Premature ejaculation: Tips, risks and solutions

Premature ejaculation (PE) is a common sexual disorder characterised by the uncontrollable and premature release of semen during sexual activity, often with minimal stimulation and before the individual wishes. It's estimated to affect up to a third of men at some point in their lives, making it a widespread sexual health problem.

Symptoms of premature ejaculation

PE is characterised by rapid ejaculation within a minute or less of penetration, frequently with minimal sexual stimulation. Men who experience PE typically struggle to delay ejaculation during sexual encounters, leading to frustration and dissatisfaction. The condition can persist during all or almost all sexual experiences, causing distress for both partners. Symptoms include difficulty controlling ejaculation, reduced sexual satisfaction and increased anxiety about sexual performance. Early recognition and treatment of PE is essential for maintaining healthy intimate relationships and overall well-being.

Some common symptoms of PE are:

• Rapid ejaculation within a minute or less of penetration.
• Inability to delay ejaculation during sexual activity, leading to distress or frustration.
• Difficulty controlling ejaculation during all or almost all sexual encounters.

Potential risks for men

PE extends beyond the bedroom, posing potential risks that can affect various aspects of a man's life. From strained relationships to psychological distress, the consequences of PE are many. Understanding these risks is essential for anyone dealing with this common sexual disorder. In this section, we look at the potential risks associated with PE and highlight the wider implications beyond the realm of sexual intimacy.

• Relationship strain: PE can lead to dissatisfaction and frustration in both partners, potentially straining intimate relationships.
• Psychological effects: The condition can cause anxiety, depression or low self-esteem, influencing overall wellbeing.
• Sexual dissatisfaction: Men may experience reduced sexual satisfaction and intimacy due to PE.
• Fertility concerns: In severe cases, PE may interfere with efforts to conceive a child.

What to do: Tips for managing premature ejaculation

There are practical steps that individuals can take to manage and alleviate the effects of PE. From effective communication strategies to practical techniques during sexual activity, proactive measures can greatly improve the experience for both partners. In this section, we explore several tips and approaches to help individuals cope with and manage PE, empowering them to regain control and improve their sexual well-being.

• Communication: Open and honest communication with your partner about concerns, desires, and expectations can reduce stress and improve intimacy.
• Focus on pleasure: Shifting the focus from performance to mutual pleasure and satisfaction can reduce anxiety and pressure.
• Practice techniques: Experimenting with techniques such as the start-stop method or the squeeze technique can help delay ejaculation.
• Relaxation techniques: Practising relaxation techniques such as deep breathing or mindfulness can reduce anxiety and improve control during sexual activity.
• Seek professional help: Talking to a healthcare provider or sex therapist can provide tailored guidance and support in managing PE.

What helps with premature ejaculation

While PE can be distressing, there are many options for support and treatment. From therapeutic interventions to lifestyle changes and medical options, there are several solutions to this common sexual problem. In this section, we look at the various strategies and treatments that can help individuals overcome PE, offering hope and guidance to those seeking effective relief and improved sexual satisfaction.

• Behavioural therapies: Cognitive behavioural therapy (CBT) or sex therapy sessions can help address the underlying psychological factors that contribute to PE.
• Medications: Selective serotonin reuptake inhibitors (SSRIs), originally developed to treat depression, have been shown to delay ejaculation and are sometimes prescribed off-label for PE, for example Dapoxetine. Topical anaesthetics applied to the penis to reduce sensitivity may also be recommended.
• Counselling: Couples counselling or therapy sessions that focus on sexual communication and intimacy can improve understanding and strengthen relationships affected by PE.
• Pelvic floor exercises: Strengthening the pelvic floor muscles through exercises such as Kegels can improve control over ejaculation.
• Lifestyle changes: Maintaining a healthy lifestyle with regular exercise, a balanced diet, adequate sleep and stress management can have a positive impact on sexual function and overall wellbeing.

Conclusion

PE is a common sexual disorder characterised by the uncontrollable and premature release of semen during sexual activity. Symptoms include rapid ejaculation, difficulty delaying ejaculation and reduced sexual satisfaction. The condition can lead to relationship strain, psychological distress and fertility concerns. Managing PE involves open communication, practising techniques to improve control, seeking professional help when needed, and considering behavioural therapy, medication, or lifestyle changes. With the right approach and support, men can effectively manage PE and improve sexual satisfaction and intimacy in their relationships.