Premature Ejaculation
Definition
Premature Ejaculation is defined as ejaculation before the completion of satisfactory sexual activity for both partners. [1]
Here are some specific synonyms for Premature Ejaculation (PE) that are more clinical or neutral:
- Early ejaculation
- Rapid ejaculation
- Rapid climax
- Premature climax
Additionally:
- Some historical terms like "ejaculatio praecox" are considered outdated.
- For open communication with a partner, "shortcoming" or "difficulty lasting long enough" might be used, but these lack clinical accuracy.
Remember: When discussing PE with a medical professional, using the term "Premature Ejaculation" is the clearest and most appropriate way to communicate the issue.
Overview
Epidemiology
Causes
Types
Risk Factors
Pathogenesis
Pathophysiology
Clinical Features
Sign & Symptoms
Clinical Examination
Diagnosis
Differential Diagnosis
Complications
Investigations
Treatment
Prevention
Homeopathic Treatment
Diet & Regimen
Do’s and Don'ts
Terminology
References
Also Search As
Overview
Overview of Premature Ejaculation
- Premature ejaculation is habitual ejaculation before penetration or shortly afterwards, so that the woman gains no pleasure.
- It is common among young men during first sexual encounters, and usually improves with increasing sexual experience.
- The partner can assist by interrupting foreplay whenever the man feels himself becoming highly aroused (stop–start technique).
- This process prolongs the period during which the man can be highly aroused, but not ejaculate. [2]
Epidemiology
Epidemiology of Premature Ejaculation in India
The prevalence of premature ejaculation (PE) in India is estimated to be between 30-40%, affecting a significant portion of the male population.
Key Points
- PE is a common sexual complaint among Indian men, affecting various age groups.
- Despite its prevalence, many men hesitate to seek help due to social stigma and embarrassment.
- It is important to recognize that PE is a treatable condition, and seeking professional help can significantly improve quality of life.[7]
Causes
Causes of Premature Ejaculation
Physical Factors i.e.:
- Underactive thyroid
- Diabetes
- High blood pressure
- Multiple sclerosis
- Prostate disease
- Urethritis
- Stress
- Excessive alcohol intake
- Drug abuse
- Laziness
Psychological Factors i.e.:
- Strict upbringing
- Sexual inexperience
- Early conditioning
- Traumatic background
- Stress, depression
- Teenage masturbatory practices
- Unresolved relationship
- Conflicts
- Fear [5]
Biological Factors i.e.:
- Abnormal level of hormones
- Abnormal neurotransmitter levels
- Abnormal ejaculatory system reflex function
- Any sort of problem in the thyroid gland
- Infected either urethra or prostrate
- Hereditary characters. [4]
Types
Classification of Premature Ejaculation
Lifelong premature ejaculation–
- Many males have been found to have had the premature ejaculation problem for not just a while, but for the entirety of their lives. A lifelong premature ejaculation usually is found at when the male has his first sexual intercourse.
- Intravaginal Ejaculation Latency Time (in other words; IELT): Very short (<1–1.5 min)
- Frequency: Consistent
- Etiology: Neurobiological also Genetic
- Treatment: Medication either with or without counselling
- Prevalence: Low
Acquired premature ejaculation–
- It is the condition in which a male who has had a healthy sex life from the onset and has recorded some levels of standard overall performance suddenly starts to experience premature ejaculation during sexual intercourse.
- IELT: (Very) short (<1.5–2 min)
- Frequency: Inconsistent
- Etiology: sexual performance anxiety, psychological or relationship problems, ED, prostatitis, hyperthyroidism, or during withdrawal or detoxification from prescribed or recreational drugs.
- Treatment: Medication also Psychotherapy
- Prevalence: Low
Natural variable premature ejaculation–
- As the catchphrase ‘variable’ suggests, In detail it is the type of premature ejaculation that occurs irregularly or inconsistently or on a random basis.
