Premature ejaculation

Premature ejaculation is a male sexual dysfunction characterized by a short ejaculatory latency often less than 3 Minutes; an inability to delay ejaculation at penetration; and distress, frustration, interpersonal difficulty, and avoidance of sexual intimacy.

Prevalence Types Causes Complications Management

Premature ejaculation is quite common, affects many men at some point in their life with a global prevalence of 20-40%.

 

There are 2 types of premature ejaculation:-

  • Primary/Life long premature ejaculation.
  • Secondary that is Premature Ejaculation as a result of other causes for example Erectile Dysfunction.

The causes of PE can be classified into two types, psychological and biological. Psychological causes include:

  1. Depression and anxiety.
  2. Worrying about premature ejaculation.
  3.  Early sexual experiences.
  4. Poor body image.
  5. Erectile dysfunction.
  6. Relationship problems.

Biological causes are:

  • Hormonal imbalance.
  • Prostate or urethra inflammation.
  • Imbalance of certain brain neurotransmitters.
  • Stress and relationship problems.
  • Fertility problems.
  1. Psychological and behavioural interventions.
  2. Medical treatment with prescription drugs including SSRI’s, PDE-5 inhibitors, local anaesthetic creams, gels and sprays.
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