What Causes Premature Ejaculation? How does it work?

The first thing you need to know about premature ejaculation is this: Many men who think they ejaculate prematurely are not. You can find more information below.

What is premature ejaculation?

There are many myths and exaggerated expectations when it comes to sexuality, including premature ejaculation . This also applies to the question of how long it takes men to reach orgasm during sex. This depends on many factors and can change from time to time.

When measured with a stopwatch, it takes an average of 5 to 7 minutes for a man to reach orgasm and ejaculate . However, in some men, this can vary from a minute to half an hour.

There are also many differences in whether and how much a relatively early orgasm affects a man, his relationship and sexual satisfaction. In studies, men tend to estimate the time to ejaculation to about a quarter of the actual time . Therefore, it is not a good idea to look at what other people are claiming.

About 4% of men have almost no control during ejaculation. In some cases, men always (or almost always) arrive very early – that is, right before or just after intercourse. If these early orgasms become troublesome, the problem is medically diagnosed as premature ejaculation. Various treatments are possible, sometimes including medication. Sex therapy is also sometimes an option.

What causes premature ejaculation?

There is almost no research on the causes of premature ejaculation. There are some hypotheses that have so far just been untested. Some experts believe this is due to biological factors, such as an oversensitive penis or changes in how hormones and nerves interact.

Others think the cause is to be found in emotional factors such as relationship problems or fear of failure . Biological and psychological factors can both be responsible and affect each other.

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Some men have problems with premature ejaculation because they are just starting to have sex. Others develop it in later life, this may be called acquired premature ejaculation . Sometimes this is due to a different underlying problem ( such as erectile dysfunction ).

How common is premature ejaculation?

The feeling of reaching orgasm too early is subjective, so it’s different for everyone. Also, this feeling can sometimes be intensified by advertising campaigns on premature ejaculation. These are often funded by pharmaceutical companies and are often purely commercial.

It is typical for such campaigns to exaggerate how widespread the problem is. It is generally claimed that 20-30% of all men have premature ejaculation . It’s just based on how long it takes to ejaculate. Estimates are at most 4% when scientifically accepted diagnostic criteria are used. Because they also take into account how often premature ejaculation occurs and whether the person concerned sees it as a problem.

How is premature ejaculation diagnosed?

If you think you also suffer from this problem, you can see a urologist or family doctor. Doctors will ask questions about how long it takes you to ejaculate on average, how long intercourse lasts, how much it bothers you, and whether ejaculation can be delayed. Further testing only makes sense if the doctor thinks there is a medical problem.

Premature ejaculation can be diagnosed in the following situations:

  • If ejaculation almost always occurs within one minute of intercourse
  • If this has been happening for more than six months
  • If this is very sad for you
  • If no other medical problem can be identified as the cause

Premature ejaculation is not considered a problem if:

  • If it only happens occasionally
  • If you haven’t had sex for a very long time
  • If the time required to achieve ejaculation is within the normal range

Other things that may affect ejaculation time will also be investigated during doctor’s visits. For example, an inflammation of the prostate is a possible risk factor. If the prostate is inflamed, what caused it must be treated first. Symptoms of this include frequent and painful urination .

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Premature ejaculation is sometimes associated with erection problems . For example, a man may experience this if he is worried about losing an erection. In this case, the main issue and the thing to be treated is the erection problem.

How is premature ejaculation treated?

Deciding whether or how to treat premature ejaculation is a very personal matter. Various treatment options are given below:

  • Specific techniques aim to make ejaculation easier to control by deliberately delaying it. One way to do this is to repeatedly stimulate your penis just before orgasm and then stop.
  • Medications can slightly increase the time it takes to ejaculate. These include swallowed medicine and drugs applied to the tip of the penis. Both can have side effects.
  • Sex therapy treatments aim to give men and couples more confidence and overcome the fear of sexual inadequacy. Another goal is to focus less on ejaculation and experience sex in a different way.

Selective serotonin reuptake inhibitors (SSRIs) are typically used as medication. The only SSRI currently approved in Europe increases ejaculation time by just 1 to 1.5 minutes. Other SSRIs are much cheaper and more effective. Doctors may prescribe them as “off-label” treatments.

In some countries, the cost of drugs to treat premature ejaculation is not covered by statutory health insurance, regardless of whether they are approved or not. This is because they are legally considered “lifestyle” drugs that insurance companies do not have to pay for.

Premature ejaculation and daily life

Sexuality, including premature ejaculation, can greatly affect your self-esteem, and when it comes to sex, there are few stereotypes and a lot of talk. But there’s no need to be intimidated: People with premature ejaculation are no less ” manly ” than everyone else.

This becomes a problem when it starts to upset you and affect your sex life . Not being able to control the time it takes to reach orgasm is often very frustrating.

Some men worry about not being able to ” perform ” in bed and satisfy their partner. But the time it takes for sex and ejaculation doesn’t have to be the focus of your love life.

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There are many ways to experience sex, have an orgasm, and be intimate. Many people say that their overall satisfaction with their love life and relationships is more important than how long the intercourse lasts.

Shifting the focus away from sex can help. Kissing and making love and showing your love and passion in other ways can also be satisfying and help fill the time to ejaculation.

It is also necessary to mention the issue of male psychology of premature ejaculation . Some men try to ignore the issue rather than discuss it openly, but this only makes matters worse. Talking honestly about your feelings and concerns is probably a better approach to solving the problem together.

Frequently asked questions about premature ejaculation

What should I do to avoid arriving early?

In this case, the general recommendations are as follows:

-Masturbating a few hours before sexual intercourse
-Using thicker condoms to reduce the sensation in the penis
-Using delayed-acting condoms
-Stopping intercourse and taking a break for a few minutes when you feel like you are going to
ejaculate -Taking deep breaths during intercourse to prevent premature ejaculation -Smoking
and smoking which is harmful to sexual health quitting things like alcohol

I ejaculate prematurely, should I go to a urologist for treatment?

If you have premature ejaculation problem, you should first see a urologist. The doctor will first check if you have another problem causing it and may prescribe medication if necessary. In some cases, he or she may refer you to a therapist or psychiatrist.

I ejaculate prematurely, what is the treatment?

Medicinal products and anesthetic creams can be used as treatment for premature ejaculation. These drugs help prolong sexual intercourse by making ejaculation more difficult. If premature ejaculation is caused by psychological factors such as stress, anxiety, fear, or depression , psychiatric or counseling intervention can help resolve the problem by dealing with the root psychological causes. If any of the above treatment options do not work, it is best to consult a urologist and seek professional medical attention.

Remember, your doctor will decide which medicine to take and how.

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