Premature ejaculation
Premature ejaculation
Premature or early ejaculation (medical term: ejaculatio praecox) among men is the most common sexual problem among men. One of the five men experience it.
Any man can ejaculate too soon on occasions. It is an entirely normal phenomenon. But in the case of premature ejaculation, the man almost always ejaculates too quickly or much too quickly and often directly after he has entered the vagina. Quick is frequently within one or two minutes. Often, it is within 30 seconds.
There are many causes, for example:
- Physical disorders such as inflammation or infection of the prostate (prostatitis) or disorders of the central nervous system
- The use of certain medication such as medicines for colds that contain the substance pseudoephedrine
- Psychosocial causes that may arise for all sorts of reasons such as depression, stress, lack of self-confidence, poor communication or the lack of intimacy between you and your partner/partners
- Over excitement through ‘over active’ hormones
- A lack of serotonin. Serotonin is produced by the brains when you feel good. This could be when eating, having intercourse, or when smoking a cigarette. A too low serotonin level can lead to the glans becoming oversensitive and causing you to ejaculate too quickly.
There are different forms of premature ejaculation. The primary and secondary forms are associated with very fast ejaculation.
The primary form is the most common. In this case, the man has always ejaculated quickly, right from his first sexual encounter. He ejaculates quickly almost every time he has sexual contact with his partner. He thus experiences this with almost every woman with whom he has intercourse. In 65% of the cases, the speed at which he climaxes does not change throughout his life. In 32% of the cases, ejaculation becomes faster between the ages of 30 and 45 years. For the rest, most men with the primary form are physically and psychologically completely healthy.
The secondary form is less common. In this case, the man has never suffered from ejaculating quickly, but suddenly develops it in later life. The causes may be purely physical (e.g. problems with the prostate) or more psychological (e.g. problems with the partner). The secondary form can also be associated with erection problems.
Your urologist can help you find the cause of premature ejaculation and can help you during treatment.
