All about premature ejaculation - causes, treatments and natural remedies

Premature ejaculation is not a rare condition for men. In fact, it is relatively common, affecting about 30% of the male population. However, it is perfectly solvable in most cases.

The disorder can be classified as primary and secondary premature ejaculation, according to the time of onset and the situation in which it occurs.

• Primary premature ejaculation: it appears at the first sexual intercourse and extends throughout the man's life. However, premature ejaculation in a sexually inexperienced young man, who has not yet acquired full control of his body, does not necessarily constitute a problem. Therefore, premature ejaculation in adolescence during the first sexual intercourse can be considered normal.
• Secondary premature ejaculation: occurs after a period of active sexual activity and affects both young people and adults.

There is also the classification of severe or severe premature ejaculation, where the man ejaculates even before penetration or before 15 seconds of the beginning of penetration.

Men subject to premature ejaculation often notice a notable decrease in sexual desire just a few moments before the peak of arousal. In these circumstances, they claim to feel a kind of genital anesthesia. Therefore, ejaculation, in addition to being premature, can occur in the absence of orgasm.

What are the main causes of premature ejaculation?

There are two main types of triggering factors. On the one hand, there are physical or organic causes, and on the other, those of a psychological nature, which are sometimes much more complex than the previous ones. But in almost all situations, premature ejaculationEczema is caused by both causes, and treatment should be multidisciplinary.

• Physical-organic causes

Among the main physical causes, those of a urological nature stand out, such as vesiculitis, urethritis and prostatitis, which are inflammations of the genital region that contribute to premature ejaculation.

Other causes may involve increased hypersensitivity of the glans or even systemic and degenerative diseases, such as multiple sclerosis.

Drug and alcohol abuse are factors that may contribute to the onset of the disorder. The reason seems to involve a notable modulation of the sensory responses of the penis, of a neurovascular nature.

• Psychological causes

Who better than Freud would be able to analyze the male psyche during sexual intercourse? According to what emerges from Freudian thought, the psychological causes that trigger male premature ejaculation can be traced back to "sadistic, intense and unconscious impulses of the man towards the woman".

Translating Freudian theory, it means that the impulses that Freud speaks of represent feelings and emotions that go far beyond the male will. These are innate, "unconscious" impulses, where the man ejaculates prematurely as if to punish the woman, to deprive her of physical pleasure.

Regardless of Freud, premature ejaculation is often a reflection of the so-called "sexual performance anxiety", a very common phenomenon, especially among sexually immature young men.

Another important factor that strongly affects ejaculation is stress. In fact, stress is closely related to erectile dysfunction.

How is the diagnosis made?

The diagnosis is made based on the classification of premature ejaculation, as well as through urological and andrological examination. From there, it is possible to understand, for example, when the patient suffers from the condition due to an inflammatory cause in the genital region.

The primary disorder may be of genetic origin, in which case it will be up to the specialist to instruct the affected man to have greater control over his body, through appropriate techniques to contain ejaculation.

On the other hand, secondary premature ejaculation is more complex, as it requires a careful psychological analysis of the individual. In this case, a comprehensive approach is essential for successful treatment.

Among all the psychological triggers, depression, anxiety and stress are major factors in sexual performance.

What are the treatments for premature ejaculation?

After a specialized check-up, the patient will undergo appropriate treatment to overcome the diagnosis.

As you know, premature ejaculation involves a mix of causal elements, each of which must be treated accordingly. To this end, there are the following treatment approaches:

• Sexological rehabilitation therapy
• Pharmacological therapy
• Psychodynamic therapy
• Natural remedies

Sexological rehabilitation therapy

One of the best therapeutic approaches is represented by sexological rehabilitation, as it is useful for monitoring not only performance anxiety, but also body perceptions to control ejaculation.

To (re)acquire excellent control of one's own body, the therapy consists of manual practices (masturbation) associated with breathing training, with the aim of releasing tension and relaxing the muscles.

