Center for Sexual Medicine Manila Sexual Medicine Blog

Premature Ejaculation in Filipino Men

Premature ejaculation
Premature ejaculation

A 35-year-old Filipino professional, despite his strong relationship with his partner, he struggled with a common issue affecting many Filipino men: premature ejaculation (PE). His experience is not unique. In fact, I’ve seen countless Filipino men like him who feel ashamed and puzzled by their inability to control their ejaculation timing. This condition knows no boundaries, affecting individuals regardless of age, ethnicity, or background. It can affect anyone, even the healthiest and manly men. That’s because this condition can be caused by either psychological or physical factors. This article aims to shed light on the complexities of premature ejaculation in Filipino men, exploring its causes, treatments, and the support available for those affected.

Overview of Premature Ejaculation 

What is Premature Ejaculation? 

Premature Ejaculation, also known as ejaculation before penetration, is a common condition where a man ejaculates sooner than he or his partner would like during sexual activity. PE affects about 30% of men worldwide, but some reviews have stated that this number could be as high as 75%. While it can be distressing, it’s essential to understand that it’s a treatable condition. PE is another factor that may interfere with the proper deposition of sperm. It is another problem often attributed to psychological causes. Adolescents may experience it until they become more experienced in sexual techniques. 

Who gets premature ejaculation? 

Premature ejaculation can affect men of all ages. While it’s more commonly reported in younger men, it can occur at any age. Certain factors, such as psychological stress, relationship issues, medical conditions (thyroid and prostate problems), and genetic predispositions, may increase the risk of developing premature ejaculation. However, it’s essential to note that premature ejaculation is a treatable condition, and seeking appropriate medical care can help manage and alleviate symptoms.

Why are men suddenly ejaculating quickly?

Men may suddenly ejaculate quickly due to various factors, both psychological and physiological. Psychological factors such as anxiety, stress, performance pressure, and relationship issues can contribute to premature ejaculation. Additionally, certain medical conditions, including hormonal imbalances, thyroid disorders, prostate problems, and genetic predispositions, may play a role in the onset of premature ejaculation. Changes in sexual habits, medication side effects, and age-related factors can also influence ejaculatory control. It’s essential for medical professionals to conduct a comprehensive evaluation to identify underlying causes and provide appropriate treatment interventions tailored to individual patient needs.

Causes of Premature Ejaculation

Understanding Premature Ejaculation: Causes and Solutions

As a doctor specializing in sexual health, I’ve encountered countless patients who have shared their intimate struggles with me. Among the many concerns they bring to my attention, one topic often whispered in hushed tones is premature ejaculation (PE) or finishing too early/unexpectedly. This condition knows no boundaries, affecting individuals regardless of age, ethnicity, or background. It can affect anyone, even the healthiest and manly men. That’s because this condition can be caused by either psychological or physical factors. Here’s a breakdown of the main causes of premature ejaculation and what you can do about them:

Psychological Causes of Premature Ejaculation

Performance Anxiety

When someone experiences performance anxiety, it can significantly contribute to premature ejaculation by triggering heightened stress levels during sexual activity. This anxiety may manifest as a fear of not satisfying one’s partner or a fear of ejaculating too quickly. These worries can become overwhelming and create a self-fulfilling prophecy, where the individual becomes overly focused on their performance.

Traumatic Experiences

Past traumatic experiences or sexual abuse can impact your ability to control ejaculation. If you’ve been through trauma or abuse, you might connect sexual activity with feelings of fear, anxiety, or vulnerability. These connections can make it tough to control your arousal and ejaculation timing, which can contribute to ejaculating earlier than you’d like.

Relationship Issues

Poor communication or unresolved conflicts between partners can create emotional tension and stress that carries over into sexual interactions. This tension can make it harder to control when you ejaculate and can exacerbate the problem of ejaculating too soon.

Mental Health Conditions

Underlying psychological conditions like depression or anxiety disorders are often connected to ejaculating earlier than desired. Depression can decrease your sex drive and arousal, while anxiety disorders can cause performance anxiety during sex. Both of these conditions can disrupt your ejaculatory process and lead to premature ejaculation.

