Description
Premature ejaculation is unintentional ejaculation early in the act of intercourse. It is estimated that as many as one in five men have trouble with premature ejaculation at some point in their lives. Most cases of premature ejaculation are related to psychological factors such as depression or anxiety. Physical causes include an inflammation of the prostate and spinal cord problems.
Symptoms
Symptoms include ejaculation early in the act of intercourse with little control. Other symptoms include decreased sexual pleasure and feelings of guilt and embarrassment.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical will be performed. The diagnosis can usually be made based on the symptoms. A prostate exam and urine test may be performed to exclude an infection. Neurologic testing may be performed to exclude a problem in the spinal cord.
Specialists:
Internal Medicine, Urology, Family Practice
Workup:
A history and physical will be performed. The diagnosis can usually be made based on the symptoms. A prostate exam and urine test may be performed to exclude an infection. Neurologic testing may be performed to exclude a problem in the spinal cord.
Specialists:
Internal Medicine, Urology, Family Practice
Treatment
Multiple treatments are available for premature ejaculation. Behavioral therapy is one treatment option. A common technique used is called the "squeeze technique." This technique involves the man or his partner squeezing the shaft of the penis when the man feels like he is close to orgasm. Another option is the use of medications such as selective serotonin reuptake inhibitors (SSRIs) to delay ejaculation and drugs called phosphodiesterase inhibitors (Viagra, Levitra, Cialis). Another option is to use techniques to decrease sensation such as creams and condoms.