Premature Ejaculation Treatment in Delhi & Gurgaon
Understanding Causes, Diagnosis, and Treatment Options
Premature Ejaculation
What is Premature Ejaculation?
Premature ejaculation (PE) is a type of sexual dysfunction that occurs when a person has an orgasm and ejaculates sooner than they or their partner would like.
It often happens before or shortly after penetration during intercourse. Premature ejaculation can be a frustrating experience for both you and your sexual partner and make your sex lives less enjoyable.
Types of PE: PE can be lifelong, meaning you've had it since your first sexual experience. It can also be acquired, which means you've had sex previously where PE wasn't an issue.
What is the average intercourse time for premature ejaculation?
Many healthcare providers would define premature ejaculation as ejaculating within one minute of beginning intercourse. The exact timing for premature ejaculation varies and only your healthcare provider can make a diagnosis.
Most healthcare organizations consider ejaculation "premature" if it:
- Occurs sooner than you or your partner desires.
- Causes distress to one or both partners.
- Happens during all or almost all sexual activity.
- Happens within one minute of penetration.
- Has been occurring for longer than six months to one year.
How common is premature ejaculation?
Prevalence
Between 30% and 40% of people experience premature ejaculation at some point in their lives.
Most Common Dysfunction
It's the most common type of sexual dysfunction in people with a penis.
Statistics
About 1 in 5 people between the ages of 18 and 59 report premature ejaculation.
Symptoms and Causes
What causes premature ejaculation?
Anxiety/psychological factors are most often the cause of premature ejaculation. Extra sensitive penile skin is also a common cause.
Emotional or psychological causes include:
Physical and chemical causes include:
Diagnosis and Tests
How are the causes of premature ejaculation diagnosed?
If you have frequent premature ejaculations or if premature ejaculation is causing you anxiety or depression and affecting your relationship, make an appointment to see a urologist.
Your urologist will begin an exam by asking about your sexual experiences. They may ask:
- How long have you had this problem?
- Under what circumstances has it happened?
- How often does it happen?
- Does premature ejaculation happen at every sexual encounter?
- Does it happen with all partners?
- Does premature ejaculation occur when you masturbate?
- Do you have trouble maintaining an erection?
While the questions are personal, it's important that you answer your urologist honestly so they can best diagnose the source of your problem.
Your urologist will also ask about any other medical conditions you may have and any medications, including over-the-counter medications, supplements and herbal products you're taking. They'll also ask you about any alcohol and drug use.
Are lab tests needed to make the diagnosis of premature ejaculation?
Lab tests are usually not needed unless your healthcare provider suspects that an underlying health condition is contributing to the problem.
Management and Treatment
How is premature ejaculation treated?
There are many different treatment options for premature ejaculation depending on the cause. These include behavioral therapy, counseling and medications. Most causes of premature ejaculation are usually treated first with behavioral therapy and/or counseling to help with emotional concerns, performance anxiety or stressors that may be contributing. You can try more than one treatment approach at the same time, and in fact, combinational therapy may be more effective than any one treatment alone.
Behavioral modification therapy
Behavioral therapy involves trying different practical methods to delay your orgasm. The goal is to teach you how to control your body and your feelings.
Start and Stop
With this technique, you or your partner stimulates your penis close to the point of orgasm, then stops the stimulation for about 30 seconds until you regain control of your response. Repeat this "start and stop" approach three or four times before allowing yourself to orgasm. Continue practicing this method until you have gained good control.
Squeeze Therapy
With this technique, you or your partner stimulates your penis close to the point of orgasm then gently squeezes the head of your penis for about 30 seconds so that you begin to lose your erection. Repeat this technique a few times before allowing yourself to orgasm. Continue practicing this technique until you've gained control in delaying your orgasm.
Distracted Thinking
With this technique, the idea is to focus your attention on ordinary nonsexual things during sexual activity. Naming sequences are a good way to focus your attention. For example, visualize naming all the businesses you pass on your drive to the gym or naming all the players on your favorite sports team.
Key Takeaways
Understanding PE
- • Occurs sooner than desired, often within 1 minute
- • Affects 30-40% of people at some point
- • Most common sexual dysfunction in males
- • Can be lifelong or acquired
Treatment & Management
- • Behavioral therapy is often first-line treatment
- • Start-stop and squeeze techniques are effective
- • Counseling helps with psychological causes
- • Combination therapy may be most effective