Physical Causes of Premature Ejaculation

Hormonal Imbalances

Low testosterone levels can impact your sexual function, including how well you can control when you ejaculate. Testosterone helps regulate your sex drive, arousal, and overall sexual function. Imbalances in brain chemicals like serotonin and dopamine, influenced by testosterone, can also affect ejaculatory control.

Chronic Medical Conditions

Diseases like diabetes and hypertension can affect your ability to control ejaculation. Diabetes can harm nerves and blood vessels, affecting the pathways involved in ejaculation. Similarly, unmanaged high blood pressure can cause problems with blood flow to your genital area, making it harder to control ejaculation timing.

Neurological Disorders

Conditions like multiple sclerosis (MS) or spinal cord injuries can disrupt the communication between your brain and the nerves that handle ejaculation. MS lesions and spinal cord injuries can affect the signals that control ejaculation, making it hard to control when you ejaculate and possibly leading to premature ejaculation.

Genetic Factors

Some studies suggest that premature ejaculation might have a genetic component. Certain genetic variations can affect how your body regulates brain chemicals involved in ejaculation and how sensitive your receptors are to sexual arousal and response.

Behavioral Factors Contributing to PE

Lifestyle Choices

Smoking or using drugs can affect your blood vessels and the signals in your brain that control ejaculation. Smoking, in particular, can impair blood flow, while drugs like cocaine or marijuana can disrupt brain signals.

Weight and Fitness

Being overweight or out of shape can affect blood flow and stamina, leading to premature ejaculation. Extra weight can decrease sensitivity, and poor physical fitness can lead to quicker exhaustion during sex.

Diet

Caffeine-rich foods and drinks can increase arousal levels, making you more prone to premature ejaculation. Processed foods high in sugar or artificial ingredients can disrupt hormone levels and exacerbate the issue.

Sexual Behaviors and Habits Affecting PE

Frequency of Sexual Activity

Having sex or masturbating too often can desensitize you and make it harder to control ejaculation. Conversely, not being sexually active enough can lead to heightened arousal and quicker ejaculation.

Rushing into Sex

Feeling rushed or anxious during sex can lead to premature ejaculation. Taking your time and focusing on relaxation techniques can help delay ejaculation.

Pornography Consumption

Watching too much porn can create unrealistic expectations and performance pressure, leading to faster ejaculation. Limiting porn consumption and focusing on real-life intimacy can help.

Sexual Position

Some sex positions or techniques can increase sensitivity and lead to quicker ejaculation. Experimenting with different positions that allow you to control the pace can help improve ejaculatory control.

Can Medicines and Substances Cause Premature Ejaculation?

Medication substance causing premature ejaculation

Antidepressants or Antipsychotics

Some medications like SSRIs are known to delay ejaculation as a side effect. Antipsychotic medications may also affect ejaculation timing due to their impact on brain dopamine receptors.

Over-the-Counter Drugs

Certain OTC medications like decongestants containing pseudoephedrine can stimulate the sympathetic nervous system, increasing arousal levels and sensitivity.

Hormonal Medications

Hormonal treatments like testosterone replacement therapy or supplements containing DHEA or melatonin can disrupt ejaculatory function by affecting hormone levels and physiological processes.

Premature ejaculation can have various causes, including psychological, physical, behavioral, and medicinal factors. Understanding these factors is the first step in finding an effective solution. Whether through therapy, lifestyle changes, or medications, there are options available to address premature ejaculation and improve sexual satisfaction.

Diagnosis of Premature Ejaculation

It’s a scenario I’ve seen countless times throughout my years as a doctor specializing in men’s health. Premature ejaculation knows no boundaries—it can affect anyone, regardless of age, lifestyle, or background. And while many may feel embarrassed or hesitant to seek help, the truth is, PE is a widespread concern that deserves attention.

