Premature Ejaculation

Premature ejaculation is the phenomenon of the inability to control or delay ejaculation, which results in dissatisfaction or distress for that man and/or his partner. It is the most common sexual dysfunction reported in men, with the prevalence rate reported as 75%. The literature states that the time determined for premature ejaculation is typically lasting less than 3 minutes during intercourse.

The inability to delay ejaculation can stem from numerous complex factors, including the psychological experience of an orgasm. An orgasm is a cerebral process that leads to contraction of the sexual organs and the urethral bulb to build up pressure and release in the distal urethra. The complexity is highlighted when we consider that this can occur without any mechanical input from the genitals or the occurrence of ejaculation.

Life stressors, past trauma and performance anxiety can also contribute to a loop of worry or hormonal imbalances that can increase arousal. So, it is not surprising that we often see men of all ages.

But wait – what about the pelvic floor?

Not just muscles! The complexity of psychological, neural and anatomical interplay can all play a role in premature ejaculation. Your SPS physiotherapist will review your pelvic floor to determine potential weakness or overactivity that needs to be addressed, whilst considering lifestyle factors such as learned sexual behaviours that may be causing you to lose control.