Many men occasionally ejaculate sooner during sexual intercourse than they or their partner would like. As long as it happens infrequently, it's probably not cause for concern. However, if you regularly ejaculate sooner than you and your partner wish — such as before intercourse begins or shortly afterward — you may have a condition known as premature ejaculation.
Premature ejaculation is a common sexual disorder. Estimates vary, but it may affect as many as one out of three men in the 18 - 30 age group. It's more common in young men, and tends to improve with age. Men generally get better control as they grow older.
Once thought to be purely psychological, recent evidence suggests that biological factors also play an important role in premature ejaculation. Even though it's a common problem that can be treated, many men feel embarrassed to talk to their doctors about it or seek treatment. However, you don't have to live with premature ejaculation — medication to delay ejaculation can improve sex for you and your partner.
Signs and symptoms
The International Society for Sexual Medicine now defines premature ejaculation as ejaculation which nearly always occurs prior to, or within a minute of, vaginal penetration. However, the essence of premature ejaculation is that it occurs before both partners wish in the majority of sexual encounters, resulting in an unsatisfactory sexual experience for both partners.
In some cases, premature ejaculation may be caused by poor communication between partners or a lack of understanding of the differences between male and female sexual functioning. Women typically require more prolonged stimulation than men do to reach orgasm, and this difference can cause sexual resentment between partners and add pressure to sexual encounters. For many men, feeling pressure during sexual intercourse increases the risk of premature ejaculation.
Open communication between sexual partners, as well as a willingness to try a variety of approaches to help both partners achieve satisfaction, can help reduce conflict and performance anxiety. If you're not satisfied with your sexual relationship, talk with your partner about your concerns. Try to approach the topic in a dispassionate way and to avoid blaming your partner for your dissatisfaction.
Dapoxetine, now available in India, is the only medicine with regulatory approval for the treatment of premature ejaculation. When used under medical supervision, it is safe and effective for PE. It has the advantage of being an "on demand" drug.