Some men experience significant personal distress because of this condition. As many as one in five men experience difficulty with uncontrolled or early ejaculation at some point in life. When premature ejaculation happens so frequently that it interferes with the sexual pleasure of a man or his partner, it becomes a medical problem. Several factors may contribute to premature ejaculation. Usually, the underlying cause is psychological. Stress, depression and other factors that affect mental and emotional health can aggravate this condition.
Premature ejaculation often occurs during a male's first experiences with sex, and in this case is most commonly attributed to anxiety. Over time, most men gradually learn to control their orgasm.
Some men, though, develop a longer-term anxiety toward sex, which can cause a prolonged experience with premature ejaculation.
Sexual behavior can also be a factor in premature ejaculation. The longer the period since the last ejaculation, the quicker young men typically reach orgasm. Younger men tend to ejaculate more quickly than older men, as experience seems to be associated with ejaculatory control.
Can it be treated?
For many years, behavioral therapy was the only treatment available and accepted. Behavioral therapy includes:
- The "start-stop" method, in which the male withdraws the penis from the vagina before ejaculation can occur, then reinserts the penis when the urgency has subsided.
- The "squeeze" method, in which gentle pressure is applied to the head of the penis with the index finger and thumb to prevent ejaculation.
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