Premature ejaculation is a type of sexual dysfunction that occurs when a man has an orgasm and releases (ejaculates) semen sooner than he like. It often happens before or shortly after penetration during intercourse. Premature ejaculation can be a frustrating experience for both spouses and makes sex less enjoyable.

Between 30% and 40% of men experience premature ejaculation at some point in their life. 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.

Premature ejaculation itself is not harmful but other health problems may contribute to the development of premature ejaculation. These health problems include:

• Erectile dysfunction (man can’t maintain a firm erection for intercourse).
• Chronic pelvic pain syndrome (long-term pain and cramping in the pelvic area plus long-term urinary tract symptoms and sexual dysfunction).
• Thyroid disorders.
• Recreational drug use.

What time frame medically defines a man’s ejaculation as premature?

Although the definition of premature ejaculation varies, ejaculation as “premature” if it occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners. There are 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.

Causes of Premature Ejaculation

Physical, chemical and emotional/psychological factors cause 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. Other hormone levels that play a role in sexual function include luteinizing hormone (LH), prolactin and thyroid stimulating hormone (TSH).
• Low serotonin or dopamine levels, chemicals in the brain that are involved in sexual desire and excitement.
• A penis that is extra sensitive to stimulation.

Emotional or psychological causes include:

• Performance anxiety. Could be due to the nervousness of being with a new partner, anxiousness of having sex again after a long period of abstinence, lack of confidence, guilt, being overly excited or stimulated or other reasons.
• Stress.
• Relationship problems.
• Depression.

Ask your patient about his sexual experiences:

• How long have you had this problem?
• Under what circumstances does it happen?
• How often does it happen? I it with every sexual attempt?
• Does premature ejaculation occur when you masturbate?
• Do you have trouble maintaining an erection?

Ask about any other medical conditions patient may have and any medications including over-the-counter medications, supplements etc. Asked about any alcohol and other drug use.

Lab tests are usually not needed unless a doctor suspects that an underlying health problem is contributing to the problem.

There are different allopathic treatments options for premature ejaculation depending on the cause, for example 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.

Behavior therapy

Behavioral therapy involves trying different methods to delay orgasm. Its goal is to teach how to control your body and your feelings. Methods include:

• Start and stop: With this technique, patient stimulates his penis close to the point of orgasm then stops the stimulation for about 30 seconds until he regains control of his response. Repeat this “start and stop” approach three or four times before allowing his self to orgasm. Continue practicing this method until patient have gained good control.
• Squeeze therapy: With this technique, patient stimulates his penis close to the point of orgasm then gently squeezes the head of his penis for about 30 seconds so that he begins to lose his erection. Repeat this technique a few times before allowing his self to orgasm. Continue practicing this technique until patient have gained control in delaying his orgasm.
• Distracted thinking: With this technique, the idea is to focus attention on ordinary nonsexual things while patient is being sexually stimulated. Naming sequences are a good way to focus attention. For example, visualize naming all the businesses patient pass on his drive to the workplace, naming all the players on his favorite sports team etc.

Counseling

If the cause of patient’s 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, for example:

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 Food and Drug Administration for this use). Be sure to discuss the side effects of theses medication with your patient.

Anesthetic (numbing) creams and sprays applied to the head and shaft of the penis is another option to delay ejaculation. The anesthetic cream or spray is applied to the penis, absorbed for 10 to 30 minutes. It’s important to wash penis before sex to prevent numbness to vagina.

Allopathic erectile dysfunction medications include sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and Avanafil (Stendra).

Homeopathic treatment for Premature Ejaculation

For premature ejaculation top of list medicines are:

Caladium Seguinum

It has marked action on the genital organs, and pruritus of this region. Glans 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.

Agnus Castus

Low sexual vitality, with corresponding mental depression and loss of nervous energy. Sexual melancholy. Sadness with impression of speedy death. Absentminded, forgetful, lack of courage. Nervous depression and mental forebodings. Yellow discharge from urethra. No erections. Impotence. Parts cold, relaxed. Desire gone. Scanty emission without ejaculation. Loss of prostatic fluid on straining. Gleety discharge. Testicles cold, swollen, hard, and painful.

