Premature ejaculation occurs when a man releases sperm at the onset of or immediately after penetration (less than 1 minute) during sexual intercourse with minimal sexual stimulation and against his wish, leading to an unsatisfactory sex for him and his partner.
Premature ejaculation results from multiple factors which act together in some cases, and these include:
- Chronic masturbation during teenage years.
The fear of being caught masturbating as a teenager (because of the societal stigma attached to it) most of the time leads to early orgasm, and later in adult life can become a conditioned response during sex with one’s partner, leading to premature ejaculation.
- History of Traumatic Emotional Experience.
Emotional traumatic experiences like sexual abuse by an older female while growing up, serious childhood conflict with one’s parents or incest can negatively affect one’s mindset towards sex leading to premature ejaculation during sex.
- Performance Anxiety
The fear of failure to satisfy one’s partner can lead to poor maintenance of erection and early orgasm.
- Relationship Conflicts/Personal Problems
Problems with one’s partner affect effective communication and with this comes differing (or low) levels of sexual desire in the couple such that the man may have early ejaculation during sexual intercourse.
Also, psychological stressors like job loss or death of a loved one can affect one’s sexual relationship with one’s partner in the form of early ejaculation.
- Medical Factors
Premature ejaculation may also be due to effect (erectile dysfunction) from use of medications such as antihypertensives (moduretic), antidepressants, antipsychotics; it can also be due to mental health issues such as depression.
Treatment of premature ejaculation requires the participation of one’s partner, and involves collaboration between different experts such as the urologist, psychiatrist, psychologist and sex therapist.
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