Treat Premature Ejaculation

Causes of premature ejaculation

Researchers have long suspected a genetic link to certain forms of premature ejaculation. In one study, 99% of men who suffered from lifelong premature ejaculation also had a first-relative with lifelong premature ejaculation. Other scientists have noted that men who suffer from premature ejaculation have a quicker neurological reaction in the PC muscle. Simple PC exercises (Kegel's exercises) usually recomanded by sex therapists can significantly improve climax control for men with premature ejaculation caused by neurological factors. Usually, these men may also benefit from anti-anxiety medication or selective serotonin reuptake inhibitors (SSRIs), such as sertraline or paroxetine. Other people prefer using anaesthetic creams; however, these creams may also deaden sensations in the man's partner, and are not generally suggested by sex therapists.

Psychological factors also usually contribute to premature ejaculation. While men sometimes underestimate the relationship between sexual performance and emotional well-being, premature ejaculation can be caused by temporary depression, stress over financial matters, unrealistic expectations about performance, a history of sexual repression, or an overall lack of confidence. Interpersonal dynamics strongly contribute to sexual function, and premature ejaculation can be caused by a lack of communication between partners, hurt feelings, or unresolved conflicts that interfere with the ability to achieve emotional intimacy. Neurological premature ejaculation can also lead to other forms of sexual disfunction, or intensify the existing problem, by creating performance anxiety. In a less pathological context, premature ejaculation could also be simply caused by extreme arousal.

In other cases, premature ejaculation is caused by a physical problem that affects the nervous system. Certain treatments, such as cold medications containing pseudoephedrine, also cause premature ejaculation. Sexual dysfunction is a common symptom of psychiatric afflictions ranging from bipolar disorder to post-traumatic stress disorder. In these instances, it is best to talk the issues openly with a physician.

Today it is believed that the neurotransmitor serotonin (5HT) has a central role in modulating ejaculation. Several studies have demostrated its inhibitory effect on ejaculation modulated through the PGI system in the brain. Therefore, it is perceived that low level of serotonin in the synaptic cleft in these specific areas in the brain could cause premature ejaculation. This theory is further supported by the proven effectiveness of SSRIs, which increase serotonin level in the synapse, in treating PE.

Source: Wikipedia