Premature Ejaculation

Premature Ejaculation

Premature ejaculation (PME) is a type of sexual dysfunction when ejaculation happens shortly before or immediately after penetration, leading to dissatisfaction in both partners. Thanks to advancements in medical technology, an advanced premature ejaculation treatment can help one get rid of this problem. 

According to the International Society for Sexual Medicine (ISSM) premature ejaculation has three components:

  • Ejaculation always or nearly always before or within one minute of penetration.
  • There is inability to delay ejaculation on all or nearly all penetrations 
  • Negative personal consequences such as distress,bother,frustration leading to avoidance of sexual intimacy.

The best doctor for premature ejaculation in Saket, South Delhi, Delhi, Dr. Niren Rao can provide one with a comprehensive early ejaculation treatment at his advanced facility, Delhi Urology Hospital. 

Types of Premature Ejaculation

The expert premature ejaculation doctor classifies premature ejaculation in various types:-

  • Lifelong: PME occurring at all intercourse attempts within usually a minute.
  • Acquired: Ejaculations were normal earlier but rapid ejaculations happened at some point in life.
  • Natural Variable: Premature ejaculation occurs at inconsistent and irregular intervals.
  • Premature-Like Ejaculatory Dysfunction: There is a subjective perception of rapid ejaculation.
Causes of Premature Ejaculation

Around 30-40% of men face PME at some point in their lives. It can happen across all age groups of sexually active men. Some of the known causes of PME are:

  • An undiagnosed erectile dysfunction.
  • Low levels of serotonin or do-pa-mine in the body. These are the chemicals involved in sexual desire and excitement.
  • A hypersensitive glans penis can also lead to loss of erections and premature ejaculations.
Treatment of Premature Ejaculation

A detailed history is taken by the best doctor for premature ejaculation in Saket, South Delhi, Delhi, Dr. Niren Rao. The history includes the duration of the problem, whether it happens in all situations, and with all partners. Patients are also questioned about the quality of their erections to rule out erectile dysfunction also. After this a detailed physical examination is performed. Based on the information gained the line of treatment is decided. 

The treatment options provided by the expert premature ejaculation doctor are-

  • Behavioural Therapy

It is an advanced premature ejaculation therapy which involves:

  • Start and stop technique
  • Stop and squeeze technique
  • Distracted thinking technique
  • Counselling

Sometimes a couple counselling is undertaken to assess the severity of PME and also to rule out unrealistic expectations in either partner. Furthermore counselling to avoid stress, frustration and performance anxiety is done.

  • Medication For Premature Ejaculation

1. Use of selective serotonin reuptake inhibitors (SSRIs) to treat PME. This is the best medicine for early discharge.
2. Topical anaesthetic agents such as lido-caine are used where PME is due to hypersensitive glans.

Premature ejaculation is a very commonly occurring problem which can be very easily treated. Most of the patients delay seeking help due to fear of embarrassment thereby unnecessarily prolonging their agony. Rather than damaging their confidence and hampering their personal lives, patients should seek timely help from a trained urologist for this problem.

To know in detail about the premature ejaculation treatment in Saket, South Delhi, Delhi and the cost of the treatment, visit Delhi Urology Hospital.

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