Figuring out why you’re finishing early involves looking at a lot of different things. Here’s how healthcare providers diagnose the causes of premature ejaculation:

Medical History and Sexual Health Assessments

Your health history and what’s happening between the sheets are super important clues. We’re going to talk about any health issues you’ve had, the meds you’re taking, and how things are going when you’re getting intimate. It’s like connecting the dots to see what might be causing the issue. Healthcare providers gather information about past and present medical conditions, medications, substance use, and sexual history to identify potential risk factors or contributing factors to premature ejaculation.

Patient-Reported Symptoms

Healthcare providers rely on patient-reported symptoms, including the duration of ejaculatory latency and the impact on sexual satisfaction, to identify potential underlying causes. If you’re experiencing persistent issues with early ejaculation and it’s affecting your sex life, it’s essential to communicate this to your doctor. 

Diagnostic Procedures

diagnosis of premature ejaculation

Physical Examinations

Usually, we don’t need to do any special exams for this unless we think there might be something else going on. But, I might give you a once-over just to rule out any physical issues that could be causing it. However, healthcare providers may perform a physical examination to assess genital anatomy, neurological function, and signs of other health conditions that could impact sexual function. 

Psychological Evaluations and Counseling

Sometimes, what’s going on in your head can mess with what’s happening down there. That’s where talking to a therapist can really help. They’re pros at helping us figure out what’s going on and how to fix it. Psychological evaluations and counseling sessions can aid in diagnosing and addressing premature ejaculation, especially when psychological factors are suspected to contribute to the condition.

Laboratory Tests

Tests aren’t usually the first thing we do, but if we think something else might be going on, we might run a few. However, healthcare providers may order certain tests if there are indications of underlying medical conditions contributing to the condition. These tests may include hormone levels, blood glucose levels, or neurological assessments. 

Diagnosing premature ejaculation involves a thorough assessment of medical history, sexual health, and potential psychological factors. By understanding the underlying causes, healthcare providers can develop an effective treatment plan tailored to your specific needs. If you’re experiencing symptoms of premature ejaculation, don’t hesitate to seek help from a healthcare professional.

Treatment of Premature Ejaculation

Premature ejaculation can happen to anyone, at any age, for various reasons. But here’s the good news–there are plenty of effective treatments available to help you take control and enjoy a satisfying sex life. Treatment approaches aim to improve ejaculatory control, reduce performance anxiety, and enhance sexual satisfaction for individuals and their partners. The specific treatment plan may vary depending on the underlying causes and individual preferences. Let’s dive into the world of PE treatment options and find the one that works best for you.

Behavioral Techniques for Premature Ejaculation

Are there sexual techniques I can use to stop finishing early? 

The start-stop method or the squeeze technique are tools you can use to train yourself to last longer and enjoy the moment. The start-stop method involves pausing sexual activity when nearing ejaculation and resuming once the urge to ejaculate has subsided. The squeeze technique involves applying pressure to the base of the penis to temporarily reduce arousal and delay ejaculation. These techniques help individuals develop greater awareness of their arousal levels and improve ejaculatory control over time. 

Medications

What medications are available for treating Premature Ejaculation? 

When it comes to meds, we’ve got a couple of options. One is SSRIs like dapoxetine, fluoxetine, or paroxetine. These work on your brain to help you delay ejaculation. Another option is topical anesthetics like lidocaine or benzocaine creams. These numb things down a bit to help you last longer. These medications are often used in combination with behavioral techniques for optimal results. 

Therapy and Counseling

Can therapy or counseling help individuals and couples cope with premature ejaculation? 

Sometimes, what’s going on in your head can play a big role. That’s where therapy or counseling comes in. We’re talking about cognitive-behavioral therapy (CBT), sex therapy, or even couples counseling. These sessions give you tools to manage anxiety, improve communication, and enhance your sex life. Therapy sessions provide individuals with coping strategies, relaxation techniques, and tools to manage performance anxiety and improve sexual function. 

Lifestyle Changes

 What lifestyle changes can help with PE?

