Factors That Affect the Outcome of Premature Ejaculation Treatment
Several factors affect the outcome of Premature Ejaculation Treatment. These include the Psychosocial, Biological, and Etiological aspects.
Causes
Having premature ejaculation (PE) can affect your sexual life and relationship. It can also cause fertility problems for your partner. Fortunately, there are several treatments for PE, including drugs and counseling.
Behavioral therapy is a common Premature Ejaculation Treatment. This type of therapy involves the patient and his partner stopping intercourse until orgasm or climax occurs. Another technique is the “squeeze” method, in which the partner stops until an urge to ejaculate passes.
Numbing creams and sprays can also be used to treat premature ejaculation. These creams are absorbed into the vagina and may contain lidocaine. They also can be applied to the head of the penis. Some patients report that these creams have helped them delay ejaculation.
Another treatment for PE involves physical exercises. These exercises can help strengthen the pelvic floor muscles and nerve connections. Pelvic floor exercises are also known to help improve sex performance. Pelvic floor exercises are often recommended by sex therapists.
Behavioral therapy is a great way to reduce the stress associated with premature ejaculation. In addition, sex therapists can help you identify the underlying causes of your PE. Behavioral therapy may also involve counseling, which can help you address the emotional and relationship issues related to premature ejaculation.
If the symptoms of premature ejaculation are mild, your healthcare provider may recommend medications. Many medications have been used to treat PE, including selective serotonin reuptake inhibitors (SSRIs). These medications may help to increase serotonin levels in the body and delay premature ejaculation. SSRIs include paroxetine (Paxil) and sertraline (Zoloft).
There are several causes of premature ejaculation, including nervous system disease, anxiety, performance anxiety, and depression. Other causes include a thyroid condition or multiple sclerosis. These diseases can also affect the function of the penis. The thyroid can cause direct hormonal changes that affect sexual function.
Other medications include medications that help control erectile dysfunction, which can help to delay ejaculation. Medications may have side effects, so it’s important to discuss your medical history with your healthcare provider. Some medications are used “off-label” in the United States, meaning they are used to treat unapproved conditions.
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SYMPTOMS / TREATMENT
Depressed libido
Lack of vitality
Premature ejaculation
Spermatorrhoea
Night fall
Etiology
Various biological and psychological theories have been proposed to explain premature ejaculation. However, most of them are not scientifically based. To properly diagnose PE, a healthcare provider must perform a series of tests to determine the cause.
PE can be acquired or lifelong. Acquired PE is usually caused by psychological problems. These include stress, anxiety, and depression. These issues can lead to frequent episodes of PE, as well as a decrease in the amount of time you take to ejaculate.
Lifelong PE, on the other hand, is a cluster of core symptoms, including a short ejaculatory latency, as well as decreased ejaculatory control. This type of PE can be a symptom of an underlying condition, such as multiple sclerosis or diabetes. In some cases, a medical condition, such as thyroid disease, may cause direct hormonal changes that affect sexual function.
Some medications can help with premature ejaculation. These drugs include selective serotonin reuptake inhibitors (SSRIs), such as citalopram (Celexa) and paroxetine (Paxil), which increase the amount of serotonin in the body.
Behavioral treatments are also effective. In addition to changing sexual practices, these treatments may also help with the emotional factors that contribute to PE. A sex therapist can help improve coping with stress and anxiety, which may decrease the amount of time you take to ejaculate.
PE can be treated with medications and counseling. If you have PE, you should ask your doctor about the medications he or she recommends. Your doctor may also ask you about your sex life and sexual history. Your doctor may also perform a physical exam to check your hormone levels.
Some of the medications used to treat PE have a potential for addiction. SSRIs, such as citalopram (Celexa), fluoxetine (Prozac), and paroxetine (Paxil), be effective in improving premature ejaculation.
If you’ve been experiencing frequent episodes of premature ejaculation, your doctor may recommend that you begin therapy. Therapy can help reduce stress, anxiety, and performance anxiety, which are all factors that contribute to PE. Bringing your partner along to therapy can also help.
