The main sign of premature ejaculation is ejaculation occurs before both partners wish under most intercourse, which causes concern, stress and discomfort.

When this happens during most of intercourse, it creates anxiety, stress and discomfort.
Many men will sometimes release (ejaculation) in the past (premature) during sexual intercourse than they and their partner like. As long as this only happens now and then, there is no reason for concern. If, however, fairly regularly ejaculates sooner than you and your partner wish - such as before intercourse begins or shortly afterward - so you probably have the condition premature ejaculation.

Premature ejaculation is a common sexual disorder. Prevalence data varies, but some experts think it affects as many as 20-30% of all men. In a Norwegian survey in 1987 and 1997, premature ejaculation is most common sexual problem. Although it is a common problem that can be treated, many men feel embarrassed by talking to their doctor about such things or seek treatment.

Previously it was believed this was a purely psychological phenomenon, but experts now know that biological factors also play an important role in premature ejaculation. In some men, premature ejaculation problems associated with getting an erection, erectile dysfunction.
There is a treatment for premature ejaculation, both medications, psychological counseling and learning sexual techniques to delay ejaculation can improve your and your partner's sexual experiences. For many men, a combination of several treatments, the best deal.

Symptoms and signs

There is no medical standard for how long it will take a man to achieve ejaculation. The main sign of premature ejaculation is ejaculation occurs before both partners wish in the majority of intercourse, which creates anxiety, stress and discomfort. The problem can occur in all sexual situations, including in connection with masturbation - or it occurs only in connection with sexual intercourse with another person.

Doctors often share for early release into the primary or secondary type:
• Primary premature ejaculation is if you have had a problem so long as you have been sexually active.
• Secondary premature ejaculation is if the condition has occurred after you have had a satisfying sexual relationship without ejaculation problem.
What causes premature ejaculation?
Experts do not know for sure what causes premature ejaculation. While it was previously thought that the explanation was entirely psychological, as we know today that the phenomenon of premature ejaculation is more complicated and involves a complex interplay between psychological and biological factors5.

Psychological causes

Some doctors believe that early sexual experience can establish a pattern that is difficult to change later in life, eg.:
• Situations where you have had to hurry to reach climax to avoid detection.
• Guilt that increase the tendency to rush during sex.
Other factors that may play a role in premature ejaculation are:
• Erectile Problem. Men who are anxious about their ability to achieve or maintain his erection during sex, can develop a pattern where they are rushing to ejaculate. Such a pattern may be difficult to change.
• Anxiety. Many men with premature ejaculation also have problems with anxiety - either specifically related to the sexual performance or caused by other factors.
Biological causes
Although the biological reasons for this are the exception, so experts believe that a number of biological factors may contribute to premature ejaculation, for example.:
• Hormone. Abnormal amounts of the neurotransmitters that the brain sends out.
• Abnormal reflex activity in the ejaculatory system (nerve center).
• Disturbances in the endocrine glands.
• Inflammation and infection of the prostate or urethra.
• Inherited traits.
In rare cases, premature ejaculation is caused by:
• Damage to the nervous system from surgery or injury.
• Cessation of drug use.
Although both biological and psychological factors likely play a role in most cases of premature ejaculation, so experts believe that a primary biological cause is most likely if the problem has been a lifelong (primary premature ejaculation).
Conditions that increase the risk of premature ejaculation
Various factors may increase the risk of premature ejaculation, such as:
• Impotence. There may be an increased risk of premature ejaculation if you occasionally or most of the time have trouble achieving or maintaining an erection. Fear of losing an erection causes you to rush through sexual intercourse. As many as 1 in 3 men with premature ejaculation can have problems keeping a erection.
• Health problems. If you have a disease that makes you feel anxious during sex, for example. a heart problem, it can help you hurry you achieve uttømning.
• Stress. Emotional or mental stress in some area of your life may play a role in premature ejaculation, and limit your ability to relax and focus during sex.
• Certain medications. In rare cases, the drugs affect chemical neurotransmitters from the brain and lead to premature ejaculation.

When to seek medical attention?

Talk to your doctor if you get the release earlier than you and your partner wish during most of intercourse. Even if you feel that this is something you should be able to fix itself, so you may need treatment to help you to a better sex life.
How diagnosed?

Diagnosis is usually simple, but the doctor can set up a number of very personal questions and may wish that your partner is participating in the conversation. Although it may feel uncomfortable for both of you to talk openly about sex, the details will you bring forth to help the doctor to determine the cause and come up with good advice.

The doctor will ask questions to clarify the medical history and your doctor will perform a physical examination. Relevant questions would be:

* How often do you have premature ejaculation?
* Do you have premature ejaculation with only a specific partner or partners?
* Do you have premature ejaculation each time you have sex?
* How often do you have sex?
* How does the premature ejaculation and quality of your sex life?
* If you have problems getting or maintaining an erection?
* Do you use any medication?

When necessary to further elaborate on your problem, your doctor may also ask about:

* Can the symptoms be related to your religious upbringing?
* Early sexual experiences?
* Past and current sexual relationship?
* Conflicts or concerns related to your current relationship?

