What causes premature ejaculation and how to prevent it?
Several psychological and biological factors cause premature ejaculation. The psychological reasons include sexual abuse, poor self-image, premature sexual experiences, depression, stressing about premature ejaculation, guilt associated with sex that makes one hurry through sexual encounters, erectile dysfunction, anxiety (performance anxiety or other anxieties) and relationship issues. Conversely, biological reasons range from abnormal hormone levels to abnormal neurotransmitter levels, inflammation and infection of the prostate or urethra to hereditary traits. Various mechanisms can help prevent premature ejaculation, with or without medication. These include: • Topical Creams: Anesthetic topical creams contain a numbing agent to postpone climax by decreasing sensation. Research suggests that these creams can increase the time taken to ejaculate by a few minutes. For maximum effect, apply the cream to the penis 10-15 before intercourse. Generally safe to use, anesthetic creams can cause a few side effects like reduced sexual drive, mild burning sensation, mild pain and loss of sensitivity for a while. • Behavioral Methods: Effective in numerous instances, these practices can be accomplished either alone or with your partner. Start-stop method is one example where the penis gets stimulated until the man approaches the moment of orgasm. After this, the stimulation is paused for about 30 seconds and resumes only when you've regained control over yourself. A useful tip is to do 3 to 4 rounds of this exercise before giving into the final climax. • Psychological Assistance: Stress, anxiety, depression, relationship troubles and other emotional issues often lead to premature ejaculation. Such cases are best handled by a sex therapist, psychologist, couples therapist or psychiatrist. • Medications: Selective Serotonin Reuptake Inhibitors (SSRIs) are a common type recommended by doctors. However, few side effects are associated with antidepressants, such as dryness in mouth, nausea, reduced libido and drowsiness. Even medicines that treat erectile dysfunction can improve premature ejaculation symptoms. These drugs may be prescribed alone or in combination with antidepressants. • Dietary Changes: You should include foods rich in zinc and magnesium in your diet to combat the problem of early ejaculation.
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