Premature ejaculation (PE) is when a man ejaculates sooner than he or his partner would like during sex. It’s a really common problem, and many men experience it at some point in their lives. Sometimes, a man might say, “He only lasts a few seconds,” and while that might sound harsh, it reflects the frustration that PE can cause.
In fact, studies show that PE affects around 30 to 40 percent of men at some point. It can cause a lot of stress, relationship issues, and a drop in sexual satisfaction for both partners.
This article will give you a rundown of the causes, risk factors, how doctors diagnose it, treatments that can help, and some strategies for coping with premature ejaculation.
Defining Premature Ejaculation
What Constitutes Premature Ejaculation?
So, what exactly is premature ejaculation? It’s generally defined by these factors:
- Ejaculation that happens consistently before or within about a minute of penetration. (Ejaculating within 1-3 minutes might also indicate a problem.)
- An inability to delay ejaculation during sex.
- Negative feelings as a result, such as distress, frustration, or avoiding intimacy.
Types of Premature Ejaculation
There are two main types of premature ejaculation:
- Lifelong (primary) PE: This means it’s been happening since your very first sexual experiences.
- Acquired (secondary) PE: This means it developed after a period of time where you had normal sexual function.
Causes of Premature Ejaculation
PE can stem from a variety of factors, and it’s often a combination of both psychological and biological issues that contribute to the problem. Let’s break down some of the common causes:
Psychological Factors
- Anxiety: Performance anxiety can be a major culprit, as can general anxiety. The pressure to perform well can actually make it harder to do so.
- Relationship Problems: Stress or unhappiness in your relationship can definitely play a role in sexual function.
- Guilt: Feelings of guilt surrounding sex can also contribute to PE.
- Depression: Depression can impact all aspects of your life, including your sexual health.
Biological Factors
- Hormonal Imbalances: Abnormal levels of certain hormones, like serotonin or dopamine, can affect ejaculatory control. These neurotransmitters play a crucial role in regulating sexual function.
- Genetic Predisposition: There might be a genetic component at play. Some guys may just be predisposed to having less ejaculatory control.
- Prostate or Urethra Issues: Infections or inflammation in the prostate or urethra can sometimes contribute to PE.
- Abnormal Reflexes: Sometimes, the reflexes that trigger ejaculation can be overactive, leading to a quicker response.
What increases the risk of premature ejaculation?
Several factors can contribute to premature ejaculation:
- Erectile Dysfunction (ED): If you have trouble getting or keeping an erection, you might rush things, leading to PE.
- Stress: High stress levels can definitely play a role.
- Inexperience: Especially for younger guys, a lack of experience can sometimes be a factor.
- Certain Medications: Some medications can mess with sexual function.
Diagnosing Premature Ejaculation
If you’re concerned about premature ejaculation, a doctor will likely take the following steps:
- Medical History: They’ll ask about your sexual history, relationship status, and any existing medical conditions.
- Physical Exam: A physical exam helps to rule out any underlying physical causes.
- Diagnostic Criteria: They’ll assess whether your experience aligns with the definition of PE – ejaculation within a minute, difficulty delaying ejaculation, and negative impact on your life.
- Discussion: You’ll have a chance to discuss your symptoms and how they affect your overall well-being.
Treatment Options for Premature Ejaculation
If you’re experiencing premature ejaculation, know that there are several treatment options available. It’s often a good idea to explore a combination of these approaches to find what works best for you.
Behavioral Techniques
These techniques involve learning to control your body’s response to sexual stimulation.
- Start-Stop Method: During sexual activity, your partner stimulates your penis until you feel you’re about to ejaculate. Then, stimulation stops completely until the sensation passes. This is repeated several times.
- Squeeze Technique: Similar to the start-stop method, but instead of stopping stimulation, your partner firmly squeezes the head of your penis until the urge to ejaculate subsides.
