Who comes in a minute has premature ejaculation? How to avoid the problem?

Have you ever wondered if you reached orgasm too quickly? This questioning is crucial to understand whether or not the person suffers from premature ejaculation, a problem that affects one in four Indians, according to the best sexologist in Delhi. The condition is associated with physical and psychological factors and can be reversed with some medical techniques and treatments. Next, we take the main doubts on the subject.

What is premature ejaculation? 

It is a sexual disorder associated with the rapidity in achieving ejaculation, which cannot be prevented or at least controlled for some time. "Almost 90% of men with the problem reach orgasm about a minute after vaginal penetration or even before introducing the penis to the partner", explains sexologist in Delhi.

What are the causes of premature ejaculation?

The factors that trigger the problem can be physical, psychological, and genetic. Although there is no specific cause, in most cases premature ejaculation occurs for psychological reasons. "The condition is a consequence of issues such as depression, low self-esteem and confidence, stress, anxiety and traumatic sexual experiences”, explains top sexologist in Delhi.

According to the sexologist doctor in Delhi, the physical factors that trigger premature ejaculation are: hypersensitivity in the penile area, prostate disease, diabetes or alcohol abuse, thyroid disease, spinal injuries, and overuse of medications.

How does the treatment work?

It is divided into two fronts: psychological and medication. In the first case, sexual therapy can be chosen, in which the patient - and his partner, if any - receive information about sexuality. “It is necessary to reduce the focus of anxiety associated with the affective and sexual relationship. Propose changes in individual sex and couple behavior, stimulating more communication and improving the quality of life”, points out Areas.

For drug treatment, selective serotonin reuptake inhibitors are used, in addition to lidocaine-based cream, spray or gel. They cause local anesthesia and therefore help to delay orgasm. However, they can cause side effects such as reducing the sensitivity of the glans and vagina too much - impairing pleasure. That is why it is important to always seek medical advice from sex specialist in Delhi.

Is there a group of men more susceptible to the problem?

Yes. Those with mental and mainly emotional instability (anxiety, stress, and insecurity). “The difficulty in having or maintaining an erection can also end up stimulating a faster ejaculation. Without forgetting that teenagers or even young adults who have conditioned themselves to a 'quickie' sex life end up acquiring the condition chronically”, says sexologist in South Delhi. Problems like multiple sclerosis, prostatitis (inflammation of the prostate), and erectile dysfunction are other possible factors of premature ejaculation.

Does using a condom help delay orgasm?

Yes. In some men, the condom slightly decreases the sensitivity of the penis and can cause it to take a little longer to ejaculate.

Does "taking the focus" off the transaction inhibit the problem?

Generally, any tactic used to decrease anxiety during sex helps to prevent premature ejaculation. "A good technique is to think about things outside of sex, but at the same time, it is complicated to suggest this, as some men end up losing interest in sex and are left without an erection", warns sexologist in East Delhi.

Does changing sexual position delay orgasm?

Yes. “To ejaculate, you accumulate some substances in the body, especially adrenaline. In the pause to change the position, there is a decrease in the level of this hormone and the excitation, which slows down the orgasm”, teaches sexologist in Rohini. 

"I received oral sex and came too quickly when penetrating my partner. Is this premature ejaculation?"    

No. "The orgasm is defined as early when it occurs after minimal sexual stimulation", explains sexologist in Delhi. That is, if you held on for a long time while receiving oral sex, there was a lot of stimulation. 

Are circumcised men less at risk of premature ejaculation?

There is no illuminating scientific evidence regarding the effects of circumcision on premature ejaculation. "Exposure of the glans after removal of the foreskin may decrease some of the sensitivity, but as the problem is linked to a psychological and cerebral process, this reduction does not end the problem", points out sexologist in Delhi.

Does alcohol delay orgasm? 

The alcoholic drink ends up helping, yes, but it is not the ideal treatment. "Alcohol reduces anxiety and relaxes, which makes the person have better control of ejaculation", points out sexologist in Delhi. However, if you overdo it, drinking can affect the brain centers of the limbic system of stimulating orgasm, which makes ejaculation difficult and may even inhibit it completely. Not to mention that if you drink too much you may still have erectile dysfunction.

Is masturbating good for "learning" how to control ejaculation?

Yes. You can train to be able to delay orgasm. When you realize that you will reach the peak of pleasure, just interrupt the stimuli, wait a while, and then restart. “Tightening the penis close to the glans to decrease arousal is another training, as well as pulling the foreskin every time you urinate and keeping the glans exposed in your underwear”, says sexologist in Delhi.