- IELT- Normal (3–8 min)
- Frequency- Inconsistent
- Etiology- Normal variation of ejaculatory performance
- Treatment- reckless-education, reassurance
- Prevalence- High
Premature-like ejaculatory dysfunction-
- Men under this classification experience or complain of PE while the ejaculation time is in the normal range, that is around 2–6 min, and in some instances the ejaculatory latency may even be of very long duration, that is between 5 and 25 min.
- IELT- either Normal or long (3–30 min)
- Frequency- (In)consistent
- Etiology- Psychological
- Treatment- Psychotherapy
- Prevalence- High [3][5]
Risk Factors
Risk factor of Premature Ejaculation
- Erectile Dysfunction
- Health Issues
- Stress
- Certain Drugs- psychotropics [4]
Pathogenesis
Pathogenesis of Premature Ejaculation
Premature ejaculation (PE) is a complex condition with multifactorial causes. The exact pathogenesis is not fully understood, but several factors are thought to contribute:
Neurobiological Factors:
- Hypersensitivity of the penile receptors leading to heightened arousal and rapid ejaculation.
- Imbalance in neurotransmitters like serotonin, dopamine, and oxytocin, affecting ejaculatory control.
- Genetic predisposition and variations in genes regulating ejaculation.
Psychological Factors:
- Anxiety, depression, and stress can impact sexual performance and lead to PE.
- Performance anxiety and fear of failure can create a vicious cycle of anticipation and rapid ejaculation.
- Early sexual experiences or negative conditioning may contribute to learned patterns of rapid ejaculation.
Organic Factors:
- Erectile dysfunction can create anxiety and pressure to ejaculate quickly before losing erection.
- Prostatitis or inflammation of the urethra can cause discomfort and hypersensitivity, leading to PE.
- Hormonal imbalances, such as thyroid problems or low testosterone, can also play a role.[8]
Pathophysiology
Pathophysiology of Premature Ejaculation
Premature ejaculation (PE) is a complex condition with multifactorial causes, and its pathophysiology remains an area of ongoing research. While the exact mechanisms are not fully understood, several factors contribute to its development:
1. Neurobiological Factors:
- Hypersensitivity: Increased sensitivity of penile receptors may lead to heightened arousal and rapid ejaculation.
- Neurotransmitter Imbalance: Imbalance in neurotransmitters such as serotonin, dopamine, and oxytocin can influence ejaculatory control.
- Genetic Predisposition: Genetic variations in genes regulating ejaculation may predispose individuals to PE.
2. Psychological Factors:
- Anxiety and Stress: Anxiety, depression, and stress can impact sexual performance and contribute to PE.
- Performance Anxiety: Fear of failure can create a cycle of anticipation and rapid ejaculation.
- Early Experiences: Early sexual experiences or negative conditioning may contribute to learned patterns of rapid ejaculation.
3. Organic Factors:
- Erectile Dysfunction: Difficulty maintaining an erection can create anxiety and pressure to ejaculate quickly.
- Prostatitis/Urethritis: Inflammation of the prostate or urethra can cause discomfort and hypersensitivity, leading to PE.
- Hormonal Imbalance: Thyroid problems or low testosterone can also play a role in PE.[8]
Clinical Features
Clinical Features of Premature Ejaculation
Premature ejaculation (PE) is characterized by a persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it. The key clinical features include:
- Short Ejaculatory Latency Time (IELT): The primary feature is a consistently short IELT, usually less than 1 minute after penetration.
- Lack of Control: Individuals with PE often feel a lack of control over ejaculation, experiencing a sense of inevitability.
- Distress and Interpersonal Difficulty: PE can cause significant distress, frustration, and embarrassment for both the individual and their partner, potentially leading to relationship problems.
- Impact on Sexual Satisfaction: PE can negatively affect sexual satisfaction for both partners, leading to avoidance of intimacy or reduced sexual frequency.
- Variability: While the core feature is rapid ejaculation, the IELT can vary depending on the situation, partner, or level of arousal.[9]
Sign & Symptoms
Sign & Symptoms of Premature Ejaculation
Lifelong (Primary) Premature Ejaculation i.e.
- Unable to delay ejaculation during vaginal penetrations > 1 min.
