Premature ejaculation is a significant concern for men, even for their partners, because of the decreased physical pleasure and mental connection that healthy sex provides for both partners.
But keep in mind that just because you ejaculate faster than you want does not necessarily mean that you have premature ejaculation either.
Emphasis must be made that premature ejaculation happens when you ejaculate sooner than expected during your sexual intercourse. Your doctor will usually use the following diagnostic criteria to determine whether you are, indeed, suitable for treatments for premature ejaculation:
- Nearly always, if not always, ejaculate within a minute of penetration
- Inability to delay ejaculation mostly or all the time
- Feelings of frustration and distress due to premature ejaculation such that sexual intimacy is avoided
You have to remember that when you experience premature ejaculation on an infrequent basis and you are fine with it, then your doctor will not considers yours as a case of premature ejaculation.
This is because there are several physiological and psychological factors at work so prematurely ejaculating a couple of times does not automatically mean that you have the clinical symptoms.
Classification Of Condition
Medical experts classify premature ejaculation as:
- Primary, or lifelong, premature ejaculation happens in most, if not all, first-time sexual encounters for various reasons.
- Secondary, or acquired, premature ejaculation has the same signs and symptoms as its primary counterpart but these develop after engaging in sexual intercourse without ejaculatory issues.
You may believe that you have secondary premature ejaculation but when your symptoms do not meet the diagnostic criteria for the health issue, then you should have no reason to worry.
Instead, you likely have another condition known as natural variable premature ejaculation characterized by alternating periods of normal and rapid ejaculation.
You will likely experience natural variable premature ejaculation due to several factors, such as your work schedule, lifestyle habits, and variable libido.
You may also take comfort in the fact that scientists have yet to identify the exact causes behind premature ejaculation. However, doctors generally agree on the following factors contributing to the medical issue:
- Situations where climaxing in a hurry is present or when guilty feelings are experienced
- Anxiety about sexual performance and related issues
- Erectile dysfunction wherein men are anxious about obtaining and maintaining their erections, which can eventually lead to a pattern of rushed ejaculation
- Relationship issues that can contribute to the sexual problem
- Abnormal levels of chemicals, such as neurotransmitters, and hormones in the body
- Abnormal reflexes in the ejaculatory system
- Infection and inflammation of either the urethra or prostate
- Nerve damage from trauma or surgery
Your doctor will conduct a physical examination and a basic psychological evaluation, if necessary, for diagnostic purposes.
You will be asked questions about your sex life and health history as well as order lab tests, such as a urine test and blood tests, to determine the possibility of an infection in your reproductive system.
You may also be referred to an urologist and/or a mental health professional with specialization in sexual dysfunction.
When Do Have To See Your Doctor For Possible Premature Ejaculation?
You can talk to your doctor as soon as possible especially when you suspect an underlying medical condition, such as urinary tract infection, about your symptoms.
You may feel embarrassed talking about your sexual health concerns but remember that your doctor is trained for this purpose.
You have to keep in mind, too, that premature ejaculation is a common problem so you are not alone, not to mention that it is a treatable condition. You will even find that talking to your doctor will alleviate your concerns in addition to finding the right treatments.
You can discuss your treatment options including behavioral techniques (e.g., pause and squeeze technique), oral medications, and topical applications, as well as healthy lifestyle habits.
Indeed, the sooner you can take the appropriate action in the effective treatment of premature ejaculation, the faster your anxiety can be alleviated.