Pace Hospitals | Best Hospitals in Hyderabad, Telangana, India
PREMATURE EJACULATION TREATMENT

Best Premature Ejaculation Treatment in Hyderabad, India

PACE Hospitals is one of the best hospital for premature ejaculation treatment​​ in Hyderabad, Telangana, India, offer advanced andrology treatments to help you regain control and confidence. Our expert urologists and andrologists provide personalized treatment plans, including medications, behavioral therapy, and modern techniques to enhance your sexual wellness.


Premature ejaculation (PE) is a common sexual health concern affecting men of all ages. At PACE Hospitals, Hyderabad, we offer advanced andrology treatments to help you regain control and confidence.

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Best hospital for Premature ejaculation Treatment in Hyderabad, India

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Premature ejaculation treatment​ in Hyderabad, Telangana, India

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Premature ejaculation diagnosis in Hyderabad, Telangana, India

Premature ejaculation diagnosis

Many individuals experience premature ejaculation (PE) at some point. For those who find it a persistent and distressing problem, seeking a professional diagnosis is a crucial step. A careful evaluation can help determine the type of premature ejaculation and identify the most appropriate treatment approach.


The healthcare expert diagnoses premature ejaculation through:


  • Medical history
  • Physical examination
  • Mental health examination
  • Laboratory tests (if necessary)


Medical history

The healthcare expert obtains a thorough history when assessing a male patient for sexual dysfunction. A detailed history includes:

  • Inquiring about sexual history
  • Assessing Libido and
  • Evaluating Erectile function


It is important to obtain a thorough medical history and perform a complete physical examination.


To minimize the embarrassment that patients may feel healthcare experts maintain professional and include an open-ended question about sexual function and satisfaction during their routine intake discussion.


If erectile dysfunction (ED) is present, it is essential to determine the time of onset of the erectile dysfunction, evaluates possible performance anxiety as a contributing factor, and assess for any additional potential risk factors or reversible causes of erectile dysfunction if present.


Some helpful questions the healthcare expert may ask a patient with suspected premature ejaculation might include the following:

  • On average, how long does it take after vaginal penetration before ejaculation?
  • How often is the patient experiencing premature ejaculation?
  • Is it just once in a while or all the time?
  • How long has it been since the patient had this problem?
  • Did it develop gradually or start suddenly?
  • Did the patient ever have a bad sexual experience before the development of premature ejaculation?
  • Is there anything that makes it worse or better? (i.e., drugs, alcohol, etc.)


Physical examination

Physical examination of patients with premature ejaculation is generally normal. A complete abdominal, neurological, lower limb, and genital examination is performed. Although the examination may not always provide a diagnosis, it provides valuable reassurance to the patient that he is anatomically normal.


Mental health examination

As premature ejaculation is primarily a psychological disorder, it is important to include a psychological and psychosexual assessment as part of the overall evaluation. A cross consultation with a mental health professional experienced in male sexual dysfunction (psychiatrist, psychologist, or certified sex therapist) is advised. Convincing a patient to see such a mental health professional for an evaluation can be challenging.

 

Many potential psychological and emotional issues can account for premature ejaculation. These include:


  • A disconnect between the level of sexual excitement and sensory awareness/perception
  • A feeling of worthlessness, self-loathing
  • A need to manage control of the relationship through emotional and sexual means
  • Conditioned responses from early negative experiences
  • Distorted thinking, such as overgeneralization, mental catastrophizing, etc.
  • Excessive narcissism (having excessive interest in oneself)
  • Fear of harm from vaginal penetration
  • Lack of sensory awareness
  • Power and control issues within the relationship
  • Tendency to overgeneralization
  • Unconscious hostile emotions toward women


Laboratory tests (If necessary)

No specific laboratory or radiographic tests are necessary to diagnose for premature ejaculation. Some tests, such as serum testosterone and prolactin, may be appropriate if there is concomitant erectile dysfunction or loss of libido, especially with a clinical picture suggesting possible hypogonadism. While low testosterone levels are more common in patients with premature ejaculation, treatment of hypogonadism does not help cure the ejaculatory problem.


