Rapid or Premature Ejaculation (PE) is considered one of the most common male sexual conditions.
Studies have shown PE to affect up to 31% of men at some point during their lifetime. PE is often underdiagnosed, largely due to embarrassment and relationship stress, and unfortunately, many healthcare providers tend to not ask about or treat PE due to limited awareness of PE as a genuine, common, and treatable sexual dysfunction.
Premature ejaculation is one of the most common forms of male sexual dysfunction and has probably affected every man at some point in his life. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner, only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as temporary depression, anxiety, guilt, stress, unrealistic expectations about performance, a history of sexual repression or an overall lack of confidence can cause premature ejaculation. Interpersonal dynamics may contribute to sexual function. Premature ejaculation can be caused by a lack of communication between partners, hurt feelings or unresolved conflicts that interfere with the ability to achieve emotional intimacy. Premature ejaculation can also be related to underlying medical causes such as hormonal problems, injury or a side effect of certain medicines.
There are two types of PE Lifelong and Acquired. Lifelong PE occurs from the first sexual experience and continues throughout life. Acquired PE occurs following a period of “normal” ejaculation experiences.
Symptoms of PE are classified by when PE occurs (before or immediately following penetration), circumstances when PE occurs (with specific partner or situation), and associated conditions (absence or presence of ED).
Evaluation of PE regardless of type involves answering simple questionnaires, a physical examination, and in some cases labs to rule out any contributing health issues (e.g. ED). In every evaluation, it is critical to involve your partner to maximize symptom relief.
Treatment decisions in PE are based on the assessment of each of your individual circumstances. The most effective treatments of PE include: