Premature ejaculation is a condition in which a man reaches orgasm earlier than he intends to. It is estimated that 30% to 70% of American males experience premature ejaculation. Although there is no cure for premature ejaculation, there are treatment modalities that are established to manage the condition.
Signs and Symptoms of Premature Ejaculation
Premature ejaculation may either be lifelong or acquired. In lifelong premature ejaculation, the person may experience symptoms as soon as he begins having a sexual intercourse. In acquired premature ejaculation, the person was able to have successful sexual relationships in the past and only later developed premature ejaculation.
The symptoms and clinical history of lifelong premature ejaculation may include psychological difficulties, deep anxiety about sex or traumatic experiences encountered during development. Patient characteristics among acquired premature ejaculation include erectile dysfunction, performance anxiety, and psychotropic drug use.
Diagnosis for Premature Ejaculation
There are actually no significant finding that should be found in the laboratory exams and evaluation of the individual unless there are other conditions that co-exist. Diagnosis usually relates to the history and interview findings of the individual. However, the conditions that are considered in the diagnosis of premature ejaculation include severely delayed orgasm in the female partner, adverse effect of the psychotropic drug, presence of pre-ejaculate and erectile dysfunction.
Treatment of Premature Ejaculation
There is no cure for premature ejaculation. However, there are a number of approaches that would help the individual overcome the condition. Management focuses on counseling and sex therapy. The first step is to relieve any underlying pressure on the sexual performance of the male. It is recommended that the couple should refrain from having sexual intercourse until the problem is resolved. In the meantime, they may resort to manual stimulation, oral sex and other means to satisfy his partner.
Pharmacologic Therapy for Premature Ejaculation
Until now, there has been no approved medication for the treatment of premature ejaculation. However, there are a number of medications used and are proven to be safe and effective for the management of premature ejaculation. These drugs include SSRIs (serotonin selective reuptake inhibitors) and drugs with SSRI-like side effects. Desensitizing creams containing local anesthetic agents can also be useful in some men that have erectile dysfunction.
Sex therapy is known to provide assistance to men in helping them cope with their medical problem. The therapeutic procedure can help address the various problems arising from a premature ejaculation. The therapy does not only extend in resolving sexual issues between partners. It also helps address different conditions that can contribute to the premature ejaculation in one way or another. These associated conditions include self-esteem problem, distorted body image concept, conflicting religious beliefs and values between the partners, lack of sexual desire, sexual addiction, compulsive masturbation, anxiety, stress and negative attitude towards sex. To make a sex therapy more meaningful, partners should be directly involved throughout the process of treatment.
A sex therapy can provide an enriching treatment process that involves not only the man affected with the condition, but also his partner who plays an important support system in helping to overcome the physiological and psychological effects of premature ejaculation.
Although there are no known direct morbidity and mortality among individuals with premature ejaculation, it could still alter their self esteem, may cause marital problem and depression. Prolonged and severe premature ejaculation can cause stress to marriages as well as difficulty in conception. If you experience any of the symptoms of premature ejaculation, be sure to make an appointment with your health care provider for better management.
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