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 Premature ejaculation

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.

Related centers and departments

Internal medicine
Radiology and Molecular Imaging
Clinical Laboratory

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.

How can we help you?

The dissemination of the content of this material is for informational purposes only and does not replace, under any circumstance or condition, a consultation with a specialist doctor, for which the ABC Medical Center is not responsible for the different use that may be given to it. If you require more information related to the subject, we suggest you contact the specialist doctor you trust directly.

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Comparison of COVID-19 vaccines

Pfizer-
BioNTech

Pfizer-BioNTech

What is its effectiveness and what does it refer to?

Vaccine type: mRNA
Effectiveness: 95% after the second dose in the prevention of symptomatic COVID-19.

No Does not contain egg, latex, or preservatives.

How many doses are needed?
Two doses are needed, at least 21 days apart (or up to six weeks apart, if necessary).

Who should or shouldn’t get the vaccine?
People who should receive the vaccine are those over 16 years old.
People who should not receive the vaccine are those who have a history of anaphylactic shock (severe allergy) or who are allergic to any component of this vaccine such as polyethylene glycol (PEG) or polysorbate.

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, muscle pain, chills, joint pain, fever, nausea, malaise, and swollen lymph nodes.

How long will it take for me to be protected and what does it protect me from?
After 14 days of having the complete scheme (after the administration of the 2nd dose), the protection period is still under study. It protects us from serious COVID-19 or requiring hospitalization.

Moderna

What is its effectiveness and what does it refer to?

Vaccine type: mRNA
Effectiveness: 94.5% after the second dose in the prevention of symptomatic COVID-19.

Does not contain egg, latex, or preservatives.

How many doses are needed?
Two doses are needed, at least 28 days apart (or up to six weeks apart, if necessary).

Who should or shouldn’t get the vaccine?
People who should receive the vaccine are those over 18 years old.
People who should not receive the vaccine are those who have a history of anaphylactic shock (severe allergy) or who are allergic to any component of this vaccine.

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, muscle pain, chills, joint pain, fever, nausea, and swollen lymph nodes in the arm in which you received the injection.

Janssen/
Johnson
& Johnson

Janssen/ Johnson & Johnson

What is its effectiveness and what does it refer to?

Vector-based vaccine.
Effectiveness: 72.0% in the prevention of symptomatic COVID-19.
85% in the prevention of severe COVID-19.

Does not contain egg, latex, or preservatives./strong>

How many doses are needed?
Only one dose in needed.

What are the possible side effects of the vaccine?
Pain where the injection was given, headache, fatigue, muscle pain, chills, fever, and nausea.

How long will it take for me to be protected and what does it protect me from?
After 28 days of having the complete scheme (the last dose applied), the protection period is still under study. It protects us from 85% serious COVID-19 or requiring hospitalization.

AstraZeneca
and
Oxford
University

AstraZeneca and Oxford University

What is its effectiveness and what does it refer to?

Adenovirus vector-based vaccine.
Effectiveness: 82% after the second dose in the prevention of symptomatic COVID-19.

How many doses are needed?
Two doses are needed, at least 56 days apart (or up to 84 days apart, if necessary).

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, myalgia, arthralgia, and fever, which were mild to moderate in intensity and disappeared within 48 hours of vaccination.

Sputnik V

What is its effectiveness and what does it refer to?

Adenovirus vector-based vaccine.
Effectiveness: 92% after the second dose in the prevention of symptomatic COVID-19.

How many doses are needed?
Two doses are needed, at least 21 days apart (or up to six weeks apart, if necessary).

What is Premature ejaculation?

Diagnosis and treatment Premature ejaculation

Related centers and departments

Fuentes:

Index

Specialist in Premature ejaculation