Premature ejaculation is a male sexual disorder characterized by the following:

• Ejaculation takes place before or within one minute of vaginal penetration (congenital premature ejaculation) or is significantly reduced lasting from one to three minutes (acquired erectile dysfunction).
• The inability to delay ejaculation in all or almost all penetrations.
• Negative psychological feelings (stress, depression, avoiding contact).

 

The causes that cause premature ejaculation are:

• Idiopathic
• Psychologically
• Penile hypersensitivity
• Dysfunction of 5-HT receptors
• Obesity
• Poor health
• Thyroid disorders
• Diabetes Mellitus
• Traumatic sexual experiences

 

Diagnosis is based on proper history taking.

Treatment is based on the following methods:

• Start-stop method (when the patient gets close to orgasm, intercourse stops)
• Ballan strangulation method (when the patient reaches orgasm, pressure is applied to the urethra until the feeling of orgasm ceases)
• Selective serotonin receptor blockers – antidepressants
• Use of lidocaine ointments
• Phosphodiesterase 5 inhibitors (Viagra, Levitra, Cialis, Spedra, etc.)

References:

https://www.huanet.gr/wp-content/uploads/2017/12/01_MALE-SEXUAL-DYSFUNCTION_Zachariou.pdf

http://uroweb.org/guideline/male-sexual-dysfunction/#3

http://www.imop.gr/sex/prowrh-ekspermatish