WHAT TO DO?
If premature ejaculation is suspected, the first rule is to remember that the problem can be tackled successfully, especially if treated early. Therefore, no one should feel embarrassed or ashamed for seeking medical advice as soon as possible. Trying to live with the problem is only likely to exacerbate anxiety and psychological disturbances, resulting in worsening of the disorder. Urologists/andrologists and sexologists are the referral specialists in this case. They can determine whether the causes are physical, psychological or a combination, and propose psychological and/or pharmacological solutions as needed. Increasingly, an integrated approach with simultaneous involvement of both specialties is being introduced to reach a global diagnosis of the disorder. Psychologist specializing in sexology may suggest various approaches to gradually resolve the problem, often involving both partners in therapy. In this case the cooperation of the partner and the determination to confront and solve the problem are essential for success. Revival of complicity in the relationship, which is often strained by the disturbance, provides an additional stimulus for the recovery of a sense of control and desire to properly manage sexuality and set aside distress, frustration and disappointment.
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Premature ejaculation (PE) is quite a common male sexual dysfunction, including between 30-70% of men of all ages. Nowadays it is described as a general difficulty or inability to exercise voluntary control over ejaculation or to delay it; this lack of control generates increasing levels of frustration, stress and even fear in males negatively affecting their sexual life and, by extension, generally damages couple relations and partnerships.
Determining the incidence of premature ejaculation is not easy. Many men have trouble discussing the problem with their doctor, and it is difficult to establish a clinical definition of the disorder. American data reveal that more than the 30% of men under the age of 40 had experienced some form of premature ejaculation during their lifetime.
Premature ejaculation is a disorder linked to many risk factors. Moreover, although it is curable, at least to some degree, it’s worth remembering that some risk factors can be controlled.