Premature Ejaculation – Medical Diagnosis
Many men write us wondering about diagnosing premature ejaculation. How can they determine if they have premature ejaculation – and is it temporary or a more long term problem?
Premature ejaculation can occur at any time in a mans life and there is no single age group more likely to experience the effects of premature ejaculation. Premature ejaculation can be lifelong or acquired. With lifelong premature ejaculation, the man has experienced premature ejaculation since first beginning sexual intercourse or other sexual encounters (ie. – oral sex). With acquired premature ejaculation, the man previously had successful sexual relationships and only now has developed premature ejaculation.
Some characteristics of lifelong premature ejaculation can include psychological difficulties or deep anxiety about sex that may relate to 1 or more negative experiences encountered during sexual development.
For men undergoing therapy to solve their premature ejaculation – the therapist might inquire about the following:
- Previous psychological difficulties
- Early sexual experiences
- Family relationships during childhool and adolescence
- Peer relationships
- Work or school
- General attitute regarding sex
- Sexual attitude and response of the female partner
- Happiness with and/or nonsexual aspects of the current relationship
For instances of acquired premature – some of the characteristics may include issues including erectile dysfunction, performance anxiety, and recreational or psychotropic drug use.
Your doctor may inquire about:
- Previous relationships
- Curent relationships
- Nonsexual aspects of the relationship
- Impotence problems
- Sexual interest of partner
- Premature ejaculation treatment.
Medical treatment for early or premature ejaculation can include several options. Any serious underlying problems should be treated, as should any erectile dysfunction problem. A doctor may recommend sex thereapy, such as instruction in ‘stop-start’ or ‘squeeze pause’ techniques. If erectile function is not an issue, another recommendation can be to try a second attempt at intercourse after the initial premature ejaculation – often time ejaculatory control may be much better the second time – provided another erection can be achieved short after the initial episode of early ejaculation.
No surgical therapy currently exists for premature ejaculation. However, pharmacologic therapy (use of prescription drugs) can include desensitizing agents, use of a selective serotonin reuptake inhibitor (SSRI), or PDE5 inhibitor thereapy – including drugs such as sildenafil, tadalafil, or vardenafil.
Premature ejaculation can also be successfully treated with natural solutions – such as herbal premature ejaculation pills. Commonly used natural PE treatments include supplements such as Prexil, Prematurex, and VigRX Plus. These products do not require a prescription, and can be found online – and sometimes in retail health stores or pharmacies. Premature ejaculation pills generally provide noticeable improvement in treating PE, but can take from 2-4 weeks to start working.