Premature

Premature ejaculation typically occurs within an average of 2–4 minutes, while women generally take around 15 minutes to reach climax. This imbalance between men and women can lead to relationship issues.

Causes of Premature Ejaculation

Physical Factors:

1. Hormonal imbalances
2. Abnormal levels of neurotransmitters in the brain
3. Thyroid dysfunction
4. Inflammation or infection of the prostate or urethra
5. Substance abuse

Overall, these factors can affect the nervous system that controls the genital area, leading to heightened sensitivity and premature ejaculation.

Psychological Causes

1. Stress
2. Anxiety
3. Depression
4. Issues with sexual satisfaction or relationship problems
5. Past negative sexual experiences
6. History of sexual abuse

Common Causes of Premature Ejaculation

1. Lack of sexual experience
2. Serotonin level imbalances
3. Anxiety about sexual performance
4. Fear of rejection or partner losing interest
5. Decreased physical stamina or fitness
6. Past negative sexual experiences
7. Strong arousal from a partner
8. Erectile dysfunction

Treatment for Premature Ejaculation

1. Pelvic floor muscle contraction exercise
2. Squeeze technique exercise to control ejaculation by masturbating until you reach your climax and press near the 2-salung line or the base of the penis for about 3-4 seconds until the sensation subsides. Then masturbate again. Repeating this will help extend the ejaculation period.
3. Using anesthesia, which is currently available in the market as anesthetic sprays or condoms containing anesthetic ingredients.
4. Using medications, currently available in the antidepressant group, which helps inhibit neurotransmitters in the brain, and can effectively reduce premature ejaculation.
5. Couple therapy involves a therapist discussing relationship issues and recommending solutions or techniques to alleviate conflicts between partners. Additionally, a psychiatrist may be consulted to assist with the treatment.

Three Characteristics of Premature Ejaculation

1. Ejaculation occurs within 15 seconds of penetration. Studies show that the average ejaculation time for men typically ranges from 2 to 10 minutes.
2. Inability to control ejaculation as desired. This criterion differentiates premature ejaculation from cases where men intentionally climax quickly in certain situations.
3. Some couples may not experience issues if the female partner reaches orgasm quickly. In such cases, the condition may not cause relationship concerns.

Complications of Premature Ejaculation

1. Causes stress and anxiety
2. Leads to relationship issues with a partner
3. May contribute to infertility if ejaculation occurs before sperm reaches the female reproductive tract

Prevention and Management of Premature Ejaculation

1. Maintain a positive attitude toward sex and avoid excessive anxiety about performance. If you feel uneasy or lack confidence, address these concerns.
2. Understand premature ejaculation: occasional occurrences should not cause excessive worry. However, if it significantly impacts your relationship or mental well-being, seeking medical advice is advisable.

Diagnosis of Premature Ejaculation

If premature ejaculation does not affect sexual relationships or cause distress, medical consultation may not be necessary. However, if it becomes problematic and self-management is ineffective, seeking professional advice on male sexual health is recommended.

During a medical consultation, the doctor will ask about sexual history, relationship concerns, and past medical conditions, along with conducting a physical examination. If premature ejaculation is accompanied by erectile dysfunction, the doctor may recommend blood tests to check testosterone levels, evaluate urethral abnormalities, or refer the patient to a psychiatrist or mental health specialist for further assessment and treatment.