Premature ejaculation occurs when you ejaculate too quickly and without control. It occurs before or shortly after penetration. Premature ejaculation interferes with the sexual pleasure of both you and your partner. It causes feelings of guilt, embarrassment, frustration, and depression. Premature ejaculation will cause stress in even the healthiest relationship.
Premature ejaculation (PE), also known as rapid ejaculation, rapid climax, premature climax or early ejaculation, is the most common sexual problem in men, affecting 25%-40% of men. It is characterized by a lack of voluntary control over ejaculation. Masters and Johnson stated that a man suffers from premature ejaculation if he ejaculates before his sex partner achieves orgasm in more than fifty percent of their sexual encounters. – From Wikipedia, the free encyclopedia
Premature ejaculation is a common sexual disorder. Estimates vary, but some experts think it affects as many as one out of three men. Even though it’s a common problem that can be treated, many men feel embarrassed to talk to their doctors about it or seek treatment.
Once thought to be purely psychological, experts now know that biological factors also play an important role in premature ejaculation. In some men, premature ejaculation is related to erectile dysfunction.
You don’t have to live with premature