Premature Ejaculation

Male orgasm and ejaculation following brief sexual stimulation, and prior to satisfactory arousal and orgasm in the sexual partner. This is a common disorder affecting all age groups and usually caused by psychological problems.

FREQUENT SIGNS AND SYMPTOMS

  • Poor relationship or communication with the sexual partner.
  • Fear of impregnating the partner.
  • Anxiety about sexual performance.
  • Cultural or religious conflicts.
  • Belief that sex is sinful or dirty.
  • Rarely may be due to underlying neurological disorder (e.g., prostatitis).

RISK
Listed with Causes.

PREVENTIVE MEASURES
No specific preventive measures.

EXPECTED OUTCOME
Usually curable in most people within 6 months after recognition and treatment.

POSSIBLE COMPLICATIONS

  • Low self-esteem.
  • Damage to marital or interpersonal relationships.

MANAGEMENT
GENERAL MEASURES

  • Laboratory test results are usually normal, since most males with this problem are healthy individuals.
  • Work to improve communication with your partner.
  • Try to reduce your performance anxiety.
    The following methods are recommended by sex researchers and therapists Masters and Johnson. These methods will usually lead to ejaculatory control for 5 to 10 minutes or longer.
  • Sensate-focus exercise, in which each partner caresses the other’s body without intercourse to learn the relaxed, pleasurable aspects of touching.
  • Mutual physical examination of each other’s bodies to acquaint both partners thoroughly with anatomy. This helps reduce shameful feelings about sex.
  • Stop-and-start technique, in which the man is stimulated through controlled intercourse or masturbation until he feels an impending ejaculation. Stimulation is stopped, then resumed in 20 to 30 seconds.
  • Squeeze technique, in which the woman squeezes her partner’s penis with her thumb and forefinger when he feels an impending ejaculation. When ejaculatory feelings pass, intercourse is resumed. This is repeated as often as necessary until the man can control ejaculation to the satisfaction of both parents.
  • Individual psychotherapy may be recommended for some men, and marital therapy for couples may be helpful.
  • Counseling from a qualified sex therapist if other successful are not successful.