Premature ejaculation – causes and treatment. Ways of premature ejaculation

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Premature ejaculation is a type of sexual dysfunction in men. It is about getting sexual satisfaction earlier than the man wants, therefore without his control. This problem is often a source of frustration for the male gender. What are the causes of premature ejaculation and can it be treated?

Premature ejaculation – what is it?

Premature ejaculation is the most common sexual problem in men. This is the lack of control over ejaculation that often happens earlier than the man wants it to be.

Some men experience premature ejaculation as soon as the foreplay begins. Other men lose control of ejaculation as soon as penetration begins. In any case, premature ejaculation can cause stress and tension between the man and his partner.

Some men may develop premature ejaculation from their first sexual contact (lifelong premature ejaculation), while others may develop premature ejaculation after a period of normal sexual activity (acquired premature ejaculation).

Sometimes it is normal to lose control of your ejaculation. Premature ejaculation is only a problem if it happens frequently. Most men sometimes reach orgasm sooner than they would like to. For example, it’s not uncommon for a man to experience premature ejaculation the first time he has sex. The occasional loss of control over ejaculation does not mean that a man has a sexual problem.

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Premature ejaculation – causes

Fear of sexual intercourse, muscle strain caused by certain sexual positions, and sensory overload can all contribute to premature ejaculation. Some men may be hypersensitive in certain areas of the body, making them more prone to premature ejaculation. There is documented evidence that premature ejaculation is more common in South Asian men.

In the past, premature ejaculation was considered purely psychological. However, it is now believed that some men (especially those with lifelong premature ejaculation) have a chemical imbalance in the brain centers that control this function (this is called a neurobiological cause). This, in turn, can lead to related psychological problems such as sexual anxiety.

Acquired premature ejaculation can be caused by psychological factors such as:

1. depression or anxiety disorders
2. fear of rejection by a sexual partner,
3. negative sexual experiences in childhood,
4. religious beliefs,
5. stress,
6. relationship problems.

Among other factors influencing premature ejaculation, there are:

1. genetic predisposition,
2. obesity,
3. bad health condition,
4. emotional problems,
5. the use of certain drugs and drugs: amphetamines, cocaine and dopaminergic drugs,
6. prostatitis,
7. neurological causes – e.g. multiple sclerosis, peripheral neuropathies,
8. thyroid disorders,
9. varicose veins,
10. erectile dysfunction.

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Premature ejaculation – treatment

A very good idea in the case of premature ejaculation (which appeared several / a dozen times) is to consult a doctor or sexologist. Treatment for premature ejaculation will vary depending on the cause and whether it is lifelong ejaculation or acquired ejaculation. Treatment for premature ejaculation includes:

I. Behavioral techniques – they include the Semans “stop-start” technique and the Masters and Johnson “squeeze” technique:

1. Semans’ technique is about learning to control your sensations before you ejaculate. The idea is to get close to ejaculating repeatedly and then stop and rest. If you do this often enough, you will learn to recognize your “point of no return”
2. The Masters and Johnson technique (named after famous sex researchers) involves squeezing the end of your penis just before you ejaculate to reduce your urge to ejaculate. These exercises can be performed alone or with a partner.

II. Kegel exercises:

exercises are aimed at strengthening the pelvic floor. To identify your pelvic floor muscles, refrain from urinating in the middle stream. J.est is an activity you must practice when your bladder is empty. Firmly tense your muscles and hold for 10 seconds. Repeat 10 times, three times a day.

III. Psychotherapy and counseling – under the guidance of an experienced sexologist, you can examine and alleviate any hidden fears related to sexual intercourse,

IV. Penile sensation decreased – local anesthetic sprays and creams can be used to reduce the feeling of the penis and should be applied 30 minutes before intercourse. Use these treatments with a condom to prevent absorption by your partner. The use of two condoms may also help to reduce the feeling of

V. If premature ejaculation is associated with erectile dysfunctiontreatment of erectile dysfunction, such as PDE5 inhibitors (Viagra, Cialis, Levitra) can help restore ejaculation control.

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Premature Ejaculation – Prilligy

Premature ejaculation is treated with psychotherapy, the intervention of a surgeon or pharmacological agents – the novelty is Priligy (dapoxetine), which is the only approved preparation in the treatment of this type of ailments, delaying the activity of serotonin transporters responsible for the regulation of ejaculation.

Treatment of patients with premature ejaculation should be individual. The ideal remedy for premature ejaculation should be:

1. accepted on request,
2. act quickly,
3. not to disturb the spontaneity of the relationship,
4. effective and safe.

These features are met only by Priligy (dapoxetine), which is highly effective in the treatment of premature ejaculation.