Premature Ejaculation

In Andrología Mallorca, we have a multidisciplinary team of urologists and psycho-sexologists specialized in the treatment of premature ejaculation.

What is premature ejaculation?

Premature ejaculation is a condition in which ejaculation occurs faster than desired, often with a sense of lack of control over the act. This problem manifests when the person moves from excitement to orgasm too quickly, barely experiencing the plateau phase, which is the high-excitation phase before orgasm. This can cause significant distress, affect self-esteem and the individual’s perception of sexual competence, and lead to avoiding or experiencing unsatisfying sexual relationships.

The process of ejaculation is a reflex with a “point of no return,” after which ejaculation can no longer be controlled. However, before reaching this point, some control over the process is possible. Recognizing this point and understanding the stages of the sexual process are key to effectively controlling ejaculation and improving the prognosis of premature ejaculation.

At Andrología Mallorca, we have a team of professionals dedicated to helping you understand your case, provide advice, and find the best treatment tailored to your needs. Don’t hesitate to seek help if needed!

Is premature ejaculation common in men?

Premature ejaculation (PE) is a common issue that can affect 20-25% of adult men, making it one of the main reasons for medical consultations in urology and sexology. This problem does not only affect younger men; it can occur at any age.

Premature ejaculation can lead to stress, anxiety, and low self-esteem, which often impacts relationships. However, it is a treatable condition. There are several treatment options available, ranging from psychological therapy to medications.

In summary, premature ejaculation is a common issue that can affect men at any point in their lives. Seeking treatment is crucial to improve emotional and sexual health.

What are the main causes of premature ejaculation?

Premature ejaculation can be caused by a variety of physical and psychological factors. Here are the most common causes:

Organic or physical causes

These physical causes account for between 15% and 20% of premature ejaculation cases. Some of the most common ones include:

  • Neurological issues: Difficulty identifying the signals of high excitement and sensations preceding ejaculation.
  • Overactive nervous system: High excitability of the sympathetic system can reduce the time until ejaculation.
  • Chemical imbalances: Changes in serotonin and oxytocin levels that affect ejaculation control.
  • Medical conditions: Conditions such as prostatitis, urethritis, epilepsy, and brain tumors.
Incontinencia urinaria

Psychological causes of premature ejaculation

These psychological factors are more common and affect 80% of the cases, with anxiety being the primary trigger. They are divided into:

Precipitating factors

  • Problematic early sexual or masturbatory experiences.
  • Traumatic experiences, such as abuse.
  • Inadequate sexual education.

Predisposing factors

  • Dissatisfying early sexual experiences.
  • High expectations about sexual performance.
  • Anxious and insecure personality.

Maintaining factors

  • Anticipatory anxiety and excessive self-observation.
  • Relationship problems.
  • Lack of time for foreplay and other sexual practices.

Solutions for premature ejaculation

Medications or pills for premature ejaculation

There are several medication options for premature ejaculation that may be prescribed by a urologist, depending on the individual’s evaluation and medical history. Some of the most commonly used medications include:

  • Antidepressants
  • Tramadol
  • Topical Anesthetics
  • Phosphodiesterase Type 5 Inhibitors (PDE5 inhibitors)

Psychological or Psycho-sexual therapy for premature ejaculation

In approximately 90% of men, premature ejaculation is related to psychological or emotional factors. Since most cases have a psychological origin, sex therapy offers a variety of tools to address this issue. Some effective approaches include:

  • Pelvic Floor Strengthening
  • Self-Stimulation Training
  • Breathing Exercises
  • Couple Therapy

Experts in Premature Ejaculation in Mallorca

Trust us to find a solution to your premature ejaculation problem, whether it is of physical, psychological, or mixed causes.

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