The problem of Premature Ejaculation is surprisingly common among men and can occur for a number of different reasons. However, whatever the cause, it is very distressing for the male and often frustrating for both partners. There have been several different studies of the condition over the years, and while at one time it was thought to be a purely psychological problem, doctors now feel that it is a combination of both psychological and biological conditions. Because premature ejaculation is so prevalent there are many different methods of treatment available, but due to the fact that it is hard to determine exactly which condition is to blame, usually both psychological and biological problems are addressed. The most common methods of treatment usually involve some form of counselling, oral or topical medications and even sexual exercises and techniques.
All are designed primarily with helping the patient gain control over his ejaculation and, while no-one really know exactly what a ‘normal’ performance is, there are several symptoms and signs that can indicate if there is a risk of Premature Ejaculation occurring.
Generally experts state that, as the name suggests, Premature Ejaculation is diagnosed when the orgasm occurs too soon in the sexual act. Whether this takes place alone – during masturbation – or with a partner is irrelevant although there are two distinct types of condition: primary ejaculation, where the male has suffered from the condition all his sexually active life, and secondary ejaculation, where the condition is experienced only later in life. In addition to this, there are four basic causes that are thought to be responsible for Premature Ejaculation:
Psychological – the premature climax occurs due a fear or previous experience of being ‘caught in the act’ and a wish for it not to reoccur or alternatively, the sufferer may have concerns over erectile dysfunction and ‘rush’ the climax before the erection is lost.
Biological – an abnormality in hormones, thyroid dysfunction, disorder of the brains neurotransmitters or problem with the ejaculation system’s reflex activity.
Physical – an infection or inflammation of the prostate or urethra
Genetic – whereby the condition is an inherited trait
There are of course, other reasons that can contribute to the problem of premature ejaculation which include use of certain drugs, both illegal and prescription, damage or trauma to the nervous system, surgical procedures and mental illnesses, particularly depression. It should also be noted that the presence of premature ejaculation is often accompanied by impotence (in one out of three cases, men suffering from P.E. were also impotent) and in some cases may also be a temporary condition due to a stressful period of life or short term prescription medication.