Premature Ejaculation: Causes and Remedies
Premature ejaculation refers to the phenomenon where ejaculation occurs in a short, unintended period after receiving sexual stimulation. Many men experience this at least once in their lifetime, with variations ranging from temporary to persistent. This article will discuss the causes of premature ejaculation and how to improve it yourself.
Main Causes of Premature Ejaculation
Biological Causes
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Neurotransmitter Imbalance: Serotonin is one of the neurotransmitters that regulates many bodily functions such as mood, emotion, appetite, and sleep. In particular, it is believed to influence the center that controls the timing of ejaculation. A decrease in serotonin levels tends to hasten ejaculation. Indeed, Selective Serotonin Reuptake Inhibitors (SSRIs) are used as antidepressants but are also effective in treating premature ejaculation.
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Hormonal Imbalance: Testosterone is the primary male hormone controlling sexual function, muscle development, and bone health. Abnormal levels of testosterone might contribute to sexual dysfunction, but a direct relationship has not been definitively proven.
Psychological Causes
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Lack of Sexual Experience: Initial or minimal sexual experiences can lead to anxiety and tension, potentially making it difficult to control ejaculation.
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Pressure towards a Partner: Pressure or fear of satisfying a partner during sexual activity can be a factor for premature ejaculation. Particularly if there's a past experience where a partner expressed dissatisfaction, it could become a trauma leading to premature ejaculation.
Other Causes
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Impact of Disease or Surgery: Some surgeries on the prostate or urethra carry the risk of damaging nerves controlling ejaculation, potentially leading to premature ejaculation.
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Side Effects of Medication: Some drugs, especially antidepressants and hypertension medications, are known to have side effects such as premature ejaculation or other sexual dysfunctions.
It's worth noting that the causes of premature ejaculation are diverse and can vary depending on individual lifestyle, health status, and past experiences. If you feel you have premature ejaculation, it's recommended to consult with a specialist.
Methods to Improve Premature Ejaculation
Behavioral Therapy
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Stop-Start Method: After receiving sexual stimulation up to just before ejaculation, pause. Repeating this can help learn to control ejaculation.
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Squeeze Method: Just before ejaculation, firmly squeeze the base of the glans. This can temporarily suppress the urge to ejaculate.
Medical Therapy
- SSRIs: Drugs like "Paxil" and "Priligy" are popular treatments. Paxil (Paroxetine) was originally developed for depression but was found to delay ejaculation. Priligy (Dapoxetine), unlike Paxil, was developed specifically for premature ejaculation.
Surgical Therapy Our clinic primarily offers surgical treatments for improving premature ejaculation.
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Phimosis Surgery: Remove excess skin to reduce friction and enhance sensation.
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Frenulum Removal: Remove the frenulum, which many consider an erogenous zone.
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Glans Enhancement: Inject filler into the glans to enhance sensation.
Psychological Therapy Counseling and therapy can help overcome the anxieties and fears causing premature ejaculation.
Reviewing Lifestyle Habits Limiting alcohol and caffeine, getting enough sleep, and learning relaxation techniques are effective ways to review daily habits.
Conclusion While there are many potential causes of premature ejaculation, improvement is often attainable. Efforts on your own, combined with professional assistance, can help achieve a higher-quality sexual life. Our clinic offers surgical and medical treatments, so please don't hesitate to consult with us if you're facing this issue.
