Premature ejaculation is a type of sexual dysfunction commonly affecting men where one ejaculates sooner or faster. This could be in less than a minute or even 30 seconds for some. Premature ejaculation can lead to dissatisfaction and even relationship problems among couples. The good thing is that there are specific remedies like the use of premature ejaculation pills.
This condition causes discomfort or interpersonal difficulties and must not be due to the direct effects of a substance/drug or medical condition. There are various types of premature ejaculation: permanent (lifelong), acquired (onset after a period of normal sexual functioning), situational (only with specific stimulation, situation, or partner), and generalized (occurs in all situations).
Consequences of Premature Ejaculation
People with premature ejaculation complain of lack of control of the same and apprehension of the inability to delay it.
This dysfunction can lead to low self-esteem, low self-efficacy, feelings of inadequacy, frustration, lack of assertiveness and decreased desire, sexual pleasure/satisfaction with repercussions in relationships.
The discomfort is also experienced by the partner who unknowingly aggravates the disorder and suffers himself. Rapid ejaculation is often read by the partner as a lack of respect and attention or as a sign of selfishness.
Causes of Premature Ejaculation
The causes of premature ejaculation are multifactorial: organic and psychological. In the vast majority of cases, however, they are psychological.
The psychological aspect is crucial. Social anxiety, performance anxiety, depression, relationship problems, dissatisfaction with body image, masturbation addiction, and negative sexual experiences are all factors that often contribute to the disorder.
There are rare cases of ejaculatory precocity, generally transient, connected to organic causes.
These include anatomical anomalies of the frenulum (short), hypersensitivity of the glans, inflammatory states, urethritis, vasculitis, prostatitis, multiple sclerosis, bone marrow tumors, stress, or hormonal problems (hypo-hyperthyroidism, low prolactin, high leptin levels).
However, these conditions are generally noticeable, as they involve other symptoms besides premature ejaculations.
The intake of substances can cause the disorder: drugs, alcohol, and medications can induce premature ejaculation. In particular, drug withdrawal is often responsible for acquired premature ejaculation. In some cases, discontinuing regular alcohol intake can lead to premature ejaculation following the inability to delay orgasm without the drug’s effects.
Many people who suffer from premature ejaculation use alcohol as a disinhibitor or as an anxiolytic but doing so, in the long run, aggravates the problem with harmful effects on ejaculatory control.
Premature ejaculation can also be associated with erection problems (erectile dysfunction), complicating the differential diagnosis.