Lycopodium Clavatum

Melancholy; afraid to be alone. Little things annoy, extremely sensitive. Averse to undertaking new things. Head strong and haughty when sick. Loss of self-confidence. Hurried all time. Constant fear of breaking down under stress. Apprehensive. Weak memory, confused thoughts. Failing brainpower. Sadness in morning on awaking. impotence. Premature emission. Enlarge prostate. Condyloma.

Gelsemium Sempervirens

General prostration. Dizziness, drowsiness, dullness, and trembling. Slow pulse, tired feeling, mental apathy. Paralysis of various groups of muscles. Post-diphtheritic paralysis. Muscular weakness. Complete relaxation and prostration. Lack of muscular co-ordination. Premature ejaculation. Desire to be quiet, to be left alone. Dullness, languor, listless. Spermatorrhea, without erections. Genitals cold and relaxed. Scrotum continually sweating. Gonorrhea, first stage; discharge scanty; tendency to corrode; little pain, but much heat; smarting at meatus.

Ustilago Maydis

Uncontrollable masturbation. Spermatorrhea, with erotic fancies and amorous dreams. Emissions, with irresistible tendency to masturbation. Premature ejaculation. Dull pain in lumbar region, with great despondency and mental irritability.

Graphites

Great tendency to start. Timid. Unable to decide. Want of disposition to work. Fidgety while sitting at work. Music makes her weep. Apprehensive, despondency, indecision. Sexual debility, with increased desire; aversion to coition. Premature ejaculation or no ejaculation; herpetic eruption on organs.

Kali bromatum

Profound, melancholic delusion; feeling of moral deficiency; religious depression; delusions of conspiracies against him. Suicidal mania with tremulousness. Face flushed. Numb feeling in head. Brain-fag. Coryza with tendency to extension into throat. Debility and impotence. Premature ejaculation. Effects of sexual excesses, especially loss of memory, impaired co-ordination, numbness and tingling in limbs. Sexual excitement during partial slumber.

Nuphar Luteum

Nervous weakness, with marked symptoms in the sexual sphere. Complete absence of sexual desire; parts relaxed; penis retracted. Impotency, with involuntary emissions during stool, when urinating. Premature ejaculation. Spermatorrhea. Pain in testicles and penis.

China Officianalis

Apathetic, indifferent, disobedient, taciturn, despondent. Ideas crowd in mind; prevent sleep. Disposition to hurt other people’s feelings. Sudden crying and tossing about. Excited lascivious fancy. Frequent emissions, followed by great weakness. Orchitis. Premature ejaculation.

Phosphorus

Lack of power. Irresistible desire; involuntary emissions, with lascivious dreams. Destructive metabolism. Great lowness of spirits. Easily vexed. Fearfulness. Over-sensitive to external impressions. Premature ejaculation. Loss of memory.

Premature ejaculation followed by great weakness:

Avena Sativa

Has a selective action on brain and nervous system. Nervous exhaustion, sexual debility. Inability to keep mind on any one subject. Premature ejaculation. Spermatorrhea; impotency; after too much indulgence.

China Officinalis

Apathetic, indifferent, disobedient, taciturn, despondent. Ideas crowd in mind; prevent sleep. Disposition to hurt other people’s feelings. Sudden crying and tossing about. Excited lascivious fancy. Frequent emissions, followed by great weakness. Orchitis. Premature ejaculation.

Graphites

Great tendency to start. Timid. Unable to decide. Want of disposition to work. Fidgety while sitting at work. Music makes her weep. Apprehensive, despondency, indecision. Sexual debility, with increased desire; aversion to coition. Premature ejaculation or no ejaculation; herpetic eruption on organs.

Staphysagria

Nervous affections with marked irritability, diseases of the Genito-urinary tract and skin. Very sensitive, premature ejaculation.

Selenium Metallicum

Prostatitis and sexual atony. Premature ejaculation. Great debility; worse, heat. Easy exhaustion, mental and physical. Lascivious thoughts, with impotency. Mental labor fatigues. Extreme sadness. Dribbling of semen during sleep. Dribbling of prostatic fluid. Irritability after coitus. Loss of sexual power, with lascivious fancies. Increases desire, decreases ability. Semen thin, odorless. Sexual neurasthenia. On attempting coition, penis relaxes. Hydrocele.

