Sensitivity and Premature Ejaculation: Seeking Solutions - Urology

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Premature ejaculation (PE) is a common condition that affects many men, particularly those in their twenties and thirties. It is characterized by ejaculation that occurs sooner than desired, often with minimal sexual stimulation. Your description of heightened sensitivity during bathing and the experience of ejaculating within three minutes during intercourse suggests that you may indeed be experiencing PE.
First, it’s important to understand that PE can be influenced by a variety of factors, including psychological aspects such as anxiety, stress, or relationship issues, as well as physiological factors like hormonal imbalances or nerve sensitivity. Given your age and the symptoms you described, it is advisable to consult a healthcare professional for a thorough evaluation. A doctor can help determine whether your symptoms are due to PE or if there are other underlying issues that need to be addressed.

When you visit a doctor, they will typically conduct a physical examination and may ask about your sexual history, psychological well-being, and any other symptoms you may be experiencing. This information will help them understand your situation better and tailor a treatment plan that suits your needs.

Treatment options for PE can vary. Behavioral techniques, such as the "stop-start" method or the "squeeze" technique, can help you gain better control over ejaculation. These methods involve practicing control during sexual activity to help extend the time before ejaculation occurs. Additionally, pelvic floor exercises, often referred to as Kegel exercises, can strengthen the muscles involved in ejaculation and improve control.

Medications may also be prescribed. Selective serotonin reuptake inhibitors (SSRIs), commonly used as antidepressants, have been found to delay ejaculation as a side effect. Topical anesthetics, such as lidocaine or benzocaine creams, can be applied to the penis to reduce sensitivity and help prolong intercourse. However, it is essential to use these products under medical supervision to avoid potential side effects or complications.

Regarding over-the-counter products like "lasting sprays" or creams, while some may provide temporary relief by numbing the area, their effectiveness can vary, and they may come with side effects such as decreased pleasure for both partners. It’s crucial to approach these products with caution and ideally discuss them with a healthcare provider before use.

In summary, if you are experiencing symptoms of premature ejaculation, it is advisable to seek medical advice. A healthcare professional can provide a proper diagnosis and recommend appropriate treatment options tailored to your situation. Remember, PE is a common issue, and there are effective treatments available that can help you regain confidence and improve your sexual experience. Don't hesitate to reach out for help; addressing these concerns can lead to significant improvements in your quality of life and relationships.