Premature Ejaculation
Lifestyle Changes to Improve Sexual Control
Premature ejaculation (PE) is one of the most common sexual health concerns among men, characterized by ejaculation that occurs sooner than desired, often with minimal stimulation. This condition may lead to feelings of stress, frustration, and anxiety, significantly impacting emotional well-being and intimate relationships. Many men hesitate to seek help, but effective treatments are available.
Dr. Neeraj Agrawal, a leading specialist in men’s sexual health at Regency Super Speciality Hospital, provides advanced care and evidence-based solutions for managing premature ejaculation. With expertise in accurate diagnosis, counseling, lifestyle guidance, and medical interventions, he helps patients regain control, confidence, and satisfaction in their sexual life. His compassionate and professional approach ensures that men receive the right support to improve both physical and emotional aspects of intimacy.
Causes of Premature Ejaculation
Premature ejaculation can result from a combination of psychological and physical factors, and in some cases, there may not be a clear cause. Common contributing factors include:
Psychological Causes
Performance Anxiety
Worrying about sexual performance can cause stress, leading to premature ejaculation.
Depression
Mental health issues like depression can affect sexual performance.
Relationship Issues
Emotional strain or lack of intimacy in relationships may lead to PE.
Early Sexual Experiences
Conditioned early sexual experiences, such as rushed sexual encounters, can contribute to PE later in life.
Physical Causes
Hormonal Imbalances
Abnormal levels of hormones like serotonin or testosterone can impact ejaculation control.
Erectile Dysfunction (ED)
Men who are anxious about maintaining an erection may rush through intercourse, leading to premature ejaculation.
Neurological Issues
Problems with the nervous system, such as spinal cord injuries, may affect ejaculatory control.
Prostatitis
Inflammation of the prostate gland can sometimes be linked to premature ejaculation.
Symptoms of Premature Ejaculation
Common signs of premature ejaculation include:
- Ejaculation that consistently occurs within one minute of penetration
- An inability to delay ejaculation during intercourse most of the time
- Feelings of frustration, embarrassment, or distress related to sexual performance.
If these symptoms are affecting your sexual relationship or self-esteem, it’s important to consult a specialist like Dr. Agrawal for an assessment and treatment.
Diagnosing Premature Ejaculation
Dr. Neeraj Agrawal follows a comprehensive approach to diagnose premature ejaculation by:
- Medical History Review: A thorough review of your health and sexual history to identify any underlying conditions or psychological factors.
- Physical Examination: A general physical exam to check for any physical causes like prostatitis or other medical issues.
- Blood Tests: To evaluate hormone levels and rule out potential imbalances.
- Psychological Assessment: Screening for anxiety, depression, or relationship problems that might contribute to the condition.
Treatment Options for PE
Dr. Neeraj Agrawal offers a range of treatment options for premature ejaculation, designed to improve sexual satisfaction and overall well-being. These treatments may include:
Behavioral Therapy: Techniques such as the “start-stop” or “squeeze” methods can help men delay ejaculation. Additionally, Kegel exercises can strengthen pelvic floor muscles to improve control.
Medications:
- SSRIs (Selective Serotonin Reuptake Inhibitors): These medications, like dapoxetine or sertraline, can increase serotonin levels, delaying ejaculation.
- Topical Anesthetics: Creams with numbing agents, such as lidocaine, can reduce sensitivity and prolong ejaculation.
- PDE-5 Inhibitors: Medications used for erectile dysfunction, like sildenafil (Viagra), can also help treat PE.
Psychological Counseling:
- Sex Therapy: Therapy or counseling helps manage performance anxiety, improve communication with a partner, and reduce stress related to sex.
- Cognitive Behavioral Therapy (CBT): CBT can help address anxiety and negative thought patterns that may be contributing to premature ejaculation.
Hormone Therapy: For men with hormonal imbalances, hormone replacement therapy may be recommended to improve sexual function.
सामान्य प्रश्न (FAQs)
शीघ्रपतन (पीई) तब होता है जब एक पुरुष संभोग के दौरान अपने या अपने साथी की इच्छा से पहले ही स्खलित हो जाता है, अक्सर प्रवेश के एक मिनट के भीतर।
कारण मनोवैज्ञानिक (तनाव, चिंता, अवसाद) या शारीरिक (हार्मोनल असंतुलन, पुरानी स्वास्थ्य स्थितियां) हो सकते हैं।
हाँ, यह पुरुषों के लिए सबसे आम यौन समस्याओं में से एक है, जो 30% पुरुषों को उनके जीवन में किसी न किसी समय प्रभावित करती है।
निदान आम तौर पर यौन इतिहास पर आधारित होता है, जिसमें स्खलन से पहले कितने समय तक संभोग करना और आपके जीवन की गुणवत्ता पर इसका प्रभाव शामिल होता है।
हां, उपचार के विकल्पों में व्यवहार तकनीक, सामयिक क्रीम, मौखिक दवाएं और अंतर्निहित मनोवैज्ञानिक कारणों के लिए परामर्श शामिल हैं।
हां, चयनात्मक सेरोटोनिन रीपटेक इनहिबिटर (एसएसआरआई) या सामयिक एनेस्थेटिक्स जैसी दवाएं स्खलन में देरी करने में मदद कर सकती हैं।
