What is premature ejaculation?
Put simply, premature ejaculation occurs when you achieve orgasm soon after, or even before, putting your penis inside your partner. Doctors use three features to decide whether a person has premature ejaculation. These are:
- Ejaculation occurs always or nearly always within a minute of penetration.
- You have difficulty delaying ejaculation.
- You find sex frustrating or distressing and tend to avoid it.
- It is more likely to happen if you are young and in the early stages of a relationship, in which case it often gets better with time.
- There is some evidence that psychological factors such as anxiety about sex or your feelings during your first sexual experience can contribute towards premature ejaculation.
- Medicines of the dopaminergic group (eg, cabergoline), used for the treatment of illnesses such as Parkinson's disease, can cause premature ejaculation.
- Premature ejaculation can be caused by drugs of addiction such as cocaine and amfetamine.
- Persistent infection or inflammation of the prostate gland (chronic prostatitis) is known to be associated with premature ejaculation.
- Nervous system diseases such as multiple sclerosis (a condition resulting from unwinding of the covering of nerves) and peripheral neuropathy (damage to the nerves supplying the peripheral nerves of the body) can also be a cause.
premature ejaculation is a very common problem. The good news is that it is a treatable condition. Medications, counseling and treatment that delay ejaculation can improve sex for you and your partner. For many men, a combination of treatments works best. Some specialized tests that we offer are listed below.
- Penile nerves function tests
- Penile biothesiometry
- Electromagnetic vibration