Male Disorders and Solution



PE is the inability to control ejaculation before or shortly after insertion during sexual intercourse.It is considered the most common sexual dysfunction in men and has mainly to do with man’s control over ejaculation and sexual satisfaction. Couples sexual and relationship health are severely impacted by PE.

The Normal Cycle

Following factors affect Ejaculation -

  • Brain and Spinal Cord
  • Hormones
  • Prostate

Normal Vs Premature

Normal Vs Premature Ejaculation

Why is it important to address PE ?

Even if fertility is not on the priority list, it is important to deal with PE because it causes sexual and relationship problems. The embarrassment and anxiety arising from PE leads to avoidance of sexual and emotional intimacy affecting the quality of their life.

Quick Facts

Quick Facts Quick Facts Quick Facts
Quick Facts Quick Facts Quick Facts
Quick Facts Quick Facts

Causes of PE

  • The first time a man experiences foreplay or intercourse.
  • If a man has not ejaculated for a long time.
  • Early in a relationship, and overstimulation.
  • Stress, anxiety or depression.
  • In sexually inexperienced adolescents during heightened sexual excitement, with or without intercourse


There is no known way to prevent premature ejaculation. However, you should consider the following advice:

  • Maintain a healthy attitude toward sex.
  • Keep in mind that anyone can experience sexual problems.
  • Try speaking openly with your partner to avoid miscommunication.

PE Solutions

It is important for one to understand that there is no cure for PE; but one can learn to manage and control it.

  • Premature ejaculation is sometimes temporary and gets better on its own.
  • Increasing the frequency of sex may help.
  • Wearing a condom reduces sensation and this may be helpful.
  • Premature ejaculation is less likely if you have sex with your partner on top.

It is advised for patients to consider multiple modalities in managing their PE. The results are best when Behavioural / Sexual and medical modalities are used in combination.

Behavioural Techniques

  • Start - and – Stop Technique
  • Increase Ejaculatory threshold
  • Squeeze Technique
  • Sandwich Technique

helps 60 – 90% of men with PE and require cooperation of both partners


Sexual Techniques

Sexual Techniques
  • The Scrotal Pull
  • The Desensitization
  • Arousal Control


  • Some antidepressants may be of help.
  • Sildenafil can also be useful for PE apart from ED.
  • Local anaesthetic creams and sprays may help reduce sensitivity of the penis.