Premature Ejaculation
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In this topic we will discuss below points
- What is Premature Ejaculation ?
- Premature ejaculation Causes ?
- Premature ejaculation exercises ?
- Premature ejaculation treatment ?
- How to prevent Premature ejaculation ?
- Why Premature ejaculation occur ?
- How can you feel pre ejaculation?
- Is premature ejaculation permanent?
- At what age do guys start ejaculating?
- How can I prevent early ejaculation?
- How long should first round last?
- Can a man prevent himself from ejaculating?
- Premature ejaculation medicine ?
- premature ejaculation solution ?
- And Finally Some Q&A
LETS BEGIN WITH SOME Q&A
What is Premature Ejaculation
Premature ejaculation is a type of sexual dysfunction that occurs when a man has an orgasm and releases (ejaculates) semen sooner than he or his partner would like. It often happens before or shortly after penetration during intercourse
Premature ejaculation Causes ?
Premature ejaculation occurs when a man has an orgasm and ejaculates earlier during intercourse than he or his partner would like. It's a common problem, affecting 30% to 40% of men. Causes include physical problems, chemical imbalances and emotional/psychological factors
How can I prevent early ejaculation?
These include:
- masturbating 1 to 2 hours before having sex.
- using a thick condom to help decrease sensation.
- taking a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body, during which you ejaculate)
What is pre ejaculation time?
Premature ejaculation (PE) is when you have an orgasm before intercourse or less than a minute after you start. There is no set time when a man should ejaculate during sex, but if you ejaculate and lose your erection this soon, you and your partner may feel there's not enough time to enjoy it.
Can a man prevent himself from ejaculating?
An alternative method, the 'stop-squeeze' technique, involves getting to the point of no return and then squeezing the shaft of the penis between the thumb and forefinger to prevent ejaculation. Once a man is able to anticipate his point of no return he can stop using the technique and avoid ejaculating.
Is premature ejaculation permanent?
Premature Ejaculation is NOT Permanent
In many instances, premature ejaculation tends to get better on its own over time. However, men who have primary ejaculation who have suffered from the problem since becoming sexually active may likely be long-lasting.
In many instances, premature ejaculation tends to get better on its own over time. However, men who have primary ejaculation who have suffered from the problem since becoming sexually active may likely be long-lasting.
How long should first round last?
You describe that you last for about 5 minutes. This is actually a normal time for men to last. You mention though that you don't do much foreplay which may be the problem. If you did spend more time pleasuring your partner and then move onto penetrative intercourse, you may find that she is more satisfied.
Can guys stop themselves from coming?
People may intentionally block sperm from coming out to prolong a sexual experience. Some medical conditions may cause problems with ejaculating. People may also choose to have a vasectomy, a procedure that prevents sperm from coming out during ejaculation.
What is pre ejaculation and when does it occur?
Pre-ejaculate is a fluid that is discharged from a penis when it's aroused and usually occurs right before ejaculation. The fluid acts as a natural lubricant during sex.
Can a man prevent himself from ejaculating?
An alternative method, the 'stop-squeeze' technique, involves getting to the point of no return and then squeezing the shaft of the penis between the thumb and forefinger to prevent ejaculation. Once a man is able to anticipate his point of no return he can stop using the technique and avoid ejaculating.
At what age do guys start ejaculating?
Boys, capable of having erections since infancy, can now experience ejaculation. Usually, this first happens between the ages of 11 and 15, either spontaneously in connection with sexual fantasies, during masturbation, or as a nocturnal emission (also called a wet dream).
How can you feel pre ejaculation
You may be able to feel a little wetness on the tip of your penis when it comes out, but you may not notice if you're having sex and other things around your penis are wet, too. Pre-cum is involuntary, meaning you can't control whether it comes out. You also can't control or know whether there's sperm in it
Premature ejaculation exercises
Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking. Maintain your focus.
1 ) Kegel Exercise
Kegel exercises are designed to mainly strengthen the PC or pubococcygeal muscles which help men achieve stronger erections, maintain healthy hips, and gain greater control over ejaculation. Named after Dr Arnold Kegel, the exercises consist of repeatedly contracting and relaxing the muscles that form part of the pelvic floor. Essentially, there are 4 recommended steps in Kegel exercises. These could be practiced at any time, though not when concentrating on other activities.4. Changing sexual positions: The commonest position is the missionary position, also referred to as male superior. This too causes premature ejaculation, since muscular tension increases as the man supports his body weight with his arms and core strength. To reduce muscular tension, therefore, various other positions should be explored during intercourse.
2) Practicing “Start-Stop” method:
The start-stop method is a tested method to learning ejaculatory control and thus lasting longer. Herein, a male stimulates his penis until he is ready to have an orgasm and then cease stimulation. This allows you to stretch out the plateau phase of the sexual response cycle and lengthens the time between the excitement and orgasm phase. This method should be practiced in stages. At first, masturbate alone using the start-stop method, then use it during partnered manual stimulation (hand job), then fellatio (blow job) and, finally, incorporate the method with intercourse
Foremost, we need to calm down and lower performance anxiety levels. Learning breathing techniques, wherein we breathe using our diaphragm improves sexual health and has a positive effect on premature ejaculation. Breathing exercises, such as yoga or meditation, hypnosis or imagery exercises also reduce anxiety. Robust communication with your partner, friend or therapist on delicate sexual subjects, eg, body size, body image, life stressors, etc, also lowers anxiety and enhances sexual performance.
