The most common male sexual disorder, premature ejaculation affects almost 1 in 3 men during their lifetime. How do I know if I am a premature ejaculator? How to delay ejaculation? Advice from an expert sexologist.
Premature ejaculation is a male sexual dysfunction. It is one of the most common sexual disorders since it concerns 25 to 30% of men ; almost a third of them will present this difficulty at some point in their sexual life. This disorder is often difficult to live with for the man who suffers from it. There are several causes of premature ejaculation. How do I know if I’m precocious? What are the solutions in case of premature ejaculation? How delay ejaculation?
Definition: what is premature ejaculation?
Premature ejaculation is defined as a persistent or repeated ejaculation disorder during sexual stimulation minimal before, during, or just after the penetrationand before the subject wishes to ejaculate.
Among the other criteria for defining premature ejaculation, let us cite two most frequent clinical situations.
► The one speaking between one minute to two minutes of intravaginal penetration and the inability to delay ejaculation with almost all vaginal penetrations.
► Those which intervene even earlier: “anteportas” ejaculation which occurs before, or immediately after, penetration or a few seconds later: the man cannot control his excitement because ejaculation occurs involuntarily. By ejaculating prematurely, a man is unable to decide when to ejaculate. The man only complains about not or poorly controlling the moment of ejaculation because he sometimes lets himself be overwhelmed by too many emotions.
What causes premature ejaculation?
- THE stress promotes premature ejaculation which itself causes anxiety which further aggravates premature ejaculation.
- Ejaculation can be of relational origin. Some men ejaculate prematurely only with certain women and show no abnormality with other partners.
- Age (very common disorder in young adults),
- Disorders of anxiety (e.g. anxiety and social phobia), a syndrome hyperactivity,
- Hyperthyroidism
- A change of partner can lead to an ejaculation disorder.
What are the consequences of premature ejaculation?
Premature ejaculation is a common disorder which causes various questions about the normal duration of sexual intercourse in men and which disturbs those who suffer from it. “The man finds himself unable to delay ejaculation on all or almost all vaginal penetrations with negative consequences on self-esteem and masculine identity, sometimes generating frustration, distress, and sometimes even avoidance of sexuality as a couple“, explains Sébastien Garnero, psychologist, psychotherapist, sexologist. Before continuing: “The impact can also be significant on the couple’s emotional and sexual life.with sometimes, in return a loss of desire on the part of the woman for her partner“.
Premature ejaculation is not a disease but sexual dysfunction: strict medical care is therefore rarely indicated alone. On the other hand, consultation with a sexologist allows you to resolve this difficulty in most cases. “The prescription of certain antidepressants of the class of serotonin reuptake inhibitors must be occasional and as a last intention, this making it possible to extend the duration of vaginal penetration and prescribing anesthetics local gel form can sometimes be recommended“, explains Sébastien Garnero. Motivation and patience are essential in an attempt to treat premature ejaculation disorder. You must not let embarrassment set in, do not waste time, do not close in on yourself and consult a specialist. Consulting a sexologist can be an important help for men suffering from premature ejaculation. It is often advisable to go to the consultation during the first meeting with your partner. However, in practice, most often it involves individual requests from humans who suffers from it in their emotional and sexual life.
► Exercises rehabilitation in sex therapy and readjustment in learning about sexuality can help men with premature ejaculation. The practice of masturbatory techniques specific “stop and go” type can contribute to helping men regulate their psychological, sexual and bodily arousal. The application of a numbing cream on the glans can allow you to delay ejaculation initially in order to regain confidence in your abilities. “In any case, a integrative approach to sex therapy is indicated by taking into account all psychological, physiological, sexological factors: sexual psychoeducation, learning of pre-orgasmic sensations, treatment, better control of psychological and sexual arousal, de-dramatization of the symptom, enrichment of sexual practices, systemic factors interacting in the couple“, concludes Sébastien Garnero.
What medications for premature ejaculation?
Certain positions can delay ejaculation
It is necessary to realize that premature ejaculation can have multiple origins and individual and couple psychological consequences if left untreated. Some antidepressant medications are sometimes prescribed in low doses, but they must be taken for very long months. “A one-off treatment such as ‘Dapoxetine’ before sexual intercourse can be recommended having a short-term delaying effect and helps mask the symptom“, explains the specialist. Their effectiveness, often moderate, generally delaying the moment of ejaculation by a few minutescan be observed after a few months of treatment.
► Reduce speed and pace reports,.
► Learn to breathe and using the penile pressure technique.
► Some positions can delay ejaculation during intercourse: such as lying on your back, facing your partner.
► It is important to to relax, to make the foreplay and let yourself be guided by your partner.
Thanks to Sébastien Garnero, psychologist psychotherapist, sexologist teaching Univ Paris 5.