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Premature ejaculation is a term used for an orgasm before intercourse or less than a minute after you start. There is no set time when a man should ejaculate during sex. However, if you ejaculated and lose your erection this soon, you and your partner may feel less enjoyment which may affect your intimate time.
This condition is not a cause for concern if it does not happen often. However, you may need immediate medical help if:
The main symptom of PE is not being able to delay ejaculation for more than three minutes after penetration. But it might occur in all sexual situations, even during masturbation. It is classified as a lifelong condition that occurs all or nearly all the time beginning with the first sexual encounter. This condition can also be acquired from previous sexual experiences without problems with ejaculation.
Talk with your healthcare provider if you ejaculate sooner every sexual encounter. This condition is treatable in most cases but your doctor may need to assess your condition before giving proper treatment. A conversation with a care provider might help lessen concerns.
The specific cause of this condition is unknown but psychological triggers are considered a factor. This condition involves a complex interaction of psychological and biological factors such as:
Typical options for PE include a combination approach of behavioral techniques, medication, and counselling. It might take time to find the treatment or combination of treatments that work for you but these are all effective. Your doctor may also recommend avoiding sexual intercourse during the treatment period.
Pelvic floor exercises can also delay ejaculation and help strengthen muscles. Focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
Your healthcare provider might instruct you to use the pause-squeeze technique. Begin sexual activity to stimulate the penis, until you feel almost ready to ejaculate. Then squeeze the end of your penis where the head joins the shaft. Keep squeezing for several seconds until the urge to ejaculate passes. Repeat the squeeze process as needed.
Dapoxetine. It belongs to a class of drugs known as a selective serotonin reuptake inhibitor. It works by inhibiting the neuronal reuptake of serotonin that further potentiates the action of neurotransmitters at both pre and postsynaptic receptors. It also reduces personal distress, and interpersonal difficulty and improves the satisfaction of sexual intercourse.