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Ejaculation which is not under control and occurs either before or shortly after penetration is called Premature Ejaculation or PE.
In Premature Ejaculation, Ejaculation occurs involuntarily before the person wishes it.
Premature Ejaculation is one of the most common forms of sexual dysfunction.
Causes of Premature Ejaculation:
In most cases there is no obvious cause.
Increasing age is one of the commonest factors.
Anxiety, Stress, Depression are common psychological problems which cause PE.
Medical Causes like Hormonal imbalance, trauma or adverse side effect of various medications.
Excessive tobacco, alcohol, illicit drug usage can cause Premature Ejaculation.
Diagnosis of Premature Ejaculation:
Diagnosis is mainly by history and clinical evaluation.
Tests to rule out systemic disorders like Hypertension, Diabetes, Hormonal disturbances may be done.
Treatment of Premature Ejaculation:
In most cases as there is no cause, it gets better on its own with simple reassurance, counselling and behavioral therapy.
Relaxation therapy is recommended.
Antidepressant medicines such as Clomipramine and Paroxetine have side effect of delayed orgasm. This can be used to treat PE at times but only for limited time period.
Sensation altering medicines such as Lignocaine impregnated gels, sprays or condoms can be used.
Tramadol is a medicine which is also prescribed for increasing the ejaculation time.
The problem with medical treatment used for PE is that all the drugs have their own side effects therefore therapy is usually for a short duration and under direct supervision of Andrologist.
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