Premature ejaculation (PE) is one of the most common male sexual disorders and has been estimated to occur in 4-39% of men in the general community.[1]Premature ejaculation is a problem that haunts their sexual performance, which makes them, and their partners counteract disappointment. This can lead to significant difficulties in relationships and emotional well-being.[2]

What is Premature Ejaculation?

To correct premature ejaculation, it is important to understand what it is and what causes it.  Premature ejaculation, or rapid climax, can be defined by several measures. Surveys conducted in the past have shown that the average duration of sex varies from 2 to 12 minutes.[3] Most of the time, people with formal diagnoses reach their peak in less than a minute or two, and there are even those who ejaculate before penetration. Subjectively, the most important factor is whether a man feels that he cannot control his ejaculation and that he often reaches his climax before he pleases his partner through sexual intercourse. This time-lapse will vary with each man and with different partners, as each woman will reach her peak at different times.[4] 

The reasons why men suffer from premature ejaculation come from several genetic and behavioral causes. It is mainly assumed that sex should procreate or continue its posterity. This condition is simply connected to our bodies. Therefore, a rapid ejaculation occurs to plant the seed of the male to increase their probability of having children. Another reason may be an extremely sensitive nervous system. The sexual stimulation of sexual intercourse is simply overwhelming for the nervous system and ejaculation occurs. Younger men tend to be disproportionately affected by this problem. As men get older, this aspect of premature ejaculation tends to improve as nerve signals tend to travel more slowly.

In a study of 1326 consecutive men with PE, lifelong PE was present in 736 men (74.4%) and acquired premature ejaculation was present in 253 men (25.6%).[5] Men with premature ejaculation appear younger than those without and after adjusting for concomitant erectile dysfunction (ED), the risk of premature ejaculation was found to significantly decrease with aging.

One of the causes that many men don’t consider is the bad habit of masturbation. As a general rule, masturbation takes very little time when a man seeks an orgasm quickly. This causes the ejaculation system to do the same during sex.[6][7]

This problem may also be due to an underlying medical problem in a small majority of people, and it is important to make sure that you do not have any underlying neurological or prostatic problems. It is also important to consider and correct any food or addiction problems that may be contributing to this problem. Once you have proof of your good health, you can concentrate on learning how to correct your premature ejaculation.[8]

How can you improve this change and your difficulty with premature ejaculation?

Simple ways to prevent premature ejaculation 

There is nothing more frustrating than having premature ejaculation during sex. This is one of the most embarrassing moments, and many people will do anything to eliminate this problem, but if you do not use the correct techniques, you may fail. Premature ejaculation can be cured, and here are some tips to help you completely and permanently eliminate premature ejaculation.[9] 

1. Exercises for PC / Kegel 

CP exercise or Kegel muscles can help eradicate premature ejaculation in the long term. It is the muscle that controls ejaculation when it pushes the sperm towards the penis. If you want to locate the PC muscle, stop in the middle when urinating; you will feel a contraction of part of the muscle tissue between the anus and the penis. You are in exactly this area, the muscles that you have felt are those of your PC. The strengthening of Kegel exercises will help prevent premature ejaculation completely and permanently. 

2. The stop and start technique

The stop and start technique is also very effective. When you start to feel like you are about to ejaculate, stop pressing, and any other moment or feeling that you know can lead to ejaculation. Wait about 20 seconds and then resume. Do it every time you have these feelings, and you can go for as long as you want. Know your body well to avoid trying when you are at the point of no return. The point of no return is even if your grandmother enters, you will still ejaculate. The downside of this trick is that the woman may be frustrated by frequent stops. 

3. The technique of breathing

If you look closely at your body, you will notice that you breathe deeply and quickly when you are about to reach orgasm. Do breathing exercises that help you control your breathing. If you can maintain the same breathing pattern when you are normal and relaxed during sexual intercourse, you will have a greater ability to remain. 

4. The compression technique

This is very effective, and it’s easy to apply the technique. Just squeeze your penis when you feel the need to ejaculate. You can forcefully press the bottom and middle firmly to repel the impulse. Again, make sure you are not at the point of no return. 

5. Masturbate first 

It has been noted that after a child ejaculates, the next one takes longer than the previous one. You can indulge yourself for an hour or a few minutes to have sex. After masturbation, you will need more time to return during sex. 

