Causes, symptoms, treatments
Premature ejaculation is one of the most common male sexual disorders. It is characterized by ejaculation that occurs too quickly, often before or shortly after penetration, and can be a source of frustration or distress. Let's explore together its definition, causes, and treatments.
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What is premature ejaculation?
Premature ejaculation occurs when ejaculation happens too quickly, often in less than a minute after penetration, without the man being able to control it, and this happens repeatedly. This condition may be present from the first sexual encounters (primary form) or appear later (secondary form). It can affect self-confidence, sexual satisfaction, and the relationship with the partner. According to several studies, up to 1 in 3 men may experience this type of difficulty at some point in their life.
How to treat premature ejaculation?
Good news: effective solutions exist. Behavioral techniques (breathing, control, strengthening of the pelvic floor) or psychosexual counseling can help. Additionally, there are effective medications for quick and lasting results. Among the most common options are Priligy (dapoxetine), paroxetine, and retardant sprays like Fortacin. With the exception of Fortacin, all these treatments require a medical consultation and a prescription to ensure their proper indication and safety.
What are the causes of premature ejaculation?
The causes can be psychological (anxiety, lack of confidence, negative sexual experiences...) or biological (hypersensitivity, neurotransmitter imbalance...). In many cases, it's a mixture of both. Contrary to certain misconceptions, premature ejaculation is not inevitable, and it is entirely possible to regain a more serene sexuality with appropriate support.
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Éjaculation précoce en France : tout savoir
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PATIENT INFORMATION
What is premature ejaculation (PE)?
Premature ejaculation is the persistent or recurrent inability to delay ejaculation during sexual intercourse, occurring before the person wishes it. It can be primary (present since first sexual experiences) or secondary (developed after a period of normal sexual function).
Is it normal to ejaculate quickly at my age?
Premature ejaculation is the most common male sexual disorder and can occur at any age. Between 20 and 30% of men experience it, regardless of age. A medical consultation can help identify specific causes and propose strategies adapted to your situation.
What are the main treatments for premature ejaculation?
Treatments include behavioral exercises (squeeze technique, start-stop method), topical anesthetic creams, medications such as certain low-dose antidepressants (SSRIs), and sex therapy. A combined approach is often most effective and typically requires medical consultation.
Are natural solutions effective against premature ejaculation?
Some natural approaches like breathing exercises, relaxation, meditation, and mindfulness techniques can help. Kegel exercises to strengthen pelvic muscles are also beneficial. However, their effectiveness varies depending on individuals and underlying causes.
Is it dangerous to use delay products without medical advice?
Yes, it's risky. Many unregulated products may contain irritating substances or cause side effects. Additionally, some may affect pleasure for both partners or cause allergic reactions. Consult a healthcare professional before using any treatment.
When should I see a doctor for premature ejaculation?
If this problem persists for several months, causes personal distress, affects your relationship or self-esteem, consult a doctor. A professional evaluation can identify potential medical causes and offer tailored solutions.
Can premature ejaculation indicate a more serious health problem?
Rarely, but sometimes. It can be associated with conditions such as prostatitis, hormonal imbalances, or thyroid problems. In most cases, it's related to psychological factors or sexual habits, but a medical consultation can rule out any underlying health issues.
Can stress and anxiety cause premature ejaculation?
Yes, absolutely. Performance anxiety, daily stress, relationship concerns, or pressure to "perform well" can significantly contribute to premature ejaculation. Stress management techniques and sometimes therapy can prove beneficial.
Is premature ejaculation permanent or can it be treated?
It can generally be treated effectively. With an appropriate combination of behavioral therapies, relaxation techniques, and sometimes medications, most men manage to significantly improve their ejaculatory control. Perseverance and patience are important in this process.
How does a doctor diagnose premature ejaculation?
The diagnosis is primarily based on sexual and medical history. The doctor will ask questions about the frequency of the problem, its onset, and its impact on your life. Physical examinations or blood tests may be performed to rule out certain medical conditions if necessary.