Premature ejaculation: When to see a doctor and how to treat?

The article is professionally consulted by MSc Vo Thien Ngon - Urologist, Department of General Surgery, Vinmec Danang International General Hospital.

Premature ejaculation is a sign of male sexual weakness, affecting couple happiness and fertility. Men with premature ejaculation need to be examined, accurately diagnose the cause and seek timely treatment, to avoid infertility complications.

The right time for a man to "climax" and ejaculate during sex depends on many different factors, and there's no such thing as a set number. However, in situations where a man orgasms before intercourse, or less than a minute after the start of sex, this is considered premature ejaculation.
Premature ejaculation is a bad problem for men's health because when orgasm, the erection will be lost and it is difficult to continue "love" with the partner. A husband with premature ejaculation can make his wife feel unsatisfied after lovemaking.
Premature ejaculation, or male impotence in general, is a common problem in men. About 30%-40% of men will experience this condition at some point in their lives. So this shouldn't be a concern if it happens only once in a while.

The cause of premature ejaculation has not really been determined. However, chemical reactions in the brain are one of the causes of this "difficult" phenomenon in men. Men with low serotonin levels in the brain tend to ejaculate earlier.
In addition, emotional factors can also be the cause, including:
Stress Anxiety Anxiety Guilt Unsatisfied relationship Sometimes premature ejaculation is a manifestation of a medical disorder Erectile . Men often worry about the problem of losing an erection that can lead to premature ejaculation.
Treatment of erectile dysfunction can make premature ejaculation go away. There are many treatment options, including medications such as sildenafil citrate (Viagra), tadalafil (Cialis) or vardenafil HCI (Levitra). These treatments help men maintain an erection during sex with their partner.

If the condition of premature ejaculation adversely affects the husband and wife relationship and family happiness, the gentleman should frankly tell the male doctor about his condition. However, in fact, many men are hesitant to have sensitive diseases, leading to refusing to go to the doctor. Therefore, to find the simplest way to cure premature ejaculation, overcome your fear and frankly discuss with your doctor.
The doctor will ask the patient about the symptoms and frequency of occurrence, whether this problem is always present or not. Men who are tested for premature ejaculation may need to talk to their doctor about their sex life or relationships with other partners, if any. A physical exam may be performed to aid in the diagnosis.

So, can premature ejaculation be cured? Currently, up to 95% of men with premature ejaculation are being assisted by various techniques to help control ejaculation:
Stop and start: When the penis is stimulated until there is a feeling of closeness When you have an orgasm, stop for about 30 seconds, or until the "ejaculation sensation" has passed. Start arousing again and, if possible, repeat three or four more times before actually ejaculating. Compression: Similar to the “Stop and Start” method, but instead of waiting, squeeze the tip of the penis moderately and hold it until the erection is lost. Repeat this several times before ejaculating. On the other hand, some men find that if they think about something else during sex, they can maintain an erection longer.

Currently, there is no drug approved to treat premature ejaculation. However, sometimes doctors find that certain medications used to treat other conditions can help men with premature ejaculation. This is called off-label prescribing. In fact, the off-label indication is a very common operation in clinical practice, often applied to treat premature ejaculation, including:
Antidepressants: Common side effects of a group of drugs Antidepressant is delaying erection. However, this drug also has other unwanted effects, including causing nausea and drowsiness. Tramadol: This is a drug that relieves pain, but also has the ability to delay ejaculation. This medication may be prescribed if antidepressants are not helping or are not suitable for treatment. However, tramadol also has an addictive effect, so it's likely not a sensible option for men. Numbing cream or spray: Usually applied to the tip of the penis, to make this “sensitive area” less sensitive to stimulation. The drug usually takes effect after about 30 minutes. However, with this method, men must wash off the drug before having sex so as not to lose an erection or cause loss of sensation for the partner. Depending on your health condition and related problems, your doctor will prescribe the right medicine for you.

Strengthen muscles: Weak pelvic floor muscles can also be the cause of premature ejaculation. In this case, Kegel exercises will help men strengthen the pelvic floor muscles. Using condoms: Most men feel a decrease in pleasure when using condoms, but this helps in prolonging sex. “Prepare” Before Initiating Sex: Some men find that masturbating a few hours before sex gives them more control before actual intercourse. Get professional advice: A doctor or psychologist can help you overcome psychological problems, such as depression, anxiety or stress, thereby reducing the risk of a miscarriage. premature ejaculation. When you often notice the signs of premature ejaculation, the first thing to do is to boldly seek medical attention for treatment. The simplest way to cure premature ejaculation is to accurately identify the problem and treat it according to the cause. Timely disease detection and treatment play an extremely important role, bringing effective treatment, maintaining a happy couple and limiting the occurrence of unfortunate reproductive complications.

Reference source: Webmd