Premature ejaculation is the inability of a man to hold off ejaculating till when both partners are ready for sexual activity to end. It occurs sooner than they want it and truncates sexual pleasure prematurely. One reason for this may be because of high amounts of serotonin in the brain, which increases the time of ejaculation. When serotonin level decreases, ejaculation time is shortened, and the result is premature ejaculation. It is a common men’s health problem in Singapore. At least 1 in 3 men will experience Premature ejaculation at some time in their lives.
What’s the Connection Between Premature Ejaculation and Erectile Dysfunction
In erectile dysfunction (ED) there’s difficulty developing and maintaining an erection for satisfactory sexual intercourse or activity. The most common type of ED is secondary Ed which is acquired later in life for men who once had regular erectile functions. Primary ED is very serious. In this case, a man has never been able to have or sustain an erection. Whatever the case ED is a reversible condition with or without medications. According to a year study published in the Journal of sexual medicine, a large proportion of men with ED naturally overcame ED issues. The remission rate is 29% which shows that factors associated with ED are modifiable and make the condition changeable. Sometimes ED might lead to PE. About a third of ED patients report PE. A man with ED may ejaculate earlier than expected because of being overly concerned about his erection problem during sex.
Symptoms of PE
- Ejaculate within one minute of penetration each time or most times when you have sex
- Unable to delay ejaculation
- Averse to sex
- Feelings of frustration and distress
Premature Ejaculation treatments
You can access the following premature ejaculation treatments in Singapore.
Priligy (dapoxetine)
For men with poor control over ejaculation, Priligy helps them last longer. Priligy contains Dapoxetine, which increases the activity of serotonin that is involved in sending the nerve message responsible for ejaculation. It is meant to be taken a couple of hours before sex and comes in 30mg and 60mg tablets. Common side effects include headache, dizziness, and feeling sick.
Topical creams and sprays
Anesthetic creams and sprays have been found to help with desensitizing the penis and delaying ejaculation. They contain benzocaine, lidocaine, or prilocaine, which gives a numbing effect on the penis. You apply them 20-45 minutes before sex to reduce sensation and delay ejaculation. It should be applied to the penis’ tip or glans. Do they work? Yes. Study showsthat the creme works well for preventing premature ejaculation. It increases the average pre-ejaculation time by up to 8.7 minutes.
Viagra
Viagra is a common medication used to achieve erections. The blue pill works in about 30 minutes by making more blood reach the penis. It achieves this by relaxing the muscles in blood vessel walls. It is a phosphodiesterase 5 inhibitor (PDE5) that slows down the activity of phosphodiesterase type-5 enzymes. Even after taking Viagra, you need to be sexually stimulated for viagra to work and can last for up to five hours before its effects diminish. How long it lasts will depend on your dosage, body metabolism, age, and other external factors. Before taking viagra, check with your doctor. People with certain health conditions like cardiovascular problems, liver problems, and low blood pressure shouldn't be taking viagra. Viagra helps people with diabetes and atherosclerosis.
Psychological treatment
Psychological causes of PE may lead to more anxiety and worsen the situation. In most cases, it harms the self-esteem of the person experiencing PE and leads to a cycle of erectile dysfunction problems. Getting psychological treatment can make other treatments effective. Sexual counseling can help a man and his partner understand their sexuality and improve communication and love-making skills. Therapy works best when both partners are involved. It can also help you deal with performance anxiety.
Pelvic floor exercise
When the pelvic floor is strengthened, it may help you better control ejaculation. The pelvic floor muscles are at work when you stop urinating midstream or that muscle you tighten to stifle gas from passing out. Engaging those muscles with kegel exercise can help you improve your control in bed. Contract those muscles for three seconds and relax. To this continuously in a row to complete a session of kegel exercise. Three sets of ten repetitions are recommended to see the result on your pelvic muscles. Kegel can be done in different positions, standing, sitting, and walking. Try not to tighten other muscles in the abdomen, buttocks, or thighs. Focus and breathe freely to help you relax while at it.
Condoms
Opt for thick condoms to help your penis feel less sensitive. Some condoms, because of their thickness, can control climax and help you stay longer and increase your pleasure time until it's right to ejaculate.
Therapy
Counseling and therapy can help you deal with performance anxiety. A therapist can work with you and your partner to improve your bedroom communication and learn more about your sexualities. You may receive advice about other alternative methods that defocuses penetrative sex and focus on giving and receiving pleasure for optimal sexual experience.
Some things can be done in the bedroom during foreplay to help manage premature ejaculation. With the help of your partner, you can practice delaying ejaculation with the edging or pause and squeeze method. When you are about to ejaculate, your partner can stop foreplay and squeeze the tip of the penis to prevent ejaculation. Another way is to stimulate the penis, and when you are close to climaxing, they stop stimulation, give it some time before beginning foreplay again. When these techniques of delays are done several times over before penetration, it may help you last longer.
Masturbating a few hours before sex may also help one suffering from PE last longer in bed. Masturbation before sex can curb sexual excitement, which can help ejaculation come slower.
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The content is intended to augment, not replace, information provided by your clinician. It is not intended nor implied to be a substitute for professional medical advice. Reading this information does not create or replace a doctor-patient relationship or consultation. If required, please contact your doctor or other health care provider to assist you in interpreting any of this information, or in applying the information to your individual needs.
