Ejaculation is premature when it occurs within 30 seconds to 4 minutes after sexual activity commences. While cultural aspects affect the concept of what is considered premature ejaculation, it is generally agreed that sexual intercourse lasting less than 2 minutes can be considered premature ejaculation.
What is Premature Ejaculation?
Premature ejaculation occurs when a man cannot control the timing of his ejaculation or that ejaculation occurs before either the man or their partner would wish. Premature Ejaculation if often the combination of a number of factors which occur consistently over a period of time. Premature Ejaculation is the most common sexual issue for men and all ages but fortunately there are effective treatments in most cases.
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Sex therapy involves direct engagement with a sexual health therapist to address underlying sexual relationship issue through counselling. Many couples do not talk about sexual issues and counselling can sometimes assist in this area. Current research indicates that almost 1 in 2 couples experience issues with libido, arousal or levels of sexual satisfaction.
The use of thicker or double layered condoms to create a physical barrier to reduce to sensation.
Sensitivity reduction can also be achieved using anaesthetic gels and creams applied prior to intercourse, creating a desensitising effect, but requires the use of condoms to prevent the anaesthetic effects being passed to the partner.
As Premature Ejaculation could be a result of other medications or underlying medical conditions we do not recommend the taking of any Premature Ejaculation related medication without consulting a physician. Oral treatments come in a number of forms
There are many online solutions being offered. These vary considerably and therefore may not be suitable in all cases or create side effects including nausea, fatigue, diarrhoea and loss of libido. Ageless Men’s Health will undertake an individual consultation with you to ensure that the solution is effective for you and compatible with any other regimes.
Oral treatments come in several forms however these can be generally placed in two main categories:
- Selective serotonin reuptake inhibitors (SSRIs) – Paxil, Zoloft and Prozac;
- Tricyclic Anti-depressants (TCAs) – Anafranil; and
- Phosphodiesterase or PDE5 Inhibitors. These medications alleviate symptoms of anxiety by creating a barrier to the take up of the serotonin. This in turn addresses another anxiety/depression related symptom – premature ejaculation.
The mechanism of action of SSRIs is linked to their inhibition of neuronal uptake of serotonin (5-HT) in the central nervous system (CNS).
TCAs act in a similar manner to SSRIs in that they inhibit serotonin uptake and so produce a similar side effect being delay in sexual climax. Clomipramine which based on research has been found to be the most effective TCA may provide a more effective solution than SSRIs in some cases.
A group of drugs known as phosphodiesterase inhibitors may provide some benefit to men with Premature Ejaculation even though it is primarily used to address ED, this may be in part due to the fact that men with ED issues may also exhibit PE symptoms and by addressing these symptoms Premature Ejaculation is also addressed. Additionally PDE5 inhibitors may be used in conjunction with SSRI type drugs. However this should only be taken based on review by our Doctors.
Behaviour modification generally refers to physical techniques men use to address and delay ejaculation. There are many techniques which can be applied such as ejaculating several hours before sex with your partner, or having sex with you partner on top. However, the two most popular approaches are what are known as the “squeeze” and “start stop” or “edging” techniques.
The “squeeze” technique involves placing pressure usually to the base of the penis when ejaculation is imminent, this has the effect of delaying ejaculation and may be employed several times during sexual intercourse. The “start stop” technique as the name implies is simply the suspension of intercourse for a period until the urge to ejaculate passes. Again, this may be employed several times during intercourse. While these techniques may address the symptoms of premature ejaculation and may address the underlying cause of Premature Ejaculation often these solutions may need to be applied on a permanent basis.
Avoiding certain sexual position which create heightened levels of exciting or sensation can also address some of the symptoms of Premature Ejaculation.
Premature Ejaculation Questionnaire
Is Premature Ejaculation a concern for you or your partner?
Premature Ejaculation is premature when it occurs within 30 seconds to 2 minutes after sexual activity commences. While cultural aspects affect the concept of what is considered premature ejaculation, it is generally agreed that sexual intercourse lasting less than 2 minutes can be considered premature ejaculation.
Premature ejaculation (Premature Ejaculation) occurs in two forms. Primary (or lifelong) and acquired.
Today Ageless Men’s Health can offer solutions that address both. Primary Premature Ejaculation begins in adolescence and often has a psychological basis stemming from guilt or shame in relation to sex generally or in relation to masturbation or the need to achieve ejaculation as quickly as possible to avoid being caught. Acquired Premature Ejaculation is the result of psychological issues acquired later in life (stress, marital/relationship issues etc.), or often due to physiological issues such as vascular problems arising from diabetes or high blood pressure.
Premature Ejaculation FAQs
A great deal of medical research has been undertaken to find a cure for Premature Ejaculation . However, currently there is no single “cure” to Premature Ejaculation . Due to the number of possible factors that may drive individual cases of Premature Ejaculation a single cure is unlikely to be found. However, there are solutions that can be applied which will address the symptoms of Premature Ejaculation in such a way as to provide men and their partners with a happier more fulfilling sex life. Ageless Men’s Health has solutions which will address Premature Ejaculation and give back the confidence that Premature Ejaculation has taken.
There is no one cause of Premature Ejaculation. Premature Ejaculation is often caused by a combination of factors such as levels of anxiety particularly in relation to sexual performance. Lack of arousal or over-stimulation (hyper sensitivity) and learned behaviours especially related to masturbation are also thought to drive Premature Ejaculation. However to address Premature Ejaculation is necessary to address each of them and Ageless Men’s Health can help you achieve the solution you want.
Despite the myth that older men suffer from Premature Ejaculation, often Premature Ejaculation is more prevalent in younger men in part due to higher levels of arousal and inexperience. However overall Premature Ejaculation affects men of all ages and age is not a key determinant. However, the incidence of ED does increase with age and this can in turn lead to increased levels of Premature Ejaculation.
While there is no known link between what we eat and Premature Ejaculation there is a clear connection in terms of alcohol and use of certain drugs (particularly opiods). Alcohol has a clear connection with ED and the same issues that drive that symptom are also responsible for Premature Ejaculation. It is recommended that as part of any treatment process that men avoid excessive alcohol to improve performance. This should be discussed with our Doctor’s at time of consultation.
Discuss your concerns with one of our doctors and we will assess your specific situation.