| Alternative names |
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Early climax, early ejaculation
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| Causes and risk factors |
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Psychological causes:-
- Due to history of sexual suppression.
- Overall lack of confidence or over excitement.
- Short-term depression and/or emotional stress.
- No or lack of communication between the partners.
- An increased sense of anxiety with sexual performance.
- Guilty feelings that increase your tendency to rush through sexual encounters.
- Erectile dysfunction (in a hurry to reach the climax while maintaining erection).
Biological causes:-
- Thyroid problems.
- Abnormal hormone levels.
- Abnormal reflex activity of the ejaculatory system.
- Infection and inflammation of the prostrate or urethra.
- Abnormal levels of brain chemicals called neurotransmitters.
- Withdrawal from narcotics or anti anxiety drugs.
- Nervous system damage due to surgery or injury.
- Having first relative with lifelong premature ejaculation problem.
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| Signs and symptoms |
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Ejaculation in less than one minute after insertion, inability to delay the ejaculation in almost every time and negative thoughts of avoiding sex, distress and frustration are the symptoms of primary ejaculation.
Symptoms of secondary ejaculation are premature ejaculation with minimal stimulation before, during and after insertion and after a previous satisfactory sex.
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| Tests and tools |
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Premature ejaculation is diagnosed based on overall history, medical history, physical examination and blood tests for hormone levels.
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| Treatment |
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The treatment for premature ejaculation can be psychotherapy, sexual therapy, squeeze technique and medications.
Anti depressants and topical anesthetic creams may be used but they do not have FDA approval to be used to treat premature ejaculation. Antidepressants given are selective serotonin reuptake inhibitors and tricyclic anti depressant clomipramine.
Psychotherapy is counseling or talk therapy which involves reducing stress, performance anxiety and solving problems. Practice and relaxation can help in treatment of premature ejaculation
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| Expectations (Prognosis) |
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In most cases men learn to prolong ejaculation by practice or counseling. In chronic cases it is a consequence of anxiety or depression and should be evaluated for that.
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| Complications |
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Stress in relationships and problems in fertility are the possible complications of premature ejaculation.
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| Calling your health care provider |
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If there is premature ejaculation almost all the time then talking to a doctor is better.
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| Prevention |
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The condition cannot be prevented.
Understanding the partner, open communication in partners and medical help can overcome the premature ejaculation.
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