Premature Ejaculation: Causes and Treatment Options in Taoyuan - Urology

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Premature ejaculation (PE) is a common sexual dysfunction that affects many men, and it can be caused by a combination of psychological and physiological factors. Your experience of feeling the urge to ejaculate within a minute of penetration, and even within five seconds upon re-insertion, indicates that this condition is affecting your sexual experience and overall quality of life.


Causes of Premature Ejaculation
1. Psychological Factors: Anxiety, stress, and performance pressure can significantly contribute to premature ejaculation. If you have recently experienced changes in your sexual function, it may be linked to psychological stressors, such as relationship issues, work-related stress, or even anxiety about sexual performance.
2. Physiological Factors: There are also biological factors that can contribute to PE. These may include hormonal imbalances, neurotransmitter issues, or even certain medical conditions that affect nerve sensitivity. In some cases, men may have heightened sensitivity in the genital area, which can lead to quicker ejaculation.

3. Learned Behavior: Sometimes, PE can be a learned behavior, especially if there have been past experiences where you felt rushed or anxious during sexual encounters. This can create a cycle of anxiety that perpetuates the issue.


Treatment Options
1. Behavioral Techniques: One of the first lines of treatment involves behavioral techniques, such as the "stop-start" method or the "squeeze" technique. These methods can help you gain better control over ejaculation by practicing when to stop and start during sexual activity.

2. Psychological Counseling: If psychological factors are contributing to your PE, speaking with a therapist or counselor who specializes in sexual health can be beneficial. They can help address any underlying anxiety or relationship issues.

3. Medications: There are several medications available that can help with PE. Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine or sertraline, are commonly prescribed off-label for this condition. Additionally, topical anesthetics can be applied to the penis to reduce sensitivity and delay ejaculation.

4. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises (often referred to as Kegel exercises) can also help improve control over ejaculation.


Seeking Help in Taoyuan
In Taoyuan, there are several hospitals and clinics where you can seek help for premature ejaculation. Here are a few options:
1. Taoyuan General Hospital: This hospital has a urology department that can provide evaluation and treatment for sexual dysfunction.

2. Chung Shan Medical University Hospital: They offer specialized services in urology and sexual health.

3. Private Clinics: There are also private clinics specializing in men's health and sexual dysfunction. Look for clinics that have urologists or sexual health specialists.


Conclusion
It’s important to remember that premature ejaculation is a common issue and can often be treated effectively. The first step is to consult with a healthcare professional who can provide a thorough evaluation and discuss the best treatment options tailored to your specific situation. Don't hesitate to reach out for help, as addressing this issue can significantly improve your sexual health and overall well-being.