Premature ejaculation (PE) is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem.
PE is one of the most common forms of male sexual dysfunction. Between 30% and 70% of men have PE. While it is more common in younger men, it can happen at any age.
Diagnosis of Premature Ejaculation
Having an orgasm too soon is not always cause for concern. However, clinical diagnosis is made when a man exhibits the following symptoms:
- Ejaculation occurs too quickly, often in the first few minutes of intercourse, or in other sexual situations, even during masturbation.
- Inability to delay ejaculation most of the time.
- Feelings of anxiety, or avoidance of sexual intimacy as a result.
Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition.
Causes of Premature Ejaculation
Premature ejaculation involves a complex interaction of psychological and biological factors.
Psychological factors that might play a role include:
- Early sexual experiences
- Sexual abuse
- Poor body image
- Worrying about premature ejaculation
- Guilty feelings that increase your tendency to rush through sexual encounters
- Relationship problems between you and your current partner
- Anxiety related to sexual performance or other issues.
Biological Causes of PE
A number of biological factors might contribute to premature ejaculation, including:
- Frenulem Breve – a tight band of tissue connecting the glans (head of the penis) to the shaft of the penis on its underside. When the frenulum is tight or short this is called a frenulum breve.
- Abnormal hormone levels
- Abnormal levels of brain chemicals called neurotransmitters
- Inflammation and infection of the prostate or urethra
- Inherited traits
- Erectile dysfunction
Consequences of PE
Premature ejaculation can cause problems in your personal life, including:
- Stress and relationship problems – A common complication of premature ejaculation is relationship stress.
- Fertility problems – Premature ejaculation can occasionally make fertilization difficult for couples who are trying to have a baby if ejaculation doesn’t occur intravaginally.
Vancouver Treatment Options for Premature Ejaculation
While you should speak with your family doctor about all the possible treatments for premature ejaculation, we offer two specific treatments through Pollock Clinics. A surgical option – penile frenulectomy – and a psychological treatment through our Certified Sex Therapist.
Penile Frenulectomy for PE
Premature ejaculation is one of the most common male sexual dysfunctions reported. Some studies report that a short frenulum is found in up to 43% of individuals affected by premature ejaculation. It is thought that the frenulum plays an important role in penile erection and when frenulum tension exceeds a certain limit, orgasm and ejaculation may be accelerated. When the frenulum is lengthened, penile tension and sensitivity may be decreased.
Penile frenulectomy and frenuloplasty are procedures that can alleviate the pain associated with a tight band of tissue connecting the glans (head of the penis) to the shaft of the penis on its underside. When the frenulum is tight or short this is called a frenulum breve.
A tight frenulum can exist in both circumcised and uncircumcised men and can create a restriction that is susceptible to micro-trauma, causing bleeding, painful erections, and in some cases, the common sexual dysfunction of premature ejaculation.
The procedure involves the removal of the restricting tissue for increased range of motion in the penile skin and enhanced sexual enjoyment.
At Pollock Clinics in Vancouver, the procedure (done in under 20 minutes) is performed using a long-acting local anesthetic and has a brief recovery period.
Penile frenulectomy has been shown to be effective in some but not in all cases of premature ejaculation.
For more information on this procedure, please click here.
Sex Therapy for PE
Sex therapy can help a man or couple overcome a variety of sexual difficulties and challenges.
Sex therapy is often helpful in the treatment of erectile dysfunction and premature ejaculation, even when physical factors are the principal cause.
Sexual difficulties, no matter what the cause, can strain your relationship. Frequently, a man with erectile problems experiences performance anxiety, which makes him reluctant to initiate sexual contact. His partner may perceive this as rejection, which could trigger feelings of frustration and resentment.
Sex therapy, with our experienced, certified sex therapist, can help a couple overcome these feelings and re-establish intimacy.
For more information on therapy with Tom Foster, our certified sex therapist, please click here.