Erectile Problem

Premature ejaculation is common in young men, but the problem solves itself with time.

Causes of premature ejaculation
Is it a physical problem? It used to be thought that premature ejaculation was the result of a physical problem, such as irritation or inflammation of the urethra (the tube in the penis for urine and semen) or prostate gland, and there were nasty treatments such as squirting silver nitrate into the opening. There is no evidence that premature ejaculation is caused by such conditions. In almost every case, the man is physically normal; very rarely, it can be the result of a neurological condition such as multiple sclerosis. .

Is it in the genes? Most men with premature ejaculation have a close relative (father, brother or son) with the same problem, which suggests that genes may be involved in some men. Scientists think that a brain chemical, serotonin, helps to control the speed of ejaculation. A particular gene (known as 5-HTTLPR) appears to be responsible for the amount and activity of serotonin. There are three types of the gene, and men with one of the types tend to ejaculate more quickly than men who have the other types.

Is the penis hypersensitive? There is no evidence that it happens because the penis is hypersensitive. Researchers tested the sensitivity of the skin of the penis in men who considered themselves premature ejaculators and men who were not, and found no difference. It also seems to be a myth that circumcision makes a difference; the American sex researchers Masters and Johnson tested the sensitivity of the glans (head) of the penis in circumcised and non-circumcised men and found them to be the same.

Is it hyperarousal? Premature ejaculation is more likely when the level of sexual excitement and arousal is high. This why it is more likely with a new partner, and why it is common in young men during their first sexual relationships.

Is it just a habit? In some men, the time of ejaculation is simply a habit, starting early when a youth learns to masturbate or have sex as quickly as possible for fear of being caught. It is certainly more common in younger men. Like all habits, it can be unlearnt. .

Is it related to erectile dysfunction (‘impotence’)? If you have erectile dysfunction, premature ejaculation may occur.

How to deal with premature ejaculation
It is very important to discuss the problem with your partner. Otherwise, your partner may wonder what is happening, or think it is their fault. The techniques for ‘unlearning’ premature ejaculation need your partner’s help – another reason for talking about it.

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