Premature ejaculation is a common problem that many men face. It can cause frustration and embarrassment for the man involved and can also be a strain on the relationship. In this blog post, we will discuss what premature ejaculation is, the difference between normal ejaculation and premature ejaculation, what causes it, how to deal with it, and how to treat it. When should you see a doctor? How can testosterone help? Keep reading to find out more!

Some men believe they ejaculate too quickly or have little control over how quickly they ejaculate. This can lead to personal distress, partner distress, decreased sexual satisfaction and relationship issues. But when is ejaculating prematurely considered a problem?

The International Society for Sexual Medicine defines premature ejaculation as when a man always or almost always ejaculates within 1 minute of penetration. It is a condition characterized by the inability to delay ejaculation during sexual activity all (or nearly all) of the time that causes personal distress and may even lead to the avoidance of sexual intimacy.

What are the causes of Premature Ejaculation?
There are a lot of different causes of premature ejaculation. This issue can either be lifelong or acquired. Some people might be more prone to it because of their genetics, while others might develop the condition due to lifestyle choices or even psychological factors. Here are some of the most common causes:

1. Anxiety: This is one of the most common causes of premature ejaculation. When you are feeling anxious or stressed out, your body releases adrenaline and other hormones that can trigger an early orgasm.
2. Lack of Experience: If you are new to sex, you might not have a lot of control over your body and what happens during intercourse. This can lead to premature ejaculation.
3. Poor Physical Condition: If you are out of shape or have poor muscle tone, it is going to be harder for you to last long in bed. This is because these things can cause your body to tire easily.
4. Habit: If you have developed a habit of coming too quickly, it can be tough to break it. This is often the case with men who frequently masturbate.
5. Medication: Certain medications can also cause premature ejaculation as a side-effect. These include antidepressants, high blood pressure medications, and antihistamines.
6. Hormonal Deviations: Premature ejaculation can be caused by a number of hormonal factors, including testosterone levels, estrogen levels, and prolactin levels. Testosterone is the hormone most commonly associated with premature ejaculation, as it is responsible for stimulating the sexual organs and increasing libido. Estrogen is also known to play a role in sexual function, and elevated levels of this hormone can lead to premature ejaculation. Finally, prolactin is a hormone that is released after orgasm and can cause men to experience early ejaculation. Other Hormones such as Thyroid, Insulin and others can also play a role in this disorder.

What techniques can be used before seeking medical help?

There are all sorts of different techniques that people use to delay ejaculation. Besides the use of breathing exercises, distinct positions, and use of specific muscles to control ejaculation. One technique that seems to be gaining in popularity is the squeeze technique. This involves squeezing the penis just below the head when you feel like you are about to ejaculate. The pressure on the urethra can help to delay orgasm and prolong intercourse. Another popular technique is the stop-start method. This involves stopping sexual activity right before you reach orgasm, then starting again once your arousal has subsided a bit. This can be done multiple times until you are ready to let go.

How can a doctor help me?

There are a few different treatment options for premature ejaculation. Some people might try behavioral techniques, like the stop-start method or the squeeze technique. Others might take medication to help delay ejaculation. And some people might try using a condom with a numbing agent on it. However, it is important to know that an appropriate physician with experience and knowledge in the field of Men’s Health and Sexual Health is able to recognize and identify whether any further treatment is necessary. Believe it or not, there are a lot of different medical treatments for premature ejaculation.

In fact, new research suggests that testosterone therapy may help to improve symptoms.

In a study published in the Journal of Sexual Medicine, researchers looked at the effects of testosterone therapy on premature ejaculation. They found that men who received testosterone therapy had significantly improved symptoms of premature ejaculation.

This is good news for men who struggle with this condition. Testosterone therapy may be a viable treatment option for improving symptoms of premature ejaculation.

Dr. Payam Kerendian at Delight Medical & Wellness Center is one such Hormonal and Sexual Health Physician who has had great treatment results in this field where an appropriate evaluation and simple blood testing has allowed him to identify how to approach your sexual function issues. He will be happy to meet you and discuss best medical treatment options including Testosterone Optimization.