Premature Ejaculation

What is Premature Ejaculation/سرعت انزال (PE)?

Premature ejaculation, is also known as Ejaculation disorder, and ejaculation problems, In Urdu, are known as “سرعت انزال”. PE is a common sexual problem that affects men of any age. It’s defined as the inability to delay or control ejaculation during sexual activity, resulting in sexual experiences that are often unsatisfying for both partners.

Types of PE

PE is basically of two types,
Lifelong PE means since puberty.
Acquired PE means developed with time.

PE can have a significant impact on a man’s sexual confidence and overall well-being, as well as on his relationship with his partner. It can lead to feelings of embarrassment, frustration, and low self-esteem, and can destroy your intimate relationship

Q: Is Premature Ejaculation and Nightfall are same?
Q: Does Excessive masturbation lead to premature ejaculation?
Q: What will happen if I don’t get Treatment for Premature Ejaculation?
Q: Does Premature Ejaculation lead to Low sex drive?
Q: Does Early Discharge lead to fear of sexual failure?
Q: What is the average time limit for Ejaculation?

Premature Ejaculation Causes

The exact premature ejaculation cause is still unknown. It was once thought to be only psychogenic But health care providers now know that premature ejaculation involves a complex interaction of psychological and biological factors.

Psychological causes of PE

Psychological factors that might play a role include:

Early Sexual experience
Sexual abuse
Stress.
Depression.
Poor body image or Size and shape consciousness
Worrying about PE itself worsens PE
The guilt of masturbation at a young age can also cause you to rush through sex.
Anxiety; According to a survey, anxiety affects 25% of men’s sexual performance..
Fear of performance
Relationship problems (poor communication or other concerns between partners)
Liking & Disliking Issues of Partners
Idealism about a partner or sexual relation
Porn addiction
Poor sexual education,
Lack of experience,
Misbelieving in sexual myths

Physical causes of PE

Hormonal imbalances: Abnormal levels of hormones such as testosterone, serotonin, and dopamine can contribute to premature ejaculation.
Neurotransmitter levels: Men with lower levels of serotonin in their brains may be more prone to premature ejaculation.
Genetic factors: Premature ejaculation may run in families, suggesting a possible genetic component.
Prostate problems: Inflammation or infection of the prostate gland can contribute to premature ejaculation.
Nervous system damage: Any injury or damage to the nervous system can cause premature ejaculation.
Erectile dysfunction: Men with erectile dysfunction may be more likely to experience premature ejaculation. Being anxious about getting and keeping an erection might form a pattern of rushing to ejaculate. The pattern can be difficult to change.

Research

Some researchers have explored the possibility that certain anatomical features, including the short frenula, could contribute to premature ejaculation.

Risk Factors

Various factors can increase the risk of premature ejaculation. They may include:

Age: Younger men are more likely to experience premature ejaculation than older men.
Medical conditions: Certain medical conditions, such as Epilepsy, neurologic problems, diabetes, multiple sclerosis, and heart disease, can increase the risk of premature ejaculation.
Erectile dysfunction: is one of the leading causes of PE in youngsters as well.
Substance use: The use of drugs or alcohol can increase the risk of premature ejaculation.
Stress and anxiety: Men who experience high levels of stress or anxiety (banking sectors or People in sales and marketing have high levels of stress of target achieving) may be more likely to experience premature ejaculation.
Inexperience: Men who are new to sexual activity or have not been sexually active for a long time may be more prone to premature ejaculation.
Relationship problems: Difficulty communicating with your partner, unresolved conflicts, or a lack of emotional intimacy can lead to premature ejaculation.

It’s important to note that while these factors may increase the risk of premature ejaculation, it is still a common condition that can affect men of all ages and backgrounds with or without such factors.

Premature Ejaculation Symptoms:

The primary symptoms of PE are the inability to control or delay ejaculation during sexual activity. Some other key symptoms of premature ejaculation include:

Ejaculate within one minute of penetration.
In severe cases ejaculate just on penetration or even before penetration.
Difficulty in prolonging sexual activity.
Unsatisfying sexual experiences for both partners.
Low self-esteem.
Anxiety of performance, and depression.
Fear of sexual activity or forming intimate relationships.

While occasional episodes of premature ejaculation are normal and not necessarily a cause for concern, persistent problems may require investigation and then treated accordingly.

Diagnostic Tests For Premature Ejaculation

It is always very important to diagnose first before you go for treatment of any medical condition. To diagnose PE although there is a lot to know at this level you might need to do some Lab tests (including hormones, vitamins minerals, and some co factors in the blood ) & Stress tolerance test STT.

Treatment Options

Unlike the diagnosis, for PE there are a variety of treatments available which are used in combination to treat PE. Remember these therapies depend on individual cases and conditions. Someone with PE might need nutritional medicines plus therapies and some might need both Medicine and therapy, someone might need psychological counseling and training for his treatment or might need all of them depending on the seriousness of his PE. and this can only be decided after diagnosis the seriousness of your condition

-Nutritional supplements
-Psychosexual counseling and training
-ESWT
-Diathermy
-Cryotherapy
-Acupuncture, etc

Premature Ejaculation Treatment At Mens Care Clinics

At our specialized Men’s care clinics, we offer Premature Ejaculation Treatment near Bahadurabad Karachi, delivered by experienced sexologists who understand the sensitive nature of Ejaculation problems. Our aim is to help patients to overcome this common Ejaculation problem and achieve a satisfactory sexual life. Our doctors take a comprehensive approach, examining the underlying physical and psychological factors that contribute to Premature Ejaculation, and work with patients to develop personalized treatment plans tailored to their needs. Our clinic is a safe and confidential space where patients can discuss their concerns openly and receive the care they need to overcome Premature Ejaculation problems. Whether you are experiencing premature ejaculation occasionally or consistently, our team is here to help you overcome it and regain confidence in your sexual performance.

