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Premature Ejaculation - Symptom, Types, Causes and Treatment

Premature Ejaculation in Urdu

سرعت انزال مردوں کے جنسی مسائل میں سرفہرست ہے۔ یہ صورتحال نہ صرف ذہنی دبائو اور ازدواجی مسائل پیدا کرتی ہے بلکہ اکثر بانجھ پن اور بے اولادی کی وجہ بھی بنتی ہے۔ ایسے میں جنسی صحت کے مارین سے رابطہ اور مشورہ کرنا ازحد اہم ہے۔ اس سے نہ صرف آپ اپنی صحت بہتر کر سکتے ہیں بلکہ اس بیماری کے باعث ہونے والی دیگر وجوہات کا بھی سدباب کرنے میں مدد حاصل کر سکتے ہیں۔ 

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Summary about Premature Ejaculation in English

Marham, Pakistan's leading healthcare platform provides the best premature ejaculation doctor in Pakistan for PE treatment. You can book an appointment for premature ejaculation treatment in Pakistan or also call to know the best doctor for premature ejaculation.

What is Premature Ejaculation?

Ejaculation is the release of semen from the body in men. Premature ejaculation (PE) refers to a disease in men leading to the release of semen earlier than required during intercourse. It is also known as rapid ejaculation or early ejaculation. This is among the most common reproductive diseases in men resulting in infertility, frustration, and psychological or behavioral distress. Premature Ejaculation Treatment in Pakistan is provided by sexologist doctors.

Diagnosis of Early Ejaculation disease

Early diagnosis of premature ejaculation is based on the complaints of the patient. The premature ejaculation doctor in Pakistan performs a physical exam and takes a family history to identify the genetic link to the disease.

A blood test is often ordered to evaluate the hormonal imbalance leading to premature ejaculation.

The healthcare provider may refer to a psychologist for evaluation of mental health disorders contributing to the disease which include stress over ejaculation, feeling guilty during intercourse, feeling depression, etc.

Complications associated with Early Ejaculation

Continuous premature ejaculation may result in certain complications affecting men. They include;

  • Stress: Inability to ejaculate when required, may lead to constant stress and emotional disturbances.

  • Relationship problems: Men suffering from premature ejaculation may find themselves guilty and face relationship issues.

  • Infertility: Early ejaculation than required during intercourse may lead to infertility in men.

The DSM 5, a diagnostic manual used as a guide for the diagnosis of psychological disorders describes premature ejaculation (PE) as a sexual disorder in which the person’s ejaculation requires very little sexual stimulation or occurs right after penetration, without the desire of the person to ejaculate at that time. This condition also causes distress in the individual.

It is a type of sexual dysfunction that possesses great potential to damagingly affect the person’s sexual life and its quality. While reproduction is also hindered by this sexual dysfunction, one of the main problems that ensue is the sexual dissatisfaction experienced by both sexual partners.

Which doctor to consult for Premature Ejaculation?

A sexologist provides premature ejaculation treatment in Pakistan.

Marham provides a platform for online or in-person consultation with the best sexologist for the treatment of Premature Ejaculation in Pakistan. 

What is the consultation fee range of the best Sexologist for Premature Ejaculation in Lahore?

The fee for a consultation with the best sexologist for Premature Ejaculation in Lahore ranges between 500-3000 (PKR).

Symptoms of Premature Ejaculation

There are no specific symptoms of premature ejaculation except that men with early ejaculation are unable to delay ejaculation for more than 3-4 minutes. Unable to ejaculate or delay ejaculation (erectile dysfunction) is also an indication.

The medical symptoms, of premature ejaculation, particularly its more persistent type, include the following:

  • The ejaculation happens before the act of sexual penetration or within a minute of it, every time, or nearly every time.
  • It is hard for the individual to delay their ejaculation just about every time sexual penetration happens.
  • The individual consequently avoids sexual intimacy because of feelings of distress and frustration.

After the medical symptoms come to the psychological symptoms. Either or both partners can experience these. They include:

  • a decline in relationship confidence
  • problems in communicating with each other.
  • psychological distress
  • anxiety
  • shame
  • depression

Causes of Premature Ejaculation

Early ejaculation occurs in men due to both psychological and biological causes. They include;

  • Depression

  • Sexual abuse

  • Feeling guilty during intercourse

  • Continuous stress over patterns of ejaculation

  • Hormonal irregularities (especially serotonin)

  • Infection in urethra

  • Genetic causes

  • Erectile Dysfunction

Risk Factors of Premature Ejaculation

The risk of getting premature ejaculation is increased in certain conditions. They include;

  • Erectile Dysfunction: Men who find it difficult to ejaculate or maintain ejaculation often result in premature ejaculation.

  • Stress or emotional disturbances

Preventive Measures of Premature Ejaculation

Certain measures can be taken to prevent premature ejaculation. These measures include stimulating the genitals to receive climax about one or two hours before intercourse and using a condom that is very thick so that the sensation could be minimized. One could also try to breathe deeply to hinder the ejaculatory reflex. Further measures include having intercourse with the partner in a position in which they could pull away whenever the male is about to ejaculate and taking breaks in between intercourse and the male repeatedly distracting himself in order to delay ejaculation. Couple therapy can also help, especially if they are in a long-term relationship.

The treatment approach for premature ejaculation includes;

  • Psychological therapy: Mental health conditions such as depression, stress, and other emotional disturbances may lead to premature ejaculation. These causes are diminished by psychological counseling and stress management techniques

  • Behavioral therapy: Certain behavioral therapies are recommended by sexologists to improve ejaculation. Pelvic floor exercise might help in treating and managing premature ejaculation

  • Medication: Certain medicines can be prescribed to treat premature ejaculation which includes Drugs for numbing effect (gels, creams, sprays), Antidepressants (oral). Certain pain-relievers may also be used as their side effects include delaying ejaculation.

Types of Premature Ejaculation

There are various types of premature ejaculation:

  • Lifelong Premature Ejaculation: Such premature ejaculation disease is present in men since their first sexual encounter.
  • Acquired Premature Ejaculation: Men with this type of disease develop premature ejaculation during their life while they had normal ejaculation during their previous encounters.
  • Subjective Premature Ejaculation: This type is characterized by distortions in the male’s thoughts or insistence that they are ejaculating prematurely. Even when a clinician informs them that their sexual performance is fairly normal, they do not let go of this insistence that they have that problem. So it could be said that subjective premature ejaculation is the type of PE in which the male constantly imagines that he has a problem with ejaculating prematurely even when there is no issue.
  • Variable Premature Ejaculation: As the name implies, this type occurs normally in males who are irregular in their ejaculation; while they might experience normal sexual performance most of the time, there are instances in which they ejaculate prematurely. This might occur with just one sexual partner or with some particular partners and might also be restricted to certain scenarios or conditions.