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Premature Ejaculation - Causes and Treatment

Premature ejaculation is a fairly common problem: it is estimated that 1 in 3 men will experience this difficulty at some point in their lives. In some cases it is a specific problem that resolves spontaneously,  especially when it occurs during the first sexual encounters,  but other times it becomes a difficulty that prevents maintaining a satisfactory sexual life. In that case, it is necessary to seek specialized help. In fact, although many men are ashamed to talk about these issues, premature ejaculation is a problem that has a solution.

You're not alone! It is estimated that premature ejaculation affects 30% of men and at least 70% have experienced it at some time in their life.

What is the premature ejaculation?

Premature ejaculation occurs when a man ejaculates prematurely, earlier than he or his partner would like. In fact, it is one of the most frequent complaints in sexology consultations, although it is not always a cause for concern.

However, premature ejaculation becomes a disorder and you should seek help if:

  • You almost always ejaculate in just over a minute after penetration.
  • Most of the time you are unable to control ejaculation during sexual intercourse.
  • You feel frustrated with this problem and as a result you try to avoid sexual intercourse.

Symptoms of premature ejaculation

The key symptom is inability to control ejaculation. In this sense, it is difficult to refer to a specific time, since each couple may take more or less to reach sexual satisfaction, but in general, premature ejaculation occurs when the man takes a little more than a minute to ejaculate after of penetration. In fact, in some cases ejaculation occurs before penetration.

In addition, this inability to control ejaculation is not only manifested during sexual intercourse, but in many cases it also occurs during masturbation. As a result, it is common for the man who suffers from this sexual disorder to behave insecurely in his relationships with his partner and in some cases he may even avoid the sexual encounter, since it becomes a source of tension.

Premature ejaculation can be a problem that the man has had throughout his life, since he began his sexual relations, in which case it is referred to as primary premature ejaculation since control of the ejaculatory reflex has never been achieved.

In other cases, the problem appears at some point during sexual life, which is why it is called secondary premature ejaculation . It is an acquired disorder because at some point the man was able to control his ejaculatory reflex.

Causes of premature ejaculation

Premature ejaculation is a multi-determined disorder in which different factors usually come together. In fact, it is a complex sexual disorder in which both physical and psychological causes are involved.

Psychological causes:

  • Bad sexual experiences that have created a negative conditioning for the sexual relationship, adding tension to reach the climax.
  • An education that considered sexual intercourse as a taboo or something prohibited. In this way, a sense of guilt has been inoculated that has probably given rise to a history of sexual repression.
  • Tendency to anxiety. It has been appreciated that many men who suffer from erectile dysfunction also have anxiety problems or have a temperament that could be described as "nervous".
  • Problems in couple relationships. Premature ejaculation can be the result of relationship problems, such as frequent arguments, loss of intimacy, or lack of trust.
  • Unrealistic expectations about sexual performance. In this case, if the man fails to meet the expectations that he has set for himself, he begins to feel frustrated. At that moment, performance anxiety is generated, which only aggravates the problem even more, preventing you from relaxing and fully enjoying the sexual relationship.

Physical causes:

These are the physical variables that can contribute to the lack of ejaculatory control:

  • Abuse of tobacco, alcohol or other drugs or drugs that are normally used to counteract diseases such as depression.
  • Problems such as a urinary tract infection or inflammation of the prostate or urethra.
  • Abnormal hormone levels or thyroid problems.
  • Nerve damage caused by some trauma or surgery.
  • Abnormal levels of neurotransmitters or abnormal reflex activity of the ejaculatory system.

Other factors that increase the risk of premature ejaculation are:

  • Erectile dysfunction. Premature ejaculation often goes hand in hand with erection problems. What happens is that the fear of losing the erection can make, consciously or unconsciously, that the man is too quick to ejaculate.
  • Health problems. In cases where there is a chronic medical condition, such as cardiovascular disease, the fear that this generates can cause anxiety and cause the man to ejaculate prematurely.
  • Stress. Emotional tension in any area of life can be a factor that triggers premature ejaculation. The problem is that with so many worries running through his mind, it is impossible for the man to relax and concentrate on the sexual encounter, so he loses control over his ejaculation.
  • Depression. Some emotional problems, such as depression, can trigger or aggravate premature ejaculation, especially when there is already a lack of self-confidence at the base.

Treatment for premature ejaculation

Pharmacological treatment can increase the time between sexual arousal and orgasm. Premature ejaculation pills are based on Dapoxetine, the active compound with regulatory approval to treat premature ejaculation. It belongs to the (SSRI) family of selective serotonin reuptake inhibitors. Dapoxetine inhibits the ejaculatory reflex by acting at the supraspinal level within the lateral paragigantocellular nucleus (LPGi).


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