Premature ejaculation can be classified as a form of male sexual dysfunction as it affects the sexual life of a man. Humans reproduce by way of sexual intercourse in which the man penetrates the woman with his penis and ejaculates semen into the vagina. When premature ejaculation occurs it complicates reproduction and also affects sexual satisfaction for both partners negatively. Let us now go into details to discuss what premature ejaculation really is.
What is Premature Ejaculation?
Premature ejaculation can be said to be a condition in which a man experiences an orgasm sooner than expected thereby leaving the woman unsatisfied sexually. The estimated number of men who have been affected by premature ejaculation varies depending on the definition of the problem. While a large number of men usually complain of suffering from premature ejaculation, only a small percentage of men actually meet the doctors set criteria for the adverse form of the condition. In medical terms the most persistent form of premature ejaculation can only be defined by the existence of these three problems from the time at which a man starts to have intercourse:
- Ejaculation that occurs always, or almost always, occurring before any penetration has been achieved, or even a minute after penetration.
- A man finding it difficult to delay ejaculation all the time or almost every time after penetration.
- Bad personal consequences such as frustration, distress, or evading sexual intimacy.
False beliefs about Premature Ejaculation and their Consequences on men’s Mental Health
There several prejudicial references given to men who suffer from premature ejaculation that can hamper efforts being made to help them. By doing an internet search you will find several slang or colloquial phrases for men who suffer from the condition. Most of these phrases or references actually do not have any bearing on the reality of the lives of men who experience the condition. What such phrases do is reinforcing false ideas which in the long run are harmful to the health of men. What such phrases can do for example is make men with the condition think that they are the ones to be blamed or they have failed or they are alone in their condition and thus cannot be treated. The opposite is actually true about premature ejaculation. Premature ejaculation comes with embarrassment for men and thus exposes them to stigmatization.
What Causes Premature Ejaculation?
Several causes of premature ejaculation are usually not related to any disease but are related to psychological factors. Below are examples of psychological causes of premature ejaculation:
- Being sexually inexperienced.
- Overexcitement before sexual intercourse.
- Experiencing relationship stress.
- Feelings of guilt.
The above named psychological causes of premature ejaculation in men can affect even men who previously had normal ejaculation. When this occurs it is often referred to as acquired premature ejaculation or secondary premature ejaculation.
There still are causes of the most persistent although a rare form of premature ejaculation, the kind which is referred to as primary or lifelong premature ejaculation. It is also caused by psychological factors although its causes can be traced back to early trauma like;
- Strict sexual teaching by parents to their boy children that sex is a sin before marriage. This can affect the quality of sexual enjoyment as they will feel that they should not be doing it.
- Having traumatic sex experiences in which the affected man may have been caught at one point masturbating. Man who was also subjected to sex abuse while still young can also be affected.
Medical Causes of Premature Ejaculation
Medical causes of premature ejaculation are often not common compared to psychological causes. There are few cases where the cause can be more serious like a problem with the nervous system may be as a result of surgery or even physical trauma. The following factors are possible medical causes of premature ejaculation:
- Multiple sclerosis.
- Prostate disease.
- Hypertension (high blood pressure).
- Problems with the thyroid gland (may include hyperactive or underactive).
- Drug abuse.
Premature Ejaculation Treatment
There are various options for treating premature ejaculation. In most instances where the problem of premature ejaculation occurs at the commencement of a new sexual partnership, the problem often goes away as the relationship matures. In cases where the problem is more persistent and won’t go away it is important to see a doctor. There are two options that doctors use to treat the condition which includes counseling or medication. In the counseling option, your doctor will refer you to a therapist who specializes in sexual relationships. Your doctor may also prefer to use medicine on you, although in some countries like the USA there is no official license for premature ejaculation medicines.
Antidepressants can be used to help men delay ejaculation but they often come with side effects and these need to be disclosed to the patient before they are administered to them. To address the problem such drugs will only be administered at the lowest dosage only needed to improve the problem.