- Development of negative personal attributes including frustration, stress and a tendency to avoid sexual intimacy
Secondary Premature Ejaculation i.e.
Secondary Premature Ejaculation develops after you’ve had successful and satisfying sexual intercourses in the past with no ejaculatory dysfunctions.
Clinical Examination
Clinical Examination of Premature Ejaculation
The clinical examination for premature ejaculation (PE) primarily focuses on a thorough medical and sexual history, rather than a physical exam. The goal is to understand the patient’s experiences, identify potential contributing factors, and rule out other medical conditions. Key aspects of the examination include:
- Detailed Sexual History: This involves discussing the patient’s sexual experiences, including the onset and duration of PE, frequency, typical intravaginal ejaculatory latency time (IELT), any associated symptoms (e.g., erectile dysfunction, anxiety), and impact on sexual satisfaction and relationships.
- Medical and Psychiatric History: This includes reviewing the patient’s medical conditions, medications, surgeries, and any history of psychological or psychiatric issues that could contribute to PE.
- Physical Examination: While not always necessary, a physical exam may be conducted to assess the genitals, prostate, and neurological function, particularly if there is suspicion of an underlying medical condition.[10]
Diagnosis
Diagnosis of Premature Ejaculation
The diagnosis of premature ejaculation (PE) primarily relies on a thorough clinical assessment, encompassing a detailed sexual and medical history, as well as an evaluation of the patient’s psychological well-being. While there is no specific physical test for PE, certain criteria and factors aid in its diagnosis:
Diagnostic Criteria:
- Persistent or Recurrent: Ejaculation occurs within approximately 1 minute of vaginal penetration and before the individual wishes it, consistently or nearly always.
- Timeframe: The symptoms have persisted for at least 6 months.
- Distress: The condition causes significant distress or interpersonal difficulty for the individual.
- Exclusion: The symptoms are not attributed to another medical condition, medication, or substance use.
Additional Factors:
- Intravaginal Ejaculatory Latency Time (IELT): A consistently short IELT (typically less than 1 minute) is a key indicator.
- Perceived Control: The individual often reports a lack of control over ejaculation.
- Impact on Sexual Satisfaction: PE negatively affects sexual satisfaction for the individual or their partner.
The DSM-5 provides the official diagnostic criteria for PE, emphasizing the persistent nature of the condition, its impact on distress and interpersonal relationships, and the exclusion of other contributing factors. This authoritative reference serves as a crucial guide for healthcare professionals in accurately diagnosing PE and providing appropriate treatment.[11]
Differential Diagnosis
Differential Diagnosis of Premature Ejaculation
Accurate diagnosis of premature ejaculation (PE) is important to ensure appropriate treatment and management. Several other conditions can mimic PE or contribute to its presentation, necessitating a thorough evaluation to rule out differential diagnoses:
Potential Differential Diagnoses:
- Erectile Dysfunction (ED): Anxiety associated with ED can lead to rapid ejaculation in an attempt to achieve orgasm before losing erection.
- Delayed Female Orgasm: In cases where the female partner experiences significantly delayed orgasm, the male partner’s ejaculation might be perceived as premature.
- Genitourinary Infections: Conditions like prostatitis or urethritis can cause hypersensitivity and discomfort, leading to early ejaculation.
- Substance Use or Withdrawal: Certain medications (e.g., antidepressants, antipsychotics) and substance use or withdrawal can affect sexual function and contribute to PE.
- Thyroid Disorders: Hyperthyroidism or hypothyroidism can impact hormone levels and potentially affect ejaculatory control.
- Neurological Disorders: Conditions affecting the nervous system, such as multiple sclerosis or spinal cord injury, can impact sexual function and lead to PE.
- Psychological Factors: Anxiety disorders, depression, relationship problems, and performance anxiety can significantly contribute to PE.