If you have both premature ejaculation and difficulty getting or maintaining an erection, it may be appropriate for the doctor to examine you with hormone tests and other blood tests.

Complications

Although premature ejaculation does not increase your risk for serious health problems, but it can creates stress in your personal life, such as:

* Problems in relation to a partner who also have reduced the pleasure of sex.
* Infertility. Premature ejaculation can occasionally make fertilization difficult or impossible by couples who are trying to achieve pregnancy.

What is the treatment?

Treatment possibilities include sexual therapy, medications for many men, a combination of these treatments that work best.

Sex Therapy

In some cases, sexual therapy involves several steps such. to masturbate an hour or two before intercourse so that you can easily delay ejaculation during sex. Your doctor may also advise you to avoid sex for a period of time and ask you to focus on other types of sexual play so that pressure is removed from the sexual encounters.
"Stop and squeeze"

Your doctor may instruct you and your partner in the use of a method called "stop and squeeze" 2.7. The method works like this:

* Step 1. Begin sexual activity as usual, including stimulation of the penis, until you feel it approaching it goes for you.
* Step 2. Stop the sexual activity. Get your partner to squeeze the penis just inside the glans penis. Keep this grip for several seconds until the urge to ejaculate subsides.
* Step 3. After clamping ceased, wait for approx. 30 seconds, and continues as foreplay. You may find that by clamping the penis is less rigid, but when sexual stimulation is resumed, you can quickly achieve full erection again.
* Step 4. If you again feel that it will go for you, get your partner to repeat the procedure.

By repeating this as many times as needed, you can reach the point that you can penetrate your partner without it going for you. After practicing this method for a time, the sense of how to delay ejaculation have become a habit and you no longer need to engage with the clamp technique.

Drugs

Certain antidepressant medications used in the treatment of premature ejaculation. Although these funds really are not approved for this use, it is accepted that they can be used for this purpose. It may be necessary for you to try different medications or doses before you find the treatment that works for you.

Antidepressants

A side effect of certain antidepressants is delayed orgasm. Men who suffer from premature ejaculation, can take advantage of this side effect.

* Your doctor may prescribe one of several relevant preparations, such as sertraline ®, Zoloft ®, paroxetine ® or Seroxat ® 8,9,10.
* If the effect on the premature ejaculation fail, your doctor may prescribe the drug Anafranil ® or Anafranil ® as part of some is a better alternativ11.
* There is no guarantee that you will need to take these medications every day to prevent premature ejaculation. Taking a low dose several hours before you have planned intercourse, can be enough to improve symptoms dine12, 7 In some cases, it looks that daily treatment for 3-4 weeks before you start taking the pills when necessary, may be an appropriate introduction to this treatment if needed.

Other side effects of these antidepressants can include nausea, dry mouth, drowsiness and decreased sexual desire (libido).

Local Anesthesia

Local Anesthesia ointment reduces sensitivity in the penis and thus helps to delay ejaculation. By lubricating ointment for a short time before intercourse, it can easily be wiped off when your penis has lost enough sensation to help you to delay ejaculation.

Some men who use Local Anesthesia ointment say that they lose some of the sexual performance due to decreased sensitivity. Although the ointment wiped off before intercourse, some women also report that their sensitivity in the genitals and impaired sexual performance is muted. In exceptional cases, the means also cause allergic reactions.

Psychotherapy


Such treatment involves talking about your relationships and experience with a psychotherapist. Samtaleterapiene can help reduce performance anxiety or to find effective ways to cope with stress and solve your problems on. For many couples who are prone to premature ejaculation, it can talk to a therapist together to give the best results.
Preventive measures

In some cases, premature ejaculation is due to poor communication between partners and a lack of understanding of the differences between male and female sexual function. Women typically need more stimulation than men to reach orgasm, and this difference can create "sexual conflicts" between partners and add pressure on the sexual pastoral moments. For many men may feel under pressure during sex increase the risk of premature ejaculation.

Open communication between sexual partners, as well as a willingness to try different techniques to help both partners achieve satisfaction, can help to remove the conflict and performance anxiety. If you are not satisfied with the sexual relationship, you should talk to your partner about the problem. Attempts to resolve the issue in a loving way and avoid blaming your partner for your lack of satisfaction. Can not you solve the sexual problem yourself, contact a doctor. Your doctor can give reasonable advice or refer you on to a sex therapist with more experience.

Coping Skills

Many men who experience premature ejaculation feel frustrated and even ashamed. Then it may help to know that the problem is common and often can be right. Talk with your doctor so if it creates discomfort for you and / or your partner.

While you are testing the various treatment options, you should play down the significance of the sexual in their relationship. Some doctors recommend full abstinence from sex for a short period of time and urge you instead to place greater emphasis on other forms of cohesion in this period. This can help you to re-establish good physical feelings with each other. By curbing the importance of sexual intercourse may help remove the worry about premature ejaculation - some as helping to lay the foundation for a richer sexual life.

For more information, visit: How to last longer in bed

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5 nhận xét
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