Premature ejaculation is a type of sexual dysfunction that occurs when a man has an orgasm and releases (ejaculates) semen sooner than he or his partner would like. It often happens before or shortly after penetration during intercourse. Premature ejaculation can be a frustrating experience for both you and your sexual partner and makes your sex lives less enjoyable.
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Between 30% and 40% of men experience premature ejaculation at some point in their life. According to the American Urological Association, premature ejaculation is the most common type of sexual dysfunction in men. About one in five men between the ages of 18 and 59 report incidences of premature ejaculation.
What time frame medically defines a man’s ejaculation as premature?
Although the definition of premature ejaculation varies, the American Urological Association defines ejaculation as “premature” if it occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners. The American Psychiatric Association defines three levels of severity (mild, moderate, severe), based on time to ejaculation, with mild being under one minute. If pressed for a time frame, many doctors would define prematurity as ejaculation within a minute of beginning intercourse. Despite professional opinions, your feelings as to what is premature are also considered.
Symptoms and Causes
A number of emotional and physical factors can lead to premature ejaculation. It may happen when a person becomes too excited or stimulated, or if their penis is very sensitive. It may also happen if they’re nervous or uncomfortable with a new partner. Other common causes include the following:
- Anxiety about performance.
- Guilty feelings.
- Depression.
- Stress.
- Relationship problems.
- Erectile dysfunction.
People who have a low amount of serotonin in their brain may have problems with premature ejaculation.
Physical and chemical problems include: 
- An underlying erectile dysfunction diagnosis.
- A hormonal problem with oxytocin levels (which has a role in sexual function in men), luteinizing hormone (LH), prolactin and thyroid stimulating hormone (TSH).
- Low serotonin or dopamine levels (they are involved in sexual desire and excitement).
- Extra sensitivity to stimulation (of penis).
Allopathic treatment for premature ejaculation
There are different treatments options for premature ejaculation depending on the cause. These include behavioral therapy, counseling and medications. Most causes of premature ejaculation are usually treated first with behavior therapy and/or counseling to help with emotional concerns, performance anxiety or stressors that may be contributing. Often more than one treatment approach may be tried at the same time.
Behavioral therapy
Behavioral therapy involves trying different methods to delay your orgasm. Its goal is to teach you how to control your body and your feelings. Methods include:
- Start and stop: With this technique, you or your partner stimulates your penis close to the point of orgasm then stops the stimulation for about 30 seconds until you regain control of your response. Repeat this “start and stop” approach three or four times before allowing yourself to orgasm. Continue practicing this method until you have gained good control.
- Squeeze therapy: With this technique, you or your partner stimulates your penis close to the point of orgasm then gently squeezes the head of your penis for about 30 seconds so that you begin to lose your erection. Repeat this technique a few times before allowing yourself to orgasm. Continue practicing this technique until you have gained control in delaying your orgasm.
- Distracted thinking: With this technique, the idea is to focus your attention on ordinary nonsexual things while you’re being sexually stimulated. Naming sequences are a good way to focus your attention. For example, visualize naming all the businesses you pass on your drive to the gym, naming all the players on your favorite sports team or naming all the products on the aisles of your favorite store.
Counseling
If the cause of your premature ejaculation is psychological, emotional, or due to relationship issues – due to performance anxiety, depression, stress, guilt, or a troubled relationship – refer your patient to a psychologist, psychiatrist, couple’s therapist or sex therapist.
Medications
Several types of allopathic medications may be tried:
Antidepressants, especially selective serotonin reuptake inhibitors like citalopram, escitalopram, fluoxetine, paroxetine and sertraline or the tricyclic antidepressant clomipramine, can help delay premature ejaculation. This is an “off-label” use (not approved by the Drug Administration for this use, in almost all countries). Erectile dysfunction medications for example, sildenafil, tadalafil, vardenafil and Avanafil, have also been used to treat premature ejaculation, particularly in men with underlying erectile dysfunction.
Warn your patient about the side effects of these allopathic drugs.
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Homeopathic treatment for premature ejaculation
Homeopathy has dozens of medicines for premature ejaculation; all these medicines are for premature ejaculation due to different diseases and/or for different types of patient/lifestyles.
