How anxiety causes premature ejaculation

How anxiety causes premature ejaculation

Anxiety causes many sex related problems including premature ejaculation and erectile dysfunction. Anxiety is part of the emotional response program triggered in your brain whenever you are uncertain of how to proceed. Most of the time when you have unrealistic imagination about sex and sexual behavior which may caused due to the improper education or due to the influence of porn addiction ,mind goes much far than the physical body and that make the ejaculation comparatively much faster than normal. Anxiety trigger unwanted physiological response  and affects mind which ultimately have influence in process of getting orgasm

Introduction and Symptoms

Premature ejaculation (PE) occurs when a man reaches orgasm either before or very soon after penetration for sexual intercourse. The primary symptom is the inability to control or delay climax and release of semen. Psychological symptoms may also result from this such as depression and a feeling of inadequacy.

Risk factors or causes

While there is no particular cause for premature ejaculation, there are psychological and biological factors that encourage the problem. These include rushing during illicit sexual activity to prevent being found out, feeling of guilt during sexual activity, anxiety, unusual levels of neurotransmitters (brain chemicals), unusual hormone levels, and inherited factors.


If a man continually experiences PE less than 2 minutes after vaginal penetration, medical treatment is advisable. There are three basic treatment options (among others) that effectively bring PE under control. They are Antidepressants, topical anaesthetics, and vasoactive agents.

Extensive research has shown how certain antidepressants deal with PE by delaying ejaculation and inducing anorgasmia. Selective serotonin reuptake inhibitors (SSRIs) are antidepressant drugs such as fluoxetine. Tricyclic antidepressants like clomipramine also regulate PE. These are all taken orally.

Topical anaesthetics are applied directly on the penis 20-30 minutes before penetration. They can be used with or without a condom, and have proven effective in delaying ejaculation. Long-term use of topical anaesthetics have shown to cause loss of proper erection because of their numbing effect. Another disadvantage is that they may also cause reduced sensation in the female’s vaginal wall during intercourse, thus reducing overall sexual satisfaction.

Vasoactive agents like alprostadil have been used to treat patients with PE who didn’t have any erectile dysfunction (ED) problems. They are injected into the body and have no reported side-effects.

One other treatment option, which is still undergoing trial, is adrenergic blockade. Drugs like alfuzosin delay ejaculation by influencing the sympathetic nervous system.

Self care

Premature ejaculation can also be brought under control using various self help strategies. Stimulation is decreased if a thick condom is used, thus regulating early ejaculation. Tension and anxiety can be relieved by masturbation one to two hours prior to sex. The prior orgasm from masturbating helps to control early climax during the actual intercourse. Automatic reflexes of the body, among which ejaculation is included, can be blocked by taking deep breaths during sex. Certain sexual positions, such as your partner being on top, also helps against PE. Another method is the use of distraction. Thinking about things that are non-sensual such as baseball or video game, will reduce sensation and control early release.Couples’ therapy is the best options for people who are married,engaged or in a committed relationship. You will be able to discuss sensitive issues and communicate openly. The psychological benefits of this are enormous.

Drugs used in treating

SSRIs, tricyclic antidepressants, topical anesthetics, phosphodiesterase type 5 inhibitors (PDE5), beta-adrenergic, and opioid analgesics are the drugs mostly used in the treatment for PE . They offer different forms of therapy ranging from influencing the nervous system, reducing sensitivity to the male organ, and correcting erectile dysfunction to help control PE.

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