Premature ejaculation is one of the most common sexual problems that occurs in 30-70% of men under the age of 40. Premature ejaculation can be acquired and permanent.
In the case of permanent premature ejaculation, the patient had premature ejaculation during the first and subsequent intercourse.
In case of acquired premature ejaculation, the patient has previously had intercourse of normal duration and premature ejaculation has developed as a result of some factors.
In 2014, the International Society of Sexual Medicine published a unified definition of premature ejaculation that includes the following criteria:
Ejaculation that occurs before intercourse or within 1 minute of vaginal penetration is considered permanent premature ejaculation.
Acquired premature ejaculation is characterized by a longer duration of up to 3 minutes. Inability to delay ejaculation during all or nearly all vaginal penetrations.
Premature ejaculation can cause negative personal effects such as anxiety, worry, frustration, and/or avoidance of intercourse.
Premature ejaculation is a multifactorial problem and the causes are not fully understood.
It is believed that premature ejaculation is a psychological problem and does not represent any organic disease. Among the main psychological reasons are irregular sex life, feeling of fear and anxiety about starting the sexual act, excessive sexual behavior of the sexual partner.
Among the organic causes can be inflammatory diseases of the prostate gland, in which case a disorder of the innervation of the prostate gland may occur. Penile hypersensitivity is one of the common causes of premature ejaculation.
One of the popular natural treatment methods is Masters and Johnson’s squeeze-pause technique, in which when ejaculation is desired, the member is pulled out of the vagina and squeezed with the index finger and thumb for about 5 seconds, after which it is necessary to wait. about 30 seconds, after which you can continue sexual intercourse.
To reduce the hypersensitivity of the head of the penis, anesthetics are used, including lidocaine spray. In cases where the use of lidocaine causes discomfort, surgical treatment can be performed: circumcision, during which the outer skin of the member is removed, leaving the head of the member open. As a result, the hypersensitivity of the head of the penis decreases, which in turn contributes to
the extension of the duration of intercourse.
In the case of premature ejaculation, it is necessary to discuss the problem in detail and find appropriate treatment options, such as medication, psychological support, physical therapy and/or surgical treatment.