What Is Premature Ejaculation?

Premature Ejaculation is a condition when a man ejaculates or secretes sperm too quickly during sexual intercourse. This condition can result in no climax or sexual satisfaction in the partner or the man himself. Every man is certain to have premature ejaculation. If this happens occasionally, there's no need to worry. But you are advised to see a doctor if 50 percent of sexual relations that you have done end in premature ejaculation.

Actually there is no definite standard about the duration of good sexual intercourse because this depends on the satisfaction of each partner. A study has been conducted regarding how long sex should last. As a result, the average time for men to reach ejaculation after penetration is around five and a half minutes.

Causes of Premature Ejaculation
Premature ejaculation can be caused by psychological and physical factors. The psychological causes of premature ejaculation include stress, depression, or anxiety. While the physical causes of premature ejaculation can be:

• Thyroid hormone disorders
• Prostate disorders
• Impaired reflex
• Other hormonal disorders

Treatment of Premature Ejaculation
The doctor will find out the causes of premature ejaculation by examining the patient's medical history, including his psychological condition. If there are no problems from the psychological side of the patient, the doctor will do laboratory tests such as blood tests and urine tests.

There are several ways to deal with premature ejaculation, including:

• Handling independently
• Using drugs from a doctor
• Counseling with a psychiatrist with a partner

Causes of Premature Ejaculation

One of the causes of premature ejaculation is psychological factors, which can be:

• Stressful.
• Depression .
• Anxiety cannot satisfy a partner.
• A traumatic experience from childhood, for example, having been sexually harassed or having been caught masturbating.
• Frequent masturbation when teenagers by forcing themselves to ejaculate quickly due to fear of getting caught.

In addition to psychological factors, premature ejaculation can also be triggered by problems related to the physical, including:

• Thyroid hormone disorders.
• Prostate disorders.
• Reflex disorder in the system that regulates ejaculation.
• Inflammation or urinary tract or prostate infection .
• Chemical disorders in the brain.
• Hormonal disorders.
• Nerve damage due to injury or surgery.
• Side effects of smoking, consuming alcoholic beverages, and taking illegal drugs.

Heredity is also one of the risk factors for premature ejaculation. That is, someone has a higher risk of premature ejaculation if there is someone in the family who has the same condition.

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Diagnosis of Premature Ejaculation

The doctor will find out the causes of premature ejaculation by examining the patient's medical history, including his psychological condition.

If it is known that patients have a history of stress, anxiety disorders, depression, or traumatic experiences, then the possibility of premature ejaculation is triggered by these factors.

However, if the results of the psychiatric evaluation show that the psychological condition of the patient is fine, premature ejaculation is suspected due to complications from a patient's illness. To be sure, a laboratory examination is needed. Among others are:

• Blood tests , to determine the patient's testosterone levels.
• Urine test, if the doctor suspects premature ejaculation is caused by an infection in the body.

Treatment of Premature Ejaculation

Handling independently, using drugs from a doctor, and counseling a psychiatrist with a partner are things that are included in the treatment of premature ejaculation.

• Independent handling
  Self-handling is a way you can do it yourself before going to the doctor. By doing some relaxation techniques or techniques to divert attention, premature ejaculation can be treated. Among these are through the following methods:
  - Try to make sexual positions with your partner. The goal is so that couples can easily pull the penis when you start approaching ejaculation. After the ejaculation wants to disappear, penetration can resume.
  - To restrain ejaculation, do technical breathing deeply and rest for a while on the sidelines of penetration. When resting, turn your mind to other things so that the desire for ejaculation decreases.
  - For those of you who have a very sensitive penis, thick condom use can help reduce the sensation of ejaculation.
  - Try to eliminate smoking or consume alcoholic beverages.
• Handling premature ejaculation with drugs
  One class of drugs to treat premature ejaculation is selective serotonin reuptake inhibitors (SSRIs), which are antidepressant drugs. The types of SSRIs that can be used to treat premature ejaculation are fluoxetine , sertraline, and paroxetine. The side effects of these three types of drugs are relatively mild, such as feeling tired, often sweating, nausea, vomiting, and diarrhea. Side effects will subside after the body adjusts to the drug for several weeks. Some sufferers of premature ejaculation claim to progress over their condition after using SSRI drugs for 7-14 days.
• Handling premature ejaculation with topical anesthesia
  Topical anesthetics contain substances that can make the body part numb and numb. This drug can be used shortly before having sex. The numbness effect given by topical anesthesia can reduce the sensation and delay ejaculation.
  Although effective, handling this method also has side effects. Some men claim to not enjoy sexual intercourse due to the diminished sensitivity of their penis. Not only men, the opposite sex partner can also experience the same thing. This is because the anesthetic is absorbed into the vagina. In rare cases, topical anesthesia can cause the wearer to experience allergies .
• Handling premature ejaculation through counseling
  During counseling, couples will be encouraged to share any problems that can affect their relationships and find solutions together with the help of a psychiatrist . This session can also help couples reduce anxiety and deal with stress. Usually the effects of counseling will look more real if supported by the administration of drugs. In addition to examining problems that occur in couples, psychiatrists will also introduce training techniques to delay ejaculation.
  The first is the "squeeze" technique. When you have begun to feel ejaculation, give signals to your partner to stop and immediately squeeze your penis head for 10-30 seconds. After the penis is released, wait for half a minute before repeating the same process. Do this method repeatedly before ejaculation is really allowed to happen.
  The second technique is the "stop and go" technique. This technique is carried out during the penetration period. When ejaculation has begun, immediately remove the penis from the partner's sex organs, then start taking deep breaths. After the desire to ejaculate is gone, continue penetration again. Do this technique repeatedly according to your needs and your partner's.

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