Introduction
Premature ejaculation (PE) is a common sexual dysfunction that affects many men. It can lead to distress, dissatisfaction, and strained relationships. This article aims to provide a comprehensive understanding of premature ejaculation, explore the research findings specific to New Zealand, and discuss available treatment options. By shedding light on this topic, we hope to empower men in New Zealand to seek appropriate care and improve their sexual well-being.What is Premature Ejaculation?
Premature ejaculation refers to the inability to control or delay ejaculation during sexual activity, leading to an unsatisfactory sexual experience for both partners. It is important to note that there is no universally agreed-upon definition of premature ejaculation, as individual preferences and expectations regarding sexual performance may vary. However, in general, premature ejaculation is characterized by ejaculation that occurs within one minute of penetration or even before penetration.What Does the Research Show Us about Premature Ejaculation in New Zealand?
Research conducted in New Zealand provides valuable insights into the prevalence and contributing factors of premature ejaculation in the country. Waldinger et al. conducted a study published in the Journal of Sexual Medicine, which investigated the prevalence of premature ejaculation among men in New Zealand. The study reported that approximately 21.2% of men in New Zealand experienced premature ejaculation. McMahon et al. conducted a study that focused on the psychological and interpersonal aspects of premature ejaculation in New Zealand. The research revealed that factors such as performance anxiety, relationship issues, and psychological distress were commonly associated with premature ejaculation in men from New Zealand.Available Treatments for Premature Ejaculation in New Zealand
Fortunately, several effective treatment options are available for premature ejaculation in New Zealand. These treatments aim to address the underlying causes and improve ejaculatory control. It is important to note that the most appropriate treatment option may vary depending on individual circumstances and should be determined in consultation with a healthcare professional. Behavioural Techniques: Behavioural techniques, such as the start-stop method and the squeeze technique, can be effective in managing premature ejaculation. These techniques involve practicing specific exercises to improve ejaculatory control and delay ejaculation. Counselling or therapy may also be recommended to address any underlying psychological factors contributing to premature ejaculation. Health Navigator New Zealand provides information on behavioral techniques for managing premature ejaculation, including step-by-step instructions and tips. Topical Anesthetics: Topical anesthetics, such as lidocaine or prilocaine creams, can be applied to the penis to reduce sensitivity and delay ejaculation. These creams are typically applied a short time before sexual activity and should be used according to the instructions provided. It is advisable to consult with a healthcare professional before using topical anesthetics to ensure proper usage and minimize potential side effects. Medications: In some cases, medications may be prescribed to manage premature ejaculation. Selective serotonin reuptake inhibitors (SSRIs), commonly used as antidepressants, have been found to have a positive effect in delaying ejaculation. However, it is important to note that SSRIs are typically prescribed off-label for premature ejaculation, and their usage should be closely monitored by a healthcare professional. The New Zealand Formulary provides information on specific medications that may be prescribed for the treatment of premature ejaculation in New Zealand.Conclusion
Premature ejaculation is a common sexual dysfunction that can significantly impact a man’s sexual well-being and overall quality of life. Understanding the causes, research findings, and available treatment options is crucial for individuals in New Zealand experiencing premature ejaculation. By seeking appropriate care, exploring the various treatment options, and consulting with healthcare professionals, men can address premature ejaculation effectively and improve their sexual satisfaction and relationships.
Dr Afraz Adam
Chief Medical Officer
MBBS. FRNZCUC


