You'll usually need to take these types of SSRIs for 1 or 2 weeks before gaining the full effects. Anaesthetic creams and sprays such as lidocaine or prilocaine cream can help by making your penis less sensitive. Using an anaesthetic cream with a condom can be particularly effective.
A GP should be able to recommend a suitable cream. Page last reviewed: 21 July Next review due: 21 July Home Common health questions Sexual health Back to Sexual health. Can premature ejaculation be controlled? What is premature ejaculation? Types of premature ejaculation There are 2 types of premature ejaculation: primary premature ejaculation — where you have always had the problem secondary premature ejaculation or "acquired premature ejaculation" — where you recently developed the problem The causes of primary premature ejaculation are often psychological, such as having a traumatic sexual experience at an early age.
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Ejaculation is the release of semen from the penis during an orgasm. PE is common. About one in three men between the ages of 18 and 59 experiences PE at some point. PE is considered a type of sexual dysfunction.
Sexual dysfunction refers to any of several types of problems that keep a couple from fully enjoying sexual activity.
ED is the inability to achieve and maintain an erection that allows for a satisfying sexual experience. However, you may experience PE along with ED. You may need treatment if PE occurs frequently or has occurred for an extended period of time. The main symptom of PE is the regular inability to delay ejaculation for more than a minute after penetration during intercourse. Rapid climax during masturbation may also be an issue for some people.
If you experience premature ejaculation sometimes and normal ejaculation other times, you may be diagnosed with natural variable premature ejaculation. There are psychological or emotional components to PE, but there are also other factors that contribute to it.
Some psychological components may be temporary. For example, a person may have experienced PE during early sexual experiences, but as they grew older and had more sexual encounters, they learned strategies to help delay ejaculation.
Likewise, PE may become an issue as a person gets older and has more trouble maintaining an erection. Physical causes can also play a major role in PE.
Also, antidepressants may cause side effects such as nausea, dry mouth and drowsiness. Antidepressants may also decrease your desire to have sex. Your doctor can help you decide if an antidepressant is right for you. Medicines used to treat erectile dysfunction may also help prevent premature ejaculation.
Your doctor may prescribe one of these medicines alone or in combination with an antidepressant. Anesthetic creams can also be used to prevent premature ejaculation. These creams are applied to the head of the penis to make it less sensitive. Usually, the cream is applied about 30 minutes before sex and then washed off once it has decreased the feeling in your penis. The cream must be washed off before sex. If it is left on, it can cause a loss of erection and vaginal numbness.
For some people, simply wearing a condom can help delay ejaculation because it may make the penis slightly less sensitive. Premature ejaculation is very common. But if it happens frequently, talk to your doctor. There are many techniques you can use that may help prevent it. You should also talk to your partner. Often, they may feel responsible or disconnected. Talking about it can help put both of you more at ease. Also, your partner can help with the strategies described above for controlling your ejaculation.
This article was contributed by: familydoctor. This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject. Erectile Dysfunction ED is a medical condition that prevents a man from getting or keeping an erection. Drugs such as fluoxetine, paroxetine, sertraline, clomipramine and tramadol affect serotonin levels.
Some doctors use these drugs "off-label" for a different reason than the drug's original use to treat PE. If one drug does not work, your doctor may suggest you try a different drug. Drugs for PE can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level. The best time to take the drug is not clear. Most doctors suggest from 2 to 6 hours before sex.
PE can return if you stop taking these drugs. Most men with PE need to take these drugs on an ongoing basis. Numbing creams and sprays may be put on the head of the penis about 20 to 30 minutes before sex.
Wash the cream off your penis 5 to 10 minutes before sex. Wearing a condom can also help dull sensation. With the techniques listed here, about 95 out of men will recover from PE. There is no way to promise recovery, but learning how to relax may help. If the problem stays, keep working with your health care provider to find solutions. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine. This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser.
Thank you. Urology A-Z Premature Ejaculation. What is Premature Ejaculation? Diagram of the Male Reproductive System Enlarge. Serotonin Though the exact cause of PE is not known, serotonin may play a role. Psychological Issues Psychological, or mental health, issues can be involved in PE and may include: depression stress guilt unrealistic expectations about sexual performance history of sexual repression lack of confidence relationship problems Taking care of emotional problems often helps.
Some questions he or she may ask are: How often does PE happen? How long have you had this problem? Does this happen with just one partner, or all partners? Does PE happen with each attempt at sex? What type of sexual activity i. How has PE changed your sexual activity?
0コメント