Premature ejaculation: what is it and what are its causes

With this problem in different stages of life face many men. Fortunately, it is very easy to use.

premature ejaculation

So what is premature ejaculation?

Premature ejaculation is when a man loses control over ejaculation. It can occur 30-60 seconds after the beginning of the act, and perhaps before penetration.

Though usually it refers to ejaculation during sex, in General, the problem can occur in any of the sexual practices, including Masturbation.

Also standards on the duration of "normal" sexual intercourse forced on porn, forget it. Medical data, that the average time to ejaculation during sexual intercourse, about 4-5 minutes.

How widespread is this problem?

Very. With this problem facing one of three men in all age groups. Most often it occurs in men 18-40 years old.

But not for every case premature ejaculation is considered to be the diagnosis. If this does not interfere with and often, then it is okay.

Depending on the clinical findings, the diagnosis can be made if:

  • Always or almost always finish the act within one minute after penetration.
  • You will not be able to delay ejaculation during sex, always or almost always.
  • When you feel down and upset and avoid sexual intimacy.

Premature ejaculation may be classified as

  • Lifelong (primary). Occurs almost always starts with his first sexual encounters.
  • Acquired (secondary). Develops after sexual intercourse and sexual practices that are without any problems with ejaculation.

Many people often believe that premature ejaculation, but their symptoms do not meet the medical criteria for its diagnosis.

Instead, they can be natural regular of premature ejaculation, which includes the period of the rapid ejaculation and is normal.

What causes premature ejaculation?

The exact cause is not clear. This was once thought to only affect psychological factors. It is now known that premature ejaculation may be associated with a complex interaction of psychological and biological reasons.

psychological causes

What are the psychological causes?

Harassment or abuse

Any violation of personal boundaries leaves an imprint on the character of the man. If you were faced with this, you can help the therapist to work with a negative experience.

It is important to remember that you are not alone and on the right side of the can, not the one who violated your boundaries.

Complexes of the body

Due to mass media about their appearance concerns absolutely everyone on this planet. Look at the cool guys from BuzzFeed, who talks about the pressure on men. And your photos, processed to conform to "ideal standards" of beauty.

Depression

Both the country and the medications that can affect the premature ejaculation. If you are on any medications and I don't know what you are depressed, but for a long time, are in depressive condition, you may want to go to a psychologist.

Worry about what you can premature ejaculation

If it happened more than once, dealing with a possible fault in the system, can cause premature ejaculation.

Erectile dysfunction

Erectile dysfunction refers to the psychological problem, because men who are focused on getting or maintaining erection during sexual intercourse and unable to ejaculate prematurely.

Relationship issues with a partner

If everything is ok, in sex with others, and premature ejaculation happened infrequently or not at all, maybe there is a problem in the relationship with the current partner.

Fault

As the researchers found, the lack of dialogue about sex, hygiene, and personal space in childhood has a direct impact on problems in adult life. Lead not only to premature ejaculation but also erectile dysfunction.

If the family is not called genitals direct meaning, not to talk about personal space, Masturbation, sex, nocturnal emissions, the first manifestations of the work of sexual function the guy will cause stress.

The first wet dreams occur at the beginning of puberty. If a child is not ready or able to discuss them, you will develop a sense of shame for all the sex. And this is not a mythical sense that "real" man we will be able to put down.

Scientists agree that it is a sense of shame for the spontaneous erections, ejaculation and fear of getting caught during Masturbation will be developed in a complete inability to relax, nor this reflex, which is to orgasm the man will require less than two minutes.

If a teenager used to the idea that you need to end as quickly as possible, the premature ejaculation will become the norm for the body. For reconstruction without the aid of experts, exercises, or medicine, it will be very difficult.

early sexual experience

Early sexual experience

This question is not accepted to discuss, the boys no one said that the moral may not be ready to have sex. Instead, there is an unspoken code, which for a long time, because the virgin is deadly for a reputation, and what is not "really" a man, to doubt, to think and to reflect.

This can be explained: as about sex does not mean a teenager can learn about sex, only by doing them.

But health care workers and psychologists note that many young people who minimize the importance of sex with another person, therefore, often surprised by the intensity of emotional reactions, especially if the relationship does not continue.