Several SSRIs, including fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft), have been FDA approved for the treatment of depression.
Biological factors
Biological factors that influence Premature Ejaculation Treatment often involve a multimodal approach. The first step is to determine the medical causes of the problem, as well as any other factors that may be contributing to the symptoms. For example, if the symptoms are caused by a hormone imbalance, your urologist may suggest a blood test to check hormone levels. Alternatively, the urologist may prescribe medications or sexual techniques that can delay ejaculation.
Other factors that can affect a person’s ability to delay ejaculation include anxiety, fear, and stress. These factors may interfere with the functioning of the neuromuscular system, leading to a less relaxed sexual experience. Also, early ejaculation can cause difficulty with maintaining an erection. This can result in stress and relationship strain.
Psychological causes of premature ejaculation can include anxiety, performance anxiety, relationship stress, and a lack of confidence. These factors may affect the level of serotonin in the brain, which may lead to delayed orgasms.
Behavioral interventions can be used to reduce stress and retrain the brain to respond more slowly to sexual stimuli. These interventions may include exercises and counseling. In addition, a sexologist may recommend numbing creams for sensitive skin.
Biological interventions include drugs that delay ejaculation, such as PDE5 inhibitors. These drugs are primarily administered six to twelve hours before intercourse. SSRIs, such as citalopram and sertraline, are also used to treat primary premature ejaculation. These drugs increase the activity of serotonin in the post-synaptic cleft, thereby delaying ejaculation.
Psychotherapy is also recommended for people with PE. Psychotherapy addresses the emotional and interpersonal issues associated with the dysfunction and may reduce the symptoms. It may also address the stress and other factors that may be contributing to the problem.
Psychosocial interventions include couples and individual therapy. This may include addressing issues of sexual inadequacy, relationship stress, and sexually transmitted diseases. These treatments can also help reduce the distress that ejaculation causes to partners.
A combination of pharmaco- and psychotherapy has been found to have better results than drug treatment alone. Combined therapy is used stepwise, with pharmacotherapy being taken for the first six weeks and psychotherapy for the second six weeks.
Psychosocial effects
Having premature ejaculation (PE) can be very distressing for both partners. Both partners need to discuss the issue and try to resolve it. PE can be treated through a variety of methods, including medical and psychological approaches.
Medical treatment may include medications that delay ejaculation. Behavioral therapy can also be helpful, particularly for emotional and performance anxiety. Men may also benefit from seeing a therapist who has special training in sexual disorders.
Behavioral therapy teaches techniques to control ejaculation. This includes techniques to detach during sex and improve awareness of arousal. A squeeze technique can also be helpful. It may increase ejaculatory control by delaying ejaculation until the climax.
Psychological treatment may address issues related to PE, such as excessive fear of women, reluctance to enter relationships, and a lack of confidence. Psychotherapy can also help improve communication with partners and reduce anxiety. It can also address childhood issues that might contribute to PE.
Cognitive behavioral therapy is considered the most effective type of therapy. This therapy involves three-pronged approaches: it addresses unhelpful thoughts about sexual performance, establishes a cooperative relationship with the patient’s partner, and focuses on improving the patient’s body-mind connection.
Behavioral therapy involves using a stop-start technique, awareness of the climax and exercises to train the patient to delay ejaculation. Behavioral techniques also include using humor to decrease the embarrassment of PE.
Psychosocial treatments for PE may involve couples counseling or individual psychotherapy. The benefits of both types of therapy include resolving problems related to premature ejaculation, improving sex performance, and decreasing anxiety.
A recent study found that there was a link between anxiety and premature ejaculation. The study participants found that they felt less intimate in their relationships, and they had a lack of fulfillment. Some of the men reported that their partners had rejected them, and others were worried that their partners would have an affair. The study found that men with PE used a variety of coping strategies. Some tried to detach themselves during sex, while others used humor to reduce embarrassment.
The study found that a combination of behavioral and psychological approaches was most effective for treating PE. Cognitive behavioral therapy was most effective for improving ejaculatory control, but it also involved addressing the patient’s emotional concerns.