Premature ejaculation is the condition where a person cannot control their ejaculation either before or during sex. The generally-accepted definition is that if someone cannot delay their ejaculation for longer than 2 minutes, they have premature ejaculation. There are two kinds of premature ejaculation: primary premature ejaculation, where someone has always had the condition, and secondary premature ejaculation, where someone has recently developed the condition.
The treatment Priligy is used to help delay premature ejaculation, but there are also various self-help techniques that can be helpful. Many people with the condition have found it beneficial to wear a thick condom during sex to decrease stimulation, or masturbating an hour or so before sex, or with practice breathing deeply when you are close to orgasm to shut down the ejaculation reflex.
The NHS says that both ED and PE can be caused by psychological factors such as anxiety or PTSD, and there have also been some studies suggesting that there may be physical similarities between people with the conditions.
There are more differences than links between the two conditions, though, as you can see in this table:. The man struggles to get or keep an erection, which is likely to be lost before partners are satisfied.
Can be physical high blood pressure, hormone problems, medication side effects, high cholesterol or psychological anxiety, tiredness, stress. Can be psychological stress, depression, relationship issues, anxiety or physical thyroid problems, prostate problems, recreational drugs. Priligy , or can often be solved by behavioural techniques. Some treatments, such as Priligy and Sildenafil, and more, will need to be ordered through our Online Doctor section, as they require a prescription.
Premature ejaculation caused by lifestyle choices, such as drug and tobacco abuse, can be fixed by staying away from these addictive substances. You can also treat PE using prescription premature ejaculation treatment available at Express Pharmacy. Choose between EMLA, a topical anaesthetic used to numb the skin to reduce its sensitivity and alleviate premature ejaculation issues, and Priligy which is the only approved premature ejaculation treatment in the UK.
So, in this case, no erectile dysfunction cannot cause premature ejaculation. What most men do if they find it hard to maintain an erection is to focus on their sexual excitement. While effective, this high level of excitement can make you ejaculate sooner than you or your partner would like. Focus too much on your sexual excitement and you might ejaculate quickly. Reduce your focus and you might end up losing your erection.
And while you are caught in the middle of this dilemma, you suffer from performance anxiety which can make both ED and PE even worse. Reviewed by. Harman Bhamra. What is erectile dysfunction? How to treat erectile dysfunction Treating erectile dysfunction begins with taking good care of your cardiovascular health. 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. The diagnosis is determined by whether ejaculation occurs early, late, or not at all. Most often, your health care provider will diagnose PE after a physical exam and talking with you.
Some questions he or she may ask are:. Lab testing is only needed if your health care provider finds something during your physical exam.
Psychological therapy, behavioral therapy and drugs are the main treatments for PE. You can talk with your health care provider to decide the best choice for you.
More than one type of treatment may be used at the same time. Psychological therapy is a way to work through the feelings and emotions that may lead to problems with sexual relationships.
The goal of this type of therapy is to learn the source of problems and find solutions that may help PE. It can also help couples learn to grow closer. Psychological therapy can help you become less nervous about sexual performance. It can also give you greater sexual confidence and understanding to help your partner's satisfaction. This type of therapy can be used as the only treatment, or it may be used along with medical or behavioral therapy. Behavioral therapy uses exercises to help build tolerance to delay ejaculation.
The goal is to help you train your body away from PE. Some choices are the squeeze method and the stop-start method. Exercises work well, but they may not be a lasting answer. No drugs have been approved in the U. Still, there are a number of drugs, numbing creams and numbing sprays that may slow ejaculation in men with PE.
Doctors noticed that men and women on antidepressants have delayed orgasms. Drugs such as fluoxetine, paroxetine, sertraline, clomipramine and tramadol affect serotonin levels. Some doctors use these drugs "off-label" for a different reason than the drug's original use to treat PE.
If one drug does not work, your doctor may suggest you try a different drug. Drugs for PE can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level. The best time to take the drug is not clear.
Most doctors suggest from 2 to 6 hours before sex. PE can return if you stop taking these drugs. Most men with PE need to take these drugs on an ongoing basis. Numbing creams and sprays may be put on the head of the penis about 20 to 30 minutes before sex.
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