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 about effective treatments. As a result, patients may remain untreated, being misdiagnosed or mistreated. In most of these situations, patients may develop depression and other related diseases.
PE is a frequent sexual dysfunction that makes sex less enjoyable and might cause frustration. In this disorder, the man ejects the semen without control, sooner than he and his partner would like. Premature Ejaculation may be lifelong or primary when the patient has always had this disfunction since the beginning of his sexual life. We define as acquired the Premature Ejaculation that started at some time, after having always had a regular sexual life.
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:
A man with PE usually has:
Premature Ejaculation Diagnostic Tool (PEDT) is a questionnaire that helps to identify men who have premature Ejaculation.
Behavioral strategies mainly include the ‘stop-start’ programme and the ‘squeeze’ technique.
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 urge goes away and then 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 in delaying Ejaculation and must be prescribed by a urologist and andrologist.