What is Premature Ejaculation?
How Ejaculation Works: The Science Behind It
- Emission: Sperm moves from the testicles up to the prostate, mixing with seminal fluid.
- Expulsion: Rhythmic contractions of the pelvic muscles push the semen out.
This process is controlled by the brain and spinal cord via the sympathetic nervous system. Serotonin, a key neurotransmitter, plays a critical role in this process. Low serotonin levels may result in a shorter time to ejaculation. That’s why some treatments for PE include medications that boost serotonin.
Causes of Premature Ejaculation
- Low serotonin levels: A major chemical factor that reduces ejaculatory control.
- Anxiety and stress: Performance pressure, especially in new relationships, is a top cause.
- Guilt and low self-esteem: Emotional issues can feed into PE.
- Relationship issues: Communication breakdowns or dissatisfaction can manifest physically.
- Erectile Dysfunction (ED): Sometimes PE happens as a side-effect of trying to “hurry” before losing an erection.
The exact cause is different for each man, which is why a personalized approach to treatment is essential.
Diagnosis: When Should You See a Doctor?
Dr. Ashish Saini, a leading urologist in Delhi NCR, conducts a comprehensive evaluation including:
- Sexual history
- Physical examination
- Psychological assessment
This holistic approach ensures that both physical and emotional factors are considered.
Non-Surgical Treatments for Premature Ejaculation
Behavioral Therapy
These methods help train your body to delay ejaculation:
- Squeeze Technique: Involves squeezing the penis right before climax to delay ejaculation.
- Start-Stop Method: Involves stopping sexual stimulation when close to climax and resuming once the sensation subsides.
Sex Therapy & Counseling
Many men benefit from working with a therapist to:
- Build confidence
- Address anxiety or guilt
- Improve partner communication
Partner involvement often enhances the success of therapy.
Medications
- SSRIs (Selective Serotonin Reuptake Inhibitors): Originally antidepressants, they help delay ejaculation by increasing serotonin.
- Topical anesthetics: Numbing sprays or creams reduce sensitivity and extend time during intercourse. Be sure to follow instructions to avoid transferring the numbing agent to your partner.
- Condoms: Even regular condoms reduce sensation and may help with control. Some are specifically designed with numbing agents inside.
Surgical Treatment Options for Premature Ejaculation
- Dorsal Penile Nerve Block: Reduces hypersensitivity by disrupting signals to the brain.
- Glans Penis Augmentation: Involves dermal fillers to decrease sensitivity in the head of the penis.
Surgical interventions are low-risk but require expert execution, which makes consulting with an experienced urologist crucial.
Choosing the Right Doctor for PE Treatment
Why Choose Us for Premature Ejaculation Treatment in Delhi
- Specialized Expertise: Dr. Ashish Saini is a pioneer in male sexual health in Delhi NCR.
- Confidentiality Guaranteed: Consultations are discreet and respectful.
- Holistic Approach: Treats both mind and body for maximum effectiveness.
- Convenient Location: Clinic accessible from South Delhi, Central Delhi, and surrounding NCR areas.
- Advanced Facilities: From diagnostics to treatment, everything is done under one roof.
FAQs: Quick Answers to Common Concerns
Q: Is premature ejaculation curable?
Yes, with the right combination of therapy, medication, and expert guidance, most men see significant improvement.
Q: Do I need surgery for PE?
Surgery is only considered when other methods don’t work. Most men improve without it.
Q: Can I take medicine just before sex?
Yes, some treatments like topical sprays or on-demand SSRIs can be used a few hours before sexual activity.
Q: Will my partner know I’m using treatment?
Not necessarily. Many treatments are subtle, and open communication can improve mutual understanding.
Q: Is the treatment private and discreet?
Absolutely. Dr. Ashish Saini ensures patient confidentiality and a respectful, supportive environment.
Don’t let premature ejaculation hold you back from a fulfilling sex life. Take the first step by booking a confidential consultation with Dr. Ashish Saini, Delhi’s top urologist for PE treatment. Whether you need simple guidance or advanced surgical care, you’ll be in expert hands.