Premature Ejaculation

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Premature Ejaculation (PE) is a common form of sexual dysfunction, which can cause both personal and relationship distress. The most common definition of PE is when ejaculation occurs in less than a minute, and causes the man distress. This is a condition affecting approximately 1 in 3 men aged 18-59 years.

There may be several causes for PE. There may be a psychological component, including anxiety, guilt or depression. It may also be related to a hormonal problem, physical injury or certain medications.

Treatments for PE may include:

  • Behavioral therapies: These may be used to teach men techniques to delay ejaculation.
  • Psychotherapy: Working with a sex therapist to identify any causes for the PE may help to improve the issue. This may also help couples learn how they can work together to improve their sexual satisfaction as a team.
  • Medical therapy: No medications have been FDA approved in the USA to treat PE, but there are some medications that are used for this condition in an off-label manner. Some of these include creams or gels that may decrease the sensation to the penis and therefore delay ejaculation. There are also some anti-depressants that have been used to treat PE.