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Published: June 17, 2019

Premature Ejaculation

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.


As long as it happens infrequently, it's not cause for concern. However, you might be diagnosed with premature ejaculation if you:


   Always or nearly always ejaculate within one minute of penetration


Are unable to delay ejaculation during intercourse all or nearly all of the time

Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition.

Previously only medications, counselling and sexual techniques that delay ejaculation were available and as expected did not work for many men due to various factors.



The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.


Premature ejaculation can be classified as:


   Lifelong (primary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters.


   Acquired (secondary). Acquired premature ejaculation develops after you've had previous sexual experiences without ejaculatory problems.


The Causes:

The exact cause of premature ejaculation isn't known. While it was once thought to be only psychological, doctors now know premature ejaculation involves a complex interaction of psychological and biological factors.


Psychological causes


Psychological factors that might play a role include:

  •    Early sexual experiences
  •    Sexual abuse
  •    Poor body image
  •    Depression
  •    Worrying about premature ejaculation
  •    Guilty feelings that increase your tendency to rush through sexual encounters


Other factors that can play a role include:


 Erectile dysfunction:

Men who are anxious about obtaining or maintaining an erection during sexual intercourse might form a pattern of rushing to ejaculate, which can be difficult to change.


Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.

Relationship problems:

If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem.


Biological causes

A number of biological factors might contribute to premature ejaculation, including:

  •    Abnormal hormone levels
  •    Abnormal levels of brain chemicals called neurotransmitters
  •    Inflammation and infection of the prostate or urethra(chronic prostatitis)
  •    Inherited traits


Risk factors


Various factors can increase your risk of premature ejaculation, including:


Erectile dysfunction. You might be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection. Fear of losing your erection might cause you to consciously or unconsciously hurry through sexual encounters.

 Stress. Emotional or mental strain in any area of your life can play a role in premature ejaculation, limiting your ability to relax and focus during sexual encounters.

Based on studies done many years ago we already know there is a very high correlation of prostatitis with premature ejaculation. It is logical to make this link since the prostate is what is responsible to produce and eject the ejaculate. So if its sensitive or inflamed then its likely going to ‘misfire’(for a better word).

With the availability of shock wave therapy now and knowing that it helps cure prostatitis we have now developed a protocol to assess your prostate to detect prostatitis even if you do not have the classical symptoms of Chronic prostatitis per se.

10 sessions in total over 5-10 weeks with or without medications for a month may result in resolution of this disability.

We have treated many patients with an almost 100% positive response to helping now delay ejaculation and also improving erections.

A painless and completely harmless treatment option to improve your quality of life.

Ask Dr.Datesh

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