At Andrología Valencia, we identify both organic and psychological causes of premature ejaculation, analyzing each case to offer an appropriate treatment.
Premature ejaculation
What is premature ejaculation?
Premature ejaculation is a condition that affects both young people and adults, and occurs when a person goes from arousal to orgasm very quickly, with little or no control or plateau phase. This causes emotional distress and can have a profound impact on the quality of intimate relationships. Over time, it is common for those affected to begin avoiding sexual encounters, feeling frustrated and unsatisfied.
This problem is one of the most common reasons for consultation, as premature ejaculation affects approximately 20-25% of the adult population. At Andrología Valencia, our team of urologists and sexologists will help you better understand your situation, providing you with treatment tailored to your personal needs so that you can regain confidence and control in your intimate life.
You are not alone; our team is here to support you through this process and help you improve your well-being and quality of life.
Aspects we evaluate at Andrología Valencia for premature ejaculation
When we receive a case of premature ejaculation at Andrología Valencia, we follow a detailed, phased approach to identify the cause and type of this disorder. Our evaluation process begins with a consultation where we aim to understand how long the problem has been occurring and in what situations it takes place, as these characteristics allow us to classify premature ejaculation into four types:
Primary Premature Ejaculation
In this case, the patient has experienced premature ejaculation since their early sexual experiences. This type of premature ejaculation is the most common, accounting for between 70% and 80% of cases. It is important in this case to differentiate whether there are physiological causes or if it is a natural predisposition of the patient.
Secondary Premature Ejaculation
Here, the patient experiences the onset of premature ejaculation after having had a period of sexual life without issues. The cause is often related to emotional or psychological factors, such as anxiety, stress, or conflicts in the relationship. This type of premature ejaculation is less frequent but requires a thorough evaluation to determine the triggering factors.
Subjective Premature Ejaculation or False Diagnosis
Finally, we evaluate whether the patient has a misperception of their sexual performance, which does not represent a true case of premature ejaculation. This type of subjective premature ejaculation is often due to personal or cultural expectations about duration, rather than a real medical issue. In these cases, we provide education and support to help adjust those expectations.
This detailed, phased approach allows for an accurate diagnosis at Andrología Valencia and ensures that the recommended treatments are effective and personalized, guaranteeing an improvement in the patient’s quality of life.
Main causes of premature ejaculation
Organic causes
Organic causes account for approximately 15% to 20% of cases. These can include:
- Neurological disorders: Difficulties in recognizing signals of high arousal and sensations prior to ejaculation. Additionally, sympathetic nervous system hyperexcitability can reduce the time to ejaculation. Alterations in serotonin levels and increased oxytocin levels may also play a role.
- Infections and diseases: Conditions such as prostatitis or urethritis.
- Nervous system diseases: Cases of epilepsy or, in very rare cases, the presence of a brain tumor.
Causas psicológicas
Psychological causes are the most common, affecting around 80% of cases, with performance anxiety being the predominant factor. These causes are divided into precipitating, predisposing, and maintaining factors:
Precipitating factors
These are the ones that initiate the problem, such as:
- Early experiences in masturbation that condition sexual response.
- Traumatic experiences or abuse.
- Biased or insufficient sex education.
Predisposing factors
Factors that favor the development of premature ejaculation:
- Unsatisfactory initial experiences.
- Unrealistically high performance expectations.
- Anxious or insecure personality traits.
Maintaining factors
These are the factors that perpetuate the problem, including:
- Anticipatory anxiety: Excessive self-monitoring and fear of failure.
- Couple conflicts: Relationship tensions that worsen the problem.
- Lack of time for sexual play and other practices that could help reduce tension.
Other possible causes or factors
There are additional factors that can influence premature ejaculation:
- The age of the patient.
- Newness in the partner or changes in the relationship.
- The frequency of sexual intercourse.
Treatments for premature ejaculation in Valencia
At Andrología Valencia, we address premature ejaculation through treatments tailored to each patient’s individual needs. Treatments are typically divided into three areas: pharmacological therapy, cognitive therapy, and sexual therapy. Often, a combination of these therapies is used to achieve optimal results.
Medications or Pills for Premature Ejaculation
Pharmacological therapy includes medications that help control ejaculation by acting on the nervous system. The commonly used active ingredients are:
- Clomipramine and paroxetine: Tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs) that can delay ejaculation.
- Sildenafil: Used in some cases to improve sexual control.
- Dapoxetine: A specific treatment for premature ejaculation that is taken as needed.
It is essential that these medications be administered under medical supervision to ensure their effectiveness and safety.
Cognitive therapy
Cognitive therapy is a psychological approach that focuses on the relationship between thoughts, emotions, and behavior. In the context of premature ejaculation, this therapy aims to:
Psychoeducation: Provide the patient with clear information about premature ejaculation, its nature, possible causes, and realistic expectations about treatment. This knowledge helps reduce anxiety related to sexual performance.
Analysis of past experiences: Explore and reflect on past sexual experiences that may have influenced the perception of premature ejaculation. This includes identifying traumatic events, beliefs, or negative learnings that may be perpetuating the difficulty.
Cognitive restructuring: Modify negative and distorted thought patterns. For example, changing the belief “If I can’t control my ejaculation, I’m a failure” to a more positive and understanding view of sexual performance. This shift in mindset can reduce the pressure the patient feels and facilitate greater control during sexual relations.
Sexual therapy
Sexual therapy includes techniques to strengthen control over ejaculation, both individually and as a couple:
- Kegel exercises: To improve pelvic floor control.
- Self-stimulation training: Helps the patient identify and manage their levels of arousal.
- Breathing exercises: To reduce anxiety.
Couple techniques
The support of the partner can be essential in the treatment. These techniques include:
- Non-genital sensory focusing: Exercises to increase intimacy without genital contact.
- Communication of fantasies: To strengthen the emotional connection.
- Non-moving penetration and the stop-start method: Techniques to improve control.
- Use of erotic items: For individual or couple practices to reduce pressure.
Combined approach
The combined approach involves integrating several treatment methods to address premature ejaculation in a holistic way. By combining pharmacological therapy with cognitive and sexual therapy, both the physical and emotional aspects of the condition can be addressed. For example:
- Use of medication: To control ejaculation and reduce anxiety, while working on cognitive restructuring to change negative thought patterns.
- Pelvic floor strengthening exercises: These can be complemented with cognitive therapy sessions to help the patient develop a more positive mindset and manage anticipatory anxiety.
- Couple therapy: Encourages communication and intimacy, which can enhance the sexual experience and reduce performance pressure.
Find the solution for premature ejaculation in Valencia
If you’re looking for urologists and sexologists specialized in the treatment of premature ejaculation, the Andrology Clinic Valencia at CLÍNICA CÓZAR is your best option. Our team of experts is committed to providing you with comprehensive and personalized care, helping you regain your confidence and improve your sexual life.
Don’t let premature ejaculation affect your well-being. Contact us today and start your journey toward an effective solution!
Do you have any questions? We’re here to help.