- Pelvic Floor Exercises (Kegels): Strengthening your pelvic floor muscles can give you better control over ejaculation. To perform Kegels, squeeze the muscles you would use to stop yourself from urinating midstream. Hold for a few seconds, then release. Consistency is key to seeing results.
Topical Anesthetics
Creams and sprays containing numbing agents can be applied to the penis to reduce sensitivity and delay ejaculation. These are typically applied a short time before sexual activity.
Medications
Several medications, including Dapoxetine HCL 90mg, can be used to treat premature ejaculation, often prescribed by a doctor.
- Selective Serotonin Reuptake Inhibitors (SSRIs): These antidepressants, such as paroxetine, sertraline, and fluoxetine, can have the side effect of delaying ejaculation.
- Tramadol: This pain reliever can also have a side effect of delaying ejaculation in some men.
- Phosphodiesterase-5 (PDE5) Inhibitors: While primarily used to treat erectile dysfunction, medications like Dapoxetine Sildenafil may also help with PE in some cases, according to studies.
- Off-label use: In some instances, doctors may prescribe other antidepressants or medications “off-label” to treat PE. This means the medication is being used for a purpose other than what it was originally approved for.
Therapy and Counseling
Premature ejaculation can sometimes be linked to psychological factors, such as anxiety, stress, or relationship issues. Therapy and counseling can help address these underlying causes.
- Individual Therapy: A therapist can help you address anxiety, depression, or other psychological factors that may be contributing to PE.
- Couples Therapy: If relationship issues are a factor, couples therapy can improve communication and address underlying problems.
Home Remedies and Lifestyle Changes
Sometimes, simple changes can make a big difference, especially as a man stops ejaculating as easily with age. If you “only last a few seconds,” consider trying these remedies:
- Masturbating before sex: This can decrease sensitivity and help you last longer during intercourse.
- Using Condoms: Condoms can also decrease sensitivity, giving you more control.
- Relaxation Techniques: Anxiety can make things worse. Try meditation or yoga to calm your nerves.
- Avoiding Alcohol and Drugs: These substances can negatively affect sexual function.
What happens if premature ejaculation is left untreated?
Untreated premature ejaculation can lead to:
- Relationship problems: Dissatisfaction and conflict with your partner.
- Fertility issues: Difficulty conceiving a child.
- Psychological distress: Anxiety, depression, and low self-esteem.
Frequently Asked Questions
What is it called when men don’t last long?
When a man consistently reaches climax very quickly during sexual activity, it’s often referred to as rapid ejaculation or premature ejaculation (PE). It’s a common concern, and there are various treatment options available.
How long can a guy last without stopping?
There’s no set “normal” timeframe. Some people can last for extended periods, while others may reach climax more quickly. It really varies from person to person and depends on numerous factors.
Why does my boyfriend last 15 seconds?
Lasting only 15 seconds could indicate premature ejaculation. Several factors can contribute, including anxiety, stress, overstimulation, or even underlying medical conditions. It’s best to encourage him to speak with a doctor or therapist for personalized advice.
How long should a guy realistically last?
Studies have shown that the average time from penetration to ejaculation is around 5-6 minutes, but anything between 3 and 13 minutes is generally considered within the normal range. The key is mutual satisfaction for both partners.
What does it mean if a guy doesn’t last long?
If a man consistently doesn’t last long, it could mean he’s experiencing premature ejaculation. This can be frustrating for both partners, but it’s important to remember that it’s a treatable condition. Open communication and seeking professional help are key.
Final Thoughts
Premature ejaculation is a common problem, and it’s treatable. With the right support, about 95% of people can recover from PE.
If you’re experiencing PE, it’s important to seek professional help. Talk to your doctor or a therapist. Open and honest communication with a healthcare professional is the first step toward finding a solution.
There are many effective treatments and coping strategies available. Behavioral techniques, medication, and therapy can all help. Some people also find relief through lifestyle changes and home remedies.
Don’t let PE affect your relationships or your self-esteem. With the right help, you can manage PE and enjoy a fulfilling sex life.