They recommend that you ask a few questions before having sex:

  1. You should understand the physical component of sex? You know how it is physically arranged, you and your partner?
  2. Are you ready to cope with all the consequences of sex (Stds, unwanted pregnancy)? You have access to good condoms?
  3. Since the probability of pregnancy and have protected sex, you are ready to ensure that your partner can become pregnant? Do you have a plan of action in this case?
  4. If you still get the sexually transmitted disease, what do you do? You have the option of treatment? Or are you willing to tell someone who can help?
  5. You are comfortable talking about sex with your partner and ask your doctor about safe sexual practices?

If you answered "no" to even one of questions until you are ready to have sex. Psychologists also note that sometimes it is enough just ask yourself: "am I Ready to have sex?" If you are in doubt then before.

Premature ejaculation during the first sexual intercourse often indicates that they were not prepared for intimacy. That delay the sex life for some time is better than to emotional breakdown or become infected.

And what are the biological causes?

Experts identify the following biological reasons:

  • Abnormal levels of hormones.
  • Abnormal levels of brain chemicals — neurotransmitters.
  • Inflammation and infection prostate or urethra.
  • Heredity.

When to see a doctor?

If the ejaculation occurs earlier than wanted during a majority of sexual contacts, go to the doctor.

Doctors say that premature ejaculation is normal and common, treatable.

They also add that for some men it is enough conversation with the urologist, to get rid of this problem. Or it turns out to be no problem, and the man simply does not know what random premature ejaculation is the norm, and the average time from the beginning of intercourse to ejaculation is about five minutes.

for the treatment of premature ejaculation

What are the treatment options?

Usually treatment options for premature ejaculation include behavioral techniques, anesthetics, medicines and consultations. Keep in mind that it may take some time to find the treatment or combination of treatments that will work for you.

Doctors often recommend counseling. This can be psychotherapy, as well as a conversation with a partner.

There are effective behavioral methods. Better to start with Masturbation without a partner. "You get to the point that they are going to ejaculate and then stop and think about what would be cool".

Other behavioral methods that can help:

  • Masturbation an hour or two prior to sexual intercourse.
  • Failure of normal sex for some time, replace with other practices to reduce the emotional pressure.
  • Kegel exercises for the pelvic muscles. Stop urinating in the middle of the process, remember what muscle you have it done. Strain them 3 times a day for 10 repetitions for 3 seconds. Don't hold your breath, don't tense the stomach muscles, thighs and buttocks.
  • The technique of "pause-squeeze". How to correctly perform, you will tell the doctor.
  • Condoms, made of thick latex, which decreases the sensitivity.

Medications must recommend and select a doctor. They may consist of gels or anesthetics, which reduce sensitivity of the penis. However, incorrectly selected drugs can cause a serious loss of sensitivity.

How to talk to the doctor?

Quick access to diagnosis and selection of appropriate treatment requires a sound dialogue with the doctor.

You can ask him all your questions, even if it seems unimportant or embarrassing. You don't know what will help the doctor better understand your problems, so talk about what you are interested in. These questions can serve as a template:

  • What can cause premature ejaculation?
  • What tests do you recommend to take?
  • What treatment do you recommend?
  • How soon after treatment can we expect progress?
  • If I can expect improvement?
  • I have the risk again faced with that problem?
  • Or is there an alternative medicine that you prescribed?
  • Is there any important information, a brochure or web page that I should read?

Be prepared for the fact that the doctor may ask very personal questions that may seem inappropriate to you. Here is a sample list:

premature ejaculation, how to treat

  • How often do you get premature ejaculation?
  • When you first experience premature ejaculation?
  • This happens to you only with a specific partner or with all?
  • This is what happens when you masturbate?
  • This happens every time you have sex?
  • How often they have sexual relations?
  • If you are concerned about premature ejaculation?
  • How is your partner worried about your premature ejaculation?
  • How satisfied are you with your current relationship?
  • You have problems getting or maintaining erections?
  • Are you taking prescription drugs? If the answer is Yes, who have recently started or stopped taking?
  • You are not using the product?

Although the treatment will take some time, it will significantly improve the quality of your life. You should not delay going to the doctor because of embarrassment. Do not forget that this is a common problem, can cause depression, destroy self-esteem and make you avoid sex. And this despite the fact that to get rid of it is possible at any age.

06.05.2019