Sexual Disorders Involving Premature Ejaculation
Ejaculation is the release of semen from the body. Premature ejaculation (PE) is when ejaculation happens sooner than a man or his partner would like during sex. Occasional PE is also known as rapid ejaculation, premature climax or early ejaculation. PE might not be a reason for worry. It can be frustrating if it makes sex less enjoyable and impacts relationships. But if it happens often and reason problems, your health care provider can help.
Sometimes PE is a problem for men who have erection problems (erectile dysfunction or ED). This is when men are not capable to get or keep an erection that’s firm enough for sex. Since an erection goes away after ejaculation, it can be hard to know if the problem is PE or ED. ED should be treated first. Premature ejaculation may not be a problem once the ED is treated.
Erectile and ejaculatory disorders comprise the most prevalent sexual disorders in men, with erectile dysfunction (ED) primarily affecting aging men who have coexisting morbidities such as cardiovascular disease and diabetes mellitus. Premature ejaculation (PE) can affect men of all ages and is not typically associated with underlying organic disorders but is believed to be associated with imbalances in serotonin neurotransmission.
Sexual disorders refer to problems that happen during any phase of the cycle of sexual response which does not allow the couple to experience the necessary amount of satisfaction. The four cycles of sexual response are as follows:
- Excitement
- Plateau
- Orgasm
- Resolution
Usually, sexual disorders in men can be caused due to psychological problems like anxiety or stress which is connected to work, depression and marital problems. It could also be caused by physical problems like alcoholism, diabetes, neurological disorder and chronic diseases like kidney and liver failure, etc.
The most common sexual disorders in men are premature ejaculation and erectile dysfunction.
Treatment may include the following:
- Medications
- Testosterone Replacement Therapy
- Psychological Therapy
- Mechanical Aids such as vacuum devices and penile implants
- Education and communication
