Sexual intimacy should be enjoyable for both partners, but finishing early can disrupt that moment. Premature Ejaculation (PE) is a common sexual concern in males where ejaculation happens sooner than desired, often leaving both partners unsatisfied.
Various factors can contribute to your experiencing PE, including physical and psychological factors. This can not only affect your sex life, but also your confidence and emotional well-being.
Fortunately, it is manageable. Modern medicine offers several effective options, including behavioral therapies, lifestyle adjustments, and FDA-approved medications like Dapoxetine, which will help you regain control over ejaculation, restore confidence, and improve satisfaction for both partners.
This article explains what Premature Ejaculation is and highlights the treatment options available in New Orleans.
What is Premature Ejaculation?
Premature Ejaculation is when you ejaculate sooner than you intend to during sexual activity. This often happens before or shortly after penetration, leaving one or both partners unsatisfied. While occasional early ejaculation can happen to any man, PE becomes a concern when it occurs consistently or causes distress.
It can affect males of all ages. Around 30 % of men aged around 18 to 59 experience Premature Ejaculation at some point in their lives.
PE is classified into two primary types:
- Lifelong or Primary PE: This type starts from your first sexual experience.
- Acquired or Secondary PE: This type develops later after a period of normal ejaculation.
What can cause Premature Ejaculation?
Premature Ejaculation can be a result of a combination of physical and psychological factors. Below are the causes of PE that you should be aware of to choose the proper treatment and improve sexual performance.
Physical factors
Physical and medical issues can directly affect your body’s ability to control ejaculation. Such factors are:
- Hormonal imbalances: Abnormal Testosterone or Thyroid levels can affect sexual response.
- Neurological conditions: Nerve damage or hypersensitivity of the penis can lead to early ejaculation.
- Medical conditions: Diabetes, High Blood Pressure, or prostate problems may increase the risk.
Psychological factors
Mental and emotional factors often play the primary role in PE development. They include:
- Anxiety and stress: Sexual Performance Anxiety, relationship pressures, or general Anxiety can lead to episodes of early ejaculation.
- Depression: Mental health challenges are often linked to sexual difficulties, including PE.
- Early sexual experiences: Traumatic or hurried early sexual encounters may create lasting patterns of PE.
- Relationship issues: Poor communication, intimacy concerns, or conflicts with a partner can contribute to the development of PE.
Premature Ejaculation is common but manageable. With proper treatment, therapy, and lifestyle changes, men can restore control and confidence in their sex life.
What are the treatment options for PE in New Orleans?
Several PE treatment options are available in New Orleans, but the appropriate treatment depends on the cause and overall health. Your doctor can recommend medications, therapies, and lifestyle adjustments based on the severity of the condition and how your body responds to the treatment.
Let’s look into the effective treatment options for PE.
Medications for PE
Various medications, ranging from oral medicines to topical agents, are available to treat Premature Ejaculation. Your doctor will evaluate your condition and other factors, such as overall health, before recommending the most suitable treatment.
Oral Medications
Several PE medications are commonly prescribed to help men delay ejaculation and gain better control. They include:
- Selective Serotonin Reuptake Inhibitors (SSRIs), including Dapoxetine, Paroxetine, Sertraline, and Fluoxetine, were initially designed as antidepressants but can also prolong ejaculation by boosting serotonin levels in the brain. Dapoxetine, in particular, is effective for PE.
- Phosphodiesterase 5 (PDE5) inhibitors, such as Sildenafil (Viagra) and Tadalafil (Cialis), are mainly used for Erectile Dysfunction (ED) but can benefit men dealing with both ED and PE.
- Tramadol, an opioid pain reliever, may also help delay ejaculation; however, it carries a risk of dependence and should never be combined with SSRIs.
These medications are prescription-based and should be taken under medical supervision. You should always obtain them from a certified pharmacy in New Orleans, presenting a valid prescription.
Topical Treatments
Topical options, such as creams and sprays, are also available and may be purchased over the counter. These products typically contain Lidocaine or Prilocaine, which reduce penile sensitivity. Apply 10 to 15 minutes before intercourse and remove any excess to prevent numbing your partner.
