Ejaculation is a physiological process in men, where sperm and semen are released through the penis in response to sexual stimulation. Although there is no specific duration considered normal for intercourse, each couple has their own preferences.
A study found that the average man ejaculates within five minutes of penetration. Before delving deeper into premature ejaculation, it's important to understand what ejaculation is.
What is Premature Ejaculation?
Premature ejaculation is a disorder in which a man is unable to delay ejaculation during intercourse. This condition is typically characterized by ejaculation occurring less than one minute after penetration in approximately 75% to 100% of sexual encounters, and persisting consistently for at least six months.
The effects that arise when a man experiences ejaculation are the emergence of anxiety, fear, and stress in the patient or his partner.
Premature Ejaculation vs. Erectile Dysfunction: What's the Difference?
Premature ejaculation and erectile dysfunction are both sexual dysfunctions, but they are very different. Premature ejaculation occurs when a man climaxes and ejaculates too quickly, usually within less than a minute of penetration. Erectile dysfunction, also known as impotence, is a condition in which a man has difficulty achieving or maintaining an erection for sexual intercourse. The resulting effect is difficulty in penetration during intercourse, which can lead to psychological problems and stress.
What Causes Premature Ejaculation?
Premature ejaculation is mostly caused by two factors, namely:
- Biological factors can be in the form of diseases suffered,
- Psychological factors can be caused by anxiety, stress or problems at work or family.
As you get older, the risk of premature ejaculation also increases.
Does Obesity Really Trigger Premature Ejaculation?
Obesity isn't the only cause of premature ejaculation; diabetes and heart disease can also contribute to this condition. Ejaculation requires optimal blood flow to the penis, so when blood flow is impaired, it can lead to premature ejaculation or other sexual dysfunctions.
Several Types of Male Ejaculation Disorders
Ejaculation is a biological process in which a man releases semen through the penis, typically during orgasm. Ejaculation disorders in men can manifest in various forms, each with different causes and effects. The three most common conditions are:
1. Premature Ejaculation
This condition occurs when a man ejaculates too quickly during sexual intercourse, reducing both his and his partner's satisfaction. The cause is uncertain, but it's generally influenced by psychological factors such as anxiety, stress, sexual trauma, and problems with his partner. Hormonal imbalances may also play a role.
2. Delayed Ejaculation
Unlike premature ejaculation, delayed ejaculation occurs when a man takes an unusually long time to ejaculate, despite sexual stimulation for more than 30 minutes. Causes include side effects of medications (such as antidepressants, antihypertensives, or pain relievers) and psychological disorders such as depression or stress.
3. Retrograde Ejaculation
In this condition, ejaculation doesn't release sperm outside the body, but instead into the bladder. While not dangerous, retrograde ejaculation can affect fertility. It's usually triggered by the use of certain medications or complications from diabetes.
How to Overcome Premature Ejaculation That You Can Do
If you or someone close to you is experiencing sexual dysfunction, it's important to understand that ejaculation is a process that is heavily influenced by physical and psychological factors. If premature ejaculation occurs, immediately seek medical attention and consult a urologist for appropriate and safe therapy. Here are some common treatments:
1. Taking medication from a doctor
If various methods haven't been effective in treating premature ejaculation, it's best to consult a doctor immediately. A medical examination will help identify the cause, allowing for more appropriate treatment and optimal results.
For example, if the cause is anxiety or depression, a doctor may prescribe antidepressants. If other conditions, such as erectile dysfunction, are present, medications such as sildenafil, tadalafil, or vardenafil may be recommended.
2. Therapy
One therapy method that can be applied is a vacuum erection device . This therapy works by removing air from the penis, thus optimizing blood flow to the area.
As an alternative, erectile dysfunction can also be treated with Extracorporeal Shockwave Therapy (ESWT). ESWT is a non-invasive therapy that uses specific shockwaves to stimulate the formation of new blood vessels, thereby increasing blood flow to the penis and improving erectile function.
3. Psychological Treatment
Patients are also advised to see a psychiatrist and consult about depression, anxiety, or stress, which can be one of the main causes of premature ejaculation.
4. Adopt a Healthy Lifestyle
Furthermore, a healthy lifestyle has also been proven to be very effective in preventing erectile dysfunction and premature ejaculation. Start eating a balanced diet, getting enough sleep, and exercising regularly for a healthier and stronger body.
Reproductive health is a crucial aspect that requires attention. If you experience ejaculation problems or other issues related to sexual function, don't hesitate to consult a doctor immediately.
Early and appropriate treatment can help prevent complications and improve physical and emotional well-being. It's important to remember that maintaining reproductive health is a crucial step towards a healthy future and shouldn't be neglected.
This article was written by Dr. Arie Asnafi, Sp.U (Urology Specialist at EMC Hospital, Tangerang).