Problems Ejaculating: Causes and Treatment

Problems Ejaculating: Premature ejaculation is when a man ejaculates or releases semen before or shortly after penetration. It has become the leading cause of dissatisfaction among sexual partners, and the condition is prevalent, affecting about 1 in 6 sexually active men.

How Long is Enough?

The perennial question has always persisted; how long should a man last? One minute, three minutes, or five? No one can place an ejaculation threshold for a man to reach for him to have lasted long enough. But whenever ejaculation occurs before or shortly after penetration, leaving the man or his partner feeling very disappointed, problems ejaculating are then said to have happened. And if this becomes a recurring situation, then temporary measures must be taken to treat the condition.

Problems Ejaculating: Causes

The causes of premature ejaculation can broadly be categorized into three; psychological, hormonal, and physical, depending on the body process that triggers the ejaculation. These are briefly explained below:

• Psychological: A man’s state of mind before and during sex can affect the duration of his ejaculation. Most times, the feeling of anxiety from the urge to perform better or the feelings of depression caused by a troubled relationship can result in problems ejaculating.

Interestingly, most cases of diagnosed premature ejaculation are caused psychologically. It is because men suffering from this condition dwell too much on meeting the high expectations they set for themselves or their partners, so much so that they lose out on having a prolonged and more enjoyable sex life.

• Hormonal: Ejaculation is made possible by the series of signals sent from nerve endings and facilitated by chemical substances in the body known as hormones. Heightened sexual sensations can lead to higher levels of these hormones (e.g., testosterone) which will then trigger the release of semen.
• Physical: Sometimes, premature ejaculation can be caused by the hyper-sensitivity in the nerve endings at the tip of the penis, and this can instigate ejaculation just after penetration. It can also be linked with inexperience, as the man becomes too excited and, not knowing how to control his feelings, begins intercourse only to ‘release’ shortly after.

Treatment For Premature Ejaculation

1. Be Relaxed: Since most cases of problems ejaculating are psychological, all that may be needed is to have a relaxed feeling before any sexual encounter. Don’t be weighed down by anxiety and previous shortcomings; perform. Each sexual experience will prepare you well for the next one, and soon, you will be lasting longer in bed.

2. Take Medications: A wide range of medical aids are available to help you tackle the problem of staying hard longer. From condoms to numbing creams and even anti-depressants can help prolong ejaculation. But their use might not be very effective in the long run, and drugs like anti-depressants can have harmful side effects.

3. Herbal Supplements: Herbal supplements are now the most preferred method of treating problems with ejaculating. These supplements are made of natural extracts rich in vitamins and anti-toxins that help rid the body of underlying health issues, relax your nerves, and properly regulate your body's hormone levels to give you a satisfying sexual experience without any side effects.

4. Practice Kegel exercises: Kegel exercises are not only beneficial for women but also for men. It helps strengthen the pelvic floor muscles, which are crucial in controlling ejaculation. Regularly practicing Kegel exercises can enhance your ability to delay ejaculation and have better control over your sexual response.

5. Try the start-stop technique: The start-stop method is a behavioral strategy for managing premature ejaculation. During sexual activity, when you feel close to ejaculation, stop the stimulation and take a brief break until the urge to ejaculate subsides. Once the sensation diminishes, resume sexual activity. Repeating this technique can gradually increase your endurance and prolong the time before ejaculation.

6. Explore different sexual positions: Certain sexual situations may offer more control and help delay ejaculation. Experiment with parts that allow you to have a slower and less stimulating rhythm. For example, the "woman on top" position or side-by-side positions can effectively reduce the intensity of stimulation and prolong intercourse.

7. Use desensitizing products: Topical products, such as sprays or creams, contain mild anesthetics. These products can temporarily reduce penile sensitivity and delay ejaculation. However, it's essential to use them sparingly and follow the instructions carefully to avoid excessive numbing, which can minimize pleasure for both partners.

8. Communicate with your partner: Open and honest communication about premature ejaculation can alleviate stress and anxiety related to sexual performance. Discussing your concerns and finding ways to work together as a team can help create a supportive and understanding environment. Your partner's reassurance and encouragement can significantly reduce performance pressure and create a more satisfying sexual experience.

9. Manage stress and anxiety: High stress and anxiety levels can exacerbate premature ejaculation. Explore stress-management techniques such as deep breathing exercises, meditation, regular physical exercise, and engaging in activities you enjoy. By reducing stress and anxiety, you can improve your overall sexual well-being and potentially minimize the occurrence of premature ejaculation.

10. Seek professional help: If self-help methods and natural remedies do not improve sufficiently, You may consult a healthcare professional specializing in sexual health. They can assess your situation, provide guidance tailored to your needs, and discuss potential medical interventions, such as prescription medications or therapy, to help you overcome premature ejaculation.

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