In this video we will cover all the in’s and out’s of premature ejaculation, we will discuss some tips & tricks to fix it and we will discuss general steps of a treatment plan.

This video is part of a videoseries on intercourse related medical problems and on mental health problems. Find both playlists here:
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What is premature ejaculation?
When googling you find the following definition: Premature ejaculation occurs when a man ejaculates sooner during intercourse than he or his partner would like.
Medically speaking there is no uniform definition to diagnose premature ejaculation.

What can cause premature ejaculation?
Unfortunately the exact mechanism is unknown, although it is though to be caused by a combination of psychological and biological factors.
- Psychological factors: mental health problem, relationship problems, a poor body image and excessive worrying about premature ejaculation.
- Biological factors: erectile dysfunction, abnormal hormone levels, an infection of your prostate, a side effect of the medication you use or it may be genetically determined.

How common is premature ejaculation?
Most studies estimate the prevalence during the previous 12 months to be between 20-30% in men over 18. Which makes it a very common complaint.

When should you contact your doctor?
Now a long as you experience premature ejaculation infrequently it is not a cause for concern, but it could be wise to contact your doctor if:
- You are almost always ejaculating within one minute after starting intercourse.
- If you can’t delay an ejaculation during intercourse.
- Or if you constantly feel stressed of frustrated when thinking or committing to intercourse and therefore tend to avoid it.

How to treat premature ejaculation?
- Visit your doctor for a medical examination. If necessary your doctor could also refer you to a urologist or mental health professional.
- Self-help techniques.
- For couples who are in a long-term relationship couples therapy might help. This therapy aims to explore issues that may be affecting your relationship. With the goal to resolve them.
- In addition counseling could also be follow individually. There you will be talking with a mental health professional about your experiences and relationships. This may help to reduce stress, decrease performance anxiety and improve your coping.
- Furthermore counseling is often combined with medication. Your doctor might prescribe a Selective Serotonin Re-uptake Inhibitor, like dapoxetine, paroxetine, sertraline or fluoxetine.
- Next up, your doctor could also prescribe an anaesthetic cream or spray, like lidocaine or prilocaine.
- And the last treatment option is pelvic floor exercises.

- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -

I want to give special thanks to my sponsors on Patreon:
- Sebastian Houwing: Investor

Literature:
1: NHS. (2020). Can premature ejaculation be controlled?
2: Mayo clinic Staff. (2020). Premature ejaculation.
3: Scaccia A. and Brito J. (2019). Best Home Remedies for Premature Ejaculation. Healthline.
4: Strassberg DS. Perelman MA. (2009). Sexual dysfunctions. In P. H. Blaney & T. Millon (Eds.), Oxford textbook of psychopathology (2nd ed.), (pp. 399–430). NY: Oxford University Press.

* The images in this video are used for educational purposes only. Most of the images and video material in this video come from [ Ссылка ].

Music:
1. Verified Picasso, Fish Room
2. Patrick Patrikos, Good Times
3: Patrick Patrikios, Rockville
4: Patrick Patrikios, Grut

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