Premature ejaculation along with diminished desire:

Conium Maculatum

Excitement causes mental depression. Depressed, timid, averse to society, and afraid of being alone. No inclination for business or study; takes no interest in anything. Memory weak; unable to sustain ‘any mental effort. Desire increased; power decreased. Sexual nervousness, with feeble erection. Premature ejaculation. Effects of suppressed sexual appetite. Testicles hard and enlarged.

Sabal Serrulita

Irritability of the Genito-urinary organs. General and sexual debility. Premature ejaculation. Confused, full, dislikes sympathy. Prostatic troubles; enlargement; discharge of prostatic fluid. Wasting of testes and loss of sexual power. Coitus painful at the time of emission. Sexual neurotics. Premature ejaculation. Organs feel cold.

Selenium Metallicum

Prostatitis and sexual atony. Premature ejaculation. Great debility; worse, heat. Easy exhaustion, mental and physical. Lascivious thoughts, with impotency. Mental labor fatigues. Extreme sadness. Dribbling of semen during sleep. Dribbling of prostatic fluid. Irritability after coitus. Loss of sexual power, with lascivious fancies. Increases desire, decreases ability. Semen thin, odorless. Sexual neurasthenia. On attempting coition, penis relaxes. Hydrocele.

Agnus Castus

Low sexual vitality, with corresponding mental depression and loss of nervous energy. Sexual melancholy. Sadness with impression of speedy death. Absentminded, forgetful, lack of courage. Nervous depression and mental forebodings. Yellow discharge from urethra. No erections. Impotence. Parts cold, relaxed. Desire gone. Scanty emission without ejaculation. Loss of prostatic fluid on straining. Gleety discharge. Testicles cold, swollen, hard, and painful.

Carboneum sulphuratum

This drug has a deep and disorganizing action and an immense range of action judging from the symptomatology. Very useful in patients broken down by abuse of alcohol. Sensitive patients worse cold, wasted muscles, and skin and mucous membranes anesthetic. Special affinity for eyes. Premature ejaculation. Paralysis with intense congestion of nerve centers. Sensory difficulties. Impotence, sciatica. Chronic plumbism. Diminished sensibility of arms, hands and feet. Peripheral neuritis.

Irritable, anxious, intolerant; stupor. Sluggishness of mind. Hallucinations of sight and hearing. Changeable mood. Dementia alternating with excitement. Desire lost; parts atrophied. Frequent profuse emissions.

Baryta Carbonica

Diseases of old men when degenerative changes begin; cardiac vascular and cerebral. Hypertrophied prostate or indurated testes, very sensitive to cold, offensive foot-sweats, very weak and weary, must sit or lie down or lean on something. Very averse to meeting strangers. Loss of memory, mental weakness. Premature ejaculation. Irresolute. Lost confidence in himself. Senile dementia. Confusion. Bashful. Premature ejaculation. Diminished desire and premature impotence. Enlarged prostate. Testicles indurated.

Homeopathic medicines for premature ejaculation along with diminished power:

Caladium Seguinum

It has marked action on the genital organs, and pruritus of this region. Glans 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.

Phosphoricum Acidum

Mental and physical debility.  Listless. Impaired memory. Apathetic, indifferent. Cannot collect his thoughts. Emissions at night and at stool. Seminal vasculitis. Sexual power deficient; testicles tender and swollen. Parts relax during embrace. Premature ejaculation. Prostatorrhea, even when passing a soft stool. Eczema of scrotum. Edema of prepuce, and swollen glans-penis. Herpes preputialis. Sycotic excrescences.

Conium Maculatum

Excitement causes mental depression. Depressed, timid, averse to society, and afraid of being alone. No inclination for business or study; takes no interest in anything. Memory weak; unable to sustain ‘any mental effort. Desire increased; power decreased. Sexual nervousness, with feeble erection. Premature ejaculation. Effects of suppressed sexual appetite. Testicles hard and enlarged.

Sulphur

Very forgetful. Difficult thinking. Delusions. Stitches in penis. Involuntary emissions. Itching of genitals when going to bed. Organs cold, relaxed and powerless. Premature ejaculation. Irritable, depressed, thin and weak.

