Frequently Asked Questions

How soon is too soon when a man Prematurely Ejaculates?

For a heterosexual man, a commonly used definition of premature ejaculation is ejaculating within about one minute of his penis entering his partner. However, there is no fixed time for ‘too soon’ Premature ejaculation is a loss of control over ejaculation, and the distress it can cause to one or both partners, not just the time it takes a man to ejaculate.

How common is Premature Ejaculation?

Premature ejaculation is the most common male sexual problem and affects men of all ages.

Premature ejaculation is more common in younger men.

This is because ejaculation generally takes longer as men get older and younger men may be less sexually experienced or feel less secure with the situation in which they are having sex.

Estimating the prevalence of PE is difficult since many men do not want to talk about it, while others may not even perceive that they have PE.

However, recent research indicates that 25-30% of men struggle with PE.

PE can happen at any age and its prevalence is consistent across all ages.

Can premature ejaculation cause infertility?

Premature ejaculation does not usually cause male infertility (in a couple), although sometimes it can cause problems for couples trying to become pregnant. Many men who have premature ejaculation feel embarrassed when ejaculation happens before vaginal penetration. If this is the case, a doctor may use a treatment to delay ejaculation or refer the couple to a fertility specialist.

How can premature ejaculation affect men emotionally?

Premature ejaculation can cause embarrassment and anxiety, and men often feel more anxious when they try to find ways to manage the problem. Partners of men with premature ejaculation may find it difficult to deal with their partner’s anxiety. Having an emotional response to premature ejaculation is quite normal and discussing these feelings with your partner and/or male sexual health expert can help.

What is sex therapy?

A sex therapist can educate men and their partners about the ejaculatory function and why PE might be happening. They can also provide some context and reassurance, as men who feel they are ejaculating too soon may be closer to “normal” than they think. (The average time between penetration and ejaculation is between 5 and 7 minutes.)

In addition, men are taught practical techniques to try the next time they have intercourse. Some of these techniques are explained below:

Distraction techniques: distracting mental exercises during sex can be used to help PE (such as thinking of mundane things like baseball, work, etc.). These techniques are probably most useful for men with occasional PE or men who experience PE in the initial stages of a new sexual relationship. For men with long-standing PE, the consistent use of these techniques usually interferes with spontaneity and satisfaction. One such technique is called the stop-start method. When a man thinks he is about to ejaculate, stimulation stops for thirty seconds. Then, stimulation continues and stops again. The process is repeated until the man feels ready to ejaculate.

The stop-start method works to help the individual identify ways of controlling their sexual stimulation and ejaculatory response. This method requires the man to engage in sexual stimulation, either with or without his partner until he realizes that he is about to ejaculate. At this point he stops for about thirty seconds, reducing his urge to ejaculate, and then begins the sexual stimulation again. These steps are repeated until ejaculation is desired. In the final step of the sequence, stimulation is continued until a climax is achieved.

The squeeze method also involves sexual stimulation until just prior to the “point of no return”. Once the man senses that he is about to ejaculate, his partner stops sexual stimulation and gently squeezes the tip or the base of the penis for several seconds. Further stimulation is withheld for 30 seconds and then resumed. The couple may choose to repeat the sequence as many times as they like or continue stimulation until ejaculation is desired. These exercises have little benefit if conducted by the man himself and require the participation of a partner.

Sex therapists can also help men and their partners work on psychological, emotional, and relationship issues, which might have been present for a long time or might be more recent, stemming from PE distress.

What are behavioral techniques?

Behavioral techniques have been the mainstay of PE management for many years. These techniques include masturbation just prior to intercourse, the use of multiple condoms to reduce penile sensitivity or engaging in distraction techniques (mental exercises) during foreplay, intercourse, or both.

Anxiety was reported as a cause of PE by multiple authors which activates the sympathetic nervous system and reduces the ejaculatory threshold as a result of an earlier emission phase of ejaculation. So reducing anxiety can significantly improve the ejaculation time.

Cognitive-behavioral therapy focuses on perceptions and feelings, improving communication between partners, increasing sexual skills and self-confidence, and reducing anxiety associated with sexual activity.

Recent research (CBT for Premature ejaculation) to assess the effectiveness of cognitive-behavioral therapy (CBT) on the signs, symptoms, and clinical? sexual consequences of premature ejaculation, including sexual esteem, sexual anxiety, sexual depression, sexual fear, and sexual satisfaction of patients and their wives showed statistically significant improvement in all the above parameters.

Therapy focuses on the emotional implications of PE, relationship dynamics, and in performance anxiety management.

The best results were seen in men who were motivated, were hopeful, and we’re in a stable monogamous relationship with a cooperative partner.

How to reduce Penile Hypersensitivity?

Penile Hypersensitivity can be reduced by a number of methods as described below:

1. Use of TOPICAL ANAESTHETIC SPRAYS – Topical spray, applied to the glans penis 5 min before intercourse, prolongs ejaculation time significantly and improves sexual satisfaction in both men with PE and their partners. For more scientific information on these sprays read here- Topical sprays for Premature Ejaculation

2. Use of Condoms – Condoms form a barrier between the penile skin and the vagina. Hence this reduces sensations to some extent. They are not usually helpful in severe cases of Premature ejaculation.

3. Surgery – Dorsal nerve resection of the penis has been successfully performed in many countries like KOREA, CHINA, GERMANY, RUSSIA, etc with satisfying results and least complications if performed carefully and using a microscope. Selective resection of dorsal nerves of the penis for premature ejaculation

At IASH this surgery is performed microscopically after a very detailed assessment of the patient and only after confirming the penile hypersensitivity. The risks and benefits of the surgery are explained thoroughly before the surgery.

Are there any Food diet to follow to cure Premature Ejaculation?

Yes, You can contact us to find in detail. If you are at early stage PE use these premature ejaculation foods in your daily diet routines.

What are oral medicines?

Some antidepressants—tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs)—have the side-effect of delayed ejaculation and are now commonly prescribed by doctors for premature ejaculation.

The tricyclic antidepressant has been shown to work better than SSRIs in some men. These drugs work only for as long as the man continues to take the medication daily. Taking SSRIs can have some side-effects such as decreased libido (sex drive), nausea, sweating, bowel disturbance, and fatigue.