Premature ejaculation describes the condition where a man ejaculates (or comes) too soon. Sometimes this happens even before any direct stimulation of the penis occurs. Just thinking about a sexually stimulating situation can trigger ejaculation. However it is more common for ejaculation to occur either during or very soon after penetration. Premature ejaculation is one of the most common sexual problems affecting men. Most men will experience premature ejaculation at some time. It can become a problem when this situation is repeated in most sexual situations. Studies have shown that it is highly prevalent across all socio-economic groups and more than 40% of men are affected.
Ejaculation often mostly occurs within 1 minute of penetration. Some men last much longer and some come much more quickly. The important point to remember is that if ejaculation occurs sooner than the man and/or his partner wishes and this is causing distress in the sexual relationship, then it can be regarded as ‘premature’ or ‘rapid’. Premature ejaculation can occur at any age and under any situation, but it is more commonly a problem for the younger man. The occurrence of premature ejaculation is more related to the novelty of the sexual experience (new partner or different situation) than to the man’s age.
What Happens at Hattat Clinic?
We aim to find out the exact cause of the problem (psychical or psychological ) with concultancy of a team of andrologists, sexual physicians and psychologists. There are several different tests your doctor may use to diagnose the condition and determine its cause. Only after the cause of your condition is determined can it be effectively treated. If you have any questions, do not hesitate to ask your doctor.
There are some conditions that may interfere with the ejaculatory process, such as changes in the prostate gland, arteriosclerosis, diabetes and neurological disorders, but most cases are caused by failure to control the ejaculatory response. Early pioneers of sexuality studies believed early sexual experiences were important in the shaping of future ejaculatory habits. They thought that because of initial nervousness and haste, unsatisfactory early sexual experiences would ‘programme’ a pattern of learned rapid ejaculation later on (a form of negative conditioning). Inappropriate venues and circumstances e.g., backseats of cars, fear of discovery and one-night stands may contribute to establishing a pattern of rapid ejaculation.
Psychosocial events that may contribute to premature ejaculation include:
- Partner’s illness
- Occupational stress/financial stress/shift work
- Family problems/elderly relatives/bereavement/children
- Guilt/Sexual orientation
- Lack of experience/opportunity
- Poor housing/overcrowding
- Performance anxiety/fear of failure/expectations
- Lack of sexual/interpersonal skills
A common reason for premature ejaculation is relationship disorders. Some of the components of relationship distress are: sexually demanding partners, unrealistic expectations, discrepant needs and desires in a relationship, dissatisfaction, lack of communication and trust, and affairs, partners who also have a sexual dysfunction, and an excessive desire to please a partner. Derogatory remarks made at the time tend to make matters worse and can lead to a cycle of failure and anxiety.
Hattat Clinic Premature Ejaculation Treatment Protocols
Our key aim of therapies for PE is to improve control over ejaculation. Improvement in control over ejaculation may be associated with improved sexual satisfaction for the man and his partner and/or a reduction in feelings of personal distress or interpersonal difficulty due to timing of ejaculation. Many men can be helped to delay ejaculation, using self-help methods, but some may require the help of an expert practitioner. Always discuss the problem with your partner first, to find out what their needs and wishes may be. Currently available treatments for PE include computer-assisted muscle therapy, behavioural therapy, topical treatments and some drugs.
In essence, biofeedback gives you the ability to practice new ways to control your body, to improve premature ejaculation and sexual performance.Other common current treatment for PE is the use of behavioural techniques, which are practical exercises designed to teach the patient to control ejaculation based on the idea that responses to sexual excitement and the ejaculatory reflex can be modified. A number of potential new treatments, both oral and topical, are currently under investigation and may offer new options for men. As Hattat Clinic we are part of the international studies as consultants to develop and follow new treatment protocols.
Prof. Dr. Halim Hattat
