Rapid ejaculation is one of the most “favorite” sexual disorders in the practice of sexologists. Despite the fact that it is common and causes a lot of trouble, in most cases you can count on a favorable therapeutic prognosis.

A patient with rapid ejaculation achieves ejaculation so quickly that “making love” is frustrating for both partners. Normally, a man is able to delay orgasm or “release” it at will, by the way, unlike an erection. A patient with premature ejaculation cannot do this.

Experts believe that ejaculation can be:

• early – before the onset of sexual intercourse
• premature, or accelerated – if a man cannot prolong sexual intercourse for more than one minute
• delayed, or difficult – intercourse is protracted, debilitating and may not end with ejaculation at all

With early ejaculation (even before the introduction of the penis into the vagina), sexual intercourse is impossible, since after ejaculation the erection quickly weakens. In the case of absolute premature ejaculation, ejaculation occurs in the first minute of sexual intercourse (usually after 10–20 frictions, and sometimes even faster), which, as a rule, makes it impossible to satisfy the sexual partner.

Relative premature ejaculation is when intercourse lasts more than one minute, but this time is not enough to satisfy the woman.

With age, the need for ejaculation gradually decreases, the acts themselves last longer than before. Sometimes the so-called asthenic ejaculation is observed, when the seminal fluid is not ejected, but flows freely.

Why is this happening? What are the reasons for the rapid “ejaculation” in men?

The reasons for quick ejaculation include:

1. low frequency of intercourse, which leads to an excessive increase in sexual arousal
2. a feeling of anxiety and fear during intercourse, which is associated with external factors or anxiety due to the possible dissatisfaction of the woman
3. organic diseases of the central or peripheral nervous system
4. neurotic reactions and neuroses
5. inflammatory diseases of the prostate gland, the posterior part of the urethra and their consequences
6. the habit of rapid onset of ejaculation, which occurs in young men under unfavorable conditions for intercourse or during regular intercourse with a woman who does not enjoy sex and wants to stop intercourse faster

What kind of examination do you need to undergo to understand the causes of the disorder?

The examination is prescribed by a sexologist. The doctor relies on clinical data, identifies physiological, psychological or social factors that can influence the development of the disease. This is a somatoneurological, psychopathological, pathopsychological, as well as sexological examination itself, when the doctor studies the parameters of the patient’s sexual development, sexual constitution and characteristics of his sexual relations.

Often, an additional urological examination is required, which includes modern objective techniques to clarify the diagnosis.

Why is psychotherapy included in the treatment of premature ejaculation?

The basic principles of therapeutic tactics are complexity, due to a variety of pathogenic factors, stages to consolidate positive dynamics, pairing, taking into account the need to interact with a partner, an individual approach to each patient. Accordingly, the duration of treatment varies depending on the specific factors that affect the development of the disease, the personality of the patient, the nature of the partner situation.

Of the methods that the doctor uses in the treatment of rapid ejaculation, the main and general ones are psychotherapy, which is necessary for the patient from the first visit due to the importance of acquiring the skills of acquiring and developing voluntary control; awareness of those sensations that precede the onset of orgasm; correction of the scale of experiences.

If possible, a partner is involved in therapeutic measures, which is due to the paired sexual function. Of the specific psychotherapeutic techniques, a private, “specialized” version of behavioral therapy for sexual disorders is often used – sex therapy and family psychotherapy for the prevention and treatment of partner-sexual disharmonies very often associated with premature ejaculation.

Does the doctor prescribe medications for premature ejaculation?

With regard to drugs, this is also an important therapeutic tool, but their purpose, dosage and duration of use must be strictly determined by a sexologist, who relies on specific clinical and diagnostic data. This is important due to the difference in factors that lead to premature ejaculation. The sexologist selects a combination of medicines from different pharmacological groups.

It is possible to use physiotherapy procedures, also based on individual indications and survey data. Only a professional can understand these nuances, therefore, self-medication or referring to “healers” can harm and worsen the situation, stigmatize a person so that he subsequently begins to avoid intimate relationships altogether, which undoubtedly worsens his quality of life.

In conclusion, I would like to emphasize once again in most cases an optimistic attitude towards a favorable prognosis in the treatment of premature ejaculation, provided that a timely referral to a specialist and a benevolent attitude of the partner are provided.