Some men climax without ejaculating. In most cases, erections go away after this step. Sometimes PE is a problem for men who have erection problems erectile dysfunction or ED. This is when men are not able to get or keep an erection that's firm enough for sex.
Since an erection goes away after ejaculation, it can be tough 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. Though the exact cause of PE is not known, serotonin may play a role. Serotonin is a natural substance in your body made by nerves. High amounts of serotonin in the brain increase the time to ejaculation. Low amounts can shorten the time to ejaculation, and lead to PE. PE can happen at any age. Aging is not a direct cause of PE, though aging does cause changes in erections and ejaculation.
For older men, erections may not be as firm or as large. Erections may not last as long before ejaculation occurs. The feeling that ejaculation is about to happen may be shorter.
These changes can lead to an older man ejaculating earlier. With PE, you may feel you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed or upset, and turn away from your partner. Premature ejaculation may not only affect you, it may also affects your partner. PE can cause partners to feel less connected or feel hurt. Talking about the problem is an important step.
Couples counseling or sex therapy can be helpful. Exercises, such as the squeeze technique, may be helpful for you and your partner to prolong an erection see the treatment section of this article for details. Most importantly, a couple should learn ways to relax. Worry such as performance anxiety can make PE worse. It is typical for men to be able to have at least some control of if and when they ejaculate during partnered sex and masturbation. If a man does not feel that he has control of when ejaculation occurs, and if there is worry by the man or his sexual partner s , PE may be present.
When PE gets in the way of your sexual pleasure, you should see your health care provider. Antidepressants may also decrease your desire to have sex. Your doctor can help you decide if an antidepressant is right for you.
Medicines used to treat erectile dysfunction may also help prevent premature ejaculation. Your doctor may prescribe one of these medicines alone or in combination with an antidepressant. Anesthetic creams can also be used to prevent premature ejaculation. These creams are applied to the head of the penis to make it less sensitive. Usually, the cream is applied about 30 minutes before sex and then washed off once it has decreased the feeling in your penis. The cream must be washed off before sex.
If it is left on, it can cause a loss of erection and vaginal numbness. For some people, simply wearing a condom can help delay ejaculation because it may make the penis slightly less sensitive. Premature ejaculation is very common.
But if it happens frequently, talk to your doctor. There are many techniques you can use that may help prevent it. You should also talk to your partner. Often, they may feel responsible or disconnected. Talking about it can help put both of you more at ease. Also, your partner can help with the strategies described above for controlling your ejaculation.
This article was contributed by: familydoctor. This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject. Erectile Dysfunction ED is a medical condition that prevents a man from getting or keeping an erection.
Testosterone is a sex hormone that your body makes. The treatments include:. This page has been produced in consultation with and approved by:. Did you know that deaths from injury are 2.
That men are more likely to die from preventable diseases? In Victoria, you can have two types of abortion: surgical and medication.
Both types are safe and reliable. You can have a medication abortion up to nine weeks of pregnancy. You can have a surgical abortion from around six weeks of pregnancy onwards. Mifepristone, also called RU or the 'abortion pill', is used to terminate end a pregnancy up to nine weeks. Abortion is one of the most common and safest types of surgery in Australia.
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