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Premature Ejaculation Causes and Treatments

Premature ejaculation is often defined as the inability to have sex lasting longer than three minutes.

In the UK, premature ejaculation affects nearly one-third of men. It is a relatively common sexual issue for males, and can be a source of embarrassment for those men who suffer with the condition. Premature ejaculation can occur during any form of sexual stimulation, be it foreplay or penetrative sex.

Because premature ejaculation sufferers are sometimes too embarrassed to seek outside help, the problem can often remain for life and cause misery in relationships.

What is considered premature ejaculation?

The time it takes to climax during any form of sexual activity will vary between men. Some individuals may take more than a half-hour to reach climax, while others may climax as soon as any type of stimulation is applied to their penis.

Because the condition varies so widely, what constitutes "premature ejaculation" is often determined by individual experience and expectation. Generally, medical professionals will consider a climax of under 3 minutes of sexual intercourse to be a reliable benchmark for premature ejaculation.

What can cause premature ejaculation?

When it comes to premature ejaculation, there are three major factors:

• Psychological
• Physiological
• Lifestyle

Psychological problems which may cause premature ejaculation include:

• Anxiety, stress and guilt
• Low self-esteem
• Reduced sexual confidence
• Sexually unresponsive and frigid partners
• Over excitement and eagerness

When a man has had little sexual experience, he is likely to ejaculate prematurely. As he gains more sexual experience and confidence in his ability to perform well, then sex may begin to last longer.

Physical causes of premature ejaculation may include:

• Under-developed pelvic floor muscles
• Neurological type conditions
• Vascular problems
• Spinal cord trauma
• Multiple sclerosis (MS)

Typically these conditions are the result of unavoidable health problems. However, the right kind of treatment can still result in big improvements to ejaculatory timing and control.

Lifestyle causes may include:

• Marijuana
• Alcohol

Treatment Options for Tackling Premature Ejaculation

There are many treatment options available for premature ejaculation, some will depend on the underlying cause of the condition:

* Is the premature ejaculation caused by a psychological or physical condition?
* Is the premature ejaculation a chronic condition or a more recent one?
* Does premature ejaculation occur often or only in certain situations?

Talk Therapy

For people in a long-term relationship, couples therapy may be a viable option. Together with your partner, you can speak with a professional therapist about anything that may be negatively impacting your relationship. Private sex therapy with a professional may be an option for those who are willing to pay a small fee per session. Therapy with a professional may be effective in the long-term for those who have psychological or medical issues

Kegel Exercises

You may also learn physical techniques to halt premature ejaculation, e.g. Kegel exercises such as the "squeeze" or the "stop-go" techniques. These rely on you strengthening and using the sexual muscles responsible for ejaculation.

SSRIs (selective serotonin reuptake inhibitors)

For premature ejaculation, SSRIs (selective serotonin reuptake inhibitors) are used as an alternative treatment to premature ejaculation. While these are prescribed for clinical depression, some individuals have noted that SSRIs increase the time required to climax during intercourse. SSRIs with a short life have been created specifically for premature ejaculation cases but these are not currently available for use in the UK.

If you are a man who suffers from premature ejaculation, selecting the proper treatment for your condition is the best way to ensure you have a satisfactory sex life.

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