Dysfunctions related to the sexual response cycle:Premature Ejaculation

Features

Also known as rapid ejaculation, rapid climax, premature climax or early ejaculation. It is characterized by a lack of voluntary control over ejaculation. There's no medical standard for how long it should take a man to ejaculate. The primary sign of premature ejaculation is ejaculation that occurs before both partners wish in the majority of sexual encounters, causing concern or distress. The problem may occur in all sexual situations, including during masturbation — or it may only occur during sexual encounters with another person.

Epidemiology

According to studies done in the USA the condition affects 25-40% of men. The majority of men are suffering, have suffered, or will suffer this problem at some time in their lives. It becomes a problem when it happens almost every time a man has sex. Premature ejaculation can start at any age but is most common among young, inexperienced men.

Causes

Psychological causes:

Ongoing situations in which you may rushed to reach climax in order to avoid being discovered;
Guilt feelings that increase your tendency to rush through sexual encounters.

Physical causes:

  • Hormonal imbalance;
  • Abnormal levels of brain chemicals call neurotransmitters;
  • Abnormal reflex activity of the ejaculatory system;
  • Certain thyroid problems;
  • Inflammation and infection of the prostate or urethra;
  • Hypersensitivity of the glans penis;

The principal reasons for a man being unable to control his ejaculation are anxiety, a feeling of guilt, and fear of not being good in bed.

A man who suffers from PE usually takes less time over foreplay which leaves his partner feeling that he is not fully aroused. When this happens it can increase tension between partners.

The longer it has been from when a man last had sex, the greater the likelihood of him experiencing premature ejaculation.

Treatment

Treatment options for premature ejaculation include sexual therapy, medications and psychotherapy. For many men, a combination of these treatments works best.

Sexual Therapy

In some cases, sexual therapy may involve simple steps such as masturbating an hour or two before intercourse so that you are able to delay ejaculation during sex. The doctor may also recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from sexual encounters.

Squeeze Technique

Step 1: Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
Step 2: Have your partner squeeze your penis at the point where the glans joins the shaft, maintain squeezing for a few seconds until the urge to ejaculate passes.
Step 3: After the squeeze is released, wait for more or less 30 seconds, then go back to foreplay. You may notice that the penis becomes less erected, but when stimulation is resumed, the penis will become erected again.
Step 4: If you again feel the urge to ejaculate, let your partner repeat the squeeze technique.
After a few practice sessions, the feeling of knowing how to delay an ejaculation may become a habit that no longer requires the squeezing technique.

Medication

Antidepressants
A side effect of certain antidepressants is delayed orgasm. This is sometimes prescribed to men with PE. Other side effects of these medications are nausea, dry mouth, drowsiness and decreased libido.
Topical Anesthetic creams
Topical anesthetic creams dull the sensation on the penis to help delay ejaculation. Applied a short time before intercourse, these creams are wiped off when your penis has lost enough sensation to help you delay ejaculation

Psychotherapy

This approach also known as counselling or talk therapy, and includes talking about your relationship and experiences to a mental health professional. These talks can help you to reduce performance anxiety and find effective ways to deal with stress and solving problems.

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