 Lifestyle changes can make a big difference. Things like reducing stress, improving communication with your partner, and maintaining a healthy lifestyle can all contribute to better sexual function. Regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption can also help improve overall sexual health. 

Prognosis of Premature Ejaculation

As a doctor specializing in men’s health, I’ve had countless conversations about premature ejaculation. It’s more common than you might think, affecting men of all ages and walks of life. Let’s dive into the prognosis of this often misunderstood condition.

The Outlook for Premature Ejaculation

Understanding the outlook for premature ejaculation (PE) involves considering various factors such as underlying causes, treatment options, and individual responses. Here’s what you can expect:

Treatment Response and Improvement

The outcome of premature ejaculation varies depending on individual factors such as underlying causes, severity of symptoms, and response to treatment. In many cases, premature ejaculation can be effectively managed with a combination of behavioral techniques, medications, and therapy, leading to improved ejaculatory control and sexual satisfaction. 

Factors Influencing Prognosis

Does the prognosis of PE vary based on its underlying causes and individual factors? 

Yes, if premature ejaculation is primarily due to psychological factors such as performance anxiety or relationship issues, individuals may experience significant improvement with therapy and counseling. A 32-year-old woman notices that her partner’s premature ejaculation improves after they attend couples counseling sessions to address communication issues and enhance intimacy.

Long-Term Management

Can premature ejaculation improve with treatment, or is it a lifelong condition? 

While premature ejaculation can improve with treatment for many individuals, whether it is a lifelong condition depends on various factors. With appropriate treatment, including behavioral techniques, medications, and therapy, many individuals experience significant improvement in ejaculatory control and sexual satisfaction. 

Living with Premature Ejaculation

Premature ejaculation (PE) is a common issue that affects men from all walks of life. But what exactly is PE, and how does it impact daily life? As a doctor specializing in men’s health, let me take you through what it means to live with PE and how we can navigate this together.

The Role of Condoms in Delaying Ejaculation

Wearing a condom may help with premature ejaculation by reducing penile sensitivity and delaying ejaculation. Condoms act as a physical barrier that decreases stimulation to the penis, potentially prolonging ejaculatory latency. Additionally, condoms may provide psychological reassurance, reduce anxiety, and enhance sexual confidence, which can contribute to improved ejaculatory control. 

Understanding the Impact of Premature Ejaculation on Overall Health

Premature ejaculation itself is not typically harmful to physical health, but it can have significant psychological and interpersonal consequences. Persistent premature ejaculation may lead to feelings of frustration, embarrassment, and low self-esteem, affecting overall well-being and quality of life. Additionally, premature ejaculation can strain relationships and impact sexual satisfaction for both partners. 

The Risks of Using Alcohol to Delay Ejaculation

While alcohol consumption may temporarily delay ejaculation by reducing inhibitions and desensitizing the nervous system, it is not recommended as a long-term solution for premature ejaculation. Excessive alcohol consumption can impair sexual function, lead to erectile dysfunction, and exacerbate ejaculation problems in the long run. Additionally, alcohol abuse can have serious health consequences, including liver disease, cardiovascular problems, and addiction. 

The Importance of Open Communication and Support from Partners

Open communication and support from partners can play a crucial role in helping individuals cope with premature ejaculation. Partners can provide emotional support, understanding, and encouragement, creating a supportive environment where individuals feel comfortable discussing their concerns and seeking help. Communication about sexual desires, preferences, and concerns can reduce performance anxiety and enhance intimacy and trust in the relationship. 

Takeaway

While dealing with premature ejaculation can present significant challenges, it’s important to recognize that effective management strategies and support systems are available to help individuals navigate these difficulties. By adopting the right approach, which may include therapy, communication with partners, and potentially medical interventions, individuals can regain control over their sexual experiences and enjoy fulfilling intimacy. Embracing open communication with partners and seeking professional guidance can lead to improved confidence, greater satisfaction, and a more fulfilling sex life. Remember, premature ejaculation is a common issue, and with patience and perseverance, it can be effectively managed, allowing individuals to experience satisfying sexual encounters and enhanced overall well-being.

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