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.
I was having sex with a Dutch girl when my wife walked in. “What do you
think about this?” I asked.
“Um,” she said. “It’s a little weird.”
The Dutch girl wasn’t real. Well, not really real? She was an avatar
in Second Life, the online, 3D, digital world developed by San Francisco
company Linden Labs. But there was a real person on a computer somewhere in the
world making her avatar have sex with my avatar by clicking a pink ball on the
ground. I don’t know where the real user was located,...
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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