Ejaculation problems: premature ejaculation

Premature ejaculation is a common sexual concern where ejaculation happens sooner than desired during intercourse, often leading to frustration for both partners. It can be caused by various factors, including psychological issues like anxiety, stress, or relationship problems, as well as biological factors such as hormone imbalances or abnormal reflexes in the ejaculatory system. While it can affect a man's confidence and sexual satisfaction, premature ejaculation is treatable. Options include behavioral techniques, counseling, or medical interventions like topical anesthetics or prescription medications to delay ejaculation and improve sexual performance.

If you have symptoms or want to discuss sexual health, you can consult with doctors at the PULSE Clinic. To book an appointment, please email us at info.bkk@pulse-clinic.com or contact us on your preferred platform.

 +66 65 237 1936    @PULSEClinic    PulseClinic

What is Premature Ejaculation?

Premature ejaculation is a condition in which a man ejaculates within 2 minutes of sex. This is not always an issue for every couple, as some partners may also climax quickly, or couples may be happy to use other methods, such as foreplay or other forms of stimulation, to ensure that both partners are sexually satisfied.

Stop yourself from finishing early. If you are living in Bangkok, Phuket, Pattaya, or anywhere in Thailand, Malaysia, Singapore or Hong Kong. We offer premature ejaculation treatment in those countries effectively.

What causes premature ejaculation?

There are two kinds of premature ejaculation, primary and secondary. The primary premature ejaculating problem begins in teenage years when the man becomes sexually active. His initial sexual interactions psychologically condition him to finish quickly, which becomes a lifelong issue later if it goes unnoticed in the beginning. The second kind of premature ejaculation occurs later in life, where external factors such as depression, anxiety, and health, and internal health factors such as prostate disease reduce the sexual intercourse length overall.

Is premature ejaculation permanent?

For most men, premature ejaculation is not permanent and lasts only for a short time. For anyone with longer-term problems with premature ejaculation, medications and psychological therapies can be supplied.

How can I treat premature ejaculation?

• Developing Control: When you feel like ejaculating or reaching climax, squeeze the head of the penis or take a pause and breath deeply when you feel you are nearing climax which again tricks the brain into pausing the internal climax building up gradually for release, which ends up in lasting experience.
• Masturbation: Masturbation has been known to increase stamina and prolong sexual performance. Science has recorded that men who engage in healthy masturbation on a weekly basis lead better sexual lives.
• Distraction: Distract yourself by thinking of non-sexual topics, i.e. mundane tasks, things that annoy you etc. While distracting yourself could be considered as cheating during the sexual intercourse, sometimes men have no other choice. In order to finish longer, men can distract themselves with projects and tasks which confuse their mind to delay the sexual climax.
• Thicker Condoms: Thicker condoms reduce the sexual sensitivity in the penis. This leads to a slower threshold build-up in the body, delaying climax.
• Slower Pace: Positions that help you have slower and more gentle sexual intercourse may help men delay orgasm.
• Medication: Medication and treatments such as EMLA cream, anaesthetic condoms and Priligy are used to improve sexual performance and encourage longer performance. Medications such as Viagra increase blood flow in the penile area and treat men who suffer from erectile dysfunction.
• Counselling: Since psychological factors such as stress, depression and anxiety can be responsible for premature ejaculation, professional counselling can help improve this condition by treating the underlying psychological causes.

Treatment Options for Premature Ejaculation

There are two types of premature ejaculation. The most common form affects predominantly middle-aged men. External factors such as depression, anxiety and health, and internal health factors such as prostate disease reduce the sexual intercourse length overall. This can cause men to experience a drop in their self-esteem and a loss of confidence in their relationships. This can cause problems in marital lives and relationships. The other form of premature ejaculation begins from when the man first becomes sexually active. His initial sexual interactions psychologically condition him into finishing quickly, which can become a lifelong issue if not treated. Men who suffer from premature ejaculation then seek out treatment options for their problem. Psychological therapy, Priligy and EMLA cream can be used to treat premature ejaculation. Other methods that may help:

Communication:

If the female partner is comfortable with her male partner finishing early, then the male partner does not even need to seek treatments. Moreover, during the sexual experience as well, proper communication can help men prolong their experience. Good communication can also help to reduce anxiety around sex, which can help improve sexual stamina.

Positions:

Different sexual positions which encourage greater stimulation and pleasure for the partner may help them achieve orgasm faster.

