how to avoid quick discharge of sperm - #19028

I’ve been dealing with quick discharge of sperm (premature ejaculation) for a while, and it’s affecting my self-esteem and my relationship. I’m looking for ways to manage this issue and improve my sexual health. Could you explain in detail what causes quick discharge of sperm, why it happens, and how I can avoid it or manage it effectively? From what I understand, quick discharge of sperm is often a result of physical or psychological factors, but I’m not sure which of these could be causing my issue. How do stress, anxiety, performance pressure, or relationship problems contribute to premature ejaculation? Could there be underlying medical conditions, such as hormonal imbalances, nerve damage, or prostate issues, that might also cause this problem? What are the common treatment options available for quick discharge of sperm? I’ve heard about behavioral techniques like the "start-stop" method or the "squeeze" technique. How effective are these methods, and how can I practice them on my own or with a partner? Are there also medications, such as selective serotonin reuptake inhibitors (SSRIs) or topical numbing creams, that can help delay ejaculation? Are there any lifestyle changes I can make to address quick discharge of sperm, such as improving my physical health, reducing stress, or practicing relaxation techniques? How does exercise, a healthy diet, and good sleep hygiene contribute to better sexual function, and can these changes help me manage premature ejaculation in the long term? If I’m unable to resolve this issue on my own, should I consider seeing a specialist, such as a urologist or sexual health expert? What kinds of evaluations or tests might be performed to determine the underlying cause of quick discharge of sperm, and how can a healthcare provider tailor a treatment plan based on my specific situation? Lastly, if my condition is related to psychological factors, how do I address them, and are there therapy options, such as counseling or cognitive behavioral therapy (CBT), that can help me cope with performance anxiety or relationship issues?