What causes premature ejaculation?

Dr. S.K. Jain Burlington Clinic Pvt Ltd

What causes premature ejaculation?

As problem discussed by Prof.(Dr.) Sararansh Jain,according to him, there are

many potential causes of premature ejaculation. These include neurological causes that affect the following areas:

• Central control of ejaculation
• Innervation to the seminal tract
• Sensory innervation to the genitalia/prostate

Premature ejaculation may be caused by negative conditioning and penile hypersensitivity. Retarded ejaculation may be an early sign of diabetes or may develop following surgery for benign prostatic hyperplasia (BPH). Anejaculation (retrograde ejaculation) may be caused by radical prostatectomy, cystoprostatectomy (removal of the bladder and the rectum), or the use of certain medications such as alpha-blockers (tamsulosin) and antidepressants (SSRIs).

What is the treatment for premature ejaculation?

The treatment will vary according to the cause of premature ejaculation. Couples sexual therapy or psychological therapy can be useful when psychological causes are involved. Other nonpharmacological therapies include actively trying to "hold it in." Drug therapy has also proven to be successful. The medications used to treat premature ejaculation are selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs).

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