NOTE - REGURLAR GENERAL EXCERISE FOR PELVIC MUSCLE IS GOOD TO PREVENT/CURE PE.
Premature Ejaculation treatment
Diagnosis
In addition to asking about your sex life, your doctor will ask about your health history and might do a physical exam. If you have both premature ejaculation and trouble getting or maintaining an erection, your doctor might order blood tests to check your male hormone (testosterone) levels or other tests.
In some cases, your doctor might suggest that you go to a urologist or a mental health professional who specializes in sexual dysfunction.
Treatment
Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course.
Behavioral techniques
In some cases, therapy for premature ejaculation might involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. Your doctor also might recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters.
How to prevent Premature Ejaculation
Weak pelvic floor muscles might impair your ability to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.
To perform these exercises:
Find the right muscles. To identify your pelvic floor muscles, stop urination in midstream or tighten the muscles that keep you from passing gas. These maneuvers use your pelvic floor muscles. Once you've identified your pelvic floor muscles, you can do the exercises in any position, although you might find it easier to do them lying down at first.
Perfect your technique. Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking.
Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
Repeat 3 times a day. Aim for at least three sets of 10 repetitions a day.
The pause-squeeze technique
Your doctor might instruct you and your partner in the use of a method called the pause-squeeze technique. This method works as follows:
Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
Have your partner repeat the squeeze process as necessary.
By repeating as many times as necessary, you can reach the point of entering your partner without ejaculating. After some practice sessions, the feeling of knowing how to delay ejaculation might become a habit that no longer requires the pause-squeeze technique.
If the pause-squeeze technique causes pain or discomfort, another technique is to stop sexual stimulation just prior to ejaculation, wait until the level of arousal has diminished and then start again. This approach is known as the stop-start technique.
Condoms
Condoms might decrease penis sensitivity, which can help delay ejaculation. "Climax control" condoms are available over the counter. These condoms contain numbing agents such as benzocaine or lidocaine or are made of thicker latex to delay ejaculation. Examples include Trojan Extended, Durex Performax Intense and Lifestyles Everlast Intense.
Premature ejaculation medicine
Medications
Topical anesthetics
Anesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation. These products are applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.
A lidocaine-prilocaine cream for premature ejaculation (EMLA) is available by prescription. Lidocaine sprays for premature ejaculation are available over-the-counter.
Although topical anesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. Sometimes, female partners also have reported these effects.
Oral medications
Many medications might delay orgasm. Although none of these drugs are specifically approved by the Food and Drug Administration to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors. These medications might be prescribed for either on-demand or daily use, and might be prescribed alone or in combination with other treatments.
Antidepressants. A side effect of certain antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs), such as escitalopram (Lexapro), sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem), are used to help delay ejaculation.
Of those approved for use in the United States, paroxetine seems to be the most effective. These medications usually take five to 10 days to begin working. But it might take two to three weeks of treatment before you'll see the full effect.
If SSRIs don't improve the timing of your ejaculation, your doctor might prescribe the tricyclic antidepressant clomipramine (Anafranil). Unwanted side effects of antidepressants might include nausea, perspiration, drowsiness and decreased libido.
Analgesics. Tramadol (Ultram) is a medication commonly used to treat pain. It also has side effects that delay ejaculation. Unwanted side effects might include nausea, headache, sleepiness and dizziness.
It might be prescribed when SSRIs haven't been effective. Tramadol can't be used in combination with an SSRI.
Phosphodiesterase-5 inhibitors. Some medications used to treat erectile dysfunction, such as sildenafil (Viagra), tadalafil (Cialis, Adcirca) or vardenafil (Levitra, Staxyn), also might help premature ejaculation. Unwanted side effects might include headache, facial flushing and indigestion. These medications might be more effective when used in combination with an SSRI.
Potential future treatment
Research suggests that several drugs that might be helpful in treating premature ejaculation, but further study is needed. These drugs include:
Dapoxetine. This is an SSRI that's often used as the first treatment for premature ejaculation in other countries. It's not currently available in the United States.
Modafinil (Provigil). This is a treatment for the sleeping disorder narcolepsy.
Silodosin (Rapaflo).This drug is normally a treatment for prostate gland enlargement (benign prostatic hyperplasia).
Counseling
This approach involves talking with a mental health provider about your relationships and experiences. Sessions can help you reduce performance anxiety and find better ways of coping with stress. Counseling is most likely to help when it's used in combination with drug therapy.
With premature ejaculation, you might feel you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner.
Your partner also might be upset with the change in sexual intimacy. Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step, and relationship counseling or sex therapy might be helpful.
Credits - mayoclinic
Disclaimer - Details mentioned in this article is subject to research and results and there is no direct connect with our website, Any exercise or medication/treatment, do not start by your own, please consultant sexologist. This article is just for you're knowledge.
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