Premature ejaculation is more common than most people think: 30% of the world's men are believed to suffer from this condition and an additional 40% will experience premature ejaculation at least once during their life.
Some men may think they have premature ejaculation problems because they notice a sudden change in how long they can have sex before ejaculating. Although a drastic drop in the amount of time before you climax is something worth mentioning to your doctor, the diagnosis is very subjective, as people have different ideas of how long sex should last for. Experts usually define it as ejaculating during the first two minutes after sex or sexual arousal on a recurring basis.
How does premature ejaculation differ from impotence?
Although premature ejaculation and impotence are both penile conditions, they are both very different.
Impotence is a condition where a man cannot achieve or maintain an erection for or during sex. Impotence problems can manifest both physically, psychologically or due to lifestyle. If a man cannot physically have an erection it is due to a number of reasons including deterioration of the arteries which serve the penis, diabetes or high blood pressure. A psychological reason could be due to sexual anxiety, depression, exhaustion or lifestyle traits such as obesity, smoking and recreational drug use.
Premature ejaculation has nothing to do with a man's erection, but the causes of the condition can be similar to those of impotence. Certain physical factors (vascular conditions, neurological problems and certain medications) - and psychological factors (sexual anxiety, stress and low confidence) can trigger and exacerbate this problem.
How is it diagnosed?
Premature ejaculation is a condition with no definitive guidelines for diagnosis. Different men will have different ideas as to what is justified as a qualifying diagnosis for premature ejaculation. This makes premature ejaculation a subjective condition to diagnose.
It is important to speak to a doctor if you feel you are suffering from a premature ejaculation problem, as he or she will be able to decide whether your situation requires medical treatment.
What are the causes of PE?
Premature ejaculation can happen at any point during the sexual act or even when you masturbate. Men of all ages can be affected, but there may not be a clear root cause; the triggers of impotence could be a combination of various physical and psychological factors. Psychological factors which can affect your sexual performance include stress, fear, anxiety, past emotional trauma and low confidence. Physical factors that can influence your time before orgasm include vascular conditions, neurological problems, spinal cord injuries, multiple sclerosis, and certain medications.
What premature ejaculation treatments are available?
It's easier to select a treatment if you know what is causing the problem. If you think the causes are psychological, seeking the advice of a doctor or counsellor could potentially help you deal with the cause. There are also various recommended exercises you can do, such as the 'stop and start' and 'squeeze' methods. This involves masturbating until you are about to ejaculate and then applying pressure to the tip of the penis to prevent ejaculation from occurring. This will gradually help you to train yourself to take better control.
There are also desensitising remedies available that are applied to the tip of the penis before sex. These remedies normally contain a very mild anaesthetic that reduces the immediate sensations to help you last for longer.
The only prescription treatment available is Priligy. It's been proven to be very effective in clinical tests and many users experienced a 200% to 300% increase in the amount of time they were able to have sex before ejaculating.