This comprehensive textbook provides a thorough discussion of the differential diagnosis of PE, highlighting the importance of considering various medical, psychological, and situational factors. It emphasizes the need for a careful assessment to identify any underlying conditions that might contribute to or mimic PE.[12]
Complications
Complications of Premature Ejaculation
Premature ejaculation (PE) can significantly impact an individual’s quality of life and well-being, leading to various psychological and interpersonal complications:
Psychological Distress:
- Anxiety and Depression: PE can cause feelings of frustration, inadequacy, and embarrassment, potentially contributing to or exacerbating anxiety and depression.
- Low Self-Esteem: Persistent PE can impact self-image and confidence, particularly in sexual situations.
- Relationship Problems: Difficulties in sexual satisfaction and intimacy can strain relationships, leading to arguments, resentment, and avoidance of sexual activity.
Interpersonal Complications:
- Reduced Sexual Satisfaction: Both partners can experience decreased sexual satisfaction due to the lack of control and short duration of intercourse.
- Difficulty Conceiving: In some cases, PE can make conception challenging due to the limited time for intercourse and potential anxiety associated with performance.
- Social Withdrawal: Embarrassment and feelings of inadequacy can lead to social isolation and avoidance of intimate situations.[13]
Investigations
Investigations for Premature Ejaculation
In most cases, the diagnosis of premature ejaculation (PE) primarily relies on a detailed sexual and medical history. However, in certain situations, specific investigations may be warranted to rule out underlying medical conditions or assess specific aspects of sexual function.
Physical Examination:
- Genital Examination: To assess for any anatomical abnormalities, signs of infection, or inflammation.
- Neurological Examination: To evaluate reflexes and sensation, particularly if neurological conditions are suspected.
- Prostate Examination: To assess for prostatitis or other prostate-related conditions.
Laboratory Tests:
- Hormone Levels: To assess for hormonal imbalances that might contribute to PE, such as thyroid function tests or testosterone levels.
- Blood Sugar Levels: To rule out diabetes, which can impact sexual function.
- Inflammatory Markers: If infection or inflammation is suspected, tests like C-reactive protein (CRP) or erythrocyte sedimentation rate (ESR) might be helpful.
Specialized Tests:
- Penile Biothesiometry: Measures penile sensitivity to vibration, which can help identify hypersensitivity as a contributing factor to PE.
- Questionnaires: Validated questionnaires like the Premature Ejaculation Diagnostic Tool (PEDT) can help assess the severity of PE and its impact on quality of life.
- Stop-Start Technique: Involves self-monitoring and timed intercourse attempts to measure IELT and assess progress during treatment.
This comprehensive andrology textbook discusses various investigations relevant to PE, including physical examination, laboratory tests, and specialized assessments. It emphasizes the importance of a tailored approach to investigations based on individual patient needs and potential contributing factors.[14]
Treatment
Treatment of Premature Ejaculation
Give Answers of following questions when physician ask you?
Sexual History i.e.:
- Is this something new?
- Have you suffered from premature ejaculation before?
- Who was the partner and how was the situation back then?
Medical History i.e.:
- Do you frequently have premature ejaculation?
- Did this problem appear suddenly or gradually?
- Does this problem occur only with a particular partner?
- Does it happen when you’re masturbating?
- Does your premature ejaculation occur during every sexual intercourse?
- How often do you have an intercourse?
- How much are you concerned by this problem?
- Do you have a satisfying relationship?
- Tell me about your first sexual experience.
- Are you suffering from erectile dysfunction?
- What medications are you taking or used to take before?
- Have you ever tried recreational drugs? [4]
Squeeze technique (Seman’s technique):
This is a very common therapy often suggested by doctors. Here is how The Squeeze Technique works:
- Step 1- Start your sexual activity just like any other day and enjoy stimulation of your penis to the level just before you think you’re going to ejaculate.
- Step 2- Ask your partner to squeeze the head of your penis for several seconds until your tendency to ejaculate reduces and diminishes.
- Step 3- After releasing the squeeze, take a break for around 30 seconds and engage in some foreplay. During the squeezing, your penis will become less erect, but will return to full erection as soon as the sexual stimulation resumes.
- Step 4- When you feel the urge to ejaculate again, ask your partner to repeat the process.
