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Medical Video: Premature Ejaculation Medical Course
Premature ejaculation is the tendency for orgasm to occur too quickly outside of desire, and usually occurs with minimal sexual stimulation; either before or shortly after sexual penetration. Climax too fast can also be experienced when masturbating. Premature ejaculation is the most common sex complaint reported by most men - at least 1 in 3 men have experienced it once in a lifetime.
Although there is no proper "time limit" for defining how quickly ejaculation can be called early, most experts interpret it as a climax achievement that lasts less than two minutes. Premature ejaculation can result in unsatisfactory sex for both partners. This can increase anxiety which may worsen the problem.
What are the causes of premature ejaculation?
Psychological factors such as excitement, anxiety, guilt, trauma, depression, or the demands of a partner to give the best performance are the most common and fundamental causes of premature ejaculation. Climax that is too fast than desired may occur only in certain sexual situations (for example, first sex), hypersensitivity from stimulation that is too intense, or the distance between ejaculations that are too short or long. Premature ejaculation can also occur with a new partner or as a result of conflict and / or tension in the relationship.
The psychological factors above can affect men who previously even had normal ejaculation - and often can develop into primary sex dysfunction, aka continuous for life.
The inability to control ejaculation is rarely caused by a medical condition, although the doctor will need to eliminate the possibility, such as:
- Diabetes
- Impotence
- Prostate disorders
- Heart disease
- High blood pressure (hypertension)
- Levels of chemical compounds in the brain (neurotransmitters) are abnormal
- Abnormal hormone levels (problems in the thyroid gland)
- History of alcohol, substance and drug abuse
- Nervous system damage; by trauma or former surgery
- Inflammation of the urethra
- Side effects of prescription drugs for certain conditions
It is difficult to determine the root cause of premature ejaculation, whether it is caused by psychological factors, penis structure problems, or even a combination of both. Premature ejaculation can involve complex interactions of psychological and biological factors.
Therefore, when consulting with a doctor about this problem, he will discuss your sexual life. In addition to asking about your sex life, the doctor will ask about your medical history and maybe do a physical examination. If you experience premature ejaculation and difficulty getting or maintaining an erection, your doctor may order a blood test to check your testosterone level or other tests.
What can be done to overcome premature ejaculation?
In many cases, premature ejaculation will improve by itself over time, so treatment may not be needed. Along with sexual experience and age, men will often learn to delay orgasm. You can practice relaxation techniques or use the distraction method, such as holding the base of the penis to prevent ejaculation, or thinking about non-sexual things to help you last longer.
The use of condoms or numbing sex lubricants can reduce the sensation of the penis. Or, you can try different positions (such as lying on your back) during intercourse. A man can also choose to avoid sexual penetration for a while, and focus on intimacy with other forms of existing sexual maneuver, in order to give him the opportunity to manage the anxiety and pressure that affects his performance in bed.
Premature ejaculation caused by psychological problems can be managed by behavioral therapy or partner counseling. Such therapy may involve one or two hour masturbation recommendations before having sex to give yourself a better chance of delaying ejaculation; stimulate your partner before sex so that your orgasm can occur together; or communicate with your partner to try to slow down or stop stimulation
In addition, antidepressant drugs can sometimes be prescribed to treat premature ejaculation. There are also creams, gels and sprays that can be used to treat premature ejaculation by reducing sensation in the penis - for example lidocaine and lidocaine + prilocaine. But, some of these drugs can also affect sensations in the genital area of your sexual partner. For some men, stopping or reducing alcohol, tobacco or illegal drugs can increase their control of ejaculation.
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