Premature Ejaculation: Causes and Solutions for Men

Concerns about premature ejaculation?

Hello doctor, I have always had a habit of masturbation and I also exercise regularly, almost daily.
I usually masturbate once a day and can last quite a while.
Previously, when I felt close to ejaculation, I would pause for a moment, and then I could last longer again.
However, now it takes about 3 to 5 minutes before I feel the urge to ejaculate, and when I pause for about 10 seconds and continue, my penis becomes very sensitive and I feel a strong urge to ejaculate.
I recently started having sex with my girlfriend, and during our two encounters, after about 10 thrusts, I feel the urge to ejaculate.
If I pause and then continue, I still feel that sensitivity.
I cannot thrust quickly; otherwise, I will ejaculate immediately.

1.
Is this a case of premature ejaculation?
2.
If I refrain from sex and masturbation for a while, can I return to my previous condition?
3.
Are there any other methods to improve this situation? Thank you, doctor.

Zhu Fu, 20~29 year old female. Ask Date: 2016/12/11

Dr. Sun Hongshun reply Urology

Hello, it doesn't sound like premature ejaculation, but rather like discomfort during the transition process (from masturbation to actual sexual intercourse).
I suggest you observe the situation further.
If you still have questions or concerns, feel free to consult a urologist.

Reply Date: 2016/12/11

More Info

Premature ejaculation (PE) is a common condition that affects many men at some point in their lives. It is characterized by the inability to control ejaculation during sexual activity, leading to distress for both partners. Understanding the causes and potential solutions for PE can help men manage this condition effectively.

Causes of Premature Ejaculation
1. Psychological Factors: Anxiety, stress, and performance pressure can significantly impact sexual performance. If a man is worried about his ability to satisfy his partner or is anxious about sexual encounters, this can lead to premature ejaculation.

2. Physical Factors: Certain medical conditions, such as hormonal imbalances, inflammation of the prostate or urethra, and neurological issues, can contribute to PE. Additionally, sensitivity of the glans penis can also play a role.

3. Habits and Patterns: Frequent masturbation, especially if done quickly or with a focus on achieving orgasm, can condition the body to ejaculate quickly. This can lead to a pattern that carries over into sexual intercourse.

Addressing Your Concerns
1. Is This Premature Ejaculation?: Based on your description, it does sound like you may be experiencing symptoms of premature ejaculation. The fact that you can last longer during masturbation but struggle during intercourse suggests a possible psychological component, such as anxiety or heightened sensitivity when with a partner.

2. Can Abstaining Help?: Taking a break from sexual activity, including both intercourse and masturbation, may help reset your sensitivity and reduce anxiety. This period of abstinence can allow you to regain control over your arousal levels. However, it’s essential to approach this with a positive mindset rather than viewing it as a punishment.

3. Other Improvement Methods:
- Kegel Exercises: Strengthening the pelvic floor muscles can help improve control over ejaculation. These exercises involve repeatedly contracting and relaxing the muscles used to stop urination.

- Desensitizing Products: Over-the-counter creams or sprays that contain numbing agents can reduce sensitivity and help prolong intercourse.

- Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can be effective. The stop-start method involves stopping sexual stimulation before the point of ejaculation, while the squeeze technique involves squeezing the base of the penis to reduce arousal.

- Counseling or Therapy: If anxiety or psychological factors are contributing to your PE, speaking with a therapist or counselor can be beneficial. Cognitive-behavioral therapy (CBT) can help address underlying issues and improve sexual confidence.

4. Communication with Your Partner: Open communication with your partner about your experiences and concerns can alleviate some pressure. Discussing your feelings and working together to find solutions can enhance intimacy and reduce anxiety.

5. Consulting a Healthcare Professional: If the problem persists, it may be helpful to consult a urologist or a sexual health specialist. They can provide a thorough evaluation and discuss potential medical treatments, such as prescription medications that can help delay ejaculation.

Conclusion
Premature ejaculation is a manageable condition, and many men experience it at some point. Understanding the causes and exploring various solutions can help you regain control and improve your sexual experiences. Remember that it’s essential to approach this issue with patience and an open mind, as improvement may take time. If necessary, don’t hesitate to seek professional guidance to find the best approach for your situation.

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