There is no doubt that all men want to enjoy themselves fully during sexual intercourse, but still, some find it difficult to control premature ejaculation. Early ejaculation seems to be the most prevalent type of sexual disorder among men
According to the American Urological Association. Early ejaculation affects about 30-40% of men at some point in their lives. Early ejaculation affects over one-third of males aged 19 to 60 in the United States.
Well, if premature ejaculation occurs once in a while, then there should not be a cause for alarm!
WHAT IS PREMATURE EJACULATION?
This is a process by which a man releases sperm sooner than expected during sexual contact. It normally occurs in less than a minute of sexual intercourse. Basically, there is no stated time for ejaculation, but a man who ejaculates fast might end up losing an erection and might lead not enjoy sex with his partner.
WHAT IS THE BASIS OF EJACULATION?
Ejaculation is a reflex activity that is regulated by the central nervous system. When there is sexual excitement in a man, a signal is sent to the spinal cord alongside the brain. After this sexual excitement takes place, then The brain then sends instructions to your sex organs. Sperm is released via the penis as a result of this.
There are two basic steps during ejaculation which include, the emission and expulsion phases.
What happens in the first phase and second phase?
• In the first phase, sperm from the testicles travels to the prostate and combines with seminal fluid to form sperms, this is known as EMISSION. The vasa deferentia is a tube that assists in the movement of sperm first from the testicles to the penis base
• In the second phase, muscles present at the base of the penis strain almost every 0.8 seconds, expelling sperm out in up to 5 surges. This is known as EXPULSION
SYMPTOMS OF PREMATURE EJACULATION
There are not many symptoms regarding premature ejaculation, except for the fact that the man’s failure to keep up ejaculation for further than a minute following penetration during intercourse on a frequent basis.
Early ejaculation can further be classified into primary and secondary.
Primary premature ejaculation: Some refer to this as long-life PE. This refers to quick ejaculation occurring virtually every intercourse, with almost any female counterpart, and most typically from the first sexual interactions in the teenage years, resulting in lifelong premature ejaculation.
Secondary premature ejaculation: is also referred to as the acquired PE. Occurs due to experience from sexual intercourse with no problem of ejaculation.
MAIN CAUSES OF PREMATURE EJACULATION
There are quite a lot of factors that contribute to the causes of premature ejaculation, Even though the exact causes are not known. Premature ejaculation includes quite a mix of both biological and psychological factors.
Let us walk you through some causes of premature ejaculation.
PSYCHOLOGICAL CAUSES
This may include :
• ANXIETY ABOUT PERFORMING; this might happen due to reasons such as being nervous with someone new. At times, it could also be a result of the anxiousness of the man, after many months of staying away from sexual intercourse. Or it might even be from a lack of confidence.
• DEPRESSION: this also is one thing that can cause premature ejaculation in men. This might result from an issue faced recently, maybe with a partner or family. With this, there is a high chance that premature ejaculation might occur.
• POOR BODY STRUCTURE; having a poor body image is one factor that is psychological. It can also contribute to a man having a quick ejaculation. There is always this relationship between body image and sex. Early ejaculation has been linked to a poor behavioural body image in sexual contexts and evaluative body image dissatisfaction.
Others ones include
• having problems in relationships
• stress
• sexual abuse
• Age
• Low levels of serotonin, are brain chemicals linked to sexual desire and pleasure.
DIAGNOSIS OF PREMATURE EJACULATION
It is usually important that whenever premature ejaculation becomes a disturbance for your sexual enjoyment, it is usually important one visit a doctor. Some questions would be asked by the doctor just to be able to get a clear picture of the problem. Another thing your doctor might do is examine you physically.
TREATMENTS FOR PREMATURE EJACULATION
According to many experts, there are various ways to treat premature ejaculation. The treatment to be recommended also depends on the causes.
There are various ways by which premature ejaculation can be treated, these include behavioural therapy, psychological therapy as well as drugs. Let us take a quick look at them
1. Behavioural TREATMENT;
Behavioural treatment entails experimenting with various strategies to postpone orgasm. Its purpose is to educate you on how to manage your body and emotions. They include;
• SQUEEZE METHOD: This method has been able to stop some few men from early ejaculation. It involves squeezing the penis when it fills like you are reaching the climax. Your partner can help in doing this until you eventually lose your erection. Although it is not proven to work 100 percent.
• THE START-STOP METHOD: In this method, your partner can help excite your penis till you’re about to ejaculate When you are about to cum, you or your partner should halt until the craving for sperm has passed. Your partner can continue to excite your penis once again as you recover control. This operation is carried out about three to four times
2. PSYCHOLOGICAL THERAPY
It is a technique for dealing with sentiments and feelings that might cause issues in sexual interactions. The purpose of this form of treatment is to figure out what’s causing the issue and come up with ways to aid PB. It can also aid in the intimacy of couples.
Psychological treatment might assist you in feeling more confident about your sexual prowess. It can also increase your partner’s enjoyment by giving you more sexual confidence and understanding. This sort of treatment can be utilized as a stand-alone treatment or in conjunction with medical or psychological treatment.
3. DRUGS
How can drugs help in stopping premature ejaculation?
According to the observation of medical practitioners, The serotonin level is controlled by tramadol, sertraline, paroxetine, clomipramine, and fluoxetine. Based on some recommendations, the drugs can be taken every day or just before sexual intercourse. Your doctor should be the one to determine when it should be taken, and these most times are based on your activity level.
FREQUENTLY ASKED QUESTIONS
• HOW CAN I MAKE MY SPOUSE SATISFIED WITH EJACULATING EARLY?
Changing to different sorts of stimulation that aren’t sexual or even sensation can assist. these are can be Kisses, sensuous caressing, massages, having a bath jointly, and sex toys are all things that we often overlook.
• HOW CAN I MAINTAIN MY HARDNESS AFTER AN EARLY EJACULATION?
VIAGRA!
Viagra helps keep the erection going after ejaculation and shortens the time it takes to get a subsequent erection. These
drugs can be used in conjunction with a variety of lotions to help reduce irritation.
Adebola Ibrahim Opeyemi, is a freelance content writer and educational consultant who is quite acquainted with the health sector due to his excessive reading and research. He is a final year student of Microbiology at the University of Lagos.