6. Different sexual positions

There are positions that indirectly make a man ejaculate quickly. Positions like the missionary style and the puppy can really make a man run fast if he does not take care of himself. If you are a premature ejaculator, avoid these positions. Positions like the woman on the top and the two sitting face to face can really help you have longer sex.[10]

You should also try to experience for yourself other sexual positions that help minimize the sensation and excess movement of the thighs and muscles of the buttocks. 

If you already experience premature ejaculation and need a quick fix, buy Pelay gel for premature ejaculation. All the above tips are good and, executed with patience and discipline, will definitely eliminate your premature ejaculation, but Pelay gel is the solution for you if you need a quick solution, and you and your partner cannot wait for months to enjoy. Apply a fresh gel to your penis before intercourse to enjoy more than 30 minutes or more of satisfying sex.

Common Questions on Premature Ejaculation

Premature ejaculation is becoming a popular illness in this century. Though many men don’t open up to talk about it, they experience it and are more than willing to hear whether it is treatable or not.

This article will guide you through some common questions about this elephant illness.

Is premature ejaculation a sign of a serious health problem?

To answer this question, it is prudent to look into the various causes of premature ejaculation. Categorizing the causes as either serious or mild health problems will help us reach the desired answer.

In most cases, premature ejaculation results from health factors such as anxiety, depression, guilt, stress, and basic relationship problems.[11] In rare cases, the problem can result from acute health problems such as damage to the nervous system, trauma, or surgeries.

Both psychological and biological factors play a role in Premature Ejaculation[12]. However, psychological factors stem their roots from basic social problems. They are the major cause. Therefore, going by the number of cases of premature ejaculation caused by Psycho-Social problems regarding those caused by acute biological problems, premature ejaculation is not a serious health problem.

How is Premature Ejaculation Diagnosed?

Since premature ejaculation stems its roots in the psyche, it is advisable to contact a doctor if you suffer from it.

The doctor may ask you about your sex life and sexual history. This will help the doctor deduce when the problem started and its roots. In circumstances where you are experiencing double cases of Erectile Dysfunction and premature ejaculation, the doctor may require a sample from you. These samples may include sperm or urine or findings from the oral interview and clinical tests; the doctor will recommend an appropriate method of cure.

In some acute cases, you may be referred to a mental health professional for checkups. This also happens where the case is linked to Erectile Dysfunction problems. Experts in the respective fields will be recommended.

Should I Wear Condoms When Having Sex?

There are myths propagated that condoms are turnoffs during sex. The fact is, condoms will not only protect you from various STDs, but they also serve a big boost for men fighting cases of PE.

However, not all types of condoms will attain this, and on the other hand, not all men will experience this. The type of condom chosen should be one which harbors benzocaine enzyme at the tip. Durex or Trojan.

Extended condoms are ideal for this purpose. A thick condom is just an added advantage. Benzocaine enzyme at the tip of the sack will help you maintain the erection for quite some time. According to research, the more this enzyme is absorbed into the body, the longer the erection time. This means incorporating Trojan or Durex condoms in your sex life can help you avoid PE cases.[13]

Going bareback after a series of benzocaine-based sex can numb your partner’s sex organ. She may not enjoy sex for a shorter duration of time.

Are there any gels for premature ejaculation?

There are different types of anesthetic creams in the market that can be used to manage an erection. The most popular is the Pelay gel. The cream contains two herbal substances.

These herbs numb the nerve endings of the penis, hence controlling Premature Ejaculation.[14]

The gel is applied to the top of the penis through smearing. Upon doing this, it normally takes an average of 25-30 minutes before it starts to affect change. During this process, you should be doing the foreplay. Immediately after the main act, it is advisable to properly wash your sex organs with water to remove the remaining cream. If not removed, the long-term effect is numbness for incoming sex sessions.[15]

Pelay and other approved creams can be used with condoms too. In fact, this will protect your partner from exposure to the cream.

Is there any potential future treatment for premature ejaculation?

According to scientists, research is underway to develop curative medicines for Premature Ejaculation.

Some of these drugs are in use but under clinical tests at the same time as they require more modifications.

These drugs include:

• Modafinil

This is one of the drugs that have been around for centuries. To most people, it is used for narcolepsy related cases. Research shows that with a slight modification, this drug can potentially wipe out premature ejaculation.

• Silodosin

This drug is popularly known by doctors for treatment of “prostastia hyperplasia,” a scientific term for prostate enlargement. However, after realizing its potential in curing Erectile Dysfunction problems, scientists have placed it under trial. The U.S. based, most recent trial indicated positive results.

