The method and science behind premature ejaculation

Premature ejaculation is one of the most difficult to define male sexual disorders; to simplify, we can talk about premature ejaculation when there is a stable and persistent difficulty in the voluntary control of ejaculation, so that this comes after a minimum stimulation and before the subject desires, often before the partner has reached the orgasm.

It is difficult, and all in all not very useful, to define in minutes what is the “normal” duration of the relationship from penetration to ejaculation, because it is extremely variable from couple to couple; for numbers lovers, a recent study has shown that there are couples where this time is just over a minute (without it being experienced as a problem) and others in which you get to go beyond 30 minutes, while the median time was around 5-6 minutes.

Apart from the extreme cases in which ejaculation takes place even before penetration (premature ejaculation “ante-portam”) or a few seconds later, it is fundamental in the framing of the problem to establish whether the ejaculation times in that particular pair decrease the quality of the sexual intercourse and the satisfaction of one or both partners.

A certain ejaculatory precocity can be a characteristic of early relationships in younger males, and this disorder usually tends to regress with experience

Other times, especially if the problem is not correctly addressed with the help of an andrologist, the situation can stabilize and last for years or even for life (in this case premature ejaculation is defined, with English term,” life -long “). In other subjects premature ejaculation may appear later in time, after many years of completely normal and satisfying ejaculatory times; in these cases (so-called “secondary” premature ejaculation) the origin of the problem is often to be found in the loss of confidence, at a conscious or unconscious level, in one’s ability to maintain an erection for the duration of the sexual relationship. More rarely, premature ejaculation is caused by anatomical abnormalities such as the shortness of the frenulum of the penis or inflammatory pathologies of the prostate; also in these situations the role of the andrologist is fundamental, as a correct diagnosis allows to solve the problem brilliantly with a simple drug therapy or a small intervention.

The treatment of premature ejaculation is usually based on different strategies, variously combined depending on the characteristics of the individual patient.

First of all, the so-called “counseling”, an English term that is difficult to translate into Italian, which indicates all that support activity carried out by the speCialist to develop in the patient himself those potentialities useful to bring the relationship back to the normal context. It is essential to keep in mind that premature ejaculation is first and foremost a problem of the couple, so it is very useful that both partners are involved in defining the therapeutic path.

Often a “behavioral therapy” is taught to the couple, which consists of a series of progressive exercises to be performed to improve ejaculation control

In the most resistant cases it may also be useful to resort to psycho-sexual support, and it is important that the andrologist knows how to play in a team with the other professional figures that may be involved.

In the past, extensive use has been made of so-called “retardant” creams and condoms, based on anesthetic substances that reduce the intensity of sensations at glans level;

The major limitation of these therapies is that it is difficult to correctly dose the anesthetic activity, and often the lengthening of the ejaculatory times is paid in terms of loss of pleasure or even decrease in the validity of the erection.

Until a few years ago there were no “dedicated” oral medications for premature ejaculation

Drugs designed for other pathologies were used which could, if taken continuously in the long term, lead to a certain lengthening of the ejaculation times, sometimes at the cost of some annoying side effects.

Today, however, a dedicated drug is available that can be taken as needed before sexual intercourse, without the need to perform continuous therapies; this drug has proven to be a safe and effective remedy in preclinical tests and in the experience of the first years of large-scale use, especially for the most serious cases of premature ejaculation. The main problem with drug therapy is that the effectiveness is limited to the hours following the tablet intake, and therefore this therapy alone cannot resolve the problem definitively.

In conclusion, there is no single therapy for all patients:

In order to “heal” it is really necessary to adopt various combined solutions in a strategy that must be thought of as a suit tailored to each individual patient. Relying on an experienced andrologist is therefore of fundamental importance to solve a problem that, if not adequately addressed, can lead over time to a progressive loss of quality of the sexual relationship, to a decrease in safety and self-esteem, up to the deterioration of the relationship of couple already in place or the difficulty of starting a new one.

6 thoughts on “The method and science behind premature ejaculation

  1. I’ve struggled with premature ejaculation for about six years. My condition has greatly affected my relationship with my wife. I feel unable to satisfy her sexually and emotionally because of it.

  2. I have had problems with premature ejaculation for several years. It is very frustrating because whenever I am having sex, I am very anxious about ejaculating prematurely, and this not only takes me out of the moment, but often causes me to lose my erection as well. It totally ruins the sexual experience for both of us. As a result, I am unable to have a satisfying sexual encounter and it ruins my relationships.

  3. I was once about the have sex with a girl. I was on top of her and we were both drunk or I assume we were both. Atleast I was. Anyway, she stroked my dick a few times and I accidentally blew on her stomach.

  4. Premature ejaculation occurs when a man reaches orgasm and ejaculates too quickly and without control. … Some men experience a lot of personal distress because of this condition. As many as one in five men experience difficulty with uncontrolled or early ejaculation at some point in life.May Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.Premature ejaculation is a type of sexual dysfunction. … Talk to a doctor if you regularly experience premature ejaculation, or if you’ve started .Premature ejaculation can be caused by psychological factors such as stress, depression, relationship issues or performance-related anxiety. It can also be due to physical causes, such as diabetes, high blood pressure, thyroid problems or prostate disease.Premature ejaculation can be caused by psychological factors such as stress, depression, relationship issues or performance-related anxiety. It can also be due to physical causes, such as diabetes, high blood pressure, thyroid problems or prostate disease.

  5. This hit might seem a little inappropriate but this is a real problem for many man. The movie American Pie makes fun of this situation, but it probably happens to many people. In my case, I cannot control my self when I see a women, so my pants automatically get wet. I cannot even go outside in public because premature ejaculation happens every where I go. It does not matter how old or large a women is, I just cant help it. Sometimes when I try to think of some thing else it does not work and the entire situation just gets awkward. This has become a real life problem for me. In conclusion, my experience with premature ejaculation is not conditional, it is uncontrollable.

  6. There is no set time when a man should ejaculate during sex. But it’s probably too soon if you have an orgasm before intercourse or less than a minute after you start. It’s a problem because when you ejaculate you lose your erection and can’t continue having sex.

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