Targeted practices of self-massage, yoga and muscle training also help to control the timing of ejaculation.

Through rehabilitation therapy, the patient will be able to progressively "feel" his own body, begin to love it and listen to his own feelings. impulses, managing them. The mind should guide the body, never the other way around.

Pharmacological Therapy

The use of medications to delay premature ejaculation is a much-discussed subject. There are controversial theories, where some experts are against the administration of medications, while others are absolutely in favor.

According to some experts, in premature ejaculation, medications should be avoided not because they are not very effective, but because of theside effects involved, which far exceed the desired effects. On the other ideological side, there are doctors who are absolutely in favor of administering the drugs, regardless of the side effects.

It seems that premature ejaculation is due to functional deficits of neurotransmitters, among which serotonin stands out. Given these considerations, it is clear that a pharmaceutical drug capable of interacting with serotonin is capable of prolonging the duration of sexual intercourse.

Two useful substances in this regard are considered: fluoxetine and paroxetine. The therapy of choice should last for a period of up to six months, during which the doctor will modify the dosage, progressively decreasing it over that time.

Of course, the advantages of drug therapy are surprising and immediate, where it allows for better self-control, a strengthening of self-esteem and an optimization of the interpersonal relationship between the couple. On the other hand, the abuse of these drugs can cause considerable anxiety.

As an alternative to fluoxetine and paroxetine, there are vasoactive substances, reserved, however, only for patients with severe premature ejaculation, whose previously chosen therapy did not provide satisfactory results. Again, vasoactive substances, such as Viagra, can be a valuable aid, especially when premature ejaculation reflects erectile deficits.

Among the other possible solutions are local anesthetics. However, these pharmaceutical formulations are only useful in cases of hypersensitivity of the glans. The use of condoms is recommended for men who use local anesthetics, to avoid also anesthetizing the partner's genital region.

Psychodynamic therapy

Of all of them, psychodynamic therapy is perhaps the most complex because it aims to decode the patient's psyche, discover an emotional problem that is reflected externally in the physical and that prevents the man from fully living his sexuality.

Through an internal analysis and self-searching, the patient learns to recognize his mistakes and manage them. Awareness of the underlying problem helps to strengthen the man, both psychologically and physically. Of course, the partner plays a fundamental role, understanding male fragility.

Natural remedies

It is important to make it clear that natural remedies for premature ejaculation are useful in reversible and easily resolved situations.

Natural remedies include phytotherapy, homeopathy, floral therapy, Ayurveda and aromatherapy. The treatments listed are alternative medicine practices, but this does not mean that their effect is 100% effective for everyone.

Considering that premature ejaculation is often influenced by anxiety and stress, phytotherapy offers valerian (Valeriana officinalis), passionflower (Passiflora Incarnata) and linden (Tilia cordata), herbal remedies particularly indicated for their anxiolytic and relaxing properties.

Experts in flower therapy recommend Impatiens or Aspen to control ejaculatory urges and promote self-control. Homeopaths, on the other hand, suggest a treatment with Selenium 9CH, considered the most effective natural homeopathic remedy against premature ejaculation. When performance anxiety becomes a real obstacle to a couple's life, the administration of Gelsenium 9CH is recommended.

Natural treatments for premature ejaculation

We cannot forget that following a healthy and balanced diet brings benefits to overall health.

Patients who complain of premature ejaculation problems should prefer foods rich in omega 3 and omega 6, of which fish and nuts are a valuable source; also zinc, useful against stress, and foods rich in bioflavonoids such as grapes, oranges and lemons, which favor the control of ejaculatory impulses.

Practicing sports and physical activity is recommended to bring a better quality of life. Therefore, it also improves sexual life.

A final possible therapeutic option to delay premature ejaculation is circumcision in cases where there is hypersensitivity of the glans. Surgery decreases sensitivity and consequently, delays ejaculation.