Premature Ejaculation

Description

Premature ejaculation is simply defined as “ejaculation occurring before the individual wishes it”. The condition can be temporary in inexperienced men, adolescents and men who are too highly excited. This includes men who have abstained from sex for a long time. The Hite report on Male Sexuality surveyed over seven thousand men and found that 21% ejaculated within 50-60 seconds. Another 62% ejaculated within 1-5 minutes. Only 1 in 6 men lasted over 5 minutes and 1 in 10 over 10 minutes.There is no difference between nations and races, and no difference between circumcised and those men with foreskins. Most men will last longer if they have sex again a little while later. It can take a man anything from several minutes to several hours to get another erection. In books and movies the male heroes have sex for hours on end. In real life such men are the minority.

Causes of premature ejaculation

Physical and psychological factors can cause premature ejaculation.

Physical causes of premature ejaculation

Premature ejaculation has been linked to many physical causes. There are very few medical reasons for premature ejaculation. In the early 1990’s, research indicated that the pelvic muscles, specifically the muscles that surround the erectile bodies in the penis, are in a hyperactive state in men with premature ejaculation. Further, it is known that during the ejaculation process there is increased activity of these same muscle groups. Consequently, it is likely that men who have premature ejaculation have hyperactive muscles that are already on their way toward the threshold to producing ejaculations. Recent studies have also shown that infection of the prostate can also cause premature ejaculation.

Psychological causes of premature ejaculation

For the majority of men with premature ejaculation, the origin is psychological. It may stem from a first sexual experience. There is an enormous of pressure to perform and premature ejaculation occurs. This can cause a feeling of inadequacy that can manifest again as performance anxiety and cause the problem to escalate. This may result in years of feeling inadequate and frustrated. Some men go through their whole lives never really experiencing control of their ejaculation.

Treating premature ejaculation

Various urban legends exist that claim to treat or cure premature ejaculation. Generally speaking these techniques do not work. Getting drunk, using one or more condoms, concentrating on something other than sex while having sex, biting one’s cheek as a distraction and frequent masturbation are examples of such treatments. One must bear in mind that premature ejaculation is a treatable condition even though it seems to most men to be a huge problem. Various proven techniques exist for treating premature ejaculation.

The squeeze method

The squeeze method was developed by Masters and Johnson. This method has the partner stimulate the man’s penis until he is close to ejaculation. At the point when he is about to ejaculate, the partner squeezes the penis. This makes him partially lose his erection. The goal of this technique is to teach the man to become aware of the sensations leading up to orgasm. He then begins to control and delay his orgasm on his own.

The stop start method

The stop start method involves the the stimulation of the penis by the partner, where the man will communicate to his partner to stop when he feels that he is about to ejaculate, the partner stops stimulating the man’s penis before ejaculation becomes inevitable. Then as he feels he regains control, he instructs the partner to begin stimulating his penis again. The couple repeats this exercise three times a week, until the man has good control, then they progress to stop-start with lubrication, and then intercourse with the woman on top and the man not moving.

Drug Therapy – Antidepressants

Drug therapy – antidepressants. There have been reports in the urology literature of successful treatment of premature ejaculation through the use of low dose antidepressants including Anafranil, Nuzak, and Zoloft. Significantly delayed ejaculation is one of the known side effects of these medications. In the studies, extremely low doses of the antidepressant medication have prolonged ejaculation by at least 5-10 minutes.

Drug Therapy – Self-Injection Therapy

Drug Therapy – Self-Injection Therapy Drug Therapy – self injection therapy. Recently doctors have reported significant success using self-injection therapy. Essentially this approach is a self-paced therapy and medication, which over a period of six to twelve weeks will allow one to gain control of the erection rather than the other way around. Within 5 to 10 minutes of administering the medicine to the side of the penis, a full erection will develop that will last for even after ejaculation.

Counseling

Frequently, marital and relationship issues may be an underlying cause of premature ejaculation. Counseling sessions to improve the success of the therapy should also address these issues.

Causes of premature ejaculation

Treating premature ejaculation

Other Service

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