COSTA RICA NEWS – With fear, shame and concern, young Costa Rican men, between 20 and 40 years of age, frequently seek out the advice of medical specialists for premature ejaculation.

This was confirmed by in their consultation of two urologists, who say that many Tico men are embarassed to talk about the problem.

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You may meet the diagnostic criteria for premature ejaculation if you:

  • Always or nearly always ejaculate within one minute of penetration

  • Are unable to delay ejaculation during intercourse all or nearly all of the time

  • Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Source: Mayo Clinic[/su_pullquote]According to the experts, premature ejaculation is when a man is unable to control an orgasm in less than two and a half minutes after penetration. Some men are satisfied with just penetration.

Urologist Dr. Roy López at the Clinica Biblica, in downtown San José, says the sexual disorder is very common among Tico men and is due to psychological factors, stress, anguish or anxiety, but, the “machimso” in the man often will not allow it recognized.

“Premature ejaculation is among the most common sexual disorder, with 20% to 30% of men having sexual problems with premature ejaculation … there are probably more, it is something embarrassing, especially for the machismo, is suffered by the young, they are the ones to most consult a doctor, of 100 people we see about 70 between aged 20 to 40 years,” Lopez said.

Urologist Dr. Ana Isabel Chaves agrees with Lopez in the figures, adding that many of the patients associate the problem with masturbation.

“Yes premature ejaculation is common in the country, international statistics put it at 30% of men who suffer from it … there are probably more cases but they are not reported…” said Chaves.

Chaves added that that the majority of patients complaining of premature ejaculation are aware of their reality, but painful when confirmed by diagnosis.

What is premature ejaculation?
Premature ejaculation (PE) is characterized by a lack of voluntary control over ejaculation. Many men occasionally ejaculate sooner than they or their partner would like during sexual activities. PE is a frustrating problem that can reduce the enjoyment of sex, harm relationships and affect quality of life. Occasional instances of PE might not be cause for concern. However, when the problem occurs frequently and causes distress to the man or his partner, treatment may be of benefit.

What causes premature ejaculation?
Although the exact cause of premature ejaculation (PE) is not known, new studies suggest that serotonin, a natural substance produced by nerves, is important. A breakdown of the actions of serotonin in the brain may be a cause. Studies have found that high amounts of serotonin in the brain slow the time to ejaculation while low amounts of serotonin can produce a condition like PE.

Can premature ejaculation develop later in life?
Premature ejaculation (PE) can occur at any age. Surprisingly, aging appears not to be a cause of PE.

Can both premature ejaculation and erectile dysfunction affect a man at the same time?
Sometimes premature ejaculation (PE) may be a problem in men who have erectile dysfunction (ED)—the inability to achieve and/or maintain an erection sufficient for satisfactory sexual performance.

When should a doctor be seen?
When premature ejaculation (PE) happens so frequently that it interferes with your sexual pleasure, it becomes a medical problem requiring the care of a doctor. To understand the problem, the doctor will need to ask questions about your sexual history such as the following:

  •     How often does the PE occur?
  •     How long have you had this problem?
  •     Is the problem specific to one partner? Or does it happen with every partner?
  •     Does PE occur with all or just some attempts at sexual relations?
  •     How much stimulation results in PE?
  •     What type of sexual activity (i.e., foreplay, masturbation, intercourse, use of visual clues, etc.) is engaged in and how often?
  •     How has PE affected sexual activity?
  •     What is the quality of your personal relationships?
  •     How does PE affect your quality of life?
  •     Are there any factors that make PE worse or better (i.e., drugs, alcohol, etc.)?

Usually, laboratory testing is not necessary unless the history and a physical examination reveal something more complicated.

What treatments are available?
There are several treatment choices for premature ejaculation: psychological therapy, behavioral therapy and medications. Be sure to discuss these treatments with your doctor and together decide which of the following options is best for you:

  •     Psychological therapy addresses feelings a man may have about sexuality and sexual relationships.
  •     Behavioral therapy makes use of exercises to help a man develop tolerance to stimulation and, as a result, delay ejaculation.
  •     Medical therapy includes medications that are commonly used to treat depression. In addition, topical anesthetic creams may be used.


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