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Home :: Neurology Disorders

Premature Ejaculation - Causes, Symptoms and Treatment


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Premature Ejaculation
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Main symptom of premature ejaculation is an uncontrolled ejaculation. Ejaculation occurs before the person wishes it, with minimalstimulation. Premature ejaculation is believed to be a psychological problem. Other psychological factors such as guilt may also be relevant. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. Treatment options for premature ejaculation include therapy, medications and psychotherapy. In some cases, therapy may involve simple steps such as masturbating an hour or two so that you're able to delay ejaculation. Behavior modification therapy can help most men overcome premature ejaculation. Medications called selective serotonin reuptake inhibitor medications (SSRIs), such as fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft), are sometimes used to treat premature ejaculation. Topical anesthetic creams containing lidocaine and prilocaine also may help improve premature ejaculation by reducing sensation. Before use, make certain you have no history of a reaction to lidocaine or prilocaine.

Causes of Premature Ejaculation

Common Causes and Risk factors of Premature Ejaculation

  • Stress.
  • Genetic factors.
  • Psychological factors.
  • Depression.
  • Neurotransmitor serotonin (5HT).
  • Arousal without ejaculating.

Signs and Symptoms of Premature Ejaculation

Common Sign and Symptoms of Premature Ejaculation

  • Primary premature ejaculation.
  • Secondary premature ejaculation.

Treatment for Premature Ejaculation

Common Treatment for Premature Ejaculation

  • SSRI antidepressants have been shown to delay ejaculation in men treated for different psychiatry disorders.
  • Local anesthetic creams (like lidocaine, prilocaine and combinations) have shown to be very effective in clinical trials and are being used of the treatment of PE.
  • Many alternative therapies are available for the treatment of PE. Hypnosis has also proven very effective in the treatment of premature ejaculation.
  • Topical anesthetic creams containing lidocaine and prilocaine also may help improve premature ejaculation by reducing sensation.
  • Women typically require more prolonged stimulation than men do to reach orgasm, and this difference can cause resentment between partners and add pressure to encounters.
  • Try a variety of approaches to help both partners achieve satisfaction, can help reduce conflict and performance anxiety.