Premature Ejaculation: Causes, Solutions, and Treatments

Premature ejaculation issue?

Hello, Doctor.
I am 19 years old and would like to ask how I can avoid premature ejaculation.
I masturbate quite often; could this be related? I usually ejaculate in about a minute and a half during masturbation or intercourse.
Should I seek medical advice first, or try dietary therapy and other methods? What should I pay attention to in my daily life to gradually improve this condition? Which is more suitable for treatment, Western or Traditional Chinese medicine? Also, is 15 mg of zinc sufficient for me, or should I increase the dosage? Thank you very much, Doctor.
I really appreciate your help.

Pang Ding, 10~19 year old female. Ask Date: 2014/07/18

Dr. Lin Hexing reply Urology

Masturbating frequently at a young age is not necessarily harmful.
A duration of one and a half minutes is not a poor performance and does not fall within the definition of premature ejaculation.
At 19 years old, there is no need to rush; being anxious will not extend the time.
Regarding improvement, I am not knowledgeable in Traditional Chinese Medicine, so it would be best to consult a TCM practitioner.
In terms of Western medicine, managing emotions relies on personal adjustment to reduce tension and impulsivity.
Medications such as oral selective serotonin reuptake inhibitors (SSRIs) and topical anesthetic creams can help decrease sensitivity of the glans.
As for zinc intake, a daily amount of 15 milligrams is appropriate.

Reply Date: 2014/07/18

More Info

Premature ejaculation (PE) is a common condition that affects many men, particularly younger individuals. It is characterized by ejaculation that occurs with minimal sexual stimulation, often before the individual desires it. Understanding the causes, potential solutions, and treatment options is crucial for managing this condition effectively.

Causes of Premature Ejaculation
The causes of PE can be multifactorial. Psychological factors such as anxiety, stress, or performance pressure can significantly contribute to the condition. In younger men, the excitement and nervousness associated with sexual encounters can lead to rapid ejaculation. Additionally, habits such as frequent masturbation can condition the body to ejaculate quickly, which may carry over into sexual intercourse.

Physical factors may also play a role. Hormonal imbalances, inflammation of the prostate or urethra, and certain neurological conditions can affect ejaculation timing. However, in many cases, PE is primarily linked to psychological factors rather than physical ones.

Solutions and Treatments
1. Behavioral Techniques: One of the first steps in managing PE is to practice techniques that can help delay ejaculation. The "stop-start" method involves pausing sexual stimulation before ejaculation and then resuming once the urge subsides. Another technique is the "squeeze" method, where pressure is applied to the penis to prevent ejaculation.

2. Desensitizing Products: Over-the-counter creams or sprays that contain numbing agents can help reduce sensitivity and prolong the duration of intercourse. These products should be used cautiously and in consultation with a healthcare provider.

3. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through Kegel exercises can improve control over ejaculation. These exercises involve repeatedly contracting and relaxing the muscles used to stop urination.

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

5. Medications: In some cases, medications may be prescribed. Selective serotonin reuptake inhibitors (SSRIs) are commonly used off-label to help delay ejaculation. Other medications, such as tramadol, may also be effective.

6. Consultation with a Healthcare Provider: It is advisable to consult a healthcare provider for a thorough evaluation. They can help determine the underlying causes of PE and recommend appropriate treatments tailored to your specific situation.

Nutritional Considerations
Regarding your question about zinc, while zinc is an essential mineral that plays a role in testosterone production and overall sexual health, the recommended daily allowance for adult males is about 11 mg. Taking 15 mg daily is generally considered safe and may be beneficial, but excessive supplementation can lead to adverse effects. It is essential to maintain a balanced diet rich in vitamins and minerals to support overall health.

Lifestyle Modifications
In addition to the above treatments, consider the following lifestyle modifications:
- Reduce Anxiety: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety related to sexual performance.

- Limit Stimulants: Reducing caffeine and alcohol intake can help lower anxiety levels and improve sexual performance.

- Healthy Communication: Open communication with your partner about your concerns can alleviate pressure and enhance intimacy.

Conclusion
Premature ejaculation is a manageable condition, and various strategies can help improve your situation. While frequent masturbation may contribute to the issue, it is essential to focus on behavioral techniques, lifestyle changes, and possibly medical interventions. Consulting with a healthcare provider will provide you with personalized guidance and support. Remember, you are not alone in this, and many men experience similar challenges.

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