Premature Ejaculation Treatment

The problems of premature ejaculation are often present from the beginning of the sex life. This is called primary premature ejaculation. And for good reason: remembering his ejaculation is not so "natural". Ejaculation is a reflex process triggered when the excitement gets intense enough ... a bit like when your leg gets up when the hammer touches your knee! The man who wishes to prolong the duration of sexual intercourse must therefore maintain his excitement at a lower level than the level that triggers the ejaculatory reflex.

In rare cases, premature ejaculation may also be related to certain genetic factors. Certain physiological features such as a penis brake that is too short can also promote premature ejaculation. This strip of skin connected to the foreskin allows it to cover part of the glans. During intercourse, the glans is not constantly exposed to friction, which modulates sexual arousal. This modulation is not possible if the brake is too short. The brake can be lengthened by surgery.

Causes of primary premature ejaculation

Bad habits

Some habits may have contributed to premature ejaculation and changed the approach to sex.

Masturbating by ejaculating as quickly as possible during adolescence, to avoid being caught or to evacuate sexual tension quickly, are bad habits that may have led to premature ejaculation.

Psychological trauma

Some men may also have experienced trauma during the first sexual encounters that made them particularly anxious. Of relationship problems with women may also have contributed to blockages in sex.

Causes of secondary premature ejaculation

This type of premature ejaculation can be caused by physical and psychological problems.

The psychological reasons are one of the main factors of premature ejaculation. It can be stress caused by the context that is not conducive to relaxation (fear of being surprised, etc.) or a stress of performance.

The emotional factor is to be taken into account too. It is not uncommon for premature ejaculation to occur during first sexual intercourse with a new partner. These situations can lead to stress but over time, trust in others, stress fades. Time, relaxation, trust in his / her partner are essential elements in such situations.

Physical causes of premature ejaculation

Although premature ejaculation is not a disease, sometimes the causes are physical: a hypersensitive acorn or a short foreskin can explain this phenomenon.

Some diseases can also promote premature ejaculation such as diabetes, thyroid problems, high blood pressure or prostate problems as well as excessive alcohol consumption.

In many cases, the psychological approach can solve sexual problems and especially premature ejaculation. The doctor will try to treat trauma and other emotional disorders such as stress.

Psychotherapy should solve this problem and have long-term effectiveness.

The doctor or sexologist can also teach practical techniques to increase pleasure during sex, to delay ejaculation.

Medication Treatments

In some cases, medication-based treatment is required. The doctor usually prescribes antidepressants. This class of drugs tends to delay ejaculation. The indicated medications can be:- Selective serotonin reuptake inhibitors: fluoxetine, sertraline, paroxetine, etc.- Tricyclic antidepressants: clomipramine. Dapoxetine is a selective short-acting serotonin reuptake inhibitor, approved for the treatment of premature ejaculation and is available in some countries. In Switzerland, for example, it is approved for men aged 18 to 64 with a dosage of 30mg and 60mg. This is to take this medicine 1 to 3 hours before intercourse. Beware of very common side effects such as dizziness, headache and nausea that may occur.