Premature ejaculation happens when a man approaches orgasm and ejaculates too fast and without control. In other words, ejaculation occurs before a man wants it to occur. It may happen before or after starting foreplay or intercourse. Some men feel a lot of personal distress because of this condition.
As many as one in five men feel difficulty with free or early ejaculation at some point in life. While premature ejaculation happens so often that it interferes with the sexual desire of a man or his partner, it displays a medical problem.
Certain factors may provide to premature ejaculation. Psychological problems such as stress, depression and different factors that influence mental and emotional health can worsen this condition. However, there is increasing evidence that biological factors can make some men more prone to undergo premature ejaculation.
Rarely, premature ejaculation can be affected by a specific physical problem, such as infection of the prostate gland either some spinal cord problem.
Premature ejaculation is diagnosed based on common symptoms. To know your problem, your doctor will require to discuss your sexual antiquity with you. Be frank and straightforward. The more your doctor understands, the better he or she can assist you.
If your sexual history fails to show important mental or emotional factors that may provide to premature ejaculation, your doctor may want to examine you. Your doctor may check your prostate or do neurological tests (tests of your nervous system) to determine if there is a physical difficulty that could be creating premature ejaculation.
Sometimes, premature ejaculation passes away on its past weeks or months. Working to reduce stress or other psychological problems may help the situation to improve.
Other men have constant problems with premature ejaculation, and need professional help. Some men respond to treatment promptly, while others struggle with this problem across a prolonged period. Effective therapy is available.
Behavioral treatment is one possible method for treating premature ejaculation. Most commonly, the "squeeze technique" is used. If a man senses that he is concerning to experience premature orgasm, he prevents sexual relations. Then the man or his partner removes the shaft of his penis between a thumb and two digits. The man or his partner applies light pressure just below the top of the penis for about 20 seconds, let's go, and when sexual relationships can be continued. The technique can be renewed as often as necessary. When this technique is prosperous, it enables the persons to learn to delay ejaculation with the pressure, and eventually, to gain control over ejaculation without the pressure. Behavioral treatment helps 60% to 90% of men with premature ejaculation. However, it requires the cooperation of both partners. Moreover, premature ejaculation often passes, and additionally, behavioral treatment may be needed.
Another possible treatment is a prescription medication that helps to delay ejaculation. Late orgasm is a common side impact of certain drugs, especially those used to treat depression. This is right even for men who are not discouraged. When this type of pill is given to men who feel premature ejaculation, it can help to postpone orgasm for up to some minutes. Drugs used for this type of treatment include selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), paroxetine (Paxil) or sertraline (Zoloft); and tricyclic antidepressants, such as clomipramine (Anafranil).
Any men with premature ejaculation may help from drugs called phosphodiesterase inhibitors, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). A phosphodiesterase inhibitor can be used singly or in combination including an SSRI. One pill should be started at a time, first at a low dose.
Some men with premature ejaculation also profit from decreasing the stimulation they feel during sex. Several creams are available that can partially anesthetize (numb) the penis and reduce the stimulation that leads to orgasm. Another alternative is to use one or more extra condoms. However, these systems may interfere with the pleasure felt during sex.
Talk with your doctor if you consistently ejaculate before you want to. Get, one instance of premature ejaculation that does not suggest that you have a disease that requires surgery. Your doctor may suggest you to a Sex Therapist/Doctor if the early discharge is effecting major problems in your sex life or intimate relationships or if you would like to analyze behavioral therapy.
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