Behavioural therapies for PE
Behavioral therapies are non-medical approaches designed to help men gain better control over ejaculation and improve sexual satisfaction. These techniques often focus on retraining the body and mind to respond more gradually during sexual activity. Such therapies are:
Stop-start method
This method involves sexual stimulation with your partner until you approach ejaculation, then pausing until the urge goes away. Repeating this cycle several times before climax helps develop better control and awareness.
Pelvic-floor exercises
These exercises strengthen the pelvic floor muscles to improve ejaculation control. They involve repeatedly tightening and releasing the pelvic floor muscles. Practicing these exercises consistently for a few weeks can lead to noticeable improvements.
Squeeze technique
It involves applying gentle pressure to the head or base of the penis when you feel near ejaculation, helping to delay climax and increase awareness of timing.
Sensate focus therapy
This therapy focuses on enjoyable touch without intercourse, gradually reintroducing genital stimulation and sexual activity. It helps reduce performance anxiety, increase body awareness, and prevent overstimulation that can trigger Premature Ejaculation.
Counselling for PE
Counselling for PE is essential when the condition is caused due to psychological or emotional factors such as Anxiety, stress, or relationship issues. Psychological counseling helps uncover and address these underlying causes, improving confidence and sexual performance. Key elements of counselling are,
Psychosexual Therapy
This therapy focuses on behavioral techniques to delay ejaculation, like the stop-and-start and squeeze methods. It is combined with counseling to reduce performance anxiety, improve communication, and resolve relationship problems.
Cognitive Behavioral Therapy (CBT)
CBT helps men change negative thoughts and beliefs around sex and performance, reduce Anxiety, and develop coping strategies. It can be delivered in person or through mobile-based platforms. A study on mobile-based CBT showed positive results in sexual satisfaction between partners.
Communication with Your Partner
Open and honest communication with your partner will reduce Anxiety and increase sexual satisfaction. Talking about preferences, timing, and comfort levels helps ease pressure while helping both partners enjoy a fulfilling sexual experience.
When to see a doctor?
You should consult a healthcare professional when:
- You constantly ejaculate within a minute of penetration.
- You find it hard to have control over ejaculation most of the time..
- You experience other sexual problems, such as Erectile Dysfunction or low libido.
Your doctor will carefully evaluate your condition, diagnose correctly, and develop a proper treatment plan.
Conclusion
Premature Ejaculation is a body’s response to specific physical and psychological factors, and it is nothing to be ashamed of. It can be challenging, but it is not always a permanent problem. It can be managed with the appropriate treatment.
From behavioral techniques and counseling to prescription medications like Dapoxetine, several treatments can help you improve ejaculatory control. These options are accessible under the guidance of qualified healthcare professionals in New Orleans.
By adopting the right strategies, maintaining open communication with your partner, and following proper treatment, you can regain confidence, enhance intimacy, and enjoy a more fulfilling sexual experience.
Frequently Asked Questions
What is the best medication for Premature Ejaculation in New Orleans?
The best medication for Premature Ejaculation in New Orleans is based on the severity of your condition and your overall health. Although Dapoxetine is widely recognized as an effective treatment, your doctor will evaluate your situation and prescribe the option best suited to your needs.
Does Premature Ejaculation go away on its own over time?
No, Premature ejaculation does not typically go away on its own over time for most men. While some men may experience occasional early ejaculation that resolves naturally, persistent PE usually requires intervention.
What are the surgery options for Premature Ejaculation?
The surgical options for PE include the Inner Condom Technique, Selective Dorsal Neurectomy (SDN), and Hyaluronic Acid (HA) Gel Glans Penis Augmentation. Your doctor will only consider these options when other treatments like medications and behavioral therapy have failed or are unsuitable.
Is Ashwagandha a herbal supplement for managing Premature Ejaculation?
No, Ashwagandha does not directly treat Premature Ejaculation. However, an Ayurvedic herb may help lower stress and Anxiety, which can indirectly support PE management. Be sure to consult your doctor before using any supplements.
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