Discussing 40-second Man (Premature Ejaculation)
By Admin 2 months ago
Since the popular actress made headlines about her ex-spouse not lasting beyond 40 seconds in the act, I have read many narratives about premature ejaculation, from mundane to plain ridiculous.
Therefore let me attempt to throw some insight into this condition.
What does it mean?
Premature ejaculation is generally described as a situation when a man ejaculates or achieves orgasm sooner than he and his partner wishes. Those that have that problem may ejaculate before penetration, or just immediately after penetration leaving their partner unsatisfied.
Getting an accurate definition of premature ejaculation is very difficult as what is satisfactory for one couple may be inadequate for others. However there is some agreement that premature ejaculation be defined as ejaculation within two minutes of penetration.
This condition is very common and statistically, three out of every four men will ejaculate within 2 minutes of penetration in over half of their sexual encounters. Most men experience premature ejaculation at least once in their lives. Unlike what many may think, premature ejaculation is commoner with the young (18-30 years) .On the average men between 18 and 30 years last about 6.5 minutes while 'normal' men usually last an average of 7-8 minutes. There are also several couples who regard ejaculation shorter than 20 minutes as unsatisfactory and likely to see any under 10 minutes as being premature. This is worsened by the fact that many women are unable to reach climax at all with vaginal intercourse no matter how prolonged the act is.
TYPES OF PREMATURE EJACULATION
There are various types of PE as follows:
* Primary is when the man started having this premature ejaculation since puberty
* Secondary PE when it started later in a man's life
* Global PE is when a man experiences it in all situation, contexts and with all sex partners
* Situational PE is when it happens under certain situation or with a specific partner.
WHAT ARE THE CAUSES OF PREMATURE EJACULATION?
It is rarely caused by a physical problem and usually improves without treatment.
Some of the possible causes are as follows
* No identifiable cause
* Stressful life events like money troubles
* Erectile dysfunction may also cause this. Some of the men that have difficulty achieving erection may rush to achieve orgasm as soon as possible to avoid losing their erection
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* Over excitation
* Withdrawal from some psychiatric medication
* Thyroid problems
* Some other hormonal problems
* Prostate infection and inflammation
* Urethral problems
* Nerve damage following surgery or trauma
WHAT ARE THE COMPLICATIONS OF THIS CONDITION?
Premature ejaculation of course comes with some complications and these include
* Infertility: Men who ejaculate even before they penetrate are not likely to impregnate a woman.
* Marital discord due to lack of sexual satisfaction
* Female infidelity to satisfy their sexual urges
* Low self-esteem in the man
DOES THIS CONDITION HAVE ANY TREATMENT?
This condition is amenable.
• It may improve without any intervention
• Some practices and other techniques may help it to improve eg
* Distraction: This is when a man distracts himself while having sex by thinking of non-sexual things to avoid achieving orgasm too fast. Example is when a man starts naming all the Chelsea footballers while having sex
* Stop and start method :This is when the man notices that he is about to ejaculate, stops every sexual activity for about 30 seconds, starts again, repeats same until he finally ejaculates.
*Squeeze method: This is another method where the man stops every sexual activity when he discovers that he is about to ejaculate and either him or his partner squeezes the end of his penis for about 30 seconds and then continues with his action, repeats the process until he finally ejaculates.
* Drugs: There are some medications that are known to delay ejaculation. Most are not licensed for this purpose though. Examples are Dapoxetine which is an SSRI that's often used as the first treatment for premature ejaculation. Some other SSRI anti-depressants like Paroxetine (Prozac) and Sertraline and then a TCA, Clomipramine (Anafranil) have been found to be useful
* Some medications used to treat erectile dysfunction, such as Sildenafil (Viagra), Tadalafil (Cialis) Orvardenafil (Levitra) have been found to also help premature ejaculation
Other drugs that could delay ejaculation include Tramadol which is an opiate analgesic.
* Cream: some people use some local anaesthetic cream to reduce stimulation. They apply the cream on the penis to reduce stimulation and delay ejaculation. This cream may however 'dull' the sex sensation for your partner and could also cause a skin reaction in either the man or his partner, with intense itching, redness and soreness. Examples are EMLA cream and also Lidocaine cream
* To some people wearing condoms also delay ejaculation. There are also special condoms known as long love condoms containing local anaesthetics that delay ejaculation.
* For those in UK there is an available device known as 'Boots pharmaceuticals delay device' which is a battery operated ring worn under the head of the penis which desensitises the penis thereby delaying ejaculation considerably.
* Very severe cases of PE may benefit from the injection of drugs known as vasodilators into the penis. This is referred to as intracavernous pharmacotherapy.
* You may need to see a sex therapist who would may advise you to masturbate an hour or two before intercourse so that you're able to delay ejaculation during sex. You may also be advised to avoid sex for a period of time and focus on other types of sexual play so that pressure is removed from your sexual encounters.
* You may also need to see a psychologist for some intervention like cognitive behavioural therapy (CBT) and counselling.
Dr Chin Akano