Premature ejaculation

Premature ejaculation

What is premature ejaculation?

While what is considered ‘premature ejaculation’ varies from couple to couple, experts agree that it is when a man is unable to control ejaculation enough to satisfy his partner. It’s also identified by ejaculation on, or shortly after, penetration. It can often happen early on in a relationship when sexual excitement, anxiety and over-stimulation are common. Premature ejaculation is usually not caused by an underlying disease or physical problem.

What is clear is that it can cause stress and frustration for men and their partners and it can lead to relationship problems and avoidance of sex altogether.

Who is affected by premature ejaculation?

Premature ejaculation is an experience that is more common than you might realise. Sometimes it begins at puberty (categorised as Primary PE), but sometimes it develops in later life (Secondary PE). For both younger and older men, premature ejaculation may be ‘global’ – that it occurs whatever the circumstances – or ‘situational’ – that it only happens in certain circumstances, or with a particular partner.

One study found premature ejaculation was the most common erection problem men face, with 30 percent of 18-29 year-olds, 32 percent of 30-39 year-olds, 28 percent of 40-49 year-olds, and 31 percent of 50-59 year-olds saying coming too soon was a problem for them.

6 most common causes of premature ejaculation

The most common causes of premature ejaculation are:

  1. Stress or anxiety.
  2. Serotonin imbalance.
  3. Lack of confidence or sexual inexperience.
  4. Excessive alcohol and drug use.
  5. High sensitivity to sexual arousal.

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4 ways to treat premature ejaculation

Premature ejaculation may be relatively common, but that doesn’t mean there aren’t ways to control it. Here are four treatments and techniques to help you cope with premature ejaculation.

1. Anti-depressants

Anti-depressants similar to Prozac can have the side effect of delaying orgasm by inhibiting serotonin uptake in the brain. These selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac) may take up to 10 days to take effect.

If the timing of your ejaculation doesn't improve, your doctor may prescribe the tricyclic antidepressant clomipramine (Anafranil), which also has been shown to benefit men with this disorder.

You may not need to take these medications every day to prevent premature ejaculation. Your doctor may recommend taking a low dose several hours before you plan to have sexual intercourse, which may be enough to improve your symptoms.

Antidepressants are generally not approved for the treatment of premature ejaculation. They work by taking advantage of a side effect common to these medications. They can also have other side effects that are not pleasant, including nausea, dry mouth, drowsiness and decreased libido – so discuss with your doctor in advance whether it is worthwhile in your case. And they are also difficult to stop taking if you get habituated to their use – so be cautious before making the decision to use them.

2. Reduce anxiety

Therapists agree that anxiety can be a common factor in premature ejaculation problems. You may experience one or two occasions when you climax too quickly and as a result develop a heightened fear of this happening again, which becomes a self-fulfilling prophecy. The body’s natural ‘fight or flight’ response means blood is withdrawn from the outer extremities to the core when you feel threatened. This immediately results in a physical cause of a brief erection – the lack of blood supply. 

Steps you can take to reduce anxiety include:

  • Meditation, hypnosis or imagery exercises.
  • Talking with a partner, friend or therapist. Penis size, body image and sexual inexperience can all create anxiety – airing it can help.
  • Get educated: Take advantage of books or DVD’s on sex techniques and sexual expression and develop more understanding of your needs and those of your partner.
  • Don’t become obsessed with your sex life. Develop general life confidence and enjoyment and the rest may follow.
  • Some herbal formulas include ingredients for stress and anxiety. Herbal Ignite for Men, for instance, contains Avena Sativa for calming and relaxing the nervous system.

3. Decrease sensitivity

There are a variety of medications and creams available to help reduce sensitivity. They range from standard ‘snake oil’ solutions to drugs with evidence to back their efficacy. One common drug is Dapoxetine, which is a similar formulation to anti-depressants. It isn’t cheap, however, and Dapoxetine-based pills have side effects to be aware of, including nausea, dizziness, dry mouth, headaches, diarrhoea and insomnia.

