Premature ejaculation is one of the most common sexual disorders in men of all ages: how to diagnose it, and what can be done? The advice of Dr. Castiglione andrologist at Holistic Andrology London
Premature ejaculation is a very common sexual dysfunction in men, in all ages.
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his type of disorder is characterized by an ejaculation which, always or almost always, occurs during sexual activity before penetration and / or within approximately one minute of penetration.
It is associated with the man’s inability to postpone ejaculation in almost all or all sexual relationships, leading to psychological stress that inhibits all forms of sexual intercourse.
The sexual response therefore has a shorter sequence, which occurs faster and with less control than in those who do not suffer from it. The sexual arousal phase is very rapid, with generally normal erections but with rapid ejaculation and orgasm.
Although we talk about it in a generic way referring to the phenomenon as unique, premature ejaculation can be divided into two categories:
There is no single cause behind this condition, but there are several factors that can cause its onset. Among these we find:
Precisely because of this wide range of factors, to understand why you suffer from premature ejaculation, the first step of evaluating a patient includes a detailed medical and sexological history of the subject and the couple. In fact, at this stage, the relationship of trust between doctor and patient is extremely important.
During the visit, some validated questionnaires are generally administered in order to frame the problem. A careful clinical examination will then be carried out, also aimed at excluding the presence of any inflammatory prostatic pathologies.
the time elapsed between initiation of penetration and ejaculation (IELT)
any decrease in sexual stimulation
the impact of this condition on the couple’s sexual activity and on the quality of life of those involved
On the basis of the medical history and clinical examination, further diagnostic tests will be requested to investigate the problem:
laboratory tests (hormonal profile, lipid profile, liver and kidney function, PSA, culture tests on urine, seminal fluid, etc.);
visits by other specialists (endocrinological visit, psychological and / or psychiatric consultation, etc.).
Is there a treatment for premature ejaculation?
In evaluating the possible treatment of premature ejaculation, it will be important, first of all, to focus on any secondary causes (inflammatory prostatic diseases, erectile deficit, mental disorders).
There are different ways of treating the disorder, including drug therapy, and it will be the task of the andrologist, on the basis of the clinical evaluation, to orient the treatment towards the most appropriate modality, also in relation to the patient’s expectations:
How to prevent premature ejaculation
Premature ejaculation is the most prevalent sexual disorder in men and is represented in all ages. It is very important that the patient is always evaluated by an expert in order to rule out secondary conditions, and possibly treat these pathologies.
Since this is a disease that in some cases has been present since adolescence, it is very difficult to give advice on how to avoid it and how to delay ejaculation with do-it-yourself remedies. We can say, however, that the problem should not be underestimated, in order not to compromise and / or lead to a deterioration of the couple’s relationship with the onset of psychological problems in the couple. Furthermore, within the couple, helping the partner by talking about it openly and inviting him to contact a specialist can represent an important action to raise awareness of possible strategies to be implemented.
Some essential lifestyle habits remain valid for this pathology as well, which help keep the body in a good state of health. Among these:
avoiding pathological weight gain and / or losing weight if you are obese
avoid leading a life that is too sedentary
avoid using drugs
Dr. Fabio Castiglione is a Urologist and Andrologist in London. He is Director of the HolisticAndrology Clinic. At his centers, a therapeutic approach is used based on the most recent clinical studies, on the guidelines of international scientific societies of sexual medicine and on the extensive clinical experience of Dr. Castiglione.
HolisticAndrology,urology clinic in London, has always been at the forefront to improve the quality of life for all people suffering from Impotence. If you are interested and want more information, do not hesitate to contact us.
Contact HolisticAndrology, andrology clinic in London (tel. +44 (0) 7830398165) to book an andrological consultation with dr. Fabio Castiglione, Urologist London.
SOURCE: UAE (European Association of Urology) GUIDELINES ON MALE SEXUAL DYSFUNCTION