Premature Ejaculation

Premature ejaculation is persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it, causing marked distress or interpersonal difficulty. It is one of the most common male sexual complaints. Treatment: behavioral techniques (start-stop, squeeze), SSRIs (off-label daily or on-demand), topical anesthetic creams, and sex therapy; evaluate for erectile dysfunction and relationship factors.

Common Symptoms

Persistent rapid ejaculation; minimal stimulation; distress; interpersonal difficulty; may coexist with ED

Causes and Pathogenesis

Psychological/learning and serotonergic receptor sensitivity contribute to rapid ejaculation, with performance-anxiety reinforcement.

Treatment

Behavioral (start-stop/squeeze); SSRIs (off-label); topical anesthetics; sex therapy; treat ED

Preventive Measures

Reduce performance anxiety; sex education; couple communication.

Department to Visit

It is recommended to visit the Urology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.