Iodum

Rapid metabolism: Loss of flesh. Atrophy of all glandular structures, respiratory organs, circulatory system. 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. Premature ejaculation. Testicles swollen and indurated. Hydrocele. Loss of sexual power, with atrophied testes.

Premature ejaculation with impotency:

Selenium Metallicum

Prostatitis and sexual atony. Premature ejaculation. Great debility; worse, heat. Easy exhaustion, mental and physical. Lascivious thoughts, with impotency. Mental labor fatigues. Extreme sadness. Dribbling of semen during sleep. Dribbling of prostatic fluid. Irritability after coitus. Loss of sexual power, with lascivious fancies. Increases desire, decreases ability. Semen thin, odorless. Sexual neurasthenia. On attempting coition, penis relaxes. Hydrocele.

Phosphorus

Lack of power. Irresistible desire; involuntary emissions, with lascivious dreams. Destructive metabolism. Great lowness of spirits. Easily vexed. Fearfulness. Over-sensitive to external impressions. Premature ejaculation. Loss of memory.

Avena Sativa

Has a selective action on brain and nervous system. Nervous exhaustion, sexual debility. Inability to keep mind on any one subject. Premature ejaculation. Spermatorrhea; impotency; after too much indulgence.

Nuphar Luteum

Nervous weakness, with marked symptoms in the sexual sphere. Complete absence of sexual desire; parts relaxed; penis retracted. Impotency, with involuntary emissions during stool, when urinating. Premature ejaculation. Spermatorrhea. Pain in testicles and penis.

Lycopodium Clavatum

Melancholy; afraid to be alone. Little things annoy, extremely sensitive. Averse to undertaking new things. Head strong and haughty when sick. Loss of self-confidence. Hurried all time. Constant fear of breaking down under stress. Apprehensive. Weak memory, confused thoughts. Failing brainpower. Sadness in morning on awaking. impotence. Premature emission. Enlarge prostate. Condyloma.

Premature ejaculation due to sexual excesses:

Kali bromatum

Profound, melancholic delusion; feeling of moral deficiency; religious depression; delusions of conspiracies against him. Suicidal mania with tremulousness. Face flushed. Numb feeling in head. Brain-fag. Coryza with tendency to extension into throat. Debility and impotence. Premature ejaculation. Effects of sexual excesses, especially loss of memory, impaired co-ordination, numbness and tingling in limbs. Sexual excitement during partial slumber.

Nux vomica

Thin, spare, quick, active, nervous, and irritable.  Irritable, nervous system, hypersensitive and over-impressionable. Very irritable: sensitive to all impressions. Ugly, malicious. Easily excited desire. Emissions from fast food. Bad effects of sexual excesses. Premature ejaculation. Constrictive pain in testicles. Orchitis. Spermatorrhea, with dreams, backache, burning in spine, weakness and irritability.

Ustilago Maydis

Uncontrollable masturbation. Spermatorrhea, with erotic fancies and amorous dreams. Emissions, with irresistible tendency to masturbation. Premature ejaculation. Dull pain in lumbar region, with great despondency and mental irritability.

Staphysagria

Nervous affections with marked irritability, diseases of the genito-urinary tract and skin. Sexual sins and excesses. Very sensitive, premature ejaculation. Lacerated tissues. Impetuous, violent outbursts of passion, hypochondriacal, sad. Very sensitive as to what others say. Dwells on sexual matters; prefers solitude. Peevish. Especially after self-abuse; persistent dwelling on sexual subjects. Spermatorrhea, with sunken features; guilty look; emissions, with backache and weakness and sexual neurasthenia. Dyspnea after coition.

Phosphoricum Acidum

Mental and physical debility.  Listless. Impaired memory. Apathetic, indifferent. Cannot collect his thoughts. Emissions at night and at stool. Seminal vasculitis. Sexual power deficient; testicles tender and swollen. Parts relax during embrace. Premature ejaculation. Prostatorrhea, even when passing a soft stool. Eczema of scrotum. Edema of prepuce, and swollen glans-penis. Herpes preputialis. Sycotic excrescences.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

None of above-mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.

To order medicine by courier, please send your details at WhatsApp– +923119884588

Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

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