Why premature ejaculation? How to treat?

The article is expertly consulted by MSc Vo Thien Ngon - Urologist, Vinmec Danang International General Hospital.

Premature ejaculation is a very common phenomenon in men, manifested by ejaculation after a short time not according to the man's desire. Although not a life-threatening disease, premature ejaculation causes many patients to worry because their sex life is not satisfactory. This article will provide information on the causes of premature ejaculation and how to treat it.

The phenomenon of premature ejaculation in men is a condition in which the ejaculation cannot be prevented earlier than after the penis is inserted inside the vagina. Premature ejaculation causes feelings of frustration, loss, low self-esteem and avoidance of sex for men, besides also affecting women's sexual psychology.
Premature ejaculation is divided into 2 types: primary (in the early stage) and secondary (in the later stage, not before, mainly in married people).
So why premature ejaculation? There are many causes of premature ejaculation, including:
Psychological: People with premature ejaculation do not realize the "no stop point" moment before ejaculation so that they can stop and change the arousal. accordingly. The cause of this psychological problem is that the man is in a hurry, anxiety or maybe guilt. In addition, it is also possible that the partner who always puts pressure on the man is also a cause of premature ejaculation in men; Pathology: Premature ejaculation can be caused by a prostate infection or a urinary tract infection. Besides, diseases of the nervous system also cause premature ejaculation; Other causes: For example sex in an uncomfortable and tight space, stress, fatigue, increased penile sensitivity, serotonin receptor dysfunction, men's masturbation habits.

Premature ejaculation is a disease that can be completely overcome with the following methods of preventing premature ejaculation:
2.1 Psychological and behavioral therapy This is a way to cure premature ejaculation without drugs, and it follows the principle that improve ejaculation time, control ejaculation behavior to be more comfortable in sex life, including the following measures:
Learn to adjust behavior: Patients need to recognize the signs before ejaculation premature ejaculation, then take deep, slow breaths, control the will to inhibit the ejaculatory reflex. Practice this method many times so that it becomes a conditioned reflex, practice for a period of about 4-5 weeks; The "stop-start" method, also known as interrupted intercourse: The doctor stimulates the man's penis until he feels a real urge to ejaculate, at which point the man will ask for the help of the doctor. The partner stops at that moment, waits for the man's urge to ejaculate, then starts again. Repeat 3 times when doing this method until the time of ejaculation; Method of circumcision: With the support of the partner, press the foreskin of the man right before ejaculation and hold until the feeling of wanting to ejaculate is lost. This method is also performed 3 times until the actual ejaculation. 2.2 Use of drugs The use of drugs should be combined with psycho-behavioral therapy to achieve the most effective treatment, the drugs used include:
Local anesthetic: The drug has an effect. temporary use, with side effects of heating and burning of the foreskin, can affect the anesthetic to the partner during sex; Selective Serotonin Reuptake Inhibitors: Prolong vaginal ejaculation by 2 to 10 times. The drug is used over a period of several months. Medications to treat erectile dysfunction when the condition is present. However, drug abuse can lead to dizziness, nausea, sweating, the syndrome of "sexual restlessness", dry lips, blurred vision, constipation, reduced sperm quality... prescribed by the treating physician when using these drugs.

2.3 Surgery The last method to control premature ejaculation when both measures are unsuccessful is surgery. However, so far, penile dorsal nerve cutting still has certain limitations such as decreased sexual arousal, loss of pleasure, etc., so it is still in the research process and has not been recommended. Note that circumcision is not performed as it cannot control premature ejaculation.
Premature ejaculation is not dangerous but there are cases when it reduces fertility or even infertility in men. Therefore, we need to know the causes of premature ejaculation and how to treat it to improve our sex life and fertility in the best way.