• Dapoxetine

This drug is used mainly as a cure for Erectile Dysfunction. It is also currently under U.S. based clinical trials.

[16]

Is there any medication for Premature Ejaculation?

Most popular medications for PE include:

• Topical anesthetics

Anesthetics are administered as pills, gels and sprays. Most of these substances contain benzocaine, lidocaine or prilocaine enzymes that numb the nerve endings in the penis.

Unlike creams and pills that are available only under prescription, sprays are available over the counter. Though effective and tolerated by many, these anesthetic products have some side effects. Some users report cases of penile insensitivity and minimized sexual pleasure. These effects manifest in their partners too.[17]

• Oral Medications

There are varieties of drugs specifically administered to PE victims. However, these drugs have not yet been approved by food and drug administrations.

These drugs include:

• Antidepressants. Medical practitioners recommend anti-depressants such as Peroxetine for delayed orgasms. Antidepressant-based medications normally take an average of five to ten days to affect change. However, you may need to wait for two to three weeks before you start noticing their full effects.

Other depressants include Sertraline, Fluoxetine and Escitalopram.

• Analgesics

Tramadol, a commonly used drug for pain relief, is administered for delayed ejaculation. It is normally taken as an alternative for SSRIs. Negative side effects of this drug include sleepiness, dizziness, headache and nausea.[18]

• Premature Ejaculation victims can also be administered with phosphodiesterase-5 inhibitors such as Cialis and Viagra. These substances work best on Erectile Dysfunction cases and Premature Ejaculations when used with SSRIs.

Final Thoughts

PE is a common problem that affects 30 to 40% of the total men’s population. Eliminating the risk factors and potential basic causes can lead to its sustainable solution. Open up and talk to your doctor whenever you think you are not performing as per your specifications.

[1] Grenier G, Byers ES. The relationships among ejaculatory control, ejaculatory latency and attempts to prolong heterosexual intercourse. Arch Sex Behav. 1997;26:27–47.

[2] https://www.ncbi.nlm.nih.gov/pubmed/9015578

[3] https://www.ncbi.nlm.nih.gov/pubmed/10022110

[4] Lue TF, Basson R, Rosen RC, et al. Sexual medicine-sexual dysfunctions in men and women. Health Publications: Paris; 2004.

[5] McMahon CG. Long term results of treatment of premature ejaculation with selective serotonin re-uptake inhibitors. Int J Imp Res. 2002;14:S19.

[6] https://www.ncbi.nlm.nih.gov/pubmed/16422869

[7] Basile Fasolo C, Mirone V, Gentile V, Parazzini F, Ricci E, et al. Andrology Prevention Week centers; Premature ejaculation: Prevalence and associated conditions in a sample of 12,558 men attending the andrology prevention week 2001-a study of the Italian society of andrology (SIA) J Sex Med. 2005;2:376–82.

[8] Perelman MA, McCulloch AR, Bull S. The impact of self-reported premature ejaculation on other aspects of sexual function. J Sex Med. 2004;1:59,098.

[9] https://www.ncbi.nlm.nih.gov/pubmed/7310763

[10] Yeates WK. Andrology. In: Pryor JP, Lipschultz L, editors. Chp.10-Ejaculatory disturbances. Butterworths: London; 1987. pp. 183–216.

[11] Truitt WA, Coolen LM. Identification of a potential ejaculation generator in the spinal cord. Science. 2002;297:1566–9.

[12] Lipshultz LI, McConnell J, Benson GS. Current concepts of the mechanisms of ejaculation. Normal and abnormal states. J Reprod Med. 1991;26:499–507.

[13] https://www.ncbi.nlm.nih.gov/pubmed/12202834

[14] Rowland DL, Cooper SE, Schneider M. Defining premature ejaculation for experimental and clinical investigations. Arch Sex Behav. 2001;30:235–53.

[15] https://www.ncbi.nlm.nih.gov/pubmed/11330115

[16] Waldinger MD, Hengeveld MW, Zwinderman AH, Olivier B. Effect of SSRI antidepressants on ejaculation: A double-blind, randomized, placebo-controlled study with fluoxetine, fluvoxamine, paroxetine and sertraline. J Clin Psychopharmacol. 1998;18:274–81.

[17] https://www.ncbi.nlm.nih.gov/pubmed/3675186

[18] Strassberg DS, Kelly MP, Carroll C, Kircher JC. The psychophysiological nature of premature ejaculation. Arch Sex Behav. 1987;16:327–36.