What is Premature Ejaculation?
Premature ejaculation, also termed early ejaculation or rapid ejaculation, describes a quick orgasm with semen expulsion within a few minutes of sexual activity. Researchers have deemed the average time for ejaculation as 4-8 minutes which in case of premature ejaculation gets reduced to 15 seconds – 1 minute. For a person to be classified as suffering from premature ejaculation, he must exhibit the symptoms of ejaculation immediately after penile penetration, loss of control over ejaculation, and negative feelings and consequences like stress or marital discord leading to avoidance of sexual activity. The process of ejaculation can be divided into two parts; Emission and Expulsion, both of which are hampered during premature ejaculation. Emission is when the sperm moves from the testicles to the prostate and mixes with the seminal fluid to make semen. Expulsion occurs when the muscles at the base of the penis contract, forcing the semen out of the penis. Dysfunction in either of these processes can cause Primary Ejaculation. It is termed Lifelong Premature Ejaculation or Primary Ejaculation when it is present from puberty and Acquired Premature ejaculation/ Secondary Ejaculation when the ejaculation is normal initially but starts getting disrupted after a certain period. Various factors like prolonged alcohol and tobacco use, physical factors, or psychological factors may be responsible for premature ejaculation. Still, once it is evident, it can cause several complications in personal life, like relationship problems, stress, and fertility problems.
Primary ejaculation can be treated by Medications, Psychological Therapy or Behavioral Therapy. Medications like Selective Serotonin Reuptake Inhibitors (SSRIs) are primarily used to treat depression, causing delayed ejaculation as a side effect. All these modes of treatment are available in Dubai. Popular SSRIs like Dapoxetine, Paroxetine, or Fluxotenine are popular choices recommended by urologists in Dubai. Apart from medications, Anesthetic creams and lotions like Lidocaine and Prilocaine can help in the treatment by making the penis less sensitive, as sensitivity is the primary factor for Primary Ejaculation.
Analgesics or painkillers and Phosphodiesterase inhibitors are also used to treat erectile dysfunction. These could be your primary mode of treatment for premature ejaculation, but most urologists in Dubai will recommend them in combination with SSRIs because of their side effects. Sometimes erection-inducing injections, known as IntraCavernosal Injection Therapy, can also be recommended after inadequate response to other treatment modalities.
Sexologists often recommend behaviour techniques like focusing on other sexual plays instead of intercourse and masturbating an hour or two before intercourse to delay ejaculation. Therapy treatments like Psychokinesis, Electrostimulation of the perineal floor, and Kegel exercise have been effective treatment modalities. Additionally, Pelvic floor exercises involving tightening and relaxing pelvic floor muscles could be recommended to strengthen the muscles. Similarly, the Pause and Sneeze technique and using Condoms to decrease penis sensitivity are often helpful in delaying premature ejaculation.
Counselling with an expert urologist in Dubai can help to a great extent in the treatment of sexual dysfunction caused by psychological factors like stress and performance anxiety. When combined with medications, it can work wonders in solving the issue. It is essential to understand that premature ejaculation is a temporary problem, and the proper treatment under an expert Dubai urologist at Bizrahmed can help you overcome it easily.
Not just biological but several psychological and other risk factors can lead to premature ejaculation. Biological factors like abnormal hormonal levels, inflammation of the prostate or urethra, abnormal increase in the levels of neurotransmitters, and sometimes inherited traits can lead to this problem. Psychological factors like sexual abuse, poor body image, performance anxiety, stress, and sometimes guilt can cause premature ejaculation. Performance anxiety can lead to erectile dysfunction or premature ejaculation in a rush to maintain an erection during sexual intercourse. Relationship problems between you and your partner with extramarital relations may contribute to the problem. Several risk factors, like lack of sexual experience or knowledge about sexual responses, fear of inducing pregnancy or contracting STDs (sexually transmitted diseases), and urologic risk factors like pelvic pain syndrome, circumcision, and varicocele, may add to the cause. Factors like Diabetes, Thyroid problems, Prostate disease, and Multiple Sclerosis have to be considered along with other potential physiological risk factors.
When you consult a urologist in Dubai about your issue, he will start with a detailed questionnaire about the followings:
- Duration of the problem
- Underlying circumstances, if any
- About its regularity
- Frequency of sexual encounters and masturbation
- Details of any ongoing medication
You might also be suggested to go for a physical exam or conduct blood tests from any clinic in Dubai to check your testosterone levels, thyroid, sugar levels, cholesterol and triglycerides levels for an accurate diagnosis.
It works the other way around. Premature ejaculation cannot cause infertility. But infertility issues like erectile dysfunction may lead to premature ejaculation. A proper diagnosis of your case history with an expert urologist in Dubai is essential.
Medications, topical anaesthetics, Behavioral techniques and counselling, and specific effective home remedies can treat premature ejaculation. Your cause of dysfunction will decide your exact treatment modality.
The treatment cost of premature ejaculation depends on your condition and the specific treatment plan designed for your case. During your initial consultation, it is best to ask for the total price or cost of the treatment to set your expectations right. Bizrahmed assures you only outstanding results.
A man typically should last for 5-7 minutes before reaching orgasm. But in cases of premature ejaculation, men experience the orgasm within 15 sec- 1 min of the intercourse, and in delayed ejaculation, it gets extended to more than 10-15 minutes.
Premature ejaculation is a common problem and can be successfully dealt with with medications, sex therapy and behavioural counselling. But when it is a chronic case since puberty and does not respond to treatment, it most likely turns permanent, and you cannot grow out of it.
A urologist can evaluate the exact cause of Premature ejaculation and advise medications, therapy, and exercise or offer counselling to help you overcome it easily.
Dubai insurance companies may partially cover the cost of the medications for your premature ejaculation treatment. But it entirely depends on the type of treatment and your health care plan to decide whether the treatment is to be covered under insurance or not.
Retrograde ejaculation is when the ejaculate discharges into the bladder instead of the penis resulting in infertility issues. It happens due to improper functioning of the bladder muscles in cases of prostate surgery or nerve damage due to multiple sclerosis and diabetes.
Delayed ejaculation is the opposite of premature ejaculation, when ejaculation takes much longer during sexual stimulation. Factors like reactions to medications, congenital disabilities, hormonal issues or infections can cause it.
Anejaculation is the term for a complete inability to ejaculate. It can be a permanent defect by birth or situational due to psychological factors or stress. Timely consulting with a urologist can help deal with this condition.