Premature ejaculation - if you come too early

Premature ejaculation is the most common problem among men in the sexual field. 

20-30% of Indian men aged 18-59 years suffer from premature ejaculation during intercourse.

Premature ejaculation is understood as an ejaculation that is perceived too quickly and that happens against the will of the man. These men cannot control their ejaculation, or cannot control it sufficiently. They feel that they cannot last long enough during sex because they climax too early, explains sexologist in Delhi.

Features of premature ejaculation

There are different definitions of whether there is premature ejaculation or not. It therefore plays an important role how the person concerned feels about the situation and the level of suffering they are suffering from. According to the best sexologist in Delhi, there is no clear limit and the sensation of affected men or the partner “what is normal” varies and is subjective.

In general, premature ejaculation is characterized by

• an ejaculation that always or almost always occurs less than three minutes after the limb is inserted into the vagina
• the feeling of the affected person that they cannot influence the timing of the ejaculation or cannot influence it sufficiently
• negative personal consequences, such as suffering, anger, frustration and/or the avoidance of sexual intimacy

What happens during premature ejaculation?

The normal sexual response in men is a gradual process. It starts with sexual stimulation, penis swelling and an erection. The phase in which this high arousal is maintained without ejaculation is called the plateau phase.

This is followed by ejaculation - usually in conjunction with an orgasm, followed by sagging of the penis. This can be graphically represented as a four step cycle: arousal, plateau, orgasm (in connection with ejaculation) and regression, explains top sexologist in Delhi.

In men with premature ejaculation, the overall ejaculation process is shortened compared to the normal process. A strongly increasing excitement phase with a normal erection is followed by a shortened plateau phase and rapid ejaculation in connection with an orgasm.

How many men are affected?

Premature ejaculation is one of the most common sexual dysfunctions in men. Studies have shown that about every fourth man is affected.

The interesting thing is: only a few men have such a high level of suffering that they need premature ejaculation treatment in Delhi. We know from our own study collective that a maximum of 3 to 6 percent of the men affected want therapeutic measures to "come later".

Diagnosis of premature ejaculation

Numerous medical societies have defined premature ejaculation (ejaculatio praecox, EP for short) differently. A distinction is made between lifelong (or primary ) and acquired (or secondary ) premature ejaculation.

In the first case, the problem has existed since sexual activity began. In the second case, there was a period in which the time to ejaculation was experienced by the man as sufficient and satisfactory.

As per sex specialist in Delhi, the affected man should have the following examinations performed for complete diagnosis and therapy:

1. Biothesiometry (for measuring nerves)
2. EMG (to measure the pelvic floor muscles)
3. Doppler duplex sonography (for measuring the four vessels of the penis)
4. Examination to determine the composition of the erectile tissue
5. Blood sampling (examination of various hormonal parameters)

Treatment options for premature ejaculation

There are various ways of premature ejaculation treatment in Delhi. Which of these is the most suitable depends on the underlying causes of premature ejaculation. In addition, it should be clarified whether the development of the pelvic floor muscles is possibly too low and whether the nerves on the penis are too sensitive. This can be measured with a so-called biothesiometry, suggests sexologist doctor in Delhi.

In addition to oral medications that change the messenger substances in the brain, there are various options that are individually tailored to men to delay premature ejaculation. A distinction is made between non-drug therapy and drug therapy.

The involvement of the partner is often at the center of non-drug treatment. Simply approaching the problem together in some cases leads to success and supports all further measures positively. This can also minimize the pressure to succeed (eg first step: sex without sexual intercourse). The drug approach primarily (only) treats the symptom as such. Surgical treatments cannot currently be recommended by sex doctor in Delhi.

Important: Before a therapy, the causes must first be explored, since premature ejaculation can have a variety of causes, both organically and psychologically. The psychological component plays a central role even in the case of organic disorders, says sex specialist doctor in Delhi. 

Non-drug therapy for premature ejaculation

There are several methods that can be used to delay ejaculation.

Targeted pelvic floor training/potency muscle training

The ejaculation reflex is triggered not only by the ichiocavernous and bulbospongious musculature, but also by the corresponding nerves. If these structures are very well trained, the man can prolong the sexual act through special training, suggests the best sex doctor in Delhi.  

Stop-start technology

With this technique, the penis is stimulated until shortly before the point of ejaculation (point of no return), then paused and, as soon as the excitation has dropped to a low level, the stimulation is resumed. This change between stimulus and pause is said to change the neuromuscular reflex mechanism and lead to an extension of the erection duration.

Squeeze technique or pushing method

This is a variation of the stop-start technique. Here the man learns to perceive his arousal and the time of the unwanted ejaculation more consciously. With this method, the penis is gently pressed at the tip. As a rule, you put your index finger on the frenulum and your thumb on the glans and press gently for several seconds. Shortly before ejaculation, the state of arousal usually decreases. After that, it is advised by sexologist in Delhi to wait a few seconds to a minute and then resume sexual activity. Tip: Both the stop-and-start method and the push method usually require some training to make it work.

Masturbate before intercourse

Many men report that they have better control over sex if they ejaculate beforehand. This affects younger men in particular. Because with increasing age, many men have difficulty in building a new erection after ejaculation. The strategy is only suitable for men who can build a second erection after ejaculation in a certain time interval.

The use of condoms

Some men experience that using a condom makes them less sensitive. By reducing the sensitivity on the penis, the ejaculation reflex is triggered later. As a result, many men have a longer stamina. The best thing for men to do is to test this out for themselves.

Redirect thoughts

Some men try to distract themselves during the act and think about other things. This can also cause the sexual act to last longer.

Therapeutic measures by doctors or psychologists

These can also help reduce anxiety and frustration surrounding premature ejaculation. Sometimes there are other psychogenic factors, so that appropriate therapy makes sense here. 

Which therapy option works best for affected men depends on the underlying cause. Therefore, you should definitely have yourself examined by a sexologist in Delhi.