Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life.
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. It may happen 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 also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.
The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
How is premature ejaculation diagnosed?
Our doctor will discuss your medical and sexual history with you. He will do a thorough physical exam. Our doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem.
In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. 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 how well they can control ejaculation.
Loss of libido (sex drive) is a common problem affecting up to one in five men – and even more women – at some point in their life.
It's often linked to personal stress, or important life-changing events such as pregnancy, childbirth or breastfeeding.
However, an unexpected loss of libido – especially when it lasts for a long time or keeps returning – can also indicate an underlying personal, medical or lifestyle problem, which can be upsetting to both partners in a relationship.
If you're concerned about your libido, especially if your diminished sex drive distresses you or affects your relationship, make an appointment at one of our clinics in Pretoria or Johannesburg so that we can discuss with you any underlying causes and possible medical or psychological treatments.
The first thing you should consider is whether you're happy in your relationship. Do you have any doubts or worries that may be the real reason for your loss of sexual desire?
If you've been in a relationship for a long time, you may have become overfamiliar with your partner and feel a degree of erotic dissatisfaction. This is quite common and can have a negative effect on your sex drive.
Relationship problems are among the most common causes of loss of libido. For help and advice, you may find it useful to contact us now and we will be able to assist you. Another thing to consider is whether the problem is a performance issue that makes sex difficult or unfulfilling. For instance, many men experience erectile dysfunction or ejaculation, and women can experience painful sex.
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