1. Premature Ejaculation is Relative
Even though many men are concerned with premature ejaculation, there isn't an objective way of defining it. Doctors say the amount of time it takes for men to ejaculate varies enormously and that there isn't a set cut-off for determining what's healthy and what isn't. Instead, they recommend you come in for a visit if you consistently reach orgasm and ejaculate before you and your partner wish, especially if this occurs before or immediately after intercourse begins.
2. Getting the Right Diagnosis
Doctors classify premature ejaculation into two subcategories: primary premature ejaculation and secondary premature ejaculation. The first describes men who've had symptoms their entire sexual lives, while the second describes men who've had symptoms only in their most recent sexual relationships. When speaking with your doctor about your personal history, remember that premature ejaculation can occur during any sexual situation, including masturbation.
3. It's Not All in Your Head
Recent research suggests premature ejaculation is affected as much if not more by biology than by psychology. Neurotransmitters, hormones and even the thyroid play important roles in ejaculation and can cause problems when they're out of whack. Specifically, low levels of certain neurotransmitters have been linked with premature ejaculation. Psychologically speaking, feelings of guilt or anxiety can also lead to sexual difficulties, especially when they're associated with past sexual experiences.
4. The Power of Impotence
Certain studies have shown that nearly one out of every three men who prematurely ejaculate also have trouble maintaining an erection. Because of this, impotence is a major risk factor for developing the disorder. The relationship between the two conditions isn't clear, but some men may fear losing their erections and rush through intercourse, leading to premature ejaculation.
5. Take a Hands-On Approach to Treatment
In some cases, premature ejaculation resolves itself on its own, without extra treatment. For most men, though, time itself isn't enough, and they seek medical treatment. Certain antidepressant medications have been shown to be effective; selective serotonin reuptake inhibitors (SSRIs) are especially good at buffering the anxiety and sensitivity than can lead to premature ejaculation. To treat the disorder more directly, some men apply topical anesthetics like lidocaine to their penises before intercourse, dulling their sensation and helping them last longer. If neither of these medical approaches seems to work, you can always talk with a psychotherapist about the mental and emotional problems that may be affecting your sexual experiences.
