Answer ( 1 )

  1. Hello
    Welcome to MediMetry
    Causes of Premature Ejaculation:

    The most important causes include,
    Inability to delay ejaculation on all or nearly all vaginal penetrations.
    Stress factors such as negative distress, bother, frustration or intimacy issues also play an important role.
    Performance anxiety about sex and other associated psychological problems like depression.
    Bad family history, previous relationship experience and bad memories of early sexual experiences like trauma.
    Asexual feelings that is in short staying neutral.
    Considering the effects of marital and non-marital sex and its associated social issues or taboos.
    Less involvement of female partner in intimacy or negative sexual response or feedback from the partner.
    Erectile dysfunction or inability to develop erect penis.
    Lack of knowledge about sex.
    Addiction of drugs, substance of abuse, alcohol, etc.
    Investigations:
    tests such as serum testosterone levels (free and total), serum prolactin levels and psychological evaluation.

    Steps to Manage Premature Ejaculation:
    Relieve anxiety as much as possible.
    Practice stop-start technique in which stop sexual feel just before ejaculation. After some time start your stimulation again and repeat the procedure.
    Also one can follow squeezing technique to pause ejaculation by placing the thumb and forefinger between the lower shaft of penis and tip of the penis. Squeeze it gently to subside the ejaculation. After this continue the act.
    Thanks