Premature ejaculation is ejaculation that occurs too early, usually before, upon, or shortly after penetration. It most common among adolescent boys and may be intensified by feelings that sex is sinful. This disorder can be a significant problem for couple if not treated properly. If the man ejaculates before his partner reaches orgasm then she may be left feeling unsatisfied and may become resentful.
Etiology:
Premature Ejaculations are mostly caused by:
- Fear of discovery (making the partner pregnant or contracting a sexually transmitted diseases and anxiety about performance)
- Problem in relationship
- Inflammation of the prostate gland
- Nervous system disorder
Treatment:
- Stop-and-start technique: the man learns to tolerate high level of excitement without ejaculating. This technique involves penis stimulation, either manually or through intercourse, until the man feel that he will soon ejaculate unless stimulation stops. He signals his partner to stop stimulation which is resume after 20-30 seconds. It can be done by manual stimulation and later during intercourse.
- Psychotherapy: especially when premature ejaculation is caused by serious psychologic problems.
- Medication: such as fluoxetine, paroxetin or sertraline to delay ejaculation, taken either daily or an hour or so before sexual intercourse.
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