What is Premature Ejaculation
Ejaculating before sexual contact or after just mild arousal is called premature ejaculation. The individual impacted may experience a decline in health and sexual function as a result. Several distinguishing factors have been shown to be reliable.
Vaginal penetration and ejaculation take less than two minutes, which is unacceptable.
This time interval is also known as the “intravaginal ejaculation time” and should be assessed for diagnostic reasons. The average time it takes a healthy man to ejaculate is closer to five and a half minutes after Fildena 100mg take.
There is a sense of helplessness in the minutes leading up to ejaculation. The affected individual feels helpless to stop himself from ejaculating too soon.
Personal repercussions for the individual are described as negative outcomes. Long-term sexual aversion might result from feelings like dissatisfaction, frustration, or anxiety. Partnership issues may function as both a trigger and a symptom of the underlying issue.
External variables including sexual abstinence, a change in the sexual environment, or the use of medicines or medications must also be checked out as causes of premature ejaculation.
Therefore, it is important to investigate and, if necessary, address the psychological aspect of premature ejaculation in addition to the physical. According to research, this disorder commonly causes friction in relationships and may lead to more serious issues down the road. Even if both couples were happy with the sexual encounter overall, participants nonetheless reported a decrease in closeness as a result of it.
How many men are affects by Premature ejaculation?
Actually, premature ejaculation is the most prevalent kind of male sexual dysfunction. According to the research, between 20% and 30% of all males have premature ejaculation, depending on the term used.
In certain circumstances, the studies provide notably different findings, perhaps due to the use of varying definitions and questionnaires. Premature ejaculation was found to be about the same across all age categories, with a slightly greater occurrence in males over the age of 50.
Despite the prevalence of this issue and the availability of effective treatments, few men actively seek help. One research found that just 9 percent of patients actually sought medical attention, and those who did were dissatisfied with their care. It’s unclear why so few men with premature ejaculation seek help from a doctor. It’s possible that some wait to disclose they have a sexual issue out of embarrassment.
Many people may be unaware that urology is a field that specifically addresses such issues and provides a range of treatment choices for individuals who need them. As a result, you shouldn’t be reluctant to acquire professional medical help and talk about your treatment choices with your partner. Those who have premature ejaculation are not alone, and they may choose from a variety of treatments.
Not everyone is aware that urology is a medical specialty that deals with these conditions and offers a variety of treatment options for those who suffer from them. Therefore, you shouldn’t hesitate to seek medical advice and discuss treatment options with your spouse. Premature ejaculators are not alone, and there are several options for care.
Causes of Premature ejaculation
Premature ejaculation may have both psychological and physiological origins.
Premature ejaculation may be triggered by stress, anxiety, and misunderstandings with a romantic or sexual partner. The psychological component of a patient’s prognosis might be negatively affected by unresolved issues.
Excessive sensitivity of the glans, for instance, might have organic origins, such as a malfunctioning nerve system. Prostatitis, erectile dysfunction, and thyroid illness are all other conditions that may lead to premature ejaculation treatment fildena double 200.
Premature ejaculation is often a contributing factor in erectile dysfunction, which is defined as the inability to acquire or keep an erection. Another research indicated that those who inherited a particular variation of serotonin transmission had shorter latency times to ejaculate. The so-called “happiness hormone” works like this. This points to the inheritance of this restriction.
How is Premature Ejaculation diagnosed?
Premature ejaculation is diagnosed mostly via the patient’s medical and sexual history. The aforementioned defining criteria should be questioned for this reason.
The time required to ejaculate must, of course, be established. It is recommended to establish the diagnosis within one to two minutes after vaginal entry. It is not technically premature ejaculation if it takes a little longer, even if the person experiencing it finds it uncomfortable or not long enough.
However, the subjective experience of the patient, such as their degree of pain, should also be taken into account when reaching a final diagnosis. This is usually the main issue that undermines a person’s sense of well-being and confidence.
Premature ejaculation may be diagnosed with the use of a number of questionnaires, which have been shown to be effective in differentiating the illness. This also simplifies the process of deciding on a course of treatment. Note that if you’re experiencing severe symptoms, you should see your primary care physician or a urologist instead of trying to get a diagnosis online.
Treatment by Medications
Long-acting serotonin reuptake inhibitors are another class of drugs used to treat premature ejaculation; they typically take 1-2 weeks to start working. So, similar to antidepressants, drugs need to be taken indefinitely to get the intended effect.
Some tricyclic antidepressants have also been demonstrated to be beneficial; for maximum efficacy, they should be taken around 5 hours before sexual activity.
PDE5 inhibitors, often used to treat erectile dysfunction, have also been studied in combination and as monotherapy. There was no evidence of efficacy, despite the prolonged duration to ejaculation. However, they boosted confidence, self-perceived ejaculation control, and sexual pleasure, all of which contributed to reduced nervousness. Additionally, they accelerated the recovery period for an erection after ejaculation.
The effectiveness of PDE5 inhibitors, which are often used to treat erectile dysfunction, in combination and as monotherapy has also been investigated. Despite the time it took to finally ejaculate, the results were inconclusive. However, they improved self-esteem, the belief that one can regulate one’s ejaculation, and the enjoyment of sexual activity, all of which related to lessened anxiety. They also reduced the time it took for an erection to return to normal after ejaculation.
