symptoms but their onset comes after you’ve had successful ejaculations during sexual experiences. Some common causes of acquired PE may be:Performance anxiety during sexual intercourseIncreased penile sensitivityTreatment options: Many treatment options exist and each will depend on your specific situation, but some of the most common include:Pause-Squeeze: It is sometimes recommended to perform this technique during sex in order to prolong an erection. Essentially, just before ejaculation, you remove the penis and squeeze it where the head meets the shaft until the urge to ejaculate goes away. Then resume sexual activity and repeat once the urge to ejaculate returns. The idea is to train the body to control the ejaculation.Topical creams and sprays: These anesthetics serve to numb the sensations on the penis, which in turn may delay ejaculation. It must be noted though, that these may come with side effects.Anti-depressant medications: the ‘delayed ejaculation’ side effect of some anti-depressant medications can be used to help treat PE.There is of course so much more to know about premature ejaculation and in order to best educate yourself and learn about the potential treatment options, you should consult with your doctor.The following is a link to our own Dr. Kansas talking about PE: https://www.youtube.com/watch?v=9mxpaVcu98E *The Urology Team has qualified and experienced doctors at three convenient locations in the Austin area. Contact us today for any of your needs. It’s the uro-logical choice!