Causes of premature ejaculation – more information

So we have already explained that premature ejaculation is caused by biological conditioning, early sexual experiences, anxiety, overexcitement, guilt, distraction and impaired awareness of sexual sensations.

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This is how many men tend to be initially when they are young and this state has to be “unlearned”

Is there a genetic component to premature ejaculation? 

Studies by Dr Pekka Santilla and colleagues in Finland and Sweden have studied genetic components to premature ejaculation. A study published in 2009 a small; population-based sample of 3946 twins and their siblings (age 18-48; mean=29.9 years) to investigate genetic, shared environmental and unique environmental effects on premature ejaculation (PE) and delayed ejaculation (DE) found that a significant moderate genetic effect (28%) was found for premature ejaculation.

Reference: Published year 2009: P Jern; P Santtila; A Johansson; M Varjonen; K Witting; B von der Pahlen; N K Sandnabba: Evidence for a genetic etiology to ejaculatory dysfunction. International journal of impotence research 2009;21(1):62-7.

Another study by Dr Pekka Santilla and colleagues looked at a gene involved in dopamine transmisson in the brain. Levels of serotonin and dopamine in the brain are thought to affect tendency to premature ejaculation.

Previous research has suggested brain dopamine (DA) neurotransmission to be involved in the control of ejaculation. Furthermore, previous studies indicate a partly hereditary background to premature ejaculation” “AIM: To investigate whether the dopamine transporter gene (DAT1) polymorphism is associated with premature ejaculation.” 1,290 men (M = 26.9, standard deviation = 4.7 years; range 18-45).

RESULTS: Carriers of the 10R10R genotype had scores indicating a lower threshold to ejaculate on each of the indicators compared to the combined 9R9R/9R10R carrier group. The differences were significant both for the composite score and for anteportal ejaculation, number of thrusts, and feeling of control over ejaculation, but not for ejaculation latency time.

CONCLUSIONS: The findings of the present study support results of previous studies indicating involvement of dopaminergic neurotransmission in ejaculation.

Published year 2010: Pekka Santtila; Patrick Jern; Lars Westberg; Hasse Walum; Christin T Pedersen; Elias Eriksson; Nils Kenneth Sandnabba. “The dopamine transporter gene (DAT1) polymorphism is associated with premature ejaculation.” The journal of sexual medicine 2010;7(4 Pt 1):1538-46.

In summary, genetic factors play a role in a percentage of men with premature ejaculation, but environmental and learned factors probably play a greater role. Genetic factors may be modulated by levels of dopamine in the brain, and it is likely that there are other genes involved as well.

Other causes of premature ejaculation

Apart from having a problem with premature ejaculation it is has been found by sex therapists and psychologists that the vast majority of premature ejaculators are psychologically normal in every other way.

Some men with premature ejaculation have other sexual issues and problems, which may have their origins in childhood problems. Some may also have difficulties with their relationships unrelated to their premature ejaculation.

Negative sexual messages from childhood.

Sex therapists still have clients with sexual disorders who are affected by unhealthy messages from childhood. These clients are troubled by shame or guilt about enjoying sex. These clients have often been brought up in a puritanical environment and received messages from parents, churches and schools that sex is “sinful”, “harmful” or “disgusting”. These old fashioned and harmful messages that are spread to children in persist into adulthood. Such messages and propaganda remain with a person, even if he no longer believes it intellectually. Some who have had this upbringing may find that their sexual experience is affected adversely by guilt and shame and may have problems with premature ejaculation.

Growing up in a troubled family

Sexual problems and difficulties cam also be caused by a difficult childhood. Children from troubled families can grow up with distorted ideas about sex, relationships, love and marriage. For example parents with emotional problems such as anxiety and depression can end up putting their worries on to their children. Parents with their own sexual hang-ups can affect their childrens sexual development by punishing them harshly for masturbating, or by giving them severe warnings at any display of their normal sexual feelings or curiosity. This can give the children the idea that they are bad if they enjoy sex and an set them up to feel guilt and anxiety whenever they become sexualy aroused for the rest of their lives.

Sex therapists advise: “try not to get angry at your parents if you grew up in an unhealthy family environment. There is nothing to be gained at getting angry at your parents. Parents generally do their best but their own weakness’s and emotional problems may have caused them to emotionally abuse their children at vulnerable times in their upbringing, to the detriment of their sex lives when older. In addition, there is nothing to be gained in feeling sorry for yourself. Fortunately any damage caused can be repaired, but this is only possible if you take responsibilty for doing so yourself. It is best to put the past behind you and get on with your life and work at sorting out any sexual problems.”

Your relationship with your partner

It is usually the case that premature ejaculators have problems with too quick ejaculations with all partners. In other words premature ejaculators have ejaculated too quickly with all the partners they have made love to since they became sexually active. The majority of these men have a pattern of rapid and uncontrolled ejaculations regardless of how they feel towards the particular person they are sleeping with.

However some men are affected by their partners attitude and personality. For example some men only have premature ejaculation when haing sex with a demanding partner. These men will have better control when with a reassuring partner. This reassuring behaviour is no help to some men. Some men find that they completely lose control when they are intimate with a women. These men perform better with women that they look down upon or complete strangers.

Generally though men with premature ejaculation are very caring and want to please their partner. It is often the case that the harder a man with premature ejaculation tries to control himself the quicker he comes. Men will naturally try and hold out until their lover reaches their climax, if the relationship is important to him and he loves her. The problem is, and what these men may not realise, is that many women are unable to orgasm with penile penetration alone, even if the man is able to continue having penetrative sex indefinitely. The pressure to last is self imposed and not based on the reality of the situation and his partners needs.

How women react to a man with premature ejaculation varies. Some women are supportive and relaxed whilst others become upset and make their disappointment very obvious. If your first sexual partner made a fuss about your premature ejaculation then it is normal to avoid sex for a while. If she was supportive then maybe you continued having regular sex. Men with supportive partners will often continue having sex even though they ejaculate quickly. An understanding partner will make you feel better about the problem, this in itself will not cure the problem. Please try not to blame your partner for your problem.

A partner does not cause premature ejaculation but her reactions and attitude can make a great difference to how easy it is to cure the problem and how much emotional distress it causes.

The following reactions and responses by women lead to a pressured and tense atmosphere for a premature ejaculator: Firstly those women who consider their partners too quick ejaculations to be a personal affront or rejection. Secondly those women who insist that they can only be satisfied by prolonged and lengthy sexual intercourse. And thirdly those who make it very clear that they expect their partner too hold out until they have had an orgasm despite knowing full well that he cannot help coming quickly. These various reactions do not generally help a premature ejaculator.

Difficulty talking about sex

Attitudes to sex have changed since the 1960’s but many couples still find it difficult to talk openly about sex. If you have premature ejaculation it adds to the problem if you are unable to talk freely and openly to your partner. The ability to communicate comfortably together about sex will not cure the premature ejaculation by itself but calm straightforward non-defensive communication is the most effective means of limiting the emotional damage caused by premature ejaculation as well as other sexual problems. Talking is critical. If a couple lack communication skills, their sexual problems can worsen and escalate to the point of destroying their sex life and relationship altogether.

Insight alone does not cure premature ejaculation

Having understanding of any emotional problems, childhood difficulties, marital or relationship problems is extremely helpful in many ways. These insights alone will not cure premature ejaculation. In order to cure premature ejaculation you need to learn how to deal with the problem itself. This is definitely possible with the correct advice and treatment plan. It is possible to control and stop premature ejaculation.

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