Premature ejaculation: ejaculation occurs sooner than desired, either before or shortly after penetration.
Up to 30% of patients may report concomitant erectile dysfunction.
Along with Erectile dysfunction, premature ejaculation makes up for 90% of sexual dysfunction in Men
reason for PME is complex and multifactorial
Any painful focus over the penis (tight frenulum) and Prostatitis can result in PME.
Detailed history taking and examination by Urologist/ Andrologies is must.
Treatment of PME
1- Reducing stimulation: Usage of condoms, local anaesthetic sprays and Circumcision and in extreme cases dorsal neurectomy is helpful.
2- Correction of erectile dysfunction
3- Medical therapy with selective serotonin reuptake inhibitors (SSRI) & tricyclic antidepressant
4- Specialized delay techniques