Hello guys ( ladies too😅).
You're welcome to today's edition of A Cømplete Yøu with Dr Nenye.
You may be wondering at the caption.😅 Well, wonder no more.
Today we will be be discussing a topic that is quite common. More common perhaps than the men would like to admit; Premature Ejaculation.
As a sexually active adult male, you undoubtedly long to be that partner that satisfies his woman and leaves an unforgettable experience every time. But sometimes, things don't always go quite the way you would prefer do they? Sometimes, to your greatest chagrin, you find that you are done even before you have started.
Oops. 🙊🙊 The horror! 😱😱😅
But are you alone? Far from it.
According to Data from medical studies, premature ejaculation is one of the most common male sexual disorders, affecting as much as 39% of the male population at one point or another in life.
To be clear with terms, Ejaculation is the release of semen from the body. Premature ejaculation (PE) is when ejaculation happens sooner than a man or his partner would like during sex. While the time it takes to ejaculate differs from one man to the next, the average time from the beginning of intercourse to ejaculation is about five minutes. It might be reassuring to hear that occasional premature ejaculation is normal however. So exactly when do you have to worry about it?
You should worry if you ;
* Always or nearly always ejaculate within one minute of penetration.
* Are unable to delay ejaculation during intercourse all or nearly all of the time.
* Feel distressed and frustrated about PE, and tend to avoid sexual intimacy as a result.
If you tick any of the boxes, chances are that your sex life isn't so great and your partner is equally frustrated about it. But don't worry, it's not a hopeless situation.
How Does Ejaculation Work?
Ejaculation is controlled by the central nervous system. Upon stimulation, signals are sent to your spinal cord and brain. When you reach a certain level of excitement, signals are then sent from your brain to your reproductive organs, which causes semen to be released through the penis (ejaculation).
It occurs in two phases; Emission and Expulsion.
Emission is when the sperm moves from the testicles to the prostate and mixes with seminal fluid to make semen, which is then moved to the base of the penis.
Expulsion is when the muscles at the base of the penis contract, forcing the semen out of the penis. Usually, ejaculation and orgasm (climax) happen at the same time.
Note that some men climax without ejaculating.
What are the causes of Premature Ejaculation?
There is no exact cause of PE, rather an interplay of certain factors. These include;
(1) Psychological factors
- Depression
- Stress
- Guilt
- Unrealistic expectations about sexual performance
- History of sexual repression
- Overall lack of confidence
- Relationship problems
- Early sexual experiences
- Sexual abuse
- Poor body image
- Worrying about premature ejaculation
- Guilty feelings that increase your tendency to rush through sexual encounters
Other factors that can play a role include:
- Erectile dysfunction; If you are anxious about obtaining or maintaining an erection during sexual intercourse, you might form a pattern of rushing to ejaculate, which can be difficult to change.
- Anxiety; Having issues with PE could also lead you to having problems with anxiety.
Relationship problems; If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem.
(2) Biological factors which might contribute to PE include:
- Abnormal hormone levels
- Abnormal levels of brain chemicals called neurotransmitters
- Inflammation and infection of the prostate or urethra
- Some Inherited traits, etc
How Is It Treated?
Psychological therapy, behavioral therapy, and drugs are the main treatments for PE.
In psychological therapy, the negative feelings and emotions that lead to problems with sexual relationships are addressed by a Psychologist or a Sex therapist. For some men, this might be all they need to bounce back.
Behavioural therapy involves the employment of techniques that help you control ejaculation. About 95% of men are helped by behavioral therapy. These techniques include;
Stop and start: Here, You or your partner stimulate your penis until you feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Then start the stimulation again and repeat 3 or 4 more times before you actually ejaculate.
The Squeeze: This works the same way as the start and stop method. But, when you feel like you’re reaching orgasm, you or your partner squeezes the head of your penis until you lose the erection. Repeat this a few times before ejaculating.
You can also try thinking of something else during sex, sort of like a distraction. It can make you last longer.
Drugs; There are no approved drugs to treat PE. However, some drugs and numbing creams or sprays have been shown to slow ejaculation in men with PE.
They include:
Antidepressants: A side effect of some selective serotonin reuptake inhibitors (SSRIs) is delayed orgasm. Note that these medications also have side effects that include nausea and drowsiness. They also can significantly reduce your libido, so don't go self-medicating so that you don't trade one problem for another. You should only take them strictly on prescription by a Doctor.
Tramadol: This is a pain reliever that can delay ejaculation. It may be prescribed if antidepressants don’t help. This medicine is addictive. It is NOT to be taken without prescription by a Doctor. Abuse of this drug as well as others has led to a good number of unwanted side effects including death!
Anesthetic creams or sprays: You may put these on the head of your penis to make it less sensitive. Leave it on for about 30 minutes. It MUST be washed off before sex so you don’t lose your erection or cause loss of sensation for your partner when it comes in contact with the vagina.
Medications to treat any underlying ailments such as Depression, erectile dysfunction, infections, etc would also help.
Is there Anything Else You can Do?
Yes! Exercises; Strengthen your muscles. Weak pelvic floor muscles sometimes contribute to PE. Kegel's exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for 3 seconds and then release them for 3 seconds. Do this 10 times, at least 3 times a day.
Wear a condom: It may desensitize you enough so you can last longer.
Get busy before you “get busy”; Some men find that masturbating a few hours before sex helps them stay in control during intercourse.
With these simple techniques mentioned above, a good number of men will recover from PE. And you will have your lady smiling at all times.😊
Remember, don't overthink it.
Try to relax as much as you can. It's no do or die affair after all.😉
Got any questions or comments?
Share in the comments section.
~Dr Nenye
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