Premature ejaculation

21:54 - 4 May , 2021

Disease

What is Premature ejaculation?

It is a fairly common sexual dysfunction in which the man ejaculates quickly against his will or that of his partner, without giving time for a completely pleasurable sexual relationship. One out of three men has suffered from this anomaly at some time. If it only occurs sporadically, it does not represent a major problem, but if you meet the following conditions, you likely suffer from premature ejaculation:
  • On all or almost all occasions, your ejaculation occurs within a minute or less of penetration.
  • You are unable to delay ejaculation during sexual intercourse.
  • You avoid having sex because you feel frustrated and embarrassed.
The direct origin of premature ejaculation has not yet been identified, but it is known that psychological and biological factors are involved, such as: Psychological:
  • Having started sexual life at an early age.
  • Being a victim of sexual abuse.
  • Low self-esteem.
  • Depression.
  • Worrying about having premature ejaculation.
  • Guilt about sex and pleasure.
Biological:
  • Family history.
  • Hormone levels abnormality.
  • Abnormal neurotransmitters.
  • Prostatitis.
Premature ejaculation can be classified as follows:
  • Primary: it appears chronically in all the sexual relationships you have had.
  • Secondary: appears suddenly after having satisfactory sexual relations over the years.
Potential risks: Two main aspects increase the chances of suffering from premature ejaculation:
  • Erectile dysfunction.
  • Excess of daily stress.

Diagnosis and treatment

Once your doctor analyzes your symptoms and clinical history, they will perform a physical examination and ask you questions about your sex life. Additionally, they will order blood tests to check your hormone levels, and if deemed necessary, they will refer you to a urologist and a psychologist who specializes in sexual dysfunctions. The treatment to be followed usually includes oral drugs, behavioral therapies, topical anesthetics, and psychological therapy. The combination of these elements can achieve a permanent solution to this problem. The most commonly used medications are:
  • Topical anesthetics on the penis.
  • Antidepressants.
  • Painkillers.
  • Drugs for erectile dysfunction.
At ABC Medical Center’s Internal Medicine Department, we offer health care services with the highest quality and safety, from the prevention, diagnosis, timely treatment, and monitoring of infectious, respiratory, endocrinological, dermatological, rheumatic, nephrological, gastrointestinal, and hematological pathologies of both chronic-degenerative diseases and acute conditions, through a comprehensive and multidisciplinary model.

Fuentes:

  • cun.es
  • merckmanuals.com
  • mayoclinic.org
  • medlineplus.gov
  • msdmanuals.com
  • topdoctors.es
  • medigraphic.com
  • Puentes RY, Blanco ED. Diagnóstico y tratamiento de la eyaculación precoz. RSS. 2016;22(2):149-165.
  • Carrillo-Córdova E, Rodríguez-Valle D, Rodriguez-Roble JA, et al. Eyaculación precoz: revisión de la alteración y actualidades en el tratamiento. Rev Mex Urol. 2017;77(4):328-335.
  • Agüero HJ. Eyaculación Precoz (Nuevas Terapias). Rev Med Cos Cen. 2014;71(611):463-469.
  • Aldrete VJ, Janeiro SMR, Aldrete ASM. Tratamiento de la eyaculación precoz. Punto de vista del internista. Med Int Mex. 2010;26(5):485-491.

						
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