Premature Ejaculation

Introduction

A woman reached out to Dr. Beer about her partner’s premature ejaculation, which was affecting their relationship and overall happiness. In today’s era, most people first search for information on social media platforms like Pantip. For example, searching for “Premature Ejaculation” brings up countless posts about:

• Delay pills
• Herbal medicines
• Where to find a good doctor
• Definitions of what qualifies as premature ejaculation

Therefore, Dr. Beer provides both answers and professional services in this regard.

What is Premature Ejaculation (PE)?

Premature Ejaculation (PE) — also called in common language “quicker than a sparrow can wet his beak” or “the ship crashes before the bay” — is when a man ejaculates too quickly during intercourse and cannot control or delay ejaculation.

• Typically, it occurs shortly after penetration.
• Consequently, it is considered one of the most common male sexual problems.
• As a result, the female partner often feels dissatisfied.

Time as a Key Factor

• Men reach orgasm in 2–3 minutes or less.
• Women typically take ~15 minutes.

In general, there are three types of PE:

1. Ejaculation before penetration.
2. Ejaculation during penetration.
3. Ejaculation shortly after penetration.

Causes of Premature Ejaculation

Physical Causes

• Hormonal imbalances
• Neurotransmitter abnormalities in the brain
• Thyroid dysfunction
• Urethral or prostate inflammation/infection
• Erectile dysfunction
• Genetic predisposition
• Drug or substance use
• Nervous system hypersensitivity

On the other hand, premature ejaculation may also be linked to psychological factors.

Psychological Causes

• Stress, anxiety, or depression
• Relationship dissatisfaction
• Past traumatic or abusive sexual experiences

Impact on Married Life

Premature ejaculation affects:

• Men’s confidence and certainty in sex
• Women’s emotional satisfaction
• Relationship intimacy and bonding
• Potential family planning goals

Therefore, both partners should consult a doctor together to find the best solution.

Self-Treatment Methods

1. Masturbation Before Intercourse
   • 1–2 hours before sex to reduce sensitivity.
2. Use Thicker Condoms
   • Less sensitivity, slower climax.
3. Distraction Techniques
   • Think about something else when nearing climax.
4. Pause & Control
   • Take deep breaths and slow down when sensitivity rises.
5. Squeeze Technique
   • Squeeze the frenulum (below the penis head) or base for 3–4 seconds to reduce sensation.
6. Kegel Exercises
   • Strengthen pelvic muscles to improve control.
7. Condoms with Anesthetic
   • Reduce sensation and delay ejaculation.
8. Woman-on-Top Position
   • Gives men more control and relaxation.

In addition, combining these methods can increase effectiveness.

Medical Treatments

1. Antidepressants (SSRIs)
   • Paroxetine, Sertraline, Fluoxetine delay ejaculation.
   • Moreover, Dapoxetine works faster, taken 1–3 hours before sex.
   • Not suitable for patients with heart, liver, or kidney conditions.
   • However, side effects may include headache, dizziness, and nausea.
2. Topical Anesthetics
   • Benzocaine, Lidocaine, Prilocaine applied 10–15 minutes before sex.
   • Nevertheless, these drugs may affect the female partner if absorbed vaginally.
3. Couple Therapy
   • Partners discuss issues and practice control techniques (start-stop method, guided masturbation).
   • Consequently, communication improves intimacy while reducing performance pressure.
4. Counseling
   • With mental health professionals to address stress, anxiety, or relationship issues.
   • Finally, best results are often seen when combined with medical treatment.

Prevention & Long-Term Approach

• In reality, there is no guaranteed prevention since causes vary.
• Still, a positive sexual attitude and reduced pressure can improve outcomes.
• Therefore, don’t obsess over performance — focus on connection.
• If, however, PE becomes frequent and harms the relationship, seek medical help.

Key Takeaway

Premature ejaculation is a common, treatable condition. With the right mix of self-practice, medical treatment, and mutual support, couples can overcome this issue.

👉 Trust Dr. Beer for professional guidance, tailored treatment, and compassionate care.