Here are very few of those medicines:
Agnus Castus
Mentally unable to recollect things. Low-spirited; fears. Swelling and induration of the spleen, especially after intermittent fevers (spleen diseases could be the cause of premature ejaculation). Diminution of sexual power. The penis is small and flaccid; so relaxed that voluptuous fancies excite no erection. Feeble erections without sexual desire. The testicles are cold, swollen, hard, and painful. Impotence, with gleet, having frequently gonorrhea). Gleet, without sexual desire or erections. Emission of prostatic fluid when straining at stool; during micturition. Drawing along the spermatic cords. Pollutions from irritable weakness with prostatorrhea. Premature ejaculation. Itching of the genital organs. Yellow discharges from the urethra. Gonorrhea, with suppressed sexual desire.
Ustilago Maydis
Uncontrollable masturbation. Spermatorrhea, with erotic fancies and amorous dreams. Emissions, with irresistible tendency to masturbation. Mental irritability. Depression of spirits in afternoon. Very sad, cries frequently; exceedingly prostrated from sexual abuse and loss of semen; restless, premature ejaculation. Could not bear to see or talk with anyone. Irritability. The day seemed like a dream. Genitals relaxed. Erections when reading, daydreaming and/or dreams. Scrotum relaxed and cold sweat on it.
Pain in testes. Desire depressed. Chronic orchitis, irritable testicle. Erotic fancies. Seminal emissions and irresistible tendency to masturbation. Premature ejaculations in a person having an irresistible desire for masturbation.
Graphites
Great tendency and urgency to start. Sexual debility, with increased desire; aversion to coition; premature ejaculation or no ejaculation; herpetic eruption on organs.
China Officianalis 
Excited lascivious fancy. Frequent emissions, followed by great weakness. Premature ejaculation. Orchitis. Apathetic, indifferent, disobedient, taciturn, despondent. Ideas crowd in mind; prevent sleep. Disposition to hurt other people’s feelings. Sudden crying and tossing about.
Phosphorus.
Lack of power. Irresistible desire; involuntary emissions, with lascivious dreams. Premature ejaculation. Great lowness of spirits. Easily vexed. Fearfulness, as if something were creeping out of every corner. Clairvoyant state. Great urgency to start. Over-sensitive to external impressions.
Loss of memory. Memory. Paralysis of the insane. Ecstasy. Dread of death when alone. Brain feels tired. Insanity, with an exaggerated idea of one’s own importance. Excitable, produces heat all over. Restless, fidgety. Hypo-sensitive, indifferent. Premature ejaculation with impotency. A person having an irresistible desire but lacke of power.
Staphysagria
Premature ejaculations followed with a backache and severe prostration. persistent dwelling on sexual subjects. Spermatorrhea with sunken features; guilty look; emissions, with backache and weakness and sexual neurasthenia. Dyspnea after coition. Impetuous, violent outbursts of passion, hypochondriacal, sad. Very sensitive as to what others say about her. Dwells on sexual matters; prefers solitude. Peevish.
Worse, anger, indignation, grief, mortification, loss of fluids, onanism, sexual excesses. Premature ejaculation having a history of excessive sex in the past. Instant thoughts of sexual sphere. Constantly dwell on sexual subjects and are highly excited even before the sexual stimulation starts; this highly excited state leads to premature ejaculation.
Selenium
Selenium is a wonderful homeopathic medicine for sexual neurasthenia with thin and odorless semen. Irritability and weakness after coitus. Extreme sadness, lascivious dreams running through the mind with early emissions. Premature ejaculation. Early emissions with extreme sadness.
Carbonium Sulphuratum
Sexual excitement followed by complete loss of desire. Desire lost without previous sexual excitement. Burning in urethra: with erections; when urinating. Testicle swollen and indurated. Impotence in atrophied testicles. Irritable, anxious, premature ejaculation, intolerant; stupor. Sluggishness of mind. Hallucinations of sight and hearing. Changeable mood. Dementia alternating with excitement.
Baryta carbonicum
Testicles – cold, swollen, hard, and very painful. Premature ejaculations along with the lost desire and parts atrophied. Diminished desire and premature impotence. Enlarged prostate. Testicles indurated.
Phosphoricum Acidum
Diminished sexual power, libido, testicles are very tender and swollen. Emissions at night and at stool. Seminal vasculitis. Parts relax during embrace. Prostatorrhea, even when passing a soft 
stool. Eczema of scrotum. Edema of prepuce, and swollen glans – penis. Herpes preputial. Listless. Impaired memory. Apathetic, indifferent. Cannot collect his thoughts. Premature ejaculation. Difficult comprehension. Effects of grief and mental shock. Delirium, with great stupefaction. Settled despair.
