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Premature ejaculation problem

Author : Doctor Mahmoud Fawzy

Released at:May, 12 2023Views: 1130

Premature ejaculation problem
Content table

premature ejaculation is believed to be the most common sexual related concern or condition. Men are insecure about their sexual capabilities or the time it takes them to come to a climax due to unrealistic sources like pornography or magazines. These sources sometimes make men think they have a “problem” while they don’t.


What is premature ejaculation?

Premature ejaculation is coming to a climax before having had and/or given satisfactory sexual intercourse. Premature ejaculation is a common male problem that occurs every now and then. If it happens more than not before having had satisfactory intercourse there is a problem. Satisfactory intercourse is very variable and what is very satisfactory for one man can not be for another. This makes premature ejaculation a difficult condition to evaluate or discuss. 1-3 men suffer from premature ejaculation.


Premature ejaculation symptoms

1- Ejaculation occurs within 3 minutes at most, of the beginning of direct sexual intercourse.

2- It is not possible to control the delay of ejaculation even by preventing friction or stopping sexual intercourse.

3- The growing internal anxiety towards sexual intercourse reduces desire and can cause depression.


Diagnosis of premature ejaculation

Premature ejaculation diagnosis:

  •  Medical history intake which will give your doctor insight in the duration of the complaint, the severity and if its valid.
  • The doctor performs a physical examination of your penis and testes and if any abnormalities are found will consider a prostate exam.
  • A biothesiometry test is done. This test gives an impression on how sensitive the penis is to vibration.


Causes of premature ejaculation

The main cause of premature ejaculation is not yet known, but some doctors have found a relation between stress and premature ejaculation.

There are many co-factors for premature ejaculation;

1- Psychological causes

  • Previous sexual trauma
  • Fear of failure
  • Lack of self-confidence
  • Fatigue
  • Problems with sex partner
  • Inherent guilt during intercourse
  • Pathological anxiety
  • Depression.


2- Organic or biological causes

One of the reasons for premature ejaculation can be organic problems;

  • Hormonal imbalance.
  • Thyroid disorders.
  • Disorders in the prostate gland or urethra.
  • Disorders of the central nervous system.
  • Abuse of alcohol or drugs
  • Prostate and urethra infections.


When should a specialist be consulted for premature ejaculation treatment?

A specialist should be consulted when the problem of premature ejaculation is recurrent and negatively affects the quality of life and that of the sexual partner. The specialist will determine if your complaint is valid and make up a treatment plan according to the underlying reason or several reasons of premature ejaculation.


Premature ejaculation treatment

There are different methods to treat fast ejaculation and improve a man's sexual condition, but it may take time to reach the right treatment for each case.


Behavioral therapy

About 95% of men are treated through behavioral methods that help control premature ejaculation, such as masturbation an hour or more before sexual intercourse, after which the patient is estimated to delay ejaculation during intercourse.


1- Exercise

The goal of exercise is to strengthen the pelvic muscles to reduce premature ejaculation. Contract pelvic muscles for 3 seconds and then release for 3 seconds repeat this 10 times several times daily while walking!


2- Drug therapy

To reduce premature ejaculation your doctor can prescribe topical anesthetics to reduce penile sensitivity or prescribe selective serotonin reuptake inhibitors to slow down impulses in the neurological path that lead to sexual orgasm and ejaculation.


3- Psychotherapy

The goal here is primarily to treat symptoms of stress and anxiety so that factor is removed, and sexual performance improves. However the treatment various according to the diagnosis depression for instance might need medication.

Treatment Plans
ICSI Treatment Plan


  • Preparing before the process
  • Ovum pick-up
  • ICSI process
  • Preparing before the transferring process
  • Embryo transferring

This case is related to man infertility in which the lack of sperm or the small amount of it can cause infertility and pregnancy delays. This kind of issue is treated by testicular biopsy technique which is very effective. The Libyan citizen Abd El-Qader struggled with such an issue, but he and his 37 years old wife Nageih never gave up and decided after 5 years of no pregnancy to go for ICSI procedure at Bedaya hospital which was very successful.

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