Treatment for premature ejaculation

Premature ejaculation is a pathological condition in which a man cannot control the level of sexual arousal, causing ejaculation to occur before the start of intercourse or immediately after.

It is considered that the normal duration of sexual intercourse is about 8 minutes. If ejaculation occurs within the first 2 minutes or before engaging in intimacy, this is classified as premature ejaculation. According to statistics, around 60% of men face this issue from time to time or live with it their entire lives, yet only a few seek medical help.

The main causes of premature ejaculation include:

• Prolonged absence of sexual activity;

• Anxiety or emotional discomfort during intimacy;

• Psychological blockages or fears (for example, fear of infection or of not meeting expectations);

• Increased sensitivity of the glans penis;

• Spinal cord or head injuries;

• Infectious diseases;

• Inflammation in the genitourinary system;

• Endocrine disorders;

• Malignant tumors;

• Bad habits;

• Constant stress.

There are two types of premature ejaculation:

• Primary – a congenital condition that manifests from the first sexual experience. It may be caused by dysfunction of the nerve centers responsible for ejaculation control, as well as abnormalities in the development of sexual organs or birth injuries.

• Secondary – occurs due to or after trauma to the groin area, infectious and inflammatory diseases of the genitourinary system, or the use of certain medications. If a man already has sexual experience and a developed normal ejaculatory reflex, it can be restored after therapy.

Although the problem may seem obvious when a patient consults a urologist, a precise diagnosis requires examination. During the consultation, the doctor will ask about symptoms, lifestyle factors, and the presence of chronic illnesses, and if necessary, will perform a physical exam and recommend diagnostic procedures.

To make a diagnosis, the following tests may be conducted:

• Laboratory analyses;

• Biotensiometry;

• Vasoactive test;

• Doppler ultrasound;

• Ultrasound of the prostate gland.

These examinations help determine the cause of premature ejaculation and select the appropriate treatment method.

The treatment method depends primarily on the causes of premature ejaculation. In some cases, these lie in psychological factors and require working with a therapist. In others, anatomical features are the cause, which can only be corrected surgically. An examination is necessary to establish an accurate diagnosis.

Treatment of premature ejaculation includes:

• Thorough assessment of physical health and psychological state;

• Identification of the underlying cause;

• Development of a personalized treatment plan;

• Psychotherapy and training in techniques to control sexual arousal;

• Lifestyle modification (nutrition, physical activity, etc.);

• Medication if inflammation, infections, or endocrine disorders are detected;

• Surgical procedures if necessary.

In most cases, the issue can be resolved with medication and/or psychotherapy and training in ejaculation control techniques.

Surgical treatment is used only when there are congenital anatomical features. For example, a short frenulum or increased sensitivity of the glans penis. In the first case, plastic correction is performed; in the second – denervation (nerve severing), which reduces sensitivity. These procedures are carried out using minimally invasive methods, which minimize trauma to healthy tissues and ensure a short recovery period.

To prevent premature ejaculation, it is recommended to:

• Maintain a healthy lifestyle;

• Avoid alcohol and smoking;

• Treat all diseases in a timely manner;

• Eat a balanced diet;

• Exercise regularly;

• Manage stress levels;

• Maintain a regular sex life;

• Visit a urologist annually for check-ups.

“Oxford Medical” is a multidisciplinary medical center equipped with diagnostic and treatment technology from leading manufacturers. Thanks to this and the expertise of highly qualified doctors, our patients receive medical care that meets the highest quality standards.

Benefits of visiting “Oxford Medical”:

• Diagnostics and treatment in a highly comfortable environment;

• The possibility of complete anonymity;

• Guaranteed high quality of all medical services;

• An opportunity not only to resolve a troubling issue but also to improve overall health.

To book a consultation with a urologist, call the clinic’s contact center or write in the chat on our website.