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Precocious ejaculation (PE) is a condition where a man experiences sexual arousal before or during the time when he would normally have no desire to do so. PE is not limited to men, but rather affects women as well. However, there are some differences between male and female cases of PE.
In males, PE usually occurs at puberty, but can occur anywhere between childhood and adulthood. A person with PE will experience sexual arousal before or during the time when he would normally have no desire to do so.
Most commonly, PE is associated with premature ejaculation (PEQ).
For females, PE is generally seen in adolescence and early adulthood. Usually, it does not affect sexuality much until later in life; however, it may cause problems such as depression and anxiety disorders.
The term “precocious” refers to the fact that PE is typically experienced before puberty. For example, a 10 year old boy might have PE at age 9, whereas a 20 year old woman might have it at age 25.
The difference lies in the timing of onset of symptoms: in the case of boys, they tend to begin around puberty; for girls, they tend to start after menopause.
What causes precocious ejaculation?
There are many causes of PE, including psychological and medical factors. For example, a person who has anxiety disorders, like social anxiety disorder or test anxiety, may experience PE due to the effect that stress has on sexual arousal. Traumatic experiences such as sexual abuse can also lead to PE. Other medical causes of PE include diabetes and a malfunctioning thyroid gland. Rare cases of PE are caused by physical damage to the pelvic or spinal areas.
How is Precocious Ejaculation treated?
There are various treatments for PE, such as stress management methods and applying topical anesthetic creams to the male genitals before sexual activity. Antidepressant drugs can also be used to prevent the occurrence of premature ejaculation.
Other treatment options for medical causes of premature ejaculation, such as a low thyroid level, are discussed with a medical professional.
The most common treatment option for PE is the stop-start technique, which involves stopping all sexual activity right before ejaculation. Once the man has regained control over his ejaculation, he can begin again.
The process is repeated until penetration and thrusting can occur without ejaculating. Using this method may take a few hours or several days. Alternatively, the squeeze technique may be used. With this method, a man’s partner will squeeze the tip of the male genitals during the time of penetration to prevent him from ejaculating.
Another treatment option for PE is choosing a sexual position that does not affect sexual arousal as much. These positions are based on comfort and ease of thrusting rather than sexual pleasure for one or both partners.
Partners are also encouraged to communicate with each other about what feels best.
A doctor may also prescribe a topical anesthetic to help desensitize the skin of the male genitals. This method is fairly effective, although it may take several weeks before it begins to work.
Other types of anesthetic creams are also available over-the-counter.
In some cases, a man may have a physical condition that is causing early ejaculation. In these cases, a doctor (urologist or andrologist) can perform tests to see if there is a medical reason for the condition.
This method should be used before seeing a psychiatrist.
When is treatment needed?
If a man is able to have sexual relationships without experiencing pain or discomfort, then treatment may not be needed. If the condition causes severe emotional distress or is preventing a person from enjoying sexual activity, treatment may be necessary. If the condition is affecting a man’s relationship or ability to have children, it may be beneficial to seek treatment. Keep in mind, however, that if there are emotional causes behind the anxiety, a quick fix with a doctor may not resolve the problem. In other words, “band-aid” approaches may not work in all cases and can even be detrimental.
What are some possible complications?
Because the causes of premature ejaculation are often psychological, the treatment options can also be psychological. Because of this, complications from treatment are possible.
Other than these psychological complications, PE does not cause any other health risks.
What do I do if I need treatment?
Finding a doctor that is right for you can be challenging. However, taking the following steps may help you find the right one:
Ask your friends and family for referrals to doctors that have treated premature ejaculation before.
Contact a medical professional that is known for treating persistent sexual issues. These types of doctors are usually found in urology departments or reproductive medicine departments and can also be known as Andrologists.
Another option is to find a sexual medicine clinic in your area that can provide you with an assessment.
Once you have a list of doctors that fit your needs, take time to research each one to see if their philosophies align with your own. Keep in mind that because PE is primarily caused by anxiety, psychiatrists may be more qualified to help than urologists.
Whatever you decide, good luck!
Edited by user Friday, June 9, 2017 11:31:41 AM(UTC) | Reason: Removed link
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