Hyperthyroidism has been linked to premature ejaculation, so obtaining a thyroid-stimulating hormone level may be reasonable in selected patients suspected of having excess thyroid hormone levels. Treating hyperthyroidism can improve premature ejaculation symptoms, unlike hypogonadism, where testosterone supplementation is ineffective.


Penile biothesiometry (vibrational skin sensation threshold testing), nerve conduction studies, somatosensory nerve latency testing, and hormonal evaluations (testosterone, FSH, LH, prolactin, melatonin) are being done selectively by some specialists. None of these tests are necessary or currently recommended for routine clinical practice and should be considered investigational.

✅Differential diagnosis of premature ejaculation

Premature ejaculation can develop due to number of conditions, so it's critical to rule them out when making a differential diagnosis. These conditions include:


  • Severely delayed female orgasm
  • Negative effects from psychotropic medications
  • Erectile dysfunction
  • Underlying hormonal imbalances (such as thyroid issues)
  • Prostatitis (prostate inflammation)
  • Relationship problems
  • Anxiety disorders
  • Depression and
  • Substance abuse
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Premature ejaculation treatment in Hyderabad, Telangana, India

Premature ejaculation treatment

Premature ejaculation (PE) can be annoying and can affect confidence and relationships, but the good news is that it is easily managed. With the appropriate treatment, many men can recover control and enhance their sexual health. Treatment consists of a variety of strategies adjusted to everyone's needs. There are numerous methods for efficiently dealing with premature ejaculation, ranging from practical procedures and psychological assistance to medical and holistic treatments.


The following are the main treatment options to manage and overcome premature ejaculation.


  • Behavioral techniques
  • Psychological & Counseling approaches
  • Medical treatments
  • Alternative & Holistic therapies
  • Lifestyle & Dietary modifications


Behavioral techniques

Behavioral techniques are important in the management of premature ejaculation. These techniques help to reduce performance anxiety and enhance ejaculatory control. Key methods include:


  • Stop-start method: During sexual activity, stimulation of the penis continues until the individual approaches the point of ejaculation. At that moment, stimulation ceases entirely. Once the sensation subsides, stimulation resumes. Repeating this process multiple times prior to ejaculation can significantly improve control.


  • Squeeze technique: Sexual action is stopped when an urge to ejaculate is noticed and pressure is placed on the base of the penis, which is located beneath the head. By lowering the erection's intensity, this action delays ejaculation and encourages better control.


  • Pelvic floor muscle exercises (Kegel exercises): Consistent exercise focusing on the pelvic floor muscles contributes to improved ejaculatory control. Strengthening these muscles enhances their function, resulting in improved sexual performance.


  • High-intensity interval training (HIIT): According to research studies, the symptoms of premature ejaculation can be significantly reduced by engaging in short, intensive physical exercises, such as seven minutes of HIIT each day. This improvement may be due to improved attention regulation and physical endurance.


Psychological interventions

Psychological factors contribute significantly to premature ejaculation. Addressing these issues through counselling and therapy can be helpful.


  • Cognitive behavioral therapy (CBT): CBT helps individuals to modify and identify negative thought patterns and behaviors associated with sexual performance.


  • Mindfulness and Relaxation techniques: Mindfulness activities encourage people to focus on the present moment, which reduces anxiety associated with sexual performance. Meditation and deep breathing can induce relaxation and help with premature ejaculation management.


Medical treatments

While behavioral and psychological interventions are effective for many, some individuals may benefit from medical treatments. These approaches aim to modify physiological responses to delay ejaculation. Common classes of drugs that are used in the management of premature ejaculation include:


  • Topical anesthetics: Topical anesthetics are applied to the penis to reduce sensation, thereby delaying ejaculation. It's essential to use these under medical supervision to ensure safety and effectiveness.


