According to the International Society of Sexual Medicine, which agrees with our studies, we consider that a patient suffers from premature ejaculation when ejaculation always or almost always occurs during or around the first minute after vaginal penetration.
It can also be considered within this pathology those who clearly define the inability to delay ejaculation in all or almost all penetrations, when this would not be their will.
It should be treated appropriately when this situation produces negative personal consequences such as significant worry, anguish, frustration or tendency to avoid sexual intercourse for this reason.
Why does premature ejaculation occur?
It is often difficult to establish a single cause, therefore, a classification of three sections is established:
- Primary premature ejaculation: although in some cases after studying the patient the cause remains unknown, the main primary cause is related to states of anguish, with elements that produce hypersensitivity of the penis or with alterations of the serotonin receptors.
- Secondary premature ejaculation: when premature ejaculation is due to other diseases that must be treated such as prostatitis, hyperthyroidism, psychological or relationship problems and some erectile dysfunctions.
- Variable premature ejaculation: when it only occurs from time to time, is inconsistent or irregular. It does not require treatment.
How is premature ejaculation diagnosed?
It is essential that the urologist specialist performs an in-depth anamnesis, so that no detail is overlooked, as well as a detailed physical examination.
Treatment for premature ejaculation
The treatment of premature ejaculation is based on behavioral and pharmacological techniques, and can be a mixed treatment. In the case of secondary premature ejaculations, the originating disease should be treated and in the case of anxious states, the anxiety should be treated.