ejaculation is uncontrolled ejaculation either before or shortly after sexual
penetration, with minimal sexual stimulation and before the person wishes. It
may result in an unsatisfactory sexual experience for both partners. This can
increase the anxiety that may contribute to the problem. Premature ejaculation
is one of the most common forms of male sexual dysfunction and has probably
affected every man at some point in his life.
What causes premature ejaculation?
Most cases of
premature ejaculation do not have a clear cause. With sexual experience and
age, men often learn to delay orgasm. Premature ejaculation may occur with a
new partner, only in certain sexual situations, or if it has been a long time
since the last ejaculation. Psychological factors such as anxiety, guilt, or
depression can cause premature ejaculation. In some cases, premature
ejaculation may be related to an underlying medical cause such as hormonal
problems, injury, or a side effect of certain medicines.
Infertility has traditionally been thought of as a woman's problem. But as
it turns out, we men don't get off that easily. About one out of every three
cases of infertility is due to the man alone, and we're somehow involved in
infertility about half the time.
A diagnosis of male infertility can be one of the hardest challenges a man
can face. For some, it can be devastating. After all, the necessity of
reproduction is one of the few things on which both Darwin and the Bible agree.
The main symptom of
premature ejaculation is an uncontrolled ejaculation either before or shortly
after intercourse begins. Ejaculation occurs before the person wishes it, with
minimal sexual stimulation.
How is premature ejaculation diagnosed?
doctor will discuss your medical and sexual history with you and conduct a
thorough physical examination. Your doctor may want to talk to your partner
also. Because premature ejaculation can have many causes, your doctor may order
laboratory tests to rule out any other medical problem.
How is it treated?
In many cases premature
ejaculation resolves on its own over time without the need for medical
treatment. Practicing relaxation techniques or using distraction methods may
help you delay ejaculation. For some men, stopping or cutting down on the use
of alcohol, tobacco, or illegal drugs may improve their ability to control
Your doctor may recommend that you and your partner
practice specific techniques to help delay ejaculation. These techniques may
involve identifying and controlling the sensations that lead up to ejaculation
and communicating to slow or stop stimulation. Other options include using a
condom to reduce sensation to the penis or trying a different position (such as
lying on your back) during intercourse. Counseling or behavioral therapy may
help reduce anxiety related to premature ejaculation.
antidepressant medicines called selective serotonin reuptake inhibitors
(SSRIs), such as fluoxetine (Prozac), paroxetine (Paxil), and sertraline
(Zoloft), are sometimes used to treat premature ejaculation. These medicines
are used because a side effect of SSRIs is inhibited orgasm, which helps delay
ejaculation. The use of SSRIs for the treatment of premature ejaculation is not
related to depression and is considered an "off-label" use.
WebMD Medical Reference from Healthwise
September 03, 2010
This information is not intended to replace the advice of a doctor.
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