Premature Ejaculation: Diagnosis & Treatment
What is Premature Ejaculation?
Premature Ejaculation (PE) is a condition where a man reaches orgasm and expels semen shortly after sexual activity starts, often with minimal stimulation.
- The Timeline: While there is no “perfect” time, doctors generally consider it PE if it consistently happens within one minute of penetration.
- Impact: It can lead to frustration, performance anxiety, and relationship stress.
- Solution for PE: Most cases are related to psychological factors like stress or physical factors like hormonal imbalances, both of which are treatable.
How Premature Ejaculation is Diagnosed?
A proper diagnosis is the foundation of a successful solution for premature ejection. When you visit a sex problem doctor, the process is designed to be comfortable and informative.
- Medical History: Your doctor will ask about your sexual history, how long the problem has existed, and if it happens with every partner or in every situation.
- Psychological Assessment: Since anxiety and stress are major triggers, the doctor may discuss your mental health and relationship dynamics.
- Physical Examination: A routine check of the prostate or thyroid may be done to rule out physical remedies for early ejaculation triggers.
- Laboratory Tests:
- Hormone Profile: Checking Testosterone and Prolactin levels.
- Urine Analysis: To check for infections in the urinary tract or prostate.
- Blood Sugar: To rule out diabetes, which can affect sexual function.
Key Diagnostic Factors:
To provide the most effective rapid ejaculation treatment, Dr. Akhil Mane at Leela Superspeciality Hospital evaluates these three critical factors:
- Timing (IELT): Measuring the exact time from penetration to climax to determine the clinical severity of the condition.
- Control: Assessing your physical ability to delay or “hold back” the release of sperm when you want to.
- Distress Level: Evaluating the amount of stress, frustration, or avoidance of intimacy experienced by you or your partner.
Treatment Options for Premature Ejaculation:
1. Behavioral Techniques:
These are highly effective pre ejaculation exercises that you can practice at home, either alone or with a partner, to build your stamina:
- Stop-Start Method: This involves stimulating the penis until you are just about to reach climax. Stop all movement immediately, wait for the intense urge to pass, and then start again.
- Squeeze Method: Similar to the stop-start technique, but when you feel the urge to climax, you or your partner should gently yet firmly squeeze the head of the penis for 10–20 seconds until the sensation subsides.
- Strategic Masturbation: Practicing masturbation an hour or two before planned intercourse can naturally help in delaying the final release during sex.
- Pelvic Floor Exercises (Kegels): These help you strengthen the muscles used to delay the release of sperm. Regular practice gives you better physical control over the ejaculation reflex.
2. Premature Ejaculation Medication Treatment:
Sometimes, a premature ejaculation tablet or topical aid is necessary to calm the nervous system:
- Topical Anaesthetics: Using numbing creams, gels, or sprays (lidocaine or prilocaine) 10–15 minutes before intercourse is a common solution for pe that reduces sensitivity.
- Oral Medicine (SSRIs): Certain selective serotonin reuptake inhibitors, like paroxetine or sertraline, are used as the best medicine for premature ejaculation because they naturally delay the orgasm reflex.
- PDE5 Inhibitors: If PE is linked to erectile dysfunction, a sex treatment doctor in Pune may prescribe medications like sildenafil (Viagra) to be used alongside other treatments.
- Tramadol: This is a pain reliever that may be used as a rapid ejaculation treatment when SSRIs are not effective, though it requires strict medical supervision.
3. Counseling and Therapy:
Since the mind plays a huge role in sexual performance, professional guidance is often a key solution for premature ejection:
- Psychological Therapy: Helps manage performance anxiety, stress, or depression that may contribute to rapid ejaculation.
- Couples Therapy: Addresses relationship issues and improves communication regarding sexual performance to reduce the “pressure to perform.”
4. Other Options:
- Condoms: Using thicker condoms can help reduce sensitivity and act as a simple solution for pe.
5. Dietary Changes:
Certain foods to treat premature ejaculation can support your overall sexual health:
- Zinc-rich foods, such as pumpkin seeds, beans, and spinach to support healthy testosterone levels.
- Magnesium: Found in dark chocolate and avocados, which helps regulate muscle contractions and nerve signals.
When to See Dr. Akhil Mane - Andrologist, Urologist Pune?
You should consult a sex treatment doctor in Pune if the problem persists for more than a few weeks or if it starts causing significant emotional distress. Dr. Akhil Mane at Leela Superspeciality Hospital specializes in identifying whether your condition is primary (lifelong) or secondary (developed recently). With a personalized treatment plan, most men see a significant improvement within just a few weeks of starting therapy.
Conclusion:
Premature ejaculation is a medical condition, not a personal failure. With the right premature ejaculation medication treatment and behavioural changes, you can enjoy a healthy and long-lasting sexual life. Trust the expertise of Dr. Akhil Mane to provide you with a safe and effective solution for pe. At Leela Superspeciality Hospital, we are committed to your privacy and your health. Take the first step today and reclaim your sexual confidence.
FAQs:
Diagnosis is primarily based on your symptoms and medical history. At Leela Superspeciality Hospital, Dr. Akhil Mane performs a detailed consultation and may suggest blood tests to check hormone levels or rule out infections that might be causing the issue.
Yes, in most cases. By combining pre ejaculation exercises like the squeezing technique with the right premature ejaculation tablet, most men learn to control their climax permanently.
The most effective way is the stop and start technique combined with pelvic floor strengthening. Avoiding alcohol and managing stress also play a huge role.
Using a thick condom can help reduce sensitivity. Additionally, being physically active and eating foods to treat premature ejaculation, like leafy greens and nuts, can help maintain nerve health.
You can increase ejaculation time by practicing rhythmic breathing and using topical desensitising sprays. Consulting a specialist for a premature ejaculation medication treatment is the most reliable way to see results.
Practice the squeezing technique and ensure you are not rushing through intimacy. If the “quick discharge” is a constant problem, a sex treatment doctor in Pune can prescribe a safe medicine for premature ejaculation to help you last longer.