If your sensitivity is moderate, you could also try desensitising condoms with Benzocaine or Lidocaine, or even a mild local anaesthetic gel. There are also a variety of nasal sprays available online, most utilising Chlorpromazine, an antipsychotic medication.

It is important to seek medical advice in advance, choose carefully and check all premature ejaculation treatments for ingredients and potential side effects before making any purchases.

Men Premature Ejaculation

4. Stop, Start and Squeeze

Control exercises, called ‘Stop, Start’ and ‘Squeeze’ can help stop premature ejaculation:

  • Start and Stop (coitus interruptus). Approach stimulation to the point of imminent orgasm, then stop until your arousal level has declined. When you feel yourself approaching ‘the point of no return’, pause and let things subside a little (try 5-10 seconds). Then you can get back to business. When you start approaching that point of no return again, simply repeat the technique. 
  • The Squeeze. This method is similar to the one above. In this case, however, rather than merely pausing for a few seconds, if you find yourself getting too close to orgasm, withdraw completely. Then squeeze your penis right below the head for 10-20 seconds, focusing pressure on tube along the penis’s underside, the urethra. This will temporarily re-direct some blood flow and delay ejaculation. This technique can be repeated.

If medical treatments don’t appeal, you’re concerned about possible negative side effects, or these techniques don’t seem to be sufficient, there are supplements available, such as Herbal Ignite.

Why Herbal Ignite may be a good natural choice to help prevent premature ejaculation?

Men's IgniteHerbal Ignite for Men is an over-the-counter dietary supplement taken daily with food to increase men’s health and libido. Its formulation works to:

  • Support male sexual health.
  • Support testosterone levels.
  • Promote blood flow to the penis.
  • Relieve stress and fatigue.
  • Improve energy levels and confidence.
  • Increase interest in sex or libido.

The three key herbs in Ignite for Men – Tribulus Terrestris, Horny Goat Weed and Avena Sativa – have been used in traditional medicine for centuries to rejuvenate men’s sexual and hormonal health. The herb Tribulus Terrestris, in particular, has also been found to naturally boost testosterone levels and is available in capsule form in herbal supplements like Herbal Ignite.

  • Tribulus Terrestris lifts testosterone levels and improves sexual activity and muscular strength. It also generates male energy, confidence and stamina and men using Herbal Ignite report an improved sense of wellbeing. While Tribulus Terrestris supports and assists the body's natural production of testosterone it should be clearly understood that it is not a hormone supplement.
    By promoting the production of the body's own hormones, it works only within the body's natural limits to help men achieve their strength and muscular potential. Tribulus Terrestris will not cause the body to indefinitely produce increasing amounts of testosterone – rather, it balances natural hormone levels.
  • Horny Goat Weed increases desire and sexual performance. The active ingredients in this herb are PDE-5 inhibitors, which increase blood flow to the penis and help with better erections.
  • Avena Sativa relieves stress and increases sexual desire. Many men notice a decline in sex drive and sexual strength because of the effects of stress and long working hours; this herb helps counter the effects of our tough modern lifestyle.

Herbal Ignite has been used successfully by thousands of men in New Zealand and Australia to increase testosterone levels and boost libido and sexual satisfaction. It also relieves stress and fatigue and improves energy levels and confidence. It has a potent herbal formula that works over time to help resolve the underlying causes low sex drive in men and, in particular, low testosterone levels that result from aging.

Herbal Ignite is 100% natural and free of unpleasant side effects. It is made in New Zealand to the highest standards, with thorough testing and guarantees of no adulteration or undeclared ingredients.
 

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Disclaimer. This information is provided for general informational purposes only and does not substitute for the advice provided by your medical professional. Always seek specific medical advice for treatment appropriate to you. Individual results may vary and are not guaranteed.