Dr. Ahmed answers the most prominent questions from men: I have premature ejaculation, what should I do?

Nadia has premature ejaculation, what should I do

 In a medical forum, a gentleman inquired, saying, "I have premature ejaculation," noting that semen exits too quickly during marital intimacy. He asked about the causes and the solution.

The issue of premature ejaculation is considered a common problem among men, which can mar the marital relationship between the pair. This problem raises many questions, such as "I have premature ejaculation along with erectile dysfunction," and so forth. In today's article, we will briefly answer these questions and learn about the best doctor for treating premature ejaculation in Egypt.

How to Know if You Suffer from Premature Ejaculation?

Before we address the most frequent inquiries about premature ejaculation, let us begin by understanding the signs you might experience when afflicted by this condition.

Ejaculation is the process of expelling seminal fluid (semen) from the man's male organ into the woman's vagina. This step occurs after the man reaches the stage of excitement or orgasm. The phases proceed as follows: arousal, peak excitement, then orgasm, followed by ejaculation, and finally relaxation.

Normally, the man's excitement phase should coincide with the woman's excitement phase for ejaculation to be beneficial. However, when premature ejaculation occurs, ejaculation happens too early, before the woman reaches peak excitement.

The typical timeframe for ejaculation ranges approximately between two to ten minutes from the start of sexual intercourse. In the case of premature ejaculation, discharge occurs within one minute.

Factors Affecting Male Ejaculation Duration

I have premature ejaculation, but it happened only once and has not recurred.

The problem of premature ejaculation is measured by its frequency. A single occurrence does not mean you suffer from it. The reason for this instance might stem from a psychological factor you experienced, such as:

Feeling embarrassed about body appearance.

Experiencing anxiety or depression.

Feeling guilt toward the partner.

Having disagreements with the wife.

It is vital not to disregard the preceding psychological factors, as they might cause premature ejaculation just once, or they could lead to the persistence of the issue for a long period; the psychological aspect is one of the primary causes of premature ejaculation.

I experience premature ejaculation after developing a gland disorder.

Certain organic ailments affecting the male reproductive system can influence male sexual capacity, thus the reason for your quick ejaculation might be an organic disease you contracted.

Among the prominent organic diseases that may cause premature ejaculation are:

Hormonal level imbalances in the body.

Instability of neurotransmitters in the brain.

Inflammation or infection of the prostate gland or the urethra.

Thyroid gland disturbances.

Causes of Ejaculation Before Erection

I have premature ejaculation and weak erection; is having both together normal?

Sometimes, premature ejaculation may accompany another issue in sexual relations: erectile dysfunction. You might be experiencing erectile dysfunction, and in an effort to swiftly conclude the encounter due to embarrassment toward your partner, this leads to early ejaculation.

It is crucial to be able to differentiate between these two problems so you can determine which one you are dealing with when visiting a physician.

Erectile dysfunction refers to the inability of the male organ to remain erect and firm throughout the intimate encounter, whereas premature ejaculation is an issue related to the timing of semen release.

Therefore, the simultaneous occurrence of both issues is possible and happens to many men; neither contradicts the other, and each problem has a treatment method available from the best urologists.

I have premature ejaculation; what is the solution?

If you notice signs of premature ejaculation, we advise you to consult a skilled urologist to undergo medical evaluations and obtain the suitable treatment for your problem.

Evaluations for premature ejaculation include:

Testing hormone levels in the body, especially testosterone.

The clinical examination performed by the doctor.

When treating premature ejaculation, the urologist focuses on determining the cause of the problem and subsequently prescribing the appropriate remedy to overcome that cause.

The treatment for premature ejaculation incorporates several types, including:

Medications

The doctor might resort to using topical and oral medications, such as local anesthetics, antidepressants, and pain relievers to improve the ejaculation condition.

Psychological and Behavioral Therapy

If the problem originates from a psychological factor, the physician may guide the patient on how to manage and resolve it without affecting the intimate relationship.

Kegel Exercises

These are types of physical exercises aimed at strengthening the pelvic muscles, including those in the male reproductive system, which are heavily utilized during intercourse.