Premature Ejaculation

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:

• Erectile Disfunction
• Prostate inflammation (prostatitis)
• genetic predisposition
• poor overall health status and obesity
• thyroid hormone disorders
• diabetes
• lack of physical activity
• emotional problems and stress
• anxiety
• traumatic sexual experiences

Diagnosis

• Ejaculation that generally occurs within about one minute of vaginal penetration (lifelong PE) or a reduction in latency time, often to about three minutes or less (acquired PE);
• The incapacity to delay Ejaculation on nearly all sexual intercourses;
• Negative consequences include frustration, depression, and the avoidance of sexual intimacy.

Premature Ejaculation Diagnostic Tool (PEDT) is a questionnaire that helps identify men with premature Ejaculation.

Treatment

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.

External resources:

1. Premature Ejaculation: What can I do on my own? 
2. European Association of Urology.
3. Christina Lindea is my trusted Scandinavian-certified sexologist in Dubai.