There are different risk factors for males that may increase the chance for them to experience premature ejaculation. The treatments that are available for premature ejaculation have good success rates, so there is hope.

The risk factors for premature ejaculation include:

* Impotence - occasional or consistent inability to perform the sexual act

* Health issues that cause anxiety during the sexual act

* Performance pressure from the sexual partner

* Emotional or mental stress that does not allow the male to relax during the sexual act (job related or school related)

* Medications can influence the "messengers in the brain" called psychotropics which can lead to premature ejaculation

When to talk to your doctor:

Delaying medical help only causes more stress and anxiety, which worsens the problem. As soon as the situation causes stress in the relationship or becomes long-term the male should seek help.

Evaluation and Treatment:

The physical evaluation by a medical professional that will conduct a detailed interview regarding sexual history is the first step in the evaluation process. Personal questions during the interview are necessary to be answered as they will give vital clues to possible factors and this makes up a bulk portion of the evaluation. Determining the factors of the condition will be used to design a treatment plan. A detailed medical history will also be necessary and will disclose and conditions that may be complicating the ability to control the ejaculation. A physical examination will be performed to rule out any physical cause for the condition, even though this is very rare.

Laboratory tests may be ordered especially if erectile dysfunction is also a factor.

Your religious upbringing, and your early sexual experiences, as well as your current and past sexual relationships will also be discussed. You will also be asked about any conflicts or concerns that you may have regarding your current sexual relationship. These are all important questions that need to be asked to determine the factors involved in the condition.

There are no increased health risks associated with having premature ejaculation, though PE can be a result of other health conditions such as depression or poor self-image even cardiac disease in which the man is concentrating too much on what may happen to his heart if he comes so he speeds up the process. Premature ejaculation does lead to relationship stresses because it has an impact on the intimacy experienced by the couple. Sex therapy should definitely be a part of the treatment plan and attended by both the male and female involved in the relationship.

This can have a huge impact on reproduction and can definitely create some fertility issues as premature ejaculation can make fertilization difficult or even impossible. Fertility treatment may be part of the treatment plan if the premature ejaculation issue cannot be addressed in a timely fashion.

Treatment Options:

There are several options available for treatment of premature ejaculation the plan designed by the medical professional will be a combination of methods, therapy and perhaps medication.

Sexual therapy is usually suggested for couples to explore new types of sexual play, which will then take the pressure off of sexual intercourse.

You may be asked to explore some of the popular methods such as the "squeeze-pause" technique. This technique involves squeezing the head of the penis during foreplay in order to delay ejaculation. The male or female can be involved in this method. There is also another method called "stop-start" that may also be taught to the couple.

Medications such as antidepressants and topical anesthetic creams may be used as a second phase of the treatment if the techniques described above do not resolve the issue. Medications can be additive or have side effects so they must be taken with the guidance of a doctor. The drugs may involve a trial and error method of using different medications until you have found one that is comfortable and works for you.

These medications are usually taken a certain time period before having the sexual activity so this takes the spontaneity out of the act, but is necessary if medications are going to be a part of the treatment.

Topical anesthetic creams may be used in conjunction with psychotherapy, which should be done in a counseling capacity, or a talk therapy only and not on your own so that guidance can be given as to the use and should any side effects occur, you can be assisted with how to handle it or which topical creams to switch to.