Sexuality: where does premature ejaculation come from and how to treat it

As the name suggests, premature ejaculation means premature ejaculation during a sexual act.

This term of precocity is difficult to define medically because it can be very subjective. As well as its origin, which can be psychological or physiological.

Some men think they ejaculate too quickly. They cannot keep the erection as long as they or their partners would like. However, this “too soon” is very subjective, because there is no real norm for the duration of the sex act! From a purely medical point of view, the International Society for Sexual Medicine defines that ejaculation can be considered premature if it occurs before or within a minute of penetration.

Several possible causes

Various psychological factors can be involved, such as depression, low self-esteem, poor body image, stage fright, stress, relationship problems, or even sexual abuse or previous sexual experiences.

But there may also be biological factors such as erectile dysfunction, hypersensitivity of the glans, weakening of the pelvic floor muscles, hormonal imbalance (thyroid abnormalities), imbalance of neurotransmitters in the brain (especially at the level of serotonin receptors), inflammation of the prostate or urethra, neurological diseases (multiple sclerosis) or even inheritance.

… and thus several treatments

If a biological cause is identified, a specific treatment can be proposed: drugs based on serotonin reuptake inhibitors (from the same family as Prozac) in the case of an imbalance of neurotransmitters, local anesthetics in the case of hypersensitivity of the glans penis … But if this is not the case case, it is better to refrain from taking these drugs as they have side effects.

If the cause is more psychological in nature, a consultation with a sexologist may be beneficial. This professional can recommend learning techniques such as the work of the pubococcygeus (PC) muscle, the “start and stop method” or the “squeeze method” that will allow the man to better tame his sensations and allows it you to find control.

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