Premature Ejaculation: What it is, Causes and Treatment

Premature ejaculation is one of the most common sexual dysfunctions that affect men.

Even today, the different problems or difficulties related to sexual desire and performance are a great source of anguish and frustration for those who suffer from them - especially because of the stigma and secrecy that exists around them.

Although there are no definitive data, premature ejaculation is one of the most common sexual dysfunctions among men. In this article, we will see what premature ejaculation is, what are its causes and what premature ejaculation treatment in Delhi exists to solve this problem, both from psychology and medicine.

What is premature ejaculation?

According to the best sexologist in Delhi, premature ejaculation is a male orgasmic disorder in which man, after minimal sexual stimulation, experiences involuntary ejaculation in a persistent and recurrent manner.

Now, when can we consider that ejaculation occurs early? According to the well-known researchers on human sexuality William H. Masters and Virginia Johnson, it can be considered that there is a diagnosis of premature ejaculation if the man reaches orgasm before his sexual partner in more than 50% of sexual encounters.

However, many other authors and researchers differ radically with this description. According to the sexologist in Delhi, the diagnosis of premature ejaculation cannot be subject to the time required for the other person to reach orgasm.

The reason is that each person needs different times to develop a complete sexual response, so using this variable time as a diagnostic criterion is not very effective.

According to sexologist doctor in Delhi, the main aspect when distinguishing a case of premature ejaculation is the lack of voluntary control over the ejaculation reflex. That is, there is premature ejaculation when in cases in which orgasm is given as an immediate and uncontrollable response once the man reaches an intense level of sexual arousal.

There is also another important parameter for the diagnosis of this dysfunction. Frequently, in premature ejaculation, there is an absence or decrease in the perception of erotic sensations. It is a sensation similar to genital anesthesia.

What are the causes of premature ejaculation?

This disorder is considered a multifactorial condition, so premature ejaculation can be associated with both physical and psychological causes.

Physical causes

Although few cases of premature ejaculation have physical causes, it is essential to perform a medical examination that helps rule out an organic origin of the disorder.

For example, in those patients who previously had good control over ejaculation and who suddenly become premature ejaculators, it is recommended by sex specialist in Delhi to carry out neurological and urological exams that help rule out the possibility of a malfunction of these systems.

In these cases, known as secondary premature ejaculation, incontinence could be a symptom of a neurological disorder - specifically a malfunction of the nerve pathways that innervate the reflex mechanisms that control orgasm.

Neurological diseases such as multiple sclerosis, degenerative diseases and physical conditions such as prostatitis can be the cause of the appearance of premature ejaculation.

Psychological causes

The psychological causes explain the majority of cases of premature ejaculation. Although it has not yet been possible to determine what psychological factors or aspects are the origins of this disorder, there are several theories that relate it to an anxiety mechanism.

According to sexologist in South Delhi, the main psychological cause of premature ejaculation is anxiety. This anxiety increases as different levels of sexual arousal are reached and are what triggers involuntary orgasm.

Other sexologists in Delhi add that, in reality, anxiety prevents the person from clearly perceiving the premonitory sensations of orgasm and, as a consequence, prevents ejaculatory control.

On the other hand, sexologist in East Delhi stated that the main cause of premature ejaculation is the conditions that occurred during the first sexual experiences of the person. If these were especially tense, fast or traumatic they can generate involuntary conditioning.

Treatment of premature ejaculation

Whatever the cause of premature ejaculation, the truth is that in all cases it generates strong feelings of anguish in the person, who feels that his sexual capacity and performance are in question and can ruin his sexual relations.

Before starting the premature ejaculation treatment in Delhi, possible physical causes should be ruled out. In most cases where there is an underlying cause or physical illness, treatment will cause an improvement in ejaculatory control.

However, because this occurs in the smallest number of cases and tends to leave a psychological mark on the person, the main premature ejaculation treatment in Delhi is sexual and psychological therapy or drug treatment.

Sex therapy

The main objective of sexual therapy is that the patient constantly focuses their attention on the sensations that surround orgasm, teaching the patient to clearly perceive and identify pre-orgasmic sensations and, in addition, to prevent the development of the sexual act from distracting from your goal.

There are several techniques for the premature ejaculation treatment in Delhi, such as Kegel exercises that help strengthen and control the pelvic floor muscles or the "compression technique", one of the most common procedures for the treatment of premature ejaculation.

Since premature ejaculation always occurs at times of sexual interaction with another person, the patient will need the help of a sexual partner for treatment. Both people must carry out the indications of the top sexologist in Delhi as dictated.

First of all, the sexologist in Delhi must explain how the different steps that include sexual therapy through “compression techniques” are developed. This therapy is carried out gradually through sexual exercises or tasks, starting with masturbation by the couple in which the man must concentrate on the sensations and notify the couple when he feels he will reach the climax so that this it stops.

Repeating this technique is very effective in increasing ejaculation control. Once the patient improves on this task, they move on to more complex tasks such as “stop and start”, which already include penetration.

It is necessary to emphasize that the treatment of premature ejaculation should always be done by a professional sexologist in Delhi and never on their own since this can generate even more feelings of frustration and anxiety. In addition, the therapist will also carry out sex education and the elimination of myths about sexuality.

Medication

Medication may be an alternative for patients who are reluctant to sexual therapy. However, this is not always effective and is more a palliative or "patch" treatment than a solution in itself.

Drugs that increase serotonin levels in the brain help decrease the intensity of ejaculation and are used with some success in the treatment of premature ejaculation. These include some selective serotonin reuptake inhibitors (SSRIs) such as paroxetine.

The patient who undergoes a treatment of premature ejaculation using drugs usually perceives the first results within a few weeks of the start of the mediation. However, these drugs also have side effects that affect sexual performance. Among them, we find other types of sexual dysfunction such as anorgasmia, erectile dysfunction or decreased libido.

Finally, the use of topical desensitizing drugs such as lidocaine is also recommended by a sexologist in Delhi, which is applied to the tip and stem of the penis just before sexual activity. The main drawback of these products is that they usually reduce the sensitivity of both the patient's penis and the intimate areas of the couple.