Foreplay:

The problem for prolonging often lies in women not achieving satisfaction on time. By implementing foreplay in your sexual experience, you make it quicker for your partner to climax quicker. This allows your partner to overlook your quick climax and helps you both last equally in bed. If foreplay is done right, and patiently, then partners cannot only enjoy longer sexual intercourse but also a pleasurable one. Sometimes Sex Toys can help and lube also makes you more than fun in your sex activity.

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Order now on our website, or contact info.bkk@pulse-clinic.com for more information. You can also chat with us on your preferred platform.

  +66-84-226-2569  @PulseRx      PulseClinic

Delayed Ejaculation

Delayed ejaculation is a condition where a man experiences difficulty or an extended delay in reaching orgasm and ejaculating during sexual activity, despite adequate arousal. This issue can result from various causes, including psychological factors like stress, anxiety, or relationship conflicts, as well as physical factors such as nerve damage, hormonal imbalances, or certain medications (especially antidepressants). Delayed ejaculation can be frustrating for both partners and may reduce sexual satisfaction. Treatment typically involves addressing the underlying cause, such as therapy for psychological issues or adjusting medications, along with lifestyle changes to enhance intimacy and sexual function.

What is Delayed Ejaculation?

Delayed ejaculation only affects around 3% of men. There are two types of delayed ejaculation: The first type is almost the opposite of premature ejaculation - it can take a very long time (30-60 mins of sex) for a man to ejaculate. However, in the second type, it can be impossible for a man to ejaculate, even if he has a normal erection.

What Causes Delayed Ejaculation?

Delayed ejaculation can be caused by alcohol or drug abuse, too frequent masturbation, SSRI antidepressants, nerve damage, ageing and psychological factors.

How is Delayed Ejaculation Treated?

If delayed ejaculation is thought to be caused by SSRI antidepressants, an alternative medication may be prescribed. If frequent masturbation is the issue, it may help to reduce the amount you masturbate. If alcohol or drug abuse is a factor, it may be beneficial to stop using these substances. For other causes, counseling or psychological therapies may be the best solution. For some nerve damage, including spinal injuries, an effective treatment may not be possible, but this does not have to prevent you from having an enjoyable sex life. Your doctor or relevant charity representatives may be able to give you advice.

Retrograde Ejaculation

Retrograde ejaculation is a condition where semen flows backward into the bladder instead of exiting through the urethra during orgasm. This happens when the muscles at the bladder neck fail to contract properly, often due to nerve damage, medications, or surgeries affecting the prostate or bladder. Though harmless, retrograde ejaculation can result in little to no semen being released during ejaculation, which may affect fertility. Men with this condition may notice cloudy urine after sex, as the semen mixes with urine in the bladder. Treatment depends on the cause and may involve medication or addressing underlying medical issues.

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We recommend Lidocaine 10% Spray 50 ml by PULSE Clinic, available for online order now. Lidocaine is increasingly being used as a treatment for premature ejaculation (PE), a common condition that affects many men. When applied topically in the form of spray, lidocaine works by temporarily numbing the penile area, which can help delay ejaculation during sexual activity. This localized numbing reduces sensitivity, allowing individuals to have better control over the timing of ejaculation. The use of lidocaine for PE is often recommended for men who seek a non-invasive, quick solution with minimal side effects.

Order now on our website, or contact pulseliving@pulse-clinic.com for more information. You can also chat with us on your preferred platform.

  +66-84-226-2569  @PulseRx      PulseClinic

What is Retrograde Ejaculation?

Retrograde ejaculation is the rarest ejaculation problem. In retrograde ejaculation, the sperm are ejaculated into the man’s bladder, instead of out of the end of the penis. This does not cause issues relating to sexual satisfaction, but it can cause issues if the couple is trying to conceive. Symptoms include producing little or no semen and/or producing cloudy urine after sex.

What Causes Retrograde Ejaculation?

Retrograde ejaculation can be caused by several elements, including substance abuse, nerve damage (sometimes related to diabetes), medication side effects, and some surgical complications.

How is Retrograde Ejaculation Treated?

As retrograde ejaculation does not cause issues with sexual satisfaction, most people seeking treatment are trying to conceive. Some medications, such as imipramine, may be prescribed to temporarily close the passage connecting to the bladder, forcing the semen out of the end of the penis. If this treatment does not work, other fertility treatments may be able to help you and your partner conceive.

Expert advice

If you have symptoms or want to discuss sexual health, you can consult with doctors at the PULSE Clinic. Feel free to contact us. Here to help, Not to judge!!