Premature Ejaculation

What is PREMATURE EJACULATION?

Premature ejaculation is the inability to control ejaculation resulting in ejaculation either before or shortly after sexual penetration, with minimal sexual stimulation and before the person wishes. The actual timing of the ejaculation can vary depending on the individual, from less than one minute to more than ten minutes.

It may result in an unsatisfactory sexual experience for both partners and may cause significant personal distress to the person and/or the partner. This can increase the anxiety that may contribute to the problem.

Premature ejaculation is one of the most common forms of male sexual dysfunction and has been reported to affect as many as 1 in 3 men. Premature ejaculation can be lifelong, which means it was present from the first sexual activity or acquired, which means it may have occurred after years of normal satisfactory sexual activity. Premature ejaculation can affect both young and old, as long as they are sexually active.

How do I know if I have premature ejaculation?

Take the Test!

PREMATURE EJACULATION DIAGNOSTIC TOOL (PEDT)

This is a questionnaire to help identify men who may have a problem with ejaculating too soon during sexual activity.

Even if you do not have difficulties, please answer all the questions.

Please circle the number that best represents your answer for each of the questions below.

Please circle only one number for each question.

Remember there are no right or wrong answers to these questions.

While your experiences may change from time to time, what we need to know is your general experience with intercourse.

When you are done, add up the total score.

QuestionScoreScoreScoreScoreScore
How difficult is it for you to delay ejaculation?Not difficult at all

0

Somewhat difficult

1

Moderately difficult

2

Very difficult

3

Extremely difficult

4

Do you ejaculate before you want to?Almost never or never

0

Less than half the time

1

About half the time

2

More than half the time

3

Almost always or always

4

Do you ejaculate with very little stimulation?Almost never or never

0

Less than half the time

1

About half the time

2

More than half the time

3

Almost always or always

4

Do you feel frustrated because of ejaculating before you want to?Not at all

0

Slightly

1

Moderately

2

Very

3

Extremely

4

How concerned are you that your time to ejaculation leaves your partner unfulfilled?Not at all

0

Slightly

1

Moderately

2

Very

3

Extremely

4

Total Score:
Less than 8 – No PE
9 – 10 – Possible PE
More than 11 – Probable PE

Causes of premature ejaculation

Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner, only in certain sexual situations, or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can cause premature ejaculation. In some cases, premature ejaculation may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.

How is premature ejaculation diagnosed?

We will discuss your medical and sexual history with you and conduct a thorough physical exam. We may want to talk to your partner also. Premature ejaculation can have many causes. So we may order laboratory tests to rule out any other medical problem.

How is premature ejaculation treated?

In many cases premature ejaculation resolves on its own over time without the need for medical treatment. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve their ability to control ejaculation.

We may recommend that you and your partner practice specific techniques to help delay ejaculation. These techniques may involve identifying and controlling the sensations that lead up to ejaculation and communicating to slow or stop stimulation. Other options include using a condom to reduce sensation to the penis or trying a different position (such as lying on your back) during intercourse. Counseling or behavioral therapy may help reduce anxiety related to premature ejaculation.

Antidepressant medicines are sometimes used to treat premature ejaculation. These medicines are used because one of their side effects is inhibited orgasm, which helps delay ejaculation.

There are also creams, gels, and a spray that may be used to treat premature ejaculation by reducing sensation. These medicines are applied to the penis before sexual intercourse. But some of these medicines can also affect a man’s sexual partner by reducing sensation for the partner.

Men’s Health Services at Tanjong Pagar Medical Clinic

Specific Men’s Health:

Loss of libido / sexual interest
Erectile dysfunction
Premature ejaculation
‘Andropause’ or Androgen or Male hormone deficiency

General Men’s Health:

Hair loss – alopecia androgenetica ( male pattern hair loss ) and other causes
Weight management
Acne and other skin concerns
Depression, anxiety and other psychological conditions
Adult vaccinations ( eg. Hepatitis A & B, HPV / genital warts, Pneumoccocal )

Screening:

Wellness and General Health Screening
Pre-marital screening
Sexual Health/STD/ STI testing and screening

Please call 64433101, SMS 96622880 or email info@tanjongpagarclinic.com for more information.

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