Premature Ejaculation (also abbreviated PE) is a sexual disorder that impacts 30-40% of men between 18 and 59. Patients are often reticent about their condition, and many physicians do not know effective treatments. As a result, patients may remain untreated, being misdiagnosed or mistreated. Patients may develop depression and other related diseases in most situations.
The cause of PE is unknown. However, little data support the biological and psychological hypotheses, including anxiety and penile hypersensitivity. Therefore, we only can identify risk factors like:
Premature Ejaculation Diagnostic Tool (PEDT) is a questionnaire that helps identify men with premature Ejaculation.
To perform the ‘stop-start’ method, the patient or his partner stimulates the penis until the urge to ejaculate. At this point, the stimulation stops until the desire goes away and the stimulation is resumed. By repeating this exercise several times, the patient can learn to recognize the sensation just before orgasm. This way, he can stop and prevent Ejaculation.
The ‘squeeze’ method is similar, but the patient or his partner puts manual pressure on the glans just before reaching the orgasm until he loses his urge.
Masturbation before sexual intercourse is a technique used by younger men. Following masturbation, the penis is desensitized, resulting in a more significant ejaculatory delay after the refractory period.
The sexologist can help the patient by counselling and coaching with significant improvement in the duration of intercourse and sexual satisfaction.
Medications like Dapoxetine can also help delay Ejaculation and must be prescribed by a urologist and andrologist.