Premature ejaculation during sexual intercourse?
I am 16 years old, and I noticed that when I have sex with my girlfriend, I tend to ejaculate very quickly, lasting at most 1 to 2 minutes.
I would like to ask if there is a way to address this issue.
pinggu, 10~19 year old female. Ask Date: 2021/07/27
Dr. Liu Mingyue reply Urology
Hello: You may be trying to express that your ejaculation time does not meet your expectations.
According to the International Society for Sexual Medicine (ISSM), the definition of premature ejaculation requires that men meet the following three criteria: 1) inability to delay ejaculation, 2) ejaculation time causes negative feelings, and 3) ejaculation occurs within one minute or three minutes.
It is important to understand the underlying causes before addressing the issue.
It is advisable to consult a urologist at a major hospital, preferably one who specializes in sexual function.
Wishing you good health.
Reply Date: 2021/07/27
More Info
Premature ejaculation (PE) is a common concern among young men, and it can be particularly distressing for those who are just beginning to explore their sexual relationships. At 16, it's important to understand that experiencing PE is not unusual, and many young men face similar challenges. Fortunately, there are several strategies and techniques that can help manage this condition.
Understanding Premature Ejaculation
Premature ejaculation is typically defined as ejaculation that occurs with minimal sexual stimulation, often within one minute of penetration. It can be caused by a variety of factors, including psychological issues such as anxiety, stress, or lack of experience. Physical factors, such as hormonal imbalances or neurological conditions, can also play a role, but these are less common in younger men.
Tips for Managing Premature Ejaculation
1. Communication with Your Partner: Open communication with your girlfriend about your concerns can alleviate anxiety. Discussing your feelings and experiences can help both of you feel more comfortable and understanding of each other’s needs.
2. Focus on Foreplay: Engaging in extended foreplay can help shift the focus away from penetration and reduce performance pressure. This can enhance intimacy and satisfaction for both partners without the immediate concern of ejaculation.
3. Practice Relaxation Techniques: Anxiety can exacerbate PE. Techniques such as deep breathing, mindfulness, or progressive muscle relaxation can help reduce anxiety levels before and during sexual activity.
4. Pelvic Floor Exercises: Strengthening the pelvic floor muscles can help improve control over ejaculation. Kegel exercises, which involve tightening and relaxing the muscles used to stop urination, can be beneficial. To perform Kegels, identify the right muscles, contract them for a few seconds, and then relax. Aim for three sets of 10 repetitions daily.
5. The Start-Stop Technique: This technique involves stimulating the penis until you feel close to ejaculation, then stopping until the urge decreases. This can help you learn to recognize your point of no return and gain better control over your ejaculation.
6. The Squeeze Technique: Similar to the start-stop method, this technique involves squeezing the base of the penis when you feel close to ejaculation. This can help delay ejaculation and prolong the experience.
7. Use of Condoms: Some men find that using condoms can reduce sensitivity and help delay ejaculation. There are also condoms available that contain numbing agents to further decrease sensitivity.
8. Consult a Healthcare Professional: If PE persists and significantly impacts your sexual relationships, consider consulting a healthcare professional. They can provide guidance, assess for any underlying medical conditions, and discuss potential treatments, including behavioral therapy or medications.
Lifestyle Considerations
Maintaining a healthy lifestyle can also contribute to improved sexual health. Regular exercise, a balanced diet, and adequate sleep can enhance overall well-being and reduce anxiety levels. Avoiding excessive alcohol and recreational drugs is also advisable, as these can negatively affect sexual performance.
Conclusion
At 16, experiencing premature ejaculation is not uncommon, and there are effective strategies to help manage it. By focusing on communication, relaxation techniques, and specific exercises, you can improve your control over ejaculation and enhance your sexual experiences. Remember, it’s important to be patient with yourself, as sexual performance can improve with time and experience. If concerns persist, seeking professional advice is a wise step toward finding a solution.
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