What Is Premature Ejaculation?
Ejaculation that occurs sooner than the man or his partner would like — typically within 1–2 minutes of penetration. It is one of the most common male sexual complaints worldwide. It is treatable.
Types
- Lifelong PE: Has always been the pattern since first sexual experience
- Acquired PE: Developed after a period of normal sexual function — often stress, anxiety, or relationship-related
- Situational PE: Only in some situations (e.g., with a new partner or after a period of abstinence)
Causes
- Psychological: Anxiety about performance, guilt about sex, relationship issues
- Biological: Higher penile sensitivity, serotonin dysregulation
- In some cases: Prostate inflammation (prostatitis)
Treatments — All Effective
Behavioural Techniques
Stop-start method: stimulate until near climax, stop, wait, resume. Squeeze technique: same but squeeze glans at the stop point. Builds control over time.
Topical Anaesthetics
Sprays or creams containing lidocaine or benzocaine reduce penile sensitivity. Applied before intimacy. Available at Pakistani pharmacies.
Medication
Dapoxetine (Priligy) is specifically approved for PE — taken before intimacy. SSRIs used off-label. Requires prescription — see a urologist or GP.
Pelvic Floor Exercise
Strengthening pelvic muscles through Kegel exercises improves ejaculatory control. 3 months of consistent practice shows significant results.
Most men with PE never see a doctor. Most who do see a doctor find significant improvement within months. Suffering silently is not necessary.
Telling Your Wife
A common fear: if I tell her, she'll think less of me. In reality: most wives prefer an honest conversation over years of unspoken frustration. You might say: "I know this has been frustrating. I'm working on it and I want us to figure this out together."
Where to Get Help in Pakistan
- Urologist — in any major city teaching hospital
- General physician — for initial assessment and referral
- Psychologist — for psychological causes
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