Premature ejaculation: causes, diagnosis and treatment

Causes of premature ejaculation

Premature ejaculation may be caused by a combination of biological and psychological factors. The most common causes include:

• Psychological factors - stress, anxiety, depression, low self-esteem or negative sexual experiences can affect the ability to control ejaculation.
• Hormonal imbalance - low serotonin levels can shorten the time to ejaculation.
• Penile sensitivity - excessive sensitivity of the glans can cause rapid ejaculation.
• Bad habits from youth - for example rushed masturbation at a younger age can lead to an inability to delay ejaculation during intercourse.
• Genetic factors - some studies suggest that PE may be hereditary.

Diagnosis and treatment

Diagnosis of premature ejaculation involves a detailed conversation with the doctor, assessing the frequency and circumstances of ejaculation as well as the possible presence of other health problems. In some cases hormonal tests or neurological examinations may be carried out.

Treatment depends on the cause and severity of the problem. Options include:

1. Pharmacological treatment - selective serotonin reuptake inhibitors (SSRIs) such as dapoxetine, which can prolong the time to ejaculation.
2. Topical anaesthetics - creams and sprays containing lidocaine or prilocaine can reduce penile sensitivity and prolong intercourse.
3. Cognitive behavioural therapy (CBT) - psychotherapy focused on managing anxiety and stress related to sexual performance.
4. Ejaculation control exercises - techniques such as the "start-stop" or "squeeze" method can help delay ejaculation.

Prevention and improving quality of life

Prevention of premature ejaculation includes regular pelvic floor exercises, relaxation techniques for managing stress and lifestyle changes, including limiting alcohol and nicotine. Open communication with a partner is also important and can help reduce psychological pressure and increase self-confidence.

Seeking professional help early can help men with PE achieve a satisfying and balanced sex life. Modern medicine offers a wide range of options that allow this problem to be resolved effectively and significantly improve the quality of intimate life.