Conium Maculat
Conium is widely used for treating premature ejaculation along with diminished power. Sexual nervousness with weak erection and ill effects of a sexual desire. premature ejaculation along with diminished sexual power and weak erection. early emissions, weak erection and excessive sexual desire. Involuntary discharge of thick seminal fluid from just the thought of sex and in some cases even thinking about women. Swelling of the testes. Cutting pain through scrotum to root of penis. Lasciviousness. Impotence, insufficient erections. Premature ejaculation. Easy emission of semen, even without firm erections. Dejection, after coition. Immoderate pollutions. Flow of prostatic fluid during evacuation, and after any mental emotion. With weakness of sexual organs, much sexual erethism, amatory thoughts, even emissions provoked by mere presence of women.
Sulphur
Sulphur is very effective for premature ejaculation along with impotency especially when the organ is cold, relaxed, and powerless. Stitches in penis. Involuntary emissions. Itching of genitals when going to bed. Organs cold, relaxed and powerless. Very forgetful. Difficult thinking. Delusions; thinks rags beautiful things-that he is immensely wealthy. Busy all the time. Childish peevishness in grown people. Irritable. Affections vitiated; very selfish, no regard for others. Religious melancholy. Averse to business; loafs-too lazy to arouse himself. Imagining giving wrong things to people, causing their death. Sulphur subjects are nearly always irritable, depressed, thin and weak, even with good appetite.
Iodum
Premature ejaculation, loss of sexual power with atrophied testes. Testicles swollen and indurated. Hydrocele. Loss of sexual power, with atrophied testes. Anxiety when quiet. Present anxiety and depression, no reference to the future. Sudden impulse to run and do violence. Forgetful. Must be busy. Fear of people, shuns everyone. Melancholy. Suicidal tendency.
Caladium
Caladium has marked action on the male genital organs. It is particularly suited for treating premature ejaculation and erectile dysfunction (inability to obtain or sustain erection firm enough to have sexual intercourse). In cases, where this problem is linked to lifestyle habits like smoking. Pruritus. Glans very red. Organs seem larger, puffed, relaxed, cold, sweating; skin of scrotum thick. Erections when half-asleep; cease when fully awake. Impotency; relaxation of penis during excitement. No emission and no orgasm during embrace. Emotional and stress-linked problems are often the underlying cause of pre-mature ejaculation.
Erectile dysfunction with weak erection resulting in premature ejaculation. Early ejaculation is more commonly associated with men who are exhausted or suffering mental trauma.
Avena sativa
Premature ejaculation and too much sexual indulgence resulting in impotency. Nervous exhaustion, sexual debility, and the morphine habit. Best tonic for debility after exhausting diseases. Nerve tremors of the aged; chorea, paralysis agitans, epilepsy. Premature ejaculation. Alcoholism. Insomnia, especially of alcoholics. Inability to keep mind on any one subject.
Nuphar luteum
Early emissions, impotence, and a complete absence of sexual desire. Complete absence of sexual desire; parts relaxed; penis retracted. Impotency, with involuntary emissions during stool, premature ejaculation. Spermatorrhea. Pain in testicles and penis.
kali bromatum
Wonderful homeopathic medicine for premature ejaculations associated with severe debility. Effects of sexual excesses, especially loss of memory, impaired coordination, numbness, and tingling in limbs. Debility and impotence. Sexual excitement during partial slumber. 
Profound, melancholic delusion; feeling of moral deficiency; religious depression; delusions of conspiracies against him. Imagines he is singled out as an object of divine wrath. Loss of memory. Must do something-move about; gets fidgety. Night terrors. Horrid illusions. Active delirium. Suicidal mania with tremulousness. Face flushed.
Nux vomica
Easily excited desire. Emissions from high living. Bad effects of sexual excesses. Constrictive pain in testicles. Orchitis. Spermatorrhea, with dreams, backache, burning in spine, weakness and irritability. Premature ejaculation from bad effects of a high living lifestyle. Gets easily excited, the bad effects of sexual excesses. Very irritable: sensitive to all impressions. Ugly, malicious. Cannot bear noises, odors, light, etc. Does not want to be touched. Time passes too slowly. Even the least ailment affects her greatly. Disposed to reproach others. Sullen, fault-finding.
Difference between erectile dysfunction and premature ejaculation
If you have erectile dysfunction, you can’t attain or maintain your erection. If you have premature ejaculation, you have an erection but you reach orgasm and ejaculate earlier than you or your partner would have liked.
However, erectile dysfunction can actually lead to the development of premature ejaculation. This happens when a man knows his ability to sustain an erection is poor, so he develops the habit of ejaculating soon after erection before he loses his erection.
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P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).
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Non of above-mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.
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Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.
Senior research officer at Dnepropetrovsk state medical academy Ukraine.
Location: Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.
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