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Too fast, too slow or not at all? We get to the root cause for you.
An estimated 1 in 3 men have faced premature ejaculation, with 1 in 25 men experience delayed ejaculation.
Ejaculations always or nearly always occur within a minute or so of penetration are considered premature. In most instances, there is difficulty delaying the ejaculation, causing men and their partners significant distress and frustration. It can then lead to avoidance of sexual intimacy.
Premature ejaculation can be classified as acquired or lifelong. Men can acquire the condition at some point in their life, such as after a significant event or change. It can also be a lifelong issue, where they have known this to be the case from their very first penetrative sexual experience.
There are 2 types of delayed ejaculation: primary and secondary.
Primary delayed ejaculation applies to men who have always had difficulty ejaculating. Secondary delayed ejaculation occurs in men who previously had no issues with intercourse but developed this problem. Delayed ejaculation can be caused by physical and psychological factors.
Physical factors include:
Psychological factors include:
Don’t Keep Your Ejaculation Problems To Yourself
When men touch themselves, the speed, pressure, duration and intensity necessary to produce an orgasm tend to be very dissimilar to what they may experience with a partner. This means that the orgasms may be difficult to reproduce in partner-related sexual activity. If you feel that something isn’t right, please reach out – help is available, and there are many options!
Interestingly, drugs that have been commonly used as anti depressants have been found to be very effective in managing premature ejaculation. A pill called Dapoxetine (Priligy) has been formulated to be taken just a few hours before intended sexual intercourse to lengthen time for penetrative sex. Paroxetine, a common antidepressant pill can be used daily to treat more severe PE.
In some cases, PE happens due to a coexisting erectile dysfunction hence treating the erectile dysfunction with medications like Viagra, Cialis etc can alongside resolve the PE Issue.
There is increasing data showing that sex therapy can be more effective than medication to manage ejaculation disorders. This can help men and their partners work on psychological, emotional, and relationships issues that are either long-standing or a recent result stemming from the distress of ejaculation disorders.
Do note that this requires a longer term commitment to resolve this problem.
If your ejaculation disorders are caused by a shortage of testosterone, you may benefit from testosterone replacement therapy, which can take place in the form of injections or gels.
Numbing sprays are another way to treat premature ejaculation on an on-demand basis. Local, topical aesthetic sprays can be applied to the head of the penis approximately an hour before sex. The spray then reduces sensitivity to touch, so ejaculation does not happen undesirably early.
We’re here to answer even the most sensitive and intimate questions. Take the first step, and we’ll take care of the rest.
How can one enjoy sex with premature ejaculation?
If couples define sex as the time period between penetration and ejaculation (also known as the latency period), then it might last just a few minutes when there is an issue of premature ejaculation. But if they include foreplay and other sexual activities such as massage and oral sex etc, the experience can last for a much longer period.
If the individuals are satisfied with the duration of vaginal penetrative sex, even if it lasts for just over a few minutes, then the couple does not have an issue as they are both satisfied with that duration of penetrative sex and it does not cause them distress or frustration.
However, in a couple setting where penetrative vaginal sex mostly occurs under a few minutes (eg 2-3 mins), and one or both partners are unsatisfied, bothered and negatively affected by this, then this can be classified as premature ejaculation.
It is helpful to have realistic expectations – typically, the normal time to ejaculation is between 5 to 7 mins.
Do drugs like Viagra help to manage premature ejaculation?
Yes! Common drugs for erectile dysfunction like Cialis, Viagra and Levitra can actually alleviate some of the problems with premature ejaculation. As these drugs provide men with stronger vigour of erection, they also reduce what many men call ”performance anxiety”. Since anxiety is often a concern for men with premature ejaculation, a man using drugs like Viagra, Cialis and Levitra then find that not only are their erections stronger, they may also ‘last longer’.
Can delayed ejaculation be circumstantial?
Yes. Sometimes, it only occurs in specific circumstances, such as only with specific sex partners or it occurs with sexual intercourse with a partner but not with masturbation. A man who masturbates a certain way, with a specific intensity or speed that gets him off, might not reach that required threshold of stimulation during intercourse with a partner.
Does not ejaculating cause any problems?
For some men who suffer from delayed ejaculation, ejaculation cannot be achieved at all. While this condition does not pose any serious medical risks, it can be a source of stress and may create problems in your sex life and personal relationships.