One of the most common sexual problems men face is premature ejaculation. It affects 25 – 40 of men, and is a lack of voluntary control over ejaculation. Normally, the first few sexual encounters will see a man have premature ejaculation, but as he gets used to it, he learns how to control himself. There are many men who develop long term anxiety over the condition, and will often exhibit symptoms for months and years.
There are a number of psychological factors that can contribute to premature ejaculation. The more common factors include depression, stress, sexual repression, performance anxiety and lack of confidence. In some cases, interpersonal problems like a lack of communication, unresolved conflicts, and hurt feelings can lead to premature ejaculation.
Biological factors which can lead to pre mature ejaculation include; abnormal hormone levels, some thyroid problems, infection or inflammation of the urethra or prostate, abnormal levels of neurotransmitters, abnormal reflex activity of the ejaculatory system, and inherited traits.
Treatment of premature ejaculation will start with a detailed interview about your sexual history. You will also provide a history of your health, and a physical exam may also be required.
The doctor may ask you some of these questions; how often you have premature ejaculation, how often you have sex, if it occurs with a specific partner or others, if it happens every time you have sex, if you suffer from erectile dysfunction, and if you are on any prescription medication.
Many men feel ashamed and shy to talk about premature ejaculation. It is important to know that this is a very common problem and can be treated. Talking to your doctor will help you find a solution and make you feel more relaxed about the situation.