Repeat this process as many times as you need and at one point, you’ll be able to penetrate your partner without feeling that sudden urge to ejaculate. With a few practice sessions, ejaculation can be delayed and you’ll be habituated to having satisfying sex without needing the squeeze technique any more.
Medications:
- Antidepressants
- Topical Anesthetic Creams
Cognitive Behavioral Therapy
Alternative Treatments
- Kegel Exercise
- Using condoms
- Try out various sexual positions
- Yoga [4]
Prevention
Prevention of Premature Ejaculation
- While treating this disease patients, doctors have often discovered that the early ejaculation has been caused by a communication gap between the partners or sometimes due to not understanding how male and female sexual organ’s function.
- Usually, a woman needs a comparatively longer stimulation to reach orgasm than men. This difference might cause resentment between the male and female partner and put stress over sexual intercourse. As the pressure during intercourse increases, the chance of this disease increases too.
- The best way to deal with this disease is to be patient.
- Open communication between partners and a determination to try out different methods to treat this issue can really help reduce the tension and anxiety about sexual performance.
- The issue should be approached with love and care and the partners should avoid blaming each other for any sexual dissatisfaction. In Detail, Throughout the ages, this disease has produced a lot of broken relations and unhappy sex lives between partners.
- When it becomes difficult to solve sexual problems by a mutual discussion, a doctor can come to the rescue. [4]
Homeopathic Treatment
Homeopathic Treatment of Premature Ejaculation
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination and case-analysis.
which includes
- The medical history of the patient,
- Physical and mental constitution,
- Family history,
- Presenting symptoms,
- Underlying pathology,
- Possible causative factors etc.
A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.
What Homoeopathic doctors do?
A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?.
The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.
The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improved with homeopathic medicines.
Homeopathic Medicines for Premature Ejaculation:
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy, potency and repetition of dose by Homeopathic doctor.
So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).
Agnus Castus:
- Sexual desire almost lost.
- Testes; cold, swollen, hard, penis small. flaccid.
- Spermatorrhoea; especially with impotence.
- Loss of prostatic fluid on straining.
- Yellow discharge from urethra.
Graphites:
- Sexual debility, specifically with increased desire.
- Averse to coition.
- Ejaculation; either too early or failing during coition.
- Want of sexual enjoyment. – Hydrocele. – Priapism. – Cramps in calves during coition.
- Impotence from excessive indulence or masturbation.
Lycopodium Clavatum:
- Sexual exhaustion; impotence; erections feeble; falls asleep especially during coition.
- Yellow tumour corona glandis.
- Exhausting pollutions.
- Enlarged prostate.
- Premature seminal emission
Zincum metallicum:
- Easy sexual excitement; emission too rapid or difficult during embrace.
- Discharge of prostatic fluid without any cause.
- Grasps the genitals; with cough etc.
- Falling of public hair.
- Besides this, Sadness after emission.
- Swelling of testicles with retraction.
- Lastly, Neuralgia of testes agg. walking.
Caladium Seguinum:
- Flaccid, sweaty genitals.
- Impotence
- Pruritus
- In detail, Impotency, after Gonorrhoea; with mental depression.
- Organs seem larger, as if puffed.
- Glans like a rag.
- Besides this, Atonic pollution.
- Prepuce retracted, especially after coition.
- Genitals cold.
Sarsaparilla officinalis
- Genitals moist and offensive.
- Semen bloody.
- Spermatic cord, painful after emission; additionally swollen after unrequited sexual excitement.
- Herpes preputialis.
- Jerking along urethra.
- Itching on scrotum also perineum.
Selenium metallicum
- Lascivious but impotent.
- Furthermore, Increases desire, decreases ability.
- Semen dribbles during sleep.
- Easy loss of semen; during coition, with feeble erection, but long continued voluptuous thrill; during stools.
- Semen watery, odorless.
- Besides this, Chronic gleet.
