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Saturday 2:00 PM to 6:00 PM
Best Urology & Andrology Clinic in Delhi/NCR - Uroclinic

Uroclinic : East Patel Nagar

Call : +91 9968826626
Mail : myuroclinic@gmail.com
Address : UROCLINIC 25/34, Ground Floor, Govind Lal Sikka Marg, Near Rajendra Place Metro Station (Pillar No. 161), East Patel Nagar New Delhi 110008

Best Andrologist in Delhi - Dr. Prashant Jain
ANDROLOGY DISEASE

Premature Or Early Ejaculation

Premature ejaculation (PE) is a common sexual dysfunction characterized by the inability to delay ejaculation during sexual intercourse, leading to distress or frustration for one or both partners. Understanding the causes, contributing factors, symptoms, diagnosis, and treatment options for premature ejaculation is essential for individuals seeking to address this condition and improve sexual satisfaction.

Understanding Premature Ejaculation:

Premature ejaculation is defined as semen ejaculation that occurs with minimal sexual stimulation before, upon, or shortly after penetration and before the person wishes it, causing distress or interpersonal difficulty. Usually semen ejaculation within 1 minute of penetration is defined as PME.

Causes and Risk Factors:

Common Symptoms:

The cause of premature ejaculation is often multifactorial and may involve psychological, biological, and interpersonal factors, including:

  • Psychological Factors: Anxiety, stress, performance anxiety, depression, or past traumatic sexual experiences can contribute to premature ejaculation.
  • Biological Factors: Abnormal levels of neurotransmitters, hormonal imbalances, or abnormal reflex activity of the ejaculatory system may play a role in premature ejaculation.
  • Genetic Factors: Some studies suggest a genetic predisposition to premature ejaculation, although the exact genetic mechanisms remain unclear.
  • Relationship Issues: Relationship problems, communication issues, or unresolved conflicts with a partner can affect sexual performance and contribute to premature ejaculation .

The primary symptom of premature ejaculation is the inability to delay ejaculation during sexual intercourse, leading to ejaculation occurring either before, upon, or shortly after penetration. Other symptoms may include:

  • Anxiety or Stress: Feelings of anxiety, stress, or frustration related to sexual performance or the inability to satisfy one’s partner.
  • Interpersonal Difficulty: Relationship strain or dissatisfaction due to sexual performance issues.
  • Decreased Sexual Satisfaction: Decreased sexual satisfaction for one or both partners due to premature ejaculation.

Diagnosis and Evaluation:

The diagnosis of premature ejaculation is typically based on a thorough medical history, physical examination, and evaluation of sexual function. Diagnostic criteria may include:

  • Medical History: A healthcare provider may inquire about symptoms, sexual history, relationship dynamics, and any underlying medical conditions or medications.
  • Physical Examination: A physical examination may be performed to assess genital health and rule out any underlying medical conditions contributing to premature ejaculation.
  • Psychological Evaluation: A psychological assessment may be conducted to evaluate for any underlying psychological factors contributing to premature ejaculation.
  • Sexual Function Questionnaires: Various validated questionnaires or surveys may be used to assess sexual function, satisfaction, and the impact of premature ejaculation on quality of life.

Treatment and Management:

Treatment for premature ejaculation may involve a combination of psychological, behavioral, and pharmacological approaches, including:

  • Behavioral Techniques: Techniques such as the stop-start method, squeeze technique, or pelvic floor exercises (Kegel exercises) may help delay ejaculation and improve ejaculatory control.
  • Counseling Therapy: Psychotherapy, counseling, or sex therapy may be beneficial for addressing underlying psychological issues, reducing performance anxiety, and improving sexual communication and intimacy.
  • Pharmacological Therapy: Medications such as selective serotonin reuptake inhibitors (SSRIs), topical anesthetics, or phosphodiesterase-5 (PDE-5) inhibitors may be prescribed to delay ejaculation and improve ejaculatory control.
  • Combined Therapy: Combination therapy involving behavioral techniques and pharmacological therapy may be more effective than monotherapy for some individuals with premature ejaculation.
  • Lifestyle Modifications: In addition to medical and psychological interventions, certain lifestyle modifications may help improve sexual function and manage premature ejaculation, including:
  • Stress Management: Stress reduction techniques such as relaxation exercises, mindfulness meditation, or yoga may help reduce anxiety and improve sexual performance.
  • Healthy Lifestyle Habits: Maintaining a healthy diet, regular exercise routine, adequate sleep, and avoiding excessive alcohol or drug use may improve overall sexual health and function.
  • Communication and Intimacy: Open communication with your partner, mutual understanding, and emotional intimacy can help reduce performance anxiety and enhance sexual satisfaction.
  • Follow-Up Care: Regular follow-up visits with an Andrologist may be necessary to monitor treatment progress, adjust medications or therapeutic interventions as needed, and address any ongoing concerns or challenges related to premature ejaculation.
Clinic Address

UROCLINIC 25/34, Ground Floor, Govind Lal Sikka Marg, Near Rajendra Place Metro Station (Pillar No. 161), East Patel Nagar New Delhi 110008

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  • Sat 2:00 PM to 6:00 PM
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