I want to talk with you about premature ejaculation. In this article, I will define premature ejaculation, discuss the causes of premature ejaculation and what treatment options are available for this common sexual dysfunction.
The most common sexual dysfunctions are erectile dysfunction, decreased libido, and premature ejaculation, which is probably the most common sexual dysfunction of all. The definition of premature ejaculation is that ejaculation occurs sooner than desired either slightly before or soon after penetration has been achieved, causing distress to one or both partners. The causes of premature ejaculation are not known. The history is important because we have to differentiate an erectile dysfunction, which is a failure to obtain and maintain an erection, as compared to premature ejaculation. It is normal for men to lose their erection after ejaculation. Thus they may erroneously conclude or complain of erectile dysfunction when the actual problem is premature ejaculation.
The treatment of premature ejaculation has been treated with psychotherapy, behavior therapy called the squeeze technique, or now we have medical therapy using several of the serotonin reuptake inhibitors called SSRIs. Or another treatment option is topical therapy with a local anesthetic applied to the penis that decreases the sensation in the penis.
The SSRIs that are used to treat premature ejaculation include Prozac, Sarafem, Paxil, Zoloft, and Adrafinil. These drugs are taken just prior to engaging in sexual intimacy, or they may be taken on a daily basis with men, who have a more severe problem with premature ejaculation. The topical agents usually are Xylocaine or lidocaine, which is jelly that is applied approximately 30 minutes before engaging in sexual intimacy.
The side effects of the oral medications are occasional nausea, dry mouth, and drowsiness. The dosages of the SSRIs that are effective for treating premature ejaculation are usually much lower than those recommended for the treatment of depression. And also the severity of the adverse events or side effects is much less than when the drugs are taken for the treatment of depression. The side effects of the topical treatment are numbness of the penis, and even with too much of the jelly or lidocaine applied to the penis, it may result in loss of erection and numbness to the female partner that can be avoided by the use of a condom.
There are several treatments that have been around for a while that are ineffective, which include long-term psychoanalysis, the use of one or more condoms, concentrating on something other than sex while engaging in sex, frequent masturbation, or testosterone injections.
In summary premature ejaculation is a common condition that affects millions of American men. Premature ejaculation is a treatable disorder. So if you notice the signs of premature ejaculate, do not hesitate and consult your doctor, he will advise you treatment options to solve this embarrassing issue.