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• HC Marbella’s Nuclear Medicine Unit has been accredited as a centre of excellence for PET-CT.
• HC Marbella, the first hospital in Andalusia to acquire the CORI robot for knee joint replacement
• El Dr. Hernández Rubiño participa en el Libro Blanco de la SEORL-CCC con un capítulo dedicado a la Resonancia Magnética en el Diagnóstico de la Patología del Oído Medio
• La Dra. Casilda Llácer Pérez se incorpora a HC Cancer Center como especialista en oncología médica, tumores digestivos y genitourinarios
• Remar para dejar atrás el cáncer de mama
• Obesity is a chronic, non-transmissible, multifactorial condition
• Dr. Wilfredo Iglesias, Internal Physician, joins the general medicine team
• More news

#Premature Ejaculation

“It’s too quick”, “There’s no time to enjoy”, “Now I just don’t want to, the same thing’s going to happen again…”.

According to several scientific studies these and similar fears affect the approximately 30% of men who suffer from premature ejaculation. This type of sexual dysfunction affects both adults and young people, “It impacts greatly on the person who is suffering from it, with them often hiding the problem,” explains Dr. Fernández Montero, Head of the Department of Urology at HC Marbella Hospital.

Premature ejaculation: when sex lasts a matter of a few minutes.

Quick ejaculation with no control, ejaculation occurs sooner than it should and the lack of control has a big impact on intercourse. In extreme cases, it can occur even before penetration, making it impossible to complete sexual intercourse once initiated. There is no approximate time which is considered “normal” or not, as ejaculation time varies greatly from person to person. What we need to remember is that premature ejaculation causes the person suffering from it significant stress, making it difficult to form intimate, personal relationships.

Is Premature Ejaculation a disease?

The answer is emphatically no. Premature ejaculation is not a disease but a form of sexual dysfunction affecting the ejaculatory process, and therefore the individual sexuality of the man affected and his partner.

At present, it is thought that 90% of cases of premature ejaculation are due to psychological or environmental factors, and only 10% have their origin in physiological problems such as: infection of the prostate or urethra, hypersensitivity of the glans, thyroid dysfunction, neurological problems and, more frequently, some antidepressant medications.

Psychological factors, what are they?

Depression, stress, insecurity, anxiety… are some of the psychological factors that can predispose to premature ejaculation, it is believed that these psychological problems lead to a reduction in concentration of serotonin, a neurotransmitter that plays an important role in controlling emotions. Anxiety prior to intercourse is very common among adolescents due to inexperience and fear when faced with sexual intercourse, a situation which can cause premature ejaculation.

Is there any treatment?

Currently there are two types of treatment:

– Psychological treatment such as psychotherapy or behavioural therapy.
– Treatment with medication such as the drug Dapoxetine or the use of anaesthetic creams which are applied to the penis.

Dapoxetine is the only drug that has been studied and approved for the treatment of premature ejaculation. It works at a cerebral level delaying ejaculation. At HC Marbella we will explain all the treatments available in detail, and will decide on the most appropriate treatment option together with you. This is a problem where the opinion of the patient plays an important role.

HC thoughts and recommendations:

• Silence is the biggest enemy in these cases, not knowing how to share the problem can in time cause major problems which can be difficult to deal with in the future.

• Some of our perceptions about sex need to be changed, for example longer intercourse does not always equate to more pleasurable intercourse and does not ensure female orgasm. We forget that often, in the majority of cases, female orgasm is achieved through stimulation.

• It is very important to deal with this topic in a natural way during a consultation, as professional empathy is the first step to resolving these health problems. Suffering in silence doesn’t solve anything.

 Dr. José Manuel Fernández Montero
Head of Urology Unit

September 28, 2017