There are two types of premature ejaculation (PE), primary and secondary. The difference between the two is the amount of time you’ve had the problem; primary premature ejaculation is diagnosed when this concern has always been present. In contrast, secondary premature ejaculation is seen when the condition develops at some point; for this reason, it is also referred to as “acquired” premature ejaculation.
 
Generally, this condition is diagnosed when ejaculation routinely occurs within a minute of sexual intercourse and causes emotional and sexual distress. Premature ejaculation is usually psychosomatic, meaning physical symptoms are caused by a mental state. However, it is also possible for the condition to be caused by a purely physical ailment such as prostatitis (prostate inflammation). In addition, intoxication from various substances can also lead to this issue. It’s estimated that over thirty percent of men experience premature ejaculation on numerous occasions. This condition is also highly associated with erectile dysfunction (ED) and aging.

Premature ejaculation has no connection to infertility. The only problems that may arise from premature ejaculation when a couple is trying to conceive are stress and semen not being ejected within the vagina, which is necessary for sperm to travel to an egg.

There is no definitive cure for premature ejaculation, as it is typically psychologically rooted. However, several steps can be taken to treat premature ejaculation and the underlying cause. It is theorized that low serotonin levels can lead to premature ejaculation, and for this reason, certain medications can be used to treat the condition. Serotonin is a hormone and a neurotransmitter, which means this substance is a naturally occurring chemical used to send messages around the brain and body to manage various biological processes.
 
Serotonin is most commonly known to cause “good feelings,” like happiness and confidence. However, when this chemical is out of balance, it can cause numerous mood-related issues like depression, though it can also present as physical conditions such as premature ejaculation. SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin and norepinephrine reuptake inhibitor) are two groups of antidepressant medications that work to increase serotonin levels and have shown some improvement in premature ejaculation as well.
 
As listed below, many behavioral techniques and modifications can be made during intercourse to lengthen the experience. These include masturbation, pelvic floor strengthening, breathing patterns, counseling services, etc.

There are several techniques that many men find to help delay ejaculation. It is important to use protection during sexual intercourse; opting for a thicker condom can help to minimize sensation and prevent premature ejaculation.
 
You may also find it helpful to incorporate masturbation before or during intercourse as well as brief breaks. Anecdotally, a firm squeeze of the penis before ejaculation can prevent it from happening. Others suggest a specific breathing technique.
 
You stop the movement before ejaculation, take a deep breath and hold it for a prolonged time, slowly breathing out and repeating until the feeling has passed. Kegel exercises can also help, as they strengthen the pelvic floor. If you are urinating and tense the muscles in the pelvis to stop, you can understand precisely what muscles are being used. This tensing up is considered a Kegel and can be performed by men just as they are by women. Over time as you strengthen this muscle group, you may find it easier to delay ejaculation by performing Kegels during intercourse.
 
Since this condition can be rooted in numerous ideologies and experiences, it can also benefit seeking therapy services. PE can be caused by sexual violence, unwanted sexual experiences, heavy pornography viewing, negative self-image, etc. Therapeutic treatment will further support you in managing stress and intimacy issues in relationships related to your condition.
 
Here at American Male Medical, our physicians offer a specialized program for the treatment of erectile dysfunction (ED), premature ejaculation (PE), and imbalances of the sex hormones. If you want to receive this care, please do not hesitate to contact our office, as we accept new patients in four locations. Appointments can be made online, or over the phone; we look forward to meeting you. We serve patients from Lewisville TX, Sherman Oaks CA, Irvine CA, Nashville TN, Carrollton TX, Flower Mound TX, Los Angeles CA, Tustin, CA, and Oak Hill TN.