Premature ejaculation (PE) is defined as a man ejaculating during sex soon after penetration. Most medical societies describe this time frame as ejaculating within one minute of penetration. In medical terms, the ICD-10 code for physicians quantifies the time to ejaculate at 15 seconds from the start of intercourse. Average normal latency time (the time it takes to ejaculate from the start of intercourse) is 6.5 minutes in men 18-30 years old. PE is more common in men aged from adolescence to 59 with prevalence of up to 30 percent. This makes PE a very common sexual issue in need of help.
There are many possible reasons or causes for why PE is so prevalent in men. It has shown that PE may have biological and/or psychological causes. Biological issues include infections to the genitals or prostate, irregular sex hormone or cortisol hormone levels and abnormal brain chemicals responsible for our mood. Psychological causes could include both depression and anxiety, personal issues between partners, guilty feelings from past experiences or abuse and general worrying about the concept of PE (performance anxiety).
There is no absolute perfect treatment of PE. So how do men salvage their sexual experiences? There are several modalities which seem to help. These include medications, topical numbing creams, behavioral strategies, pelvic muscle exercises, pausing techniques and even special condoms. All these, in various combinations, seem to help men with PE.
Let’s talk more about the psychological causes of PE. They seem to have a commonality which can lead to performance anxiety. This is why medications classified as SSRI’s (anti-depression medications) work so well. They take away the feelings which cause performance anxiety. The issue is that they work too well and lots of times take away the orgasm altogether.
There may be a much better solution than pharmaceuticals. Let’s look at CBD oil. It has been shown that CBD works not on CB1 and CB2 (cannabinoid) receptors, but rather on 5-HT1A, TRPV1 and GABA-A receptors in the brain. These three receptors produce the anxiolytic and stress-reducing properties when CBD attaches to them. Taking CBD oil sublingually prior to sexual activity may alleviate the feelings causing performance anxiety and thus increasing latency time of penetration to ejaculation. More studies need to be performed to see how CBD may help PE, but in light of current thoughts on CBD and its anxiolytic properties, it seems to be a great alternative to medications and techniques described previously.
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