Premature ejaculation (PE) is a condition in which sexual orgasm occurs before, during, or shortly after vaginal penetration, before the desire to do so, with minimal voluntary control. It is the most common form of male sexual dysfunction.
We’ve seen them before.causes, symptoms, consequences and complications of premature ejaculationToday, we’re going to look at some techniques to combat it.
Key features are:
- Short time to ejaculation (often less than 1 minute)
- Lack of control over ejaculation
- Sexual dissatisfaction, distress and frustration of the partner
How long does it take to reach the climax?
In a study of more than 1 500 men, the average time between penetration and ejaculation for a premature ejaculator was 1.8 minutes, compared with 7.3 minutes for non-premature ejaculators..
Another study of 500 couples in five countries reported results ranging from 33 seconds to 44 minutes, with a median of 5.4 minutes.
What are the causes of premature ejaculation?
EPI may be psychological and/or biological and may occur due to sensitive genital skin, hyperactive reflexes, extreme arousal or infrequent sexual activity.Other factors include genetics, guilt, fear, performance anxiety, inflammation and/or infection of the prostate or urethra and may also be related to the use of alcohol or other substances.
EPI occurs at home until30% of menPEP can cause embarrassment, frustration and loss of self-confidence and can be devastating to a relationship. It is very typical in men during their first sexual experiences.
Premature ejaculation may be lifelong or acquired and sometimes occurs on a situational basis. It is thought that lifelong PE has a strong biological component. Acquired PE may be biological, based on inflammation/infection of the reproductive system, or psychological, based on situational stressors.erectile dysfunction(DE), with rapid ejaculation caused by the desire to enjoy before losing an erection.
The emphasis on ejaculation as the focal point of sexual intercourse tends to increase the performance anxiety that can trigger the problem.Once PE has occurred and is established, fear and mental preoccupation with the problem can actually induce unwanted rapid ejaculation, creating a vicious cycle.
How to cope with premature ejaculation
Thoughts of distraction
Non-erotic mind-distraction tactics (focusing on thoughts other than ejaculation) can prevent PE. Baseball, work, countdown, etc. are examples of such thoughts, but they are rarely effective and diminish the pleasure of sexual intimacy.
Down the Tempo
This requires developing special attention to the sensation immediately before ejaculation.By slowing down the rate of pelvic urge and varying the angle and depth of penetration before the point of no return is passed, the sensation of imminent ejaculation can dissipate.
Pause-start method
If slowing the tempo is not enough to prevent PE, it may be necessary to stop the urge completely while maintaining penetration so that the ejaculatory urge disappears.
Technique of compression
Created by Masters and Johnson, when approaching imminent ejaculation, the penis is removed and the head of the penis is compressed until the sensation of ejaculation passes, after which sexual intercourse is resumed.. Although effective, it requires sexual interruption, is cumbersome and requires a very cooperative partner.
Training of the pelvic floor muscles
Contracting the pelvic floor muscles is a less burdensome alternative to the Master and Johnson technique. Instead of the clumsy and obvious compression technique, a more subtle and discreet method is to slow down the rhythm of intercourse, suspend pelvic thrust, and perform sustained contraction of the pelvic muscles. This is an internal pressure without the external pressure of the hand. It can achieve the same goal, by short-circuiting premature ejaculation. With sufficient practice and achievement of muscle memory, this process can become easier. And the problem of PEP improves, especially with the engagement in a pelvic floor training program.
Decreased sensitivity
Alternatively, local anesthetics in the form of creams, gels and topical sprays can desensitize the penis.creamor theLidocaine gel, lidocaineand thePrilocaine (EMLA cream)or theLidocaine spray (Promescent) and preparations based thereonAnother desensitization technique is to increase the frequency of ejaculation, because EP tends to be more pronounced after longer periods of sexual abstinence. By masturbating before having sex, EP can be controlled.
Pills for erection
Viagra, Levitra and Cialiset StendraThese drugs, which are commonly used for erectile dysfunction, may play a role in the treatment of men with acquired ED due to erectile dysfunction.
Antidepressants and SSRIs
Ces Selective inhibitors of serotonin reuptakeIt is usually started at a low dose, with an increase in dosage if necessary. Once an effective dose is reached, the drug can be used on a case-by-case basis. Several hours before sexual intercourse.
Counselling
Since PE may be psychologically based, it may be advantageous to seek the advice of a sex therapist.This may be done in conjunction with some of the techniques mentioned above to speed up the resolution of PE.
Although not life-threatening…PTSD is a common and distressing quality of life problem that sometimes endangers relationships.The good news is that there are a number of effective treatment options.So you don’t need to suffer from the problem.
