Premature Ejaculation Treatment

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

According to International Society for Sexual Medicine (ISSM), the average time to ejaculation during sexual intercourse is about 5–6 minutes. If it consistently occurs within approximately 1 minute or significantly earlier than the man or couple expect, this may indicate premature ejaculation. According to the results of various studies, about 30% of men face this problem, but only some of them seek medical help.

At the “Oxford Medical” medical center, you can receive a consultation with an experienced urologist who will help determine the cause of the disorder and select individual treatment to improve control over ejaculation. Depending on the cause, medication therapy, topical agents, behavioral methods, and surgical treatment of premature ejaculation may be used. To make an appointment for a consultation, use the online appointment form on the website or contact the contact center administrators.

There are two types of premature ejaculation:

1. Primary — is a congenital condition and manifests from the beginning of sexual life. It is associated with the characteristics of the nervous system that controls the ejaculation process.
2. Secondary (acquired) — occurs after a period of normal sexual function. If a man has already developed normal control over ejaculation, then after eliminating the cause and undergoing treatment, it can often be restored.

Determining the type of disorder is an important stage of diagnosis, since the choice of treatment tactics and the prognosis of its effectiveness depend on it.

The main causes of rapid ejaculation:

• a prolonged break in sexual activity;
• anxiety or emotional discomfort during intimacy;
• psychological blocks or fears (for example, fear of failure or of not meeting the partner's expectations);
• increased sensitivity of the glans penis;
• short frenulum of the penis;
• injuries to the brain or spinal cord;
• infectious and inflammatory diseases of the genitourinary system;
• endocrine disorders;
• constant stress and harmful habits.

According to International Society for Sexual Medicine (ISSM), rapid ejaculation can have both psychological and physiological causes. That is why during the examination it is important not only to confirm the presence of the disorder, but also to determine the factors that caused it.

Doctors at “Oxford Medical” emphasize that the effectiveness of treatment largely depends on correctly determining the cause of the disorder. Eliminating the underlying disease or provoking factor often makes it possible to significantly improve control over ejaculation.

Diagnosis begins with a consultation, during which the urologist asks in detail about the symptoms, the time when the problem appeared, the characteristics of sexual life, previous diseases, and the use of medications. After this, the doctor performs an examination and, if necessary, prescribes additional tests.

Depending on the clinical situation, the following may be recommended:

• laboratory tests to assess the level of sex hormones, thyroid function, or detect inflammatory processes;
• ultrasound of the prostate gland;
• other examinations — as indicated.

A comprehensive examination helps determine the cause of the disorder, rule out concomitant diseases, and select the most effective treatment method.

The treatment method depends mainly on the causes that provoke early ejaculation. In some cases, they are associated with psychological factors and require work with a psychologist or psychotherapist. In others, the cause may be anatomical features, for the correction of which surgical treatment may be recommended.

Modern methods of treating premature ejaculation:

• psychotherapy and training in techniques for controlling ejaculation;
• treatment of the underlying disease, if it was the cause of the disorder;
• medications and topical agents to improve control over ejaculation;
• surgical treatment.

In most cases, rapid ejaculation can be treated without surgery — with the help of medication therapy, psychotherapy, and training in techniques for controlling ejaculation.

Surgical treatment is used when the cause of the disorder is anatomical features. This may be, for example, a short frenulum or increased sensitivity of the glans penis. In the first case, frenuloplasty is performed, and in the second — denervation of the glans, which makes it possible to reduce its sensitivity. The operations are performed using minimally invasive methods, which ensures minimal tissue trauma and a short rehabilitation period.

For the prevention of early ejaculation, it is recommended to:

• maintain a healthy lifestyle;
• quit smoking and limit alcohol consumption;
• treat urological, endocrine, and other diseases in a timely manner;
• eat a balanced diet;
• maintain regular physical activity;
• control stress levels;
• have a regular sex life;
• undergo a preventive examination by a urologist every year.

Doctors at “Oxford Medical” recommend consulting a urologist if episodes of premature ejaculation recur regularly or begin to negatively affect intimate life. Rapid ejaculation in men is often a consequence of diseases or other disorders that require treatment, so timely diagnosis helps resolve the problem more quickly.

Premature ejaculation treatment in Kyiv at the “Oxford Medical” medical center is carried out according to an individually selected plan. The final cost depends on the cause of the disorder, the required scope of examination, and the selected treatment method. You can find out the cost of a urologist consultation here.

During the appointment, the doctor will perform an examination and, if necessary, prescribe additional diagnostics. After determining the cause of the disorder, the doctor will explain which treatment methods will be most effective specifically in your case and will provide guidance regarding the duration of therapy and its approximate cost.

To make an appointment for a urologist consultation, use the online appointment form on the website or contact the contact center administrators. At the “Oxford Medical” medical center, you can receive a full range of medical services — from consultation and diagnostics to treatment and further follow-up.

The information is for informational purposes and does not replace a doctor's consultation.

Sources:

• International Society for Sexual Medicine
• American Urological Association
• European Association of Urology