Around 20 percent of men under 60 suffer from premature (early) ejaculations. This makes “ejaculatio praecox” a common occurrence. Even so, less than half of the men affected consult a doctor. People feel embarrassed. They sweep the problem under the carpet and tell nobody about it. The following article explains the causes and effects of premature (early) ejaculation and the solutions available.
The effects of premature (early) ejaculation
Premature (early) ejaculation is one of the most common sexual dysfunctions for men under the age of 60. When looked at from an evolutionary perspective, however, premature ejaculation is not necessarily a disadvantage: men who come sooner can reproduce quicker and more frequently. Nowadays though, ejaculating too quickly can put a great strain on your relationship and can also lead to your partner having dysfunctions, e.g. loss of libido or difficulty reaching orgasm.
Premature ejaculation is when a man ejaculates before he enters the woman, or just afterwards. Men who do not suffer from premature (early) ejaculation usually have a certain amount of control over when they ejaculate. Men who suffer from “ejaculatio praecox” lack this control and the men then ejaculate too quickly. For men, this is especially unpleasant and with time can also lead to problems in the relationship. If men put pressure on themselves, they often lose even more control over their ejaculations.
The causes of premature (early) ejaculation
The causes of premature ejaculation are not yet fully understood. However, great progress has been made in the area over the last 20 years: whereas experts previously presumed premature (early) ejaculation to be purely psychological, they now attribute it to both physical and neurobiological causes. Stress and problems in a relationship can also be the cause, or at least exacerbate the problem. Other possible causes include:
- The man’s fear of failure
- Erectile dysfunction can also facilitate premature ejaculation.
- Physical illnesses , such as urinary tract infections or diabetes mellitus
- The use of certain medications, e.g. pain-killers
- Organic causes, like inflammation of the prostate, urethra or glans (balanitis). However, such causes have a limited duration and subside once the illness has been cured.
- Neurobiological causes like a disorder of the neurotransmitter, serotonin. Among other things, the substance serotonin controls ejaculation and can, therefore, be responsible for premature (early) ejaculation.
Ways to help ejaculation happen at the right time
The first rule is: The man should speak openly with his partner about his feelings, fears and concerns. It is also important for him to ask his partner how she feels about the situation. Sometimes, this issue can be more serious for the man than it is for the woman; however, only in an intact relationship can both partners work on problems together. It is also important to seek advice from a doctor. There are various therapies available that, along with some small tools, can get you back to a carefree love life.
There are two methods, or techniques, that men and couples can integrate into their love lives in order to get past premature (early) ejaculation:
- Firstly, there is the start-stop method. Here, the man stimulates himself up to the “point of no return”, i.e. the moment of greatest excitement, before stopping the stimulation. As soon as the arousal ends, he stimulates himself back to the “point of no return”. This is repeated several times. The aim of this method is for the man to gain more awareness of his own ejaculation. Perhaps at some stage he can control it better.
- The squeeze technique involves pressing the glans just before ejaculation to prevent ejaculation. The squeezing can also be done by the partner. After a short time, the urge of the man to ejaculate should decrease. Then resume the stimulation, squeezing the glans, again, just before ejaculation. This can prove quite successful when done for about 20 minutes.
Exercises for the pelvic floor can also be help, even though most people see such exercises as being primarily for women. The sphincter muscle and the muscle that regulates the urinary flow are involved in the male orgasm. Training these muscles through targeted tensing can prevent premature (early) ejaculation.
There are a whole range of products for premature ejaculation that approach the issue differently: Some preparations work with local anaesthetics like lidocaine or benzocaine. With lidocaine, the anaesthesia usually takes 20-30 minutes to set in, which can heavily interfere with lovemaking. Your partner’s genital area may also become desensitized during sexual intercourse.
Men should work together with their partners to make sexual intercourse a beautiful experience, and not one of fear. The methods used, whether they be pelvic floor exercises or the techniques we have just described, will ultimately depend on the person. The main thing is to find the method that best suits your needs.