- Oozing of prostatic fluid, during sleep, while sitting, walking also at stool.[6]
Diet & Regimen
Diet & Regimen of Premature Ejaculation
Food should be eaten i.e.:
- Watermelon
- Seeds of Green Onions
- Ashwagandha
- Ginger also Honey
- Asparagus also Milk
- Saffron also Almonds
- Cinnamon
- Banana
- Garlic
- Eggs and
- Carrots
There are ways, other than natural home remedies, to cure this disease that have to do with behavior and physical exercise. Moreover, Below are some helpful tips.
- Kegel Exercise
- Special Thick Condoms
- Deep Breathing
- Healthy Eating [5]
Do’s and Don'ts
Do’s:
- Seek professional help: Consult a healthcare professional or sex therapist for proper diagnosis and personalized treatment options.
- Communicate with your partner: Openly discuss your concerns with your partner to reduce anxiety and enhance emotional intimacy.
- Practice relaxation techniques: Engage in relaxation exercises like deep breathing, meditation, or mindfulness to manage stress and anxiety.
- Try behavioral techniques: Learn techniques like the "start-stop" or "squeeze" method to gain better control over ejaculation.
- Consider medication: Certain medications, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to help delay ejaculation.
- Use condoms: Condoms can reduce penile sensitivity and help delay ejaculation.
- Explore topical anesthetics: Numbing creams or sprays can temporarily desensitize the penis, helping to delay ejaculation.
- Focus on foreplay: Extend foreplay to increase overall sexual satisfaction and reduce pressure on penetrative sex.
- Practice pelvic floor exercises: Strengthening pelvic floor muscles (Kegels) can improve ejaculatory control.
- Maintain a healthy lifestyle: Regular exercise, balanced diet, and adequate sleep contribute to overall sexual health.
Don’ts:
- Don’t self-diagnose: If you experience symptoms of PE, consult a healthcare professional for proper evaluation and guidance.
- Not feel ashamed or embarrassed: PE is a common condition, and seeking help is a positive step towards improving your sexual well-being.
- Don’t avoid intimacy: While PE can be challenging, avoiding sexual activity can worsen anxiety and strain relationships.
- Don’t focus solely on penetration: Explore other forms of intimacy and pleasure to enhance your overall sexual experience.
- Not rely on quick fixes: Addressing PE often requires a combination of approaches and ongoing practice, not just a quick solution.
- Don’t ignore underlying psychological issues: If anxiety, depression, or relationship problems contribute to PE, seek appropriate counseling or therapy.
- Don’t hesitate to try different approaches: If one treatment method doesn’t work, explore other options until you find what’s effective for you.
Remember: Managing premature ejaculation often requires a combination of lifestyle changes, behavioral techniques, and, in some cases, medication. With patience, understanding, and professional guidance, you can effectively address PE and improve your sexual health and overall well-being.
Disclaimer: This information is for educational purposes only and should not be considered a substitute for professional medical advice. Always consult a healthcare professional for personalized diagnosis and treatment.
Terminology
Terminology
- Premature Ejaculation (PE): The most central term, referring to a condition where a man ejaculates sooner during sexual activity than he or his partner would like.
- Intravaginal Ejaculatory Latency Time (IELT): This is the time from the start of vaginal penetration to ejaculation. A short IELT is a key characteristic of PE.
- Lifelong (Primary) PE: PE that has been present since the man first became sexually active.
- Acquired (Secondary) PE: PE that develops after a period of normal ejaculatory function.
- Psychological Factors: These can include anxiety, depression, stress, and performance anxiety, which can contribute to PE.
- Organic Factors: These are physical or medical conditions that can contribute to PE, such as prostate problems, thyroid issues, or medication side effects.
- Behavioral Techniques: These are methods that men can learn to help delay ejaculation, such as the "start-stop" or "squeeze" technique.
- Medications: Certain medications, such as selective serotonin reuptake inhibitors (SSRIs), can be used to treat PE.
- Psychotherapy: This can be helpful in addressing the psychological factors that may contribute to PE.
- Sexual Satisfaction: The degree to which a person feels pleasure and fulfillment from their sexual experiences. PE can negatively impact sexual satisfaction for both the man and his partner.
