Premature ejaculation or PE is a condition when men climax too quickly. This is one of the commonest of sexual problems. It so happens that it is far more common in youngger men, as there are reports to suggest this does improve with age.
The definitions of premature ejaculation vary. Medically it is defined as "during sexual intervention, too rapid achievement of climax and ejaculation in the male relative to his own or his partner's wishes." Clearly this indicates that definitions of "rapid" are subjective. American research reported that the average last time of men with PE was 1.8 minutes whereas 'normal' men lasted an average of 7.3 minutes. Usually couples would feel that any ejaculation in under 10 minutes or so is premature
Premature ejaculation is a condition that makes people dissatisfied and can be extremely discouraging for a man because it spoils the sex lives of both partners. This can be shattering for a man's self-confidence and it can be very upsetting for his partner – especially if she wants to get pregnant.
It is felt that performance anxiety is the chief reason for this condition. Reducing anxiety is different for everyone. Meditation, hypnosis or imagery exercises may help for some. Men are encouraged to have a mental picture that is soothing that can help them manage their anxiety beforehand. Activities like yoga, stretching, anxiety reduction skills, and working out are all ways to decrease the tension that may build up in the male pelvic and abdominal region. Another important technique to lasting longer is doing Kegel exercises. These exercises consist of alternate contraction and relaxation of the perineal muscles. Incidentally these same exercises are used by women strengthened by their pelvic region for treatment of stress urinary incontinence.
There are several external aids to help men with premature ejaculation. A new technique for treating premature ejaculation involved wearing a tight ring below the head of the penis for 30 minutes each day in an attempt to make the glans less sensitive. There are many advertisements that promise to cure this problem and some men try to treat themselves with a local anesthetic gel or spray that is applied to the penis shortly before sexual intercourse. However, the local anesthetic can spoil the sex sensation for the man as well as his partner, which is counterproductive. Sometimes there is an allergic skin reaction in either partner, with itching and soreness. German scientists have a new innovation that prevagent vaginal irritation. It is basically a condom known as "long love" and it is covered with a desensitizing agent called benzocaine.
Doctors in their constant search for methods to treat PE are prescribed antidepressant drugs taken a few hours before intercourse. Antidepressants have the side effect of slowing down the male climax. Medications include Prozac, sertraline and amitriptyline. These are strong medications and should be taken only under a doctor's supervision. As a matter of fact, alcohol is also known to be a mood relaxant for men who are bothered by nervousness. However it is often hard to know how much is exactly the right amount. Clinical trials are being processed for dapoxetine, which is a medication similar to Prozac which is intended to lengthen the time between a man's arousal and the historical ejaculation. Again doctors warn about dizziness, nausea, insomnia, headache and diarrhea after ingesting the medication. Other newer drugs which are mainly being used in nose sprays are tramadol and clomipramine.
Cognitive Behavior therapy is a method that tries to alter the kind of thinking that has proved to be harmful in the past. This seeks to reeducate the man about what gives his partner pleasure. Cognitive therapy is a theory of attitude formation and behavior. In this method a person's attitudes and behaviors are corrected to achieve consistency, by rationalization and selective perception. This is a long-term treatment done under the care of a psychotherapist.