  • Selective serotonin reuptake inhibitors (SSRIs): These drugs are antidepressants, certain SSRIs have been found to delay ejaculation. However, their use should be carefully managed by a healthcare expert due to potential side effects and the need for appropriate dosing.


  • Phosphodiesterase-5 (PDE5) inhibitors: These medications, commonly used for erectile dysfunction, have shown efficacy in delaying ejaculation in some cases. Their use should be tailored to the individual's health profile and monitored under medical guidance.


Alternative therapies

Exploring alternative treatments can offer additional ways of managing premature ejaculation. These treatments include:


  • Acupuncture: This traditional Chinese medicine technique involves inserting fine needles into specific body points. Some studies suggest acupuncture may help balance bodily functions, potentially improving ejaculatory control.


  • Herbal supplements: Several herbal therapies have been advocated to treat premature ejaculation. However, it is important to approach these with caution because scientific evidence for their efficacy is inadequate, and they could interact with other drugs.


  • Hypnotherapy: This therapy utilizes guided relaxation and focused attention to achieve a heightened state of awareness. Hypnotherapy may help individuals modify subconscious patterns contributing to PE.


Lifestyle modifications

The management of premature ejaculation can be greatly improved by lifestyle modifications. These adjustments include:


  • Managing stress: Meditation or yoga can reduce stress and help to ease the anxiety that exacerbates premature ejaculation.


  • Regular physical activity: Indulging in exercise regularly improves overall physical health and increases sexual endurance.


  • Eating a balanced diet: Good nutrition and a balanced diet promote overall wellness, which helps to improve sexual performance.

Frequently Asked Questions (FAQs) on Premature ejaculation (PE)

  • How effective are selective serotonin reuptake inhibitors (SSRIs) in managing premature ejaculation symptoms?

    SSRIs have been found effective in prolonging ejaculatory latency time due to their ability to increase serotonin levels in the brain, which can delay ejaculation. Clinical studies demonstrate that these medications can significantly improve latency time in men with premature ejaculation.

  • What are some pharmacological treatments available for premature ejaculation, and how do they work?

    Pharmacological treatments include SSRIs, topical anesthetics (like lidocaine), and certain hormonal therapies that aim to prolong ejaculatory latency or reduce sensitivity. SSRIs work by increasing serotonin levels, while topical anesthetics decrease sensitivity at the glans penis, helping to delay ejaculation during intercourse.

  • How can lifestyle changes impact the management and treatment of premature ejaculation?

    Lifestyle changes such as reducing alcohol consumption, managing stress through relaxation techniques, and improving overall physical health through exercise can positively affect sexual function and reduce symptoms of premature ejaculation. A healthy lifestyle may enhance self-esteem and reduce anxiety related to sexual performance.

  • What is the latest treatment for premature ejaculation?

    The most recent treatments for premature ejaculation (PE) include behavioral therapies, topical anesthetics, and selective serotonin reuptake inhibitors (SSRIs). Other treatments include phosphodiesterase type 5 inhibitors, tramadol, and physio-kinesiotherapy.

  • What is the most effective treatment for premature ejaculation?

    The most effective treatment for premature ejaculation is often a combination of behavioral therapy techniques, such as the "squeeze" or "start-stop" method, and medication, particularly selective serotonin reuptake inhibitors (SSRIs), which can be used on-demand or daily depending on the individual case; this combined approach is frequently seen as more successful than either treatment alone.

What are the primary factors that contribute to the diagnosis of premature ejaculation?

The diagnosis of premature ejaculation (PE) is influenced by a combination of biological, psychological, and relational factors. Healthcare experts consider ejaculatory latency time, psychological history (such as anxiety or depression), and any relationship issues that may exacerbate the condition. The International Society for Sexual Medicine has defined criteria that include ejaculation occurring within one minute of vaginal penetration and causing significant distress to the individual.

