By Our Health Reporter
KAMPALA, Uganda[SHIFTMEDIA] Nothing is so painful and embarrassing to ‘finish’ early as your partner is still in the mood of enjoyment. This is one of the many reasons that have led to marriage collapse and source of cheating among spouses.
Scientifically it is called premature ejaculation, or simply PE. This is when a man ejaculates (comes) too quickly during sexual intercourse. According to scientists it is common problem among men.
What is premature ejaculation?
According to nhs.uk a study involving 500 couples found the average time for ejaculation was about 5-and-a-half minutes after starting sex.
International guidelines define premature ejaculation as regularly ejaculating within 1 minute of entering your partner.
However, it’s up to you and your partner to decide if you’re happy with the time it takes you to ejaculate.
If ejaculation times are causing you persistent distress, then it’s a problem that can be helped with treatment.
Types of premature ejaculation
There are 2 types of premature ejaculation:
- primary premature ejaculation – where you have always had the problem
- secondary premature ejaculation (or “acquired premature ejaculation”) – where you recently developed the problem
The causes of primary premature ejaculation are often psychological, such as having a traumatic sexual experience at an early age. Secondary premature ejaculation can be caused by both psychological and physical factors. Physical causes can include drinking too much alcohol and inflammation of the prostate gland (prostatitis).
If your premature ejaculation is caused by a physical condition, treating the underlying condition should help. A GP can suggest possible treatment options.
Treating premature ejaculation caused by psychological factors can be more challenging. But most men who persevere with treatment find the problem resolves.
There are a number of self-help techniques you can try before getting medical help.
- masturbating 1 to 2 hours before having sex
- using a thick condom to help decrease sensation
- taking a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body, during which you ejaculate)
- having sex with your partner on top (to allow them to pull away when you’re close to ejaculating)
- taking breaks during sex and distracting yourself by thinking about something completely different
If you’re in a long-term relationship, you may benefit from having couple’s therapy.
You’ll be encouraged to explore issues that may be affecting your relationship and be given advice on how to resolve them. You may also be shown techniques that can help you “unlearn” the habit of premature ejaculation.
Selective serotonin reuptake inhibitors (SSRIs) can be used if self-help techniques do not improve the problem. SSRIs are mainly used to treat depression, but one of their side effects is delaying ejaculation.
Dapoxetine is an SSRI specifically designed to treat premature ejaculation. It can be used “on demand”. You’ll usually be advised to take it between 1 and 3 hours before sex, but not more than once a day.
If dapoxetine does not work, your physician may recommend trying another SSRI on an “off-label” basis. This is when a medicine is used for a different purpose than it was licensed for.
Doctors can prescribe an off-label medicine if they decide it’s in the patient’s best interest.
Anesthetic creams and sprays such as lidocaine or prilocaine cream can help by making your penis less sensitive. Using an anaesthetic cream with a condom can be particularly effective.