Additional terms that might be used in more specialized or technical articles:
- Ejaculatory Reflex: The physiological process that leads to ejaculation.
- Serotonin: A neurotransmitter that plays a role in regulating ejaculation.
- Sympathetic Nervous System: The part of the nervous system that controls the ejaculatory reflex.
- Parasympathetic Nervous System: The part of the nervous system that is responsible for arousal and erection.
Certainly, here is some information regarding homeopathic treatments for premature ejaculation, along with a few caveats and considerations:
Homeopathic Remedies for Premature Ejaculation
Homeopathy offers several remedies that proponents believe can help address premature ejaculation. These remedies are typically chosen based on the individual’s specific symptoms and overall constitution. Some commonly suggested remedies include:
- Agnus Castus: For individuals experiencing a decreased sexual desire or a sense of weakness after intercourse.
- Caladium: Often indicated when there is a lack of erection despite strong sexual desire.
- Lycopodium: May be considered when performance anxiety or lack of confidence is a contributing factor.
- Selenium: Often used when there is a history of frequent nocturnal emissions or weak erections.
- Staphysagria: Indicated when there is a history of suppressed emotions or sexual abuse.
Important Considerations:
- Lack of Scientific Evidence: While some individuals report positive experiences with homeopathy for PE, there is limited scientific evidence to support its effectiveness.
- Individualized Treatment: Homeopathic treatment is highly individualized, and the selection of remedies should be done by a qualified homeopathic practitioner after a detailed case analysis.
- Complementary Approach: Homeopathy can be considered a complementary approach alongside conventional treatments, lifestyle changes, and psychological counseling.
- Consultation with a Healthcare Professional: It is crucial to consult with a qualified healthcare professional before starting any new treatment, including homeopathy, to ensure its safety and appropriateness for your individual situation.
References
References use for Article Premature Ejaculation
- Ahuja – A Short Textbook of Psychiatry, 7th Edition
- Psychiatry, Fourth Edition – Oxford Medical Publications -SRG-John Geddes 4th Edition
- Premature Ejaculation_ From Etiology to Diagnosis and Treatment (PDF Drive)
- Premature Ejaculation_ The EXACT Steps to Treat What Affects 33% of All Men (Sexual Disfunction, Premature Ejaculation Cure, Last Longer in Bed, Stop Premature Ejaculation
- Home Remedy Secrets To Overcoming Premature Ejaculation_ Tips To Lasting Longer In Bed From Day One (PDF Drive)
- PHATAK S. R., Materia Medica of Homeopathic Medicines
- Practo. (2015). Premature Ejaculation Part-2: A Deeper Study of Statistics, Causes & Diagnosis. https://www.practo.com/healthfeed/premature-ejaculation-part-2-a-deeper-study-of-statistics-causes-diagnosis-17714/post,
- Premature Ejaculation: From Etiology to Diagnosis and Treatment, 1st Edition, Emmanuele A. Jannini, Chris G. McMahon, Marcel D. Waldinger (Editors), 2012, Springer Milano.
- Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 11th Edition, Benjamin J. Sadock, Virginia A. Sadock, Pedro Ruiz, 2015, Wolters Kluwer.
- Campbell-Walsh Urology, 11th Edition, Alan J. Wein, Louis R. Kavoussi, Andrew C. Novick, Thomas L. Jarrett, Inderbir S. Gill (Editors), 2015, Elsevier Saunders.
- Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5th Edition, American Psychiatric Association, 2013, American Psychiatric Association Publishing.
- The International Textbook of Sexual Medicine, 2nd Edition, Irwin Goldstein, Martin C. Michelson, Abdulmaged M. Traish, and John P. Mulhall, 2009, Informa Healthcare USA, Inc.
- The Oxford Handbook of Sexual and Gender Minority Mental Health, 1st Edition, Ilan H. Meyer, Sharon E. Greene, Sarah E. Ketchen Lippincott, and Michael E. Newcomb (Editors), 2022, Oxford University Press.