The first step toward treatment is to schedule an appointment with an experienced sexologist. Our professional staff will conduct a basic history of your seriousness, after which you will be seen by our specialist. To determine the cause of your PE, a number of tests might be required, which will be explained to you during your consultation. These tests may include Lab tests (including hormones, vitamins minerals, and some co-factors in the blood ), and Stress Tolerance Tests (STT). Based on the results of these tests, our doctors will develop a personalized treatment plan that is tailored to your specific needs, helping you to regain your confidence and improve your sexual performance.

If you are suffering from Premature Ejaculation(PE) then contact Mens Care Clinics to schedule an Appointment.

Complications of PE

Complications of PE are somewhat the same as ED just because both systems are interlinked and share a psychogenic cause.

Stress and relationship problems. A common complication of premature ejaculation is relationship stress, Patient is afraid of performing sex due to fear of being failed again due to PE, which ruins the relationship.
Fertility problems. Premature ejaculation can sometimes make it hard for a partner to get pregnant because patients with PE sometimes ejaculate before entering the vagina. Resulting in an unsatisfactory sexual relationship.
Stress or anxiety about performance leads to avoiding behavior which is hurting for both partners.
Depression due to guilt and self-blaming leads to suicidal thoughts in sensitive patients
Embarrassment or low self-esteem may result in altering behavior like frustration.
Relationship problems due to dissatisfaction of female partner for a longer time, being cultural she might not express her frustration about sex but it might trigger the domestic issues which later can cause big relationship problems like separation.

How to Prevention of Premature Ejaculation

The best way to prevent Ejaculation problems is to discuss it with your healthcare provider. Some common and small things can keep you safe such as;

Maintaining a healthy lifestyle by eating a balanced diet, exercising regularly, enough water intake, quitting smoking, and tobacco will bring your stress level down and make you feel good which in turn will improve your timing.
Manage chronic medical conditions such as Epilepsy or neurologic problems, diabetes, or heart disease with proper treatment to reduce the risk of PE.
Learn stress-management techniques such as meditation or deep breathing exercises to reduce stress and anxiety, which improve your condition.
Communicate openly with your partner about your PE or ED. Those patients who keep communicating with their partner always improve faster because talking to their partner will reduce anxiety about performance which is important to improve PE. If your partner is supportive and understands that PE is not your fault it can happen to any man at any age, then with your partner’s support you can recover in no time.
See your doctor regularly for check-ups to identify and manage any risk factors for PE.
Avoid using illicit drugs used in the management of depression anxiety and stress or any neurologic disorder which can increase the risk of Premature Ejaculation.

When to see the Sexologist?

It’s important to see a sexologist if you’re experiencing persistent problems with premature ejaculation, as it can have a significant impact on your sexual satisfaction and quality of life.

You should consider making an appointment with your sexologist if you:

Consistently ejaculate within one minute of penetration or even before penetration.
Experience difficulty in delaying ejaculation or in satisfying your partner.
Feel guilty, embarrassed, or frustrated about your timing.
Experience psychological effects of PE, such as low self-esteem, anxiety about performance, or depression related to your sexual performance. Any chronic conditions such as Stress, Depression, Anxiety about anything, Epilepsy, Diabetes, or High blood pressure, can contribute to PE and warrant a visit to the doctor.
Have trouble forming intimate relationships due to fear of experiencing premature ejaculation with your female partner.
Taking psychiatric medication that may cause PE as a side effect is another reason to seek medical advice.

Note: Finding the best sexologist can be difficult. However, there are several factors to consider when choosing your doctor for sexual problems. Look for an experienced doctor who is an expert in diagnosing and treating Male sexual problems, not just prescribing you a bunch of medicines without any test or diagnosis. It is also important to choose a doctor and clinic to whom you feel comfortable talking about your sexual problem. By working with an experienced doctor or specialist, firstly you will be able to find the cause of your problem and indirectly will educate yourself about your sexual system secondly, you can find the best treatment plan for your particular sexual problem and improve your overall sexual health.

Why choose Men's Care Clinics?

If you are looking for a specialized clinic and experienced doctors to help you with the treatment of Premature Ejaculation, then you can trust the professionals of Men’s care clinics. Men’s care clinics are one of a kind which mainly focus on male sexual health, and offer a range of diagnostic tests mentioned above. And this much detailed checkup is not possible in any random clinic or hospital neither any random Doctor able to do these tests, and once your problem is diagnosed then state-of-the-art types of equipment that are being used in the world for this purpose are available at Men’s care clinics to treat Premature Ejaculation and other Male Sexual Disorders such as Low Sex Drive,Nightfall, Infertility, Jiryan, Size or Shape problems and so on.

Author: Dr, Aslam Naveed