Premature ejaculation.
Premature ejaculation, along with erectile dysfunction, is the most common sexual disorders in males. Premature ejaculation affects mainly ages younger than  forty years, whereas erectile dysfunction occurs more often in older men. In some cases, the two sexual disorders may coexist and alternate in the same individual. This is more likely to happen in ages between thirty five and forty five years. Statistics show that 35% of men in the USA and Europe experience premature ejaculation at some stage of their life, before the age of forty five.
Premature ejaculation is difficult to be defined, since the term "premature" is very subjective. In general, during a sexual intercourse, both partners are likely to reach orgasm within the first ten minutes. However, this is not a strict rule. Although it is very important, duration is not the top issue. As long as both partners reach climax and they are happy, there is no problem whatsoever. Without being an imperative, it would be ideal, if the female has multiple orgasms before the man ejaculates. This can boost the sexual relation, since it will maximize her pleasure and his self-esteem. A problem exists, if the male ejaculates before the woman reaches orgasm, especially if this happens too often. This causes feelings of failure or guilt for him and disappointment or lack of sexual fulfillment for her. According to some sex therapists, premature ejaculation is considered occurring, when a male reaches sexual climax, within three minutes of arousal and definitely before his partner comes to orgasm. In many cases, the ejaculation occurs within the first seconds of the intercourse. In general, we cannot consider that a sexual dysfunction exists, if this happens every now and then. The establishment of a clinical problem is acknowledged, if such a failure occurs in more than 40% of the sexual intercourses the man participates.
Causes of premature ejaculation.
No physical problem seems to be closely related to premature ejaculation. Occasionally, psychotropic drugs and alcohol use seem to lead to hyper-excitability but the premature ejaculation incidents caused are isolated and do not consist a clinical entity. Researches have given some limited evidence that there might be a hereditary link to premature ejaculation. Increased involuntary neurological stimulation in the pelvic muscles and infections of prostate may be responsible for premature ejaculation. There has been a speculation that hormonal reasons, such as increased testosterone blood levels, can underlie but nothing has been proved yet.
Many experts believe the etiology of premature ejaculation seems to be of psychological origin rather than organic one. So far, stress seems to be the most likely cause.
Complications of premature ejaculation.
Since the disorder prevents a good sexual relationship, isolation amongst the partners and marital problems are likely to follow. The man's greatly damaged self-esteem will worsen, in a case of infidelity on behalf of the woman, if she tries to find sexual satisfaction somewhere else. Depression is another aftermath of premature ejaculation.
When the ejaculation occurs persistently before the penetration, a secondary fertility problem arises. In such cases, pregnancy can be achieved with artificial insemination.
Treatment of premature ejaculation.
Unfortunately, there are not any pharmaceutical or technical therapeutic means for premature ejaculation. A psychologist's help may greatly useful.
Simple exercises typically introduced by sex therapists can significantly enhance ejaculatory control for males suffering from premature ejaculation. The most common of them is the so-called "start and stop" or "on and off". The male comes to erection by stimulating himself by technical means, such as videos and magazines or by masturbation. Just before he reaches climax, he stops stimulating himself. As soon as he starts losing his hardness, he comes back with stimulation. Each session lasts nearly ten minutes and the goal for the man is to maintain a prolonged erection without ejaculating. The chances for success can increase dramatically, if the partner participates at the next stage by stimulating the penis by her hand, stopping at the critical moment and starting again after a couple of minutes.
Kegel exercises may be very helpful too, since they can increase the flexibility and the strength of the pelvic muscles and improve ejaculatory control. |
