Premature ejaculation (PE) is a common sexual dysfunction where a man ejaculates earlier than he or his partner desires during sexual activity. This condition can lead to stress, anxiety, and relationship difficulties, affecting the quality of life. Dr. Neeraj Agrawal, an expert in men's sexual health at Max Super Speciality Hospital, specializes in diagnosing and treating premature ejaculation to help men regain control and confidence.

Symptoms of Premature Ejaculation

Common signs of premature ejaculation include:

• Ejaculation that consistently occurs within one minute of penetration
• An inability to delay ejaculation during intercourse most of the time
• Feelings of frustration, embarrassment, or distress related to sexual performance.

If these symptoms are affecting your sexual relationship or self-esteem, it’s important to consult a specialist like Dr. Agrawal for an assessment and treatment.

Causes of Premature Ejaculation

Premature ejaculation can result from a combination of psychological and physical factors, and in some cases, there may not be a clear cause. Common contributing factors include:

• Psychological Causes: Performance Anxiety: Worrying about sexual performance can cause stress, leading to premature ejaculation.
  Depression: Mental health issues like depression can affect sexual performance.
  Relationship Issues: Emotional strain or lack of intimacy in relationships may lead to PE.
  Early Sexual Experiences: Conditioned early sexual experiences, such as rushed sexual encounters, can contribute to PE later in life.
• Physical Causes: Hormonal Imbalances: Abnormal levels of hormones like serotonin or testosterone can impact ejaculation control.
  Erectile Dysfunction (ED): Men who are anxious about maintaining an erection may rush through intercourse, leading to premature ejaculation.
  Neurological Issues: Problems with the nervous system, such as spinal cord injuries, may affect ejaculatory control.
  Prostatitis: Inflammation of the prostate gland can sometimes be linked to premature ejaculation.

Diagnosing Premature Ejaculation

Dr. Neeraj Agrawal follows a comprehensive approach to diagnose premature ejaculation by:

• Medical History Review: A thorough review of your health and sexual history to identify any underlying conditions or psychological factors.
• Physical Examination: A general physical exam to check for any physical causes like prostatitis or other medical issues.
• Blood Tests: To evaluate hormone levels and rule out potential imbalances.
• Psychological Assessment: Screening for anxiety, depression, or relationship problems that might contribute to the condition.

Treatment Options for Premature Ejaculation

At Max Super Speciality Hospital, Dr. Neeraj Agrawal offers a range of treatment options for premature ejaculation, designed to improve sexual satisfaction and overall well-being. These treatments may include:

Behavioral Therapy: Techniques such as the "start-stop" or "squeeze" methods can help men delay ejaculation. Additionally, Kegel exercises can strengthen pelvic floor muscles to improve control.

Medications:

• SSRIs (Selective Serotonin Reuptake Inhibitors): These medications, like dapoxetine or sertraline, can increase serotonin levels, delaying ejaculation.
• Topical Anesthetics: Creams with numbing agents, such as lidocaine, can reduce sensitivity and prolong ejaculation.
• PDE-5 Inhibitors: Medications used for erectile dysfunction, like sildenafil (Viagra), can also help treat PE.

Psychological Counseling:

• Sex Therapy: Therapy or counseling helps manage performance anxiety, improve communication with a partner, and reduce stress related to sex.
• Cognitive Behavioral Therapy (CBT): CBT can help address anxiety and negative thought patterns that may be contributing to premature ejaculation.

Hormone Therapy: For men with hormonal imbalances, hormone replacement therapy may be recommended to improve sexual function.

सामान्य प्रश्न (FAQs)

शीघ्रपतन क्या है?

शीघ्रपतन (पीई) तब होता है जब एक पुरुष संभोग के दौरान अपने या अपने साथी की इच्छा से पहले ही स्खलित हो जाता है, अक्सर प्रवेश के एक मिनट के भीतर।

शीघ्रपतन का क्या कारण है?

कारण मनोवैज्ञानिक (तनाव, चिंता, अवसाद) या शारीरिक (हार्मोनल असंतुलन, पुरानी स्वास्थ्य स्थितियां) हो सकते हैं।

क्या शीघ्रपतन आम है?

हाँ, यह पुरुषों के लिए सबसे आम यौन समस्याओं में से एक है, जो 30% पुरुषों को उनके जीवन में किसी न किसी समय प्रभावित करती है।

शीघ्रपतन का निदान कैसे किया जाता है?

निदान आम तौर पर यौन इतिहास पर आधारित होता है, जिसमें स्खलन से पहले कितने समय तक संभोग करना और आपके जीवन की गुणवत्ता पर इसका प्रभाव शामिल होता है।

क्या शीघ्रपतन का इलाज किया जा सकता है?

हां, उपचार के विकल्पों में व्यवहार तकनीक, सामयिक क्रीम, मौखिक दवाएं और अंतर्निहित मनोवैज्ञानिक कारणों के लिए परामर्श शामिल हैं।

क्या शीघ्रपतन के इलाज के लिए कोई दवाएँ हैं?

हां, चयनात्मक सेरोटोनिन रीपटेक इनहिबिटर (एसएसआरआई) या सामयिक एनेस्थेटिक्स जैसी दवाएं स्खलन में देरी करने में मदद कर सकती हैं।

Take Control of Your Sexual Health with Dr. Neeraj Agrawal

Premature ejaculation can be a distressing condition, but it’s also highly treatable. With the right care and support, men can regain control over their sexual health and enjoy more fulfilling relationships. If you're experiencing premature ejaculation, don’t hesitate to seek expert advice and treatment. Schedule a consultation with Dr. Neeraj Agrawal at Max Super Speciality Hospital today