Introduction
Premature ejaculation (PE) is one of the most common sexual health concerns for men, affecting nearly 1 in 3 men at some point in their lives. While often under-discussed, PE can cause stress, anxiety, and relationship difficulties. The good news: effective, evidence-based treatments exist, and many are available through telemedicine.
Reference: NIH – Premature Ejaculation
What Is Premature Ejaculation?
PE is typically defined as ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress for the patient or couple.
There are two main types:
- Lifelong PE: Present since a man’s first sexual experiences.
- Acquired PE: Develops later in life, often linked to stress, medical issues, or relationship factors.
Causes of Premature Ejaculation
- Psychological factors (performance anxiety, stress, depression)
- Biological factors (hormone imbalances, neurotransmitter sensitivity)
- Prostate or urinary health issues
- Relationship dynamics
Treatment Options
- Behavioral Techniques – “stop-start” or “squeeze” methods.
- Topical Therapies – numbing creams or sprays.
- Prescription Medications – SSRIs (selective serotonin reuptake inhibitors) have been shown to delay ejaculation in some men.
- Counseling – therapy for underlying psychological factors.
Telehealth for PE
Telemedicine makes it easier to seek treatment without stigma. At Urology Video Visit:
- Providers take a detailed history
- Evaluate psychological and physical factors
- Prescribe medications when appropriate
- Offer follow-ups for ongoing improvement
Conclusion
Premature ejaculation is common, treatable, and nothing to be ashamed of. Telemedicine provides a private, safe, and effective pathway to care.
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