The venesection was painless to say the least, thank you for using local anaesthetics; highly recommended
What Is Premature Ejaculation?
Premature ejaculation (PE) is when a man orgasms sooner than he (or his partner) would like. It usually occurs just before or within one minute of penetration.
Premature ejaculation can be an embarrassing occurrence, and it can also be frustrating and infuriating. It may hinder you from forming personal bonds with partners and may lead to anxiety and damage your intimate (and otherwise healthy) relationships.
How Common Is Premature Ejaculation?
Premature ejaculation can affect men of all ages. However, men over 40 years old seem to suffer from it more regularly. It is estimated that approximately 20%-30% of men have a problem with premature ejaculation at some point in their life. It affects around one in 50 men in England.
What Are the Symptoms of Premature Ejaculation?
For most men, the only symptom is premature ejaculation itself.
However, suffering from premature ejaculation can also lead to anxiety or feelings of depression — which is why it’s so important to seek help from a professional before your personal life or mental health starts to suffer too.
What Causes Premature Ejaculation?
Premature ejaculation treatment is based on what is causing it to occur. These causes generally split into two categories: physical and psychological.
Common physical causes of PE include:
• Diabetes mellitus
• Prostate disease
• High blood pressure
• Hypothyroidism (underactive thyroid hormone)
• Use of recreational drugs (i.e. cocaine, ecstasy)
• Alcohol in excess.
Common psychological causes of PE include:
• Erectile dysfunction (ED) (i.e. being anxious to lose erection causing the man to “rush” the intercourse)
• Performance anxiety (i.e. at the start of a new sexual relationship or when a man has had previous problems with PE or ED)
• Depression and anxiety
• Unresolved problems, conflicts or issues within a sexual and emotional relationship
• A strict upbringing where sexual activity is considered only appropriate in marriage and for procreation
• Early sexual experience (where a teenager conditions himself to ejaculate quickly to avoid being caught masturbating)
• Previous traumatic sexual experiences.
Living with Premature Ejaculation
Living with premature ejaculation can be distressing, but it’s important to remind yourself that it’s a common problem, and premature ejaculation treatment normally resolves it.
Where possible, it’s important to talk about how premature ejaculation makes you feel and to be open and honest with your partner (and doctor) about your difficulties. It can also be helpful to look into ways of reducing the anxiety, stress and worry you feel about it before you try medication.
Diagnoses for Premature Ejaculation Treatment
Diagnosing the specific cause to provide effective premature ejaculation treatment will require a consultation during which your sexual life and the issues you face will be discussed. Your medical history will be reviewed to ensure there are no possible underlying health conditions that may need to be addressed or medications that could be changed that may resolve the problem.
When you struggle with getting an erection, maintaining an erection and premature ejaculation, blood tests may be required to check if testosterone replacement therapy (TPT) is needed for low testosterone levels. Depending on the suspected causes of your premature ejaculation, you may be referred to a urologist or a mental health practitioner.
Is Premature Ejaculation Curable?
In almost all cases, premature ejaculation can be cured. Treatment may involve support from a mental health practitioner, behavioural techniques, pelvic floor exercises, or medication. When stress, anxiety, depression or other mental health issues contribute, you may be recommended to attend counselling.
You can try pelvic floor exercises if weak pelvic floor muscles are a concern. You will likely need to do three or more sets of 10 cycles of pelvic floor exercises daily for at least two weeks before you start to notice any results.
To perform pelvic floor exercises correctly, use these four steps:
1. To find your pelvic floor muscles, stop urinating midstream. Or imagine you are trying to stop yourself from passing gas.
2. Practice lying down to start with. Once you have mastered the exercises, you can also do them when sitting and standing.
3. Breathe and don’t hold your breath. Tighten your pelvic floor muscles, count to three and then relax, counting to three again. Repeat this cycle 10 times.
4. Focus on your pelvic floor muscles by placing a hand on your stomach to avoid flexing your abdominal muscles and don’t clench your buttocks or thighs.
Medication is sometimes necessary to break the cycle and to give you back control of an active and enjoyable sex life. While seeking professional help may be intimidating, it’s often needed to successfully move past the issue. Medical professionals, doctors and practitioners will have treated many other men with the same problem, so it is nothing to feel worried or embarrassed about.
Choosing the Right Premature Ejaculation Treatment Options
The inability to control and delay ejaculation for as long as both partners desire is usually regarded as a severe disruption to quality of life and therefore requires professional intervention. Premature ejaculation can be very distressing and confidence-destroying — and over time, it can damage intimacy and relationships. It can also create extreme performance anxiety during sexual activity, leading to it happening more frequently.
Premature ejaculation treatment can help boost confidence and self esteem and enhance sexual pleasure and intimate relationships. There is rarely a need to undergo surgery. We offer premature ejaculation treatment at our clinic in London to help you find the non-surgical solution you need. Before any tests or prescribing medication, we will discuss the various options available.
Many men find it extremely difficult to break this vicious cycle without any professional help. When left untreated, premature ejaculation can lead to feelings of shame, frustration, and lack of self-esteem or avoiding sexual intimacy altogether. Premature ejaculation treatment can be obtained from your GP or our team of private men’s health experts led by Dr Chia Tan at Harley Street MD in London.
We have years of experience diagnosing and providing successful premature ejaculation treatment in the UK. Together with you, we’ll work out the best plan of action to effectively resolve and address the problem. If you don’t feel comfortable speaking with your GP, we can assure you an empathetic, confidential and professional consultation.