Premature ejaculation (sojourn) refers to the phenomenon of a man ejaculating earlier than he intends during sexual intercourse. This is an inability to sustain sexual activity for a satisfactory length of time and can be psychologically taxing for the individual and his partner. Premature ejaculation can be classified into two types: primary premature ejaculation (which occurs at birth) and secondary premature ejaculation (which occurs later in life).
Main causes of Premature Ejaculation
The causes of premature ejaculation are often a combination of physical and psychological factors.
Physical Factors
- Hormonal Imbalance: A decrease in the function of neurotransmitters such as serotonin can make it difficult to control ejaculation.
- Prostate Issues: Conditions such as prostatitis or other abnormalities of the prostate may be related to premature ejaculation.
- Genetic Factors: Genetic elements may also play a role in premature ejaculation, and having a family history can increase the risk.
Spiritual Imperatives
- Stress and Anxiety: Excessive tension, anxiety about a partner, and pressure related to sexual activity can contribute to premature ejaculation.
- Past Trauma: Negative experiences related to sexual activity can lead to difficulties in controlling the timing of ejaculation.
Treatment
Treatment of premature ejaculation can include medication, psychotherapy and behavioural therapy, with a combined approach depending on the individual situation.
Pharmacotherapy
- SSRIs (Selective Serotonin Reuptake Inhibitors): A type of antidepressant that can delay ejaculation. Dapoxetine is commonly used for this purpose.
- Local Anesthetics: Creams or sprays applied to the penis can numb sensation, helping to delay ejaculation.
Behavioural Therapy
- Start-Stop Technique: A method where you stop movement before the sensation of ejaculation intensifies during sexual stimulation, and resume once the sensation has subsided.
- Squeeze Technique: A method that involves applying pressure to the tip of the penis when ejaculation is imminent to suppress the ejaculation reflex.
Psychotherapy
- Counseling: Sessions with a therapist can be effective in addressing psychological factors (such as stress and anxiety). Improving communication with your partner is also important.
Lifestyle Improvements
- Moderate exercise, a balanced diet and a relaxed lifestyle can promote emotional stability and help prevent or improve premature ejaculation.
Conclusion
Premature ejaculation is a problem faced by many men and is a complex combination of physical and psychological factors. There are various methods of treatment, and a consultation at Hiro Clinic can help you find the right approach. At HIRO CLINIC Namba, treatment is carried out by urologists. Diagnosis and consultation are also available on line. Please contact us.