How does the Premature ejaculation diagnostic tool (PEDT) assist clinicians in evaluating patients?

The PEDT is a validated questionnaire that helps clinicians assess the severity of premature ejaculation by measuring intravaginal ejaculatory latency time (IELT) and the associated distress it causes. It provides a standardized method for evaluating symptoms and can guide treatment decisions based on the severity indicated by the scores.

What role does patient history play in the diagnosis of premature ejaculation?

A thorough patient history is essential for diagnosing premature ejaculation since it identifies underlying medical issues, psychological factors, and previous sexual experiences that may be contributing to the problem. Healthcare experts frequently enquire about sexual performance, any history of erectile dysfunction, and mental well-being to establish a complete picture.

Can psychological factors significantly influence the occurrence of premature ejaculation, and if so, how?

Yes, psychological factors such as anxiety, stress, depression, and past sexual trauma can significantly influence premature ejaculation. These factors may lead to performance anxiety or a pattern of rushing to ejaculate, which can maintain the cycle of premature ejaculation. Studies have shown that addressing these psychological components can improve treatment outcomes.

How can counselling and therapy address emotional issues related to premature ejaculation?

Counseling can provide a supportive environment for individuals to explore underlying emotional issues such as anxiety or relationship problems. Cognitive-behavioral therapy (CBT) has been shown to be effective in addressing performance anxiety and improving sexual confidence, which can lead to better management of premature ejaculation symptoms.

What are the most common behavioral techniques used in the treatment of premature ejaculation?

The stop-start technique and the squeeze technique are two common behavioral techniques. The stop-start technique involves pausing the stimulation prior to ejaculation to maximize control, whereas the squeeze technique involves squeezing the penis promptly before ejaculation to delay it. Both approaches aim to assist individuals develop better control over their ejaculatory reaction.

In what scenarios does a healthcare professional refer a patient to a urologist or mental health specialist for premature ejaculation?

Referral may be advised if there are underlying medical conditions contributing to PE (such as erectile dysfunction or hormonal imbalances) or if significant psychological issues are present that require specialized therapy. A urologist may also be consulted for further evaluation if there are concerns about anatomical abnormalities or other sexual dysfunctions.

How does combination therapy enhance treatment outcomes for patients with premature ejaculation?

Combination therapy involves using both pharmacological treatments such as using drugs like selective serotonin reuptake inhibitors along with counseling or behavioral therapy. This comprehensive approach deals with both physiological and psychological reasons contributing to premature ejaculation, resulting in better overall outcomes than single-modality treatments.

What are the potential side effects of medications commonly prescribed for premature ejaculation?

Common side effects of SSRIs include nausea, fatigue, decreased libido, and sexual dysfunction such as delayed orgasm or anorgasmia. Topical anesthetics may cause temporary numbness or irritation at the application site. Patients should discuss potential side effects with their healthcare expert before starting treatment.

What educational resources or tools can help patients better understand and manage their condition?

Educational resources such as informational brochures from healthcare providers, online support groups, and websites dedicated to sexual health can empower patients with knowledge about premature ejaculation. Understanding their condition helps reduce stigma and encourages open communication with partners and healthcare professionals about treatment options.

What is the significance of ejaculatory latency time in diagnosing premature ejaculation?

Ejaculatory latency is an important component in determining premature ejaculation. If ejaculation occurs within one minute of vaginal penetration, it is considered lifelong premature ejaculation. A significant decrease in latency when compared to previous encounters suggests acquired premature ejaculation. This parameter aids in distinguishing between different types of premature ejaculation and determines treatment strategies.

Premature ejaculation cure | Premature ejaculation treatment in India | Premature ejaculation causes

Premature Ejaculation: Types, Causes, Symptoms, Diagnosis and Treatment

By Pace Hospitals • February 22, 2025
Premature ejaculation is a common sexual dysfunction where ejaculation happens sooner than desired. Explore its types, causes, symptoms, diagnosis, and effective treatments.
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