Health Tools. Men's Health. Reviewed: June 3, Medically Reviewed. Reasons for Premature Ejaculation There are both psychological and biological reasons for premature ejaculation.
The psychological causes include: Early sexual experiences that establish a pattern in which sex is linked to excitement, anxiety, and a demand to perform quickly for fear of being caught. Men find themselves hypersensitive and unable to slow down and enjoy the pleasure of sex. Anxiety about sexual performance or about other life issues. This anxiety can create overstimulation that leads to premature ejaculation. Drugs for PE can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level.
The best time to take the drug is not clear. Most doctors suggest from 2 to 6 hours before sex. PE can return if you stop taking these drugs. Most men with PE need to take these drugs on an ongoing basis. Numbing creams and sprays may be put on the head of the penis about 20 to 30 minutes before sex. Wash the cream off your penis 5 to 10 minutes before sex. Wearing a condom can also help dull sensation.
With the techniques listed here, about 95 out of men will recover from PE. There is no way to promise recovery, but learning how to relax may help. If the problem stays, keep working with your health care provider to find solutions. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine. This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser.
Thank you. Urology A-Z Premature Ejaculation. What is Premature Ejaculation? Diagram of the Male Reproductive System Enlarge. Serotonin Though the exact cause of PE is not known, serotonin may play a role. Psychological Issues Psychological, or mental health, issues can be involved in PE and may include: depression stress guilt unrealistic expectations about sexual performance history of sexual repression lack of confidence relationship problems Taking care of emotional problems often helps.
Some questions he or she may ask are: How often does PE happen? How long have you had this problem? Does this happen with just one partner, or all partners? Does PE happen with each attempt at sex? What type of sexual activity i. How has PE changed your sexual activity? How are your personal relationships? Is there anything that makes PE worse or better i. Psychological Therapy Psychological therapy is a way to work through the feelings and emotions that may lead to problems with sexual relationships.
Behavioral Therapy Behavioral therapy uses exercises to help build tolerance to delay ejaculation. The Squeeze Method With this method, you or your partner stimulates your penis until you are close to ejaculation. When you are close, you or your partner firmly squeezes your penis so your erection partly goes away. The goal is for you to become aware of the sensations leading to climax. The squeeze method may help you better control and delay climax on your own.
The Stop-Start Method In this method, you or your partner stimulates your penis until just before ejaculation. When you are about to climax, you or your partner stops until the urge to climax lets up. As you regain control, you and your partner start stimulating your penis again. This process is repeated 3 times. Premature ejaculation is a common and treatable problem. For some men, a conversation with a doctor might help lessen concerns about premature ejaculation.
For example, it might be reassuring to hear that occasional premature ejaculation is normal and that the average time from the beginning of intercourse to ejaculation is about five minutes. The exact cause of premature ejaculation isn't known. While it was once thought to be only psychological, doctors now know premature ejaculation involves a complex interaction of psychological and biological factors.
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Overview Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Ferri FF. Ejaculation and orgasm disorders. In: Ferri's Clinical Advisor Elsevier; Accessed August 19, Saitz TR, et al.
Advances in understanding and treating premature ejaculation. Nature Reviews Urology. Gur S, et al.
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