- Andrology: Male Reproductive Health and Dysfunction, 3rd Edition E. Nieschlag, Hermann M. Behre, Susan Nieschlag, 2010, Springer.
Also Search As
Premature Ejaculations Also Search As
Online Search Engines:
- Use specific keywords: Try searches like "premature ejaculation," "early ejaculation," "quick ejaculation," or "PE treatment." You can also include more specific queries like "causes of premature ejaculation," "symptoms of premature ejaculation," or "exercises for premature ejaculation."
- Use reliable sources: Look for information on websites of reputable health organizations, medical institutions, and sexual health clinics. Some good options include:
- Mayo Clinic: https://www.mayoclinic.org/
- National Institutes of Health (NIH): https://www.nih.gov/
- Planned Parenthood: https://www.plannedparenthood.org/
- WebMD: https://www.webmd.com/
Medical Databases:
- PubMed: This is a free database of biomedical and life sciences literature. You can use it to find research articles and clinical studies related to premature ejaculation.
- Google Scholar: This search engine allows you to find scholarly literature, including articles, theses, books, and abstracts.
Books and Libraries:
- Visit your local library: Ask a librarian for help finding books on sexual health or men’s health that discuss premature ejaculation.
- Check online bookstores: Search for books on premature ejaculation on Amazon, Barnes & Noble, or other online retailers.
Other Resources:
- Talk to your doctor or a sex therapist: They can provide personalized information and treatment options for premature ejaculation.
- Support groups: Online or in-person support groups can connect you with others who are experiencing similar challenges.
Additional Tips:
- Use quotation marks for exact phrases: This will help narrow your search results. For example, search for "premature ejaculation treatment" instead of just premature ejaculation treatment.
- Use advanced search options: Most search engines have advanced search options that let you filter your results by date, language, or file type.
- Be mindful of your sources: Not all information on the internet is reliable. Look for sources that are credible and evidence-based.
Frequently Asked Questions (FAQ)
What is Premature Ejaculation?
Definition
Premature Ejaculation is defined as ejaculation before the completion of satisfactory sexual activity for both partners.
What causes Premature Ejaculation?
- Underactive thyroid
- Diabetes
- High blood pressure
- Multiple sclerosis
- Prostate disease
- Urethritis
- Stress
What are the symptoms of Premature Ejaculation?
- Unable to delay ejaculation during vaginal penetrations > 1 min.
- Development of negative personal attributes including frustration, stress also a tendency to avoid sexual intimacy
Give the types of Premature Ejaculation?
Types
- Lifelong premature ejaculation
- Acquired premature ejaculation
- Natural variable premature ejaculation
- Premature-like ejaculatory dysfunction
What are the treatment options for premature ejaculation?
- Behavioral techniques: Such as the "start-stop" or "squeeze" technique, which help delay ejaculation.
- Medications: Certain medications can help delay ejaculation or reduce sensitivity.
- Counseling: Therapy can help address any psychological or relationship issues contributing to PE
Can homeopathy help with premature ejaculation?
- Homeopathy may offer a holistic approach to managing premature ejaculation by addressing the underlying physical and emotional factors contributing to the condition.
How does a homeopath choose the right remedy for premature ejaculation?
- A qualified homeopath will conduct a detailed case analysis, considering the patient’s physical, mental, and emotional symptoms, sexual history, and overall health to select the most appropriate remedy.
Is it safe to use homeopathy for premature ejaculation?
- Homeopathic remedies are generally considered safe and well-tolerated when prescribed by a qualified practitioner. However, it’s advisable to consult with a healthcare professional for proper diagnosis and to discuss treatment options.
How long does it take to see improvement with homeopathy for premature ejaculation?
- The response to homeopathic treatment varies depending on the individual and the underlying causes of the condition. Some individuals may experience improvement within a few weeks, while others may require a longer duration of treatment.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Premature Ejaculation?
Homoeopathic Medicines For Premature ejaculations
- Agnus Castus
- Graphites
- Lycopodium
- Zincum met
- Caladium
- Sarsaparilla
- Selenium