Premature Ejaculation

Introduction: Why this matters?

Premature Ejaculation (PE) is a common issue among men, yet many do not talk about it due to embarrassment or lack of awareness. Studies suggest that about one in three men between the ages of 18 and 59 experience PE at some point. In Africa, where cultural expectations often place high importance on a man’s sexual performance, PE can cause distress, relationship issues, and low self-esteem.

However, PE is a treatable condition, and understanding it is the first step toward managing it effectively. This article will break it down into simple terms, with practical solutions that African men can relate to and apply.

What is premature ejaculation?

PE happens when a man ejaculates (releases sperm) too quickly during sex, usually within a minute of penetration, and before he or his partner desires. This can make sex unsatisfying and frustrating.

PE is also called:

  • Rapid ejaculation
  • Premature climax
  • Early ejaculation

Some men experience PE occasionally, while for others, it is a long-term issue.

Is PE a sexual dysfunction?

Yes, PE is considered a sexual dysfunction. It a condition that prevents individuals from enjoying a satisfying sexual experience. However, it is different from erectile dysfunction (ED), which is the difficulty in achieving or maintaining an erection. Some men may experience both PE and ED at the same time.

How common is PE among African men?

While global estimates indicate that about 30% of men experience PE, studies in African populations suggest that the numbers may be slightly higher due to factors such as stress, poor sexual education, and social pressures. In some cases, men may not seek help due to stigma or traditional beliefs.

A 2021 study in Nigeria found that 34% of men in urban areas reported frequent episodes of PE. Similarly, research in Kenya and Ghana shows that many men, especially younger ones, experience PE due to anxiety, lack of experience, or relationship issues.

Symptoms of premature ejaculation?

The main sign of PE is the inability to delay ejaculation for more than a minute after penetration. Other signs include:

  • Ejaculating too quickly during sexual intercourse
  • Feeling frustrated or avoiding sex due to fear of PE
  • Ejaculating quickly even during masturbation
  • Reduced sexual confidence PE can be classified as:
  • Lifelong (Primary) PE: If a man has experienced PE since his first sexual encounter.
  • Acquired (Secondary) PE: If he previously had normal control over ejaculation but developed PE later in life.

What causes premature ejaculation?

PE is caused by a combination of psychological and physical factors:

Psychological causes:

  • Anxiety about performance in bed
  • Stress from work, finances, or relationships
  • Depression
  • Guilt, often due to cultural or religious beliefs
  • Past traumatic sexual experiences

Physical causes:

  • Erectile dysfunction (ED): Rushing through sex due to fear of losing an erection
  • Hormonal imbalances: Abnormal levels of testosterone or serotonin (a brain chemical that controls mood and ejaculation)
  • Prostate problems: Infections or inflammation of the prostate gland
  • Genetic factors: Some men may be naturally predisposed to PE

When to seek medical help?

If PE:

  • Is affecting your confidence or causing stress in your relationship
  • Happens frequently and reduces your sexual satisfaction
  • Has developed suddenly when you previously had control It is important to speak to a doctor or a trained healthcare professional.

Treatment and management of premature ejaculation?

The good news is that PE is treatable. Here are some practical ways to manage and overcome it:

Start-and-stop method

  • Engage in sex until you feel close to climax, then stop.
  • Wait until you feel in control before continuing.
  • Repeat this process to train your body to last longer.

Squeeze technique

  • When close to ejaculation, gently squeeze the penis where the head meets the shaft.
  • This reduces the urge to ejaculate and delays climax.

Pelvic floor exercises (Kegels)

Strengthening the pelvic floor muscles (the same muscles used to stop urination midstream) can help delay ejaculation.

How to do Kegels:

  • Tighten the pelvic muscles for 3 seconds.
  • Relax for 3 seconds.
  • Repeat this 10 times, three times a day.

Reducing sensitivity

  • Wearing a condom can reduce penile sensitivity and delay ejaculation.
  • Special condoms containing mild numbing agents like benzocaine can help.
  • Using numbing creams (with doctor’s advice) can also reduce sensitivity.

Medications

  • Some antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), can help delay ejaculation.
  • If PE is linked to ED, medications like viagra (sildenafil) or cialis (tadalafil) may help.

Always consult a doctor before taking any medication.