Premature ejaculation is a problem found in more than 30% of Thai men, but many are embarrassed and reluctant to consult anyone. Premature ejaculation (PE) is a sexual health concern for men, affecting about 1 in 3 men worldwide. If premature ejaculation occurs infrequently, it is not much of a problem.
However, if ejaculation occurs within one minute after penetration or if ejaculation cannot be controlled during penetration, these symptoms can cause stress and anxiety, leading to avoidance of sexual intercourse and a diagnosis of premature ejaculation. The symptoms of premature ejaculation vary from person to person.
Some reach orgasm and ejaculate before any physical stimulation occurs, while others experience premature ejaculation during stimulation, such as oral stimulation, penetration, or intercourse. Some have had this condition for a long time, while others have developed it recently.
Perceptions of Premature Ejaculation in Thai Society
In the diverse and culturally rich landscape of Thailand, discussing sexual health issues such as premature ejaculation (PE) can be challenging. Many men suffer in silence due to cultural sensitivities and taboos related to sexual health. This article aims to raise awareness about premature ejaculation in Thai society.
Understanding Cultural Sensitivities
In many cultures, especially in Asia, discussing sexual health is often taboo, stemming from previous generations who typically had only one lifelong partner, which was considered normal.
These sensitivities may lead to a lack of awareness and hesitation to seek help for treatable conditions such as erectile dysfunction. However,
openly addressing these issues is crucial for improving quality of life and relationships. This is why cultural sensitivity is important.
- Shame and embarrassment: Cultural beliefs may associate sexual dysfunction with a loss of masculinity, causing shame and reluctance to seek help.
- Concerns about privacy: In tightly-knit communities, worries about privacy and confidentiality may prevent individuals from seeking medical advice.
- Religious beliefs: Some religious teachings may influence perceptions of sexual health and acceptable treatments.
How Does Premature Ejaculation Affect People?
Premature ejaculation can affect both men and women in many ways, as follows:
- Impact on men
Loss of confidence: Causes anxiety about sexual performance and may lead to avoidance of sexual activity.
Stress and pressure: Dissatisfaction with oneself and worry about pleasing a partner can lead to stress and depression. - Impact on women
Sexual dissatisfaction: May feel they are not fully satisfied during intercourse.
Relationship problems: Lack of understanding and communication can cause dissatisfaction and issues in the relationship. - Impact on couples
Lack of emotional connection: Premature ejaculation may make sexual intercourse unsatisfactory and affect emotional intimacy between partners.
Lack of communication: If partners do not communicate openly, dissatisfaction and misunderstandings may arise in the relationship. - Consulting a doctor or therapist for appropriate treatment and advice is important to resolve the issue and create long-term satisfaction for both partners.
Sexual Tips to Manage Premature Ejaculation
When premature ejaculation begins to cause relationship problems and affect self-confidence, do not hesitate to consult a doctor, especially a urologist.
The doctor may prescribe symptom-based treatments, such as antidepressants or topical anesthetics applied to the genitals before sexual activity, and may also recommend other methods.
For example, discussing and understanding with your partner to find a good solution together, undergoing therapy or counseling from doctors and mental health experts, and using certain sexual techniques to help manage intercourse and reduce premature ejaculation problems as follows:
Self-pleasure
Besides helping to release sexual tension and bring pleasure, male masturbation also benefits sexual intercourse because if a man has not engaged in sexual activity for more than one day,
he may ejaculate faster than usual. Therefore, men should masturbate about 1-2 hours before intercourse and may do so in the morning and have intercourse in the evening, or vice versa.
Additionally, masturbation helps men practice controlling ejaculation better. Thus, those with premature ejaculation problems should masturbate 3-5 days per week, alternating between dry and lubricated hand masturbation.
This trains the body to recognize various sensations, and when feeling close to orgasm, pause for about 5 minutes before starting again. Repeat this 3-4 times before the final ejaculation.
This method helps men learn their limits and apply the experience during intercourse by pausing before orgasm to address premature ejaculation.
Summary: Overcoming Premature Ejaculation with a Good Relationship
Besides various techniques, communication with your partner is the foundation of a good relationship. Those with premature ejaculation should talk openly with their partner about the situation.
The female partner should not pressure the male partner by timing intercourse because the duration depends on the satisfaction of both parties. There should be no fixed schedule, and stress from pressure only worsens the problem.
Adjusting understanding about sexual intercourse will help the man feel more relaxed, which helps delay ejaculation. However, if attempts to follow these guidelines do not improve symptoms,
or premature ejaculation significantly affects mental health and relationships, consulting a doctor for advice and appropriate treatment is recommended.
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