Premature ejaculation (PE) refers to the persistent or recurrent discharge of semen with minimal sexual stimulation before, on, or shortly after penetration, before the person wishes it, and earlier than he expects it. In making the diagnosis of PE, the clinician must take into account factors that affect the length of time that the man feels sexually excited. These factors include the age of the patient and his partner, the newness of the sexual partner, and the location and recent frequency of sexual activity.Premature ejaculation is the most common sexual problem facing men today. The condition is most often described as being an inability to delay ejaculation to a point when it is mutually desirable for both partners. In short, it is when a man orgasms before he wishes to do so.
Experts are still trying to determine exactly what causes premature ejaculation. While it was once thought to be only psychological, we now know premature ejaculation is more complicated and involves a complex interaction of both psychological and biological factors.
Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life such as:
Situations in which you may have hurried to reach climax in order to avoid being discovered.
Guilty feelings that increase your tendency to rush through sexual encounters.
Other factors that can play a role in causing premature ejaculation include:
Erectile dysfunction. Men who are anxious about obtaining or maintaining their erection during sexual intercourse may form a pattern of rushing to ejaculate which can be difficult to change.
Anxiety. Many men with premature ejaculation also have problems with anxiety either specifically about sexual performance, or caused by other issues.
Experts believe a number of biological factors may contribute to premature ejaculation, including:
Abnormal hormone levels.
Abnormal levels of brain chemicals called neurotransmitters.
Abnormal reflex activity of the ejaculatory system.
Certain thyroid problems.
Inflammation and infection of the prostate or urethra.
Rarely, premature ejaculation is caused by:
Nervous system damage resulting from surgery or trauma.
Withdrawal from narcotics or a drug called trifluoperazine (Stelazine), used to treat anxiety and other mental health problems.
Although both biological and psychological factors likely play a role in most cases of premature ejaculation, experts think a primarily biological cause is more likely if it has been a lifelong problem (primary premature ejaculation).
What are the effects of premature ejaculation?
The negative effects of premature ejaculation will vary depending on the individual, but an un-fulfilling sex life can put a tremendous burden on a relationship with your partner. Premature ejaculation diminishes your sexual self-confidence, causing you to become an even worse lover in the process. Furthermore, an disappointing sexual relationship may force your partner to seek sexual fulfillment elsewhere. Cheating, extra-marital affairs, break-ups or even divorces - often stem from an un-fulfilling sex life.
A good sex life is very important!
A satisfying and equally gratifying sexual relationship is important for any healthy, sexually active couple. Premature ejaculation can greatly impact relationships on both a physical and an emotional level, leading to dissatisfaction, disappointment and other problems. These adverse effects of premature ejaculation can be temporary, or they may lead to painful, long-term problems.
What are the Symptoms of premature ejaculation?
In PE, ejaculation occurs earlier than the patient and/or the couple would like, thus preventing full satisfaction from intercourse, especially on the part of the sexual partner, who frequently fails to attain orgasm. PE is almost invariably accompanied by marked emotional upset and interpersonal difficulties that may add frustration to an already tense situation, which makes the loss of sexual fulfillment even worse. It is also important to differentiate male orgasm from ejaculation. Some men are able to distinguish between the two events and enjoy the pleasurable sensations associated with orgasm apart from the emission of semen, which usually ends the moment of orgasm. In these cases, the partner is capable of achieving orgasm and sexual satisfaction.
What can be done to prevent premature ejaculation?
There are a variety of pills, desensitizing creams, penis rings and other strange gadgets on the market designed to help control premature ejaculation. Some of these products are totally worthless in my opinion, while others can be very helpful. Let's take a closer look at each type of product and discuss the pros and cons:
Premature ejaculation is a very common and a very serious problem for men. Virtually all men will experience premature ejaculation at some point during their lives, and for many it will remain an ongoing problem. But luckily, there is something you can do about it. As I have found, you can safely and naturally stop premature ejaculation forever with a little help. With the right combination of quality products, you will find that premature ejaculation can be quickly and easily cured. I can tell you that all of the products and sites listed above have provided excellent results for both myself and my readers.
The physical examination of a patient who is having problems with PE usually results in normal findings. Abnormal findings are unusual. The best source of information for diagnosing the nature of the problem is the patient's sexual history. On taking the patient's history, the clinician should concentrate on the sexual history, making sure that both partners have adequate and accurate sexual information. Ideally, the sexual partner should participate in the history and is often able to contribute valuable information that the patient himself may be unaware of or unwilling to relate. The female partner should also be examined by a gynecologist in order to ascertain her sexual capabilities and to eliminate the possibility that the size or structure of her genitals is part of the reason for the male's premature ejaculation.
Various factors can increase your risk of premature ejaculation, including:
You may be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection. Fear of losing your erection may cause you to rush through sexual encounters. As many as one in three men with premature ejaculation also have trouble maintaining an erection.
If you have a medical concern that causes you to feel anxious during sex, such as a heart problem, you may have an increased likelihood of hurrying to ejaculate.
Emotional or mental strain in any area of your life can play a role in premature ejaculation, often limiting your ability to relax and focus during sexual encounters.
Rarely, drugs that influence the action of chemical messengers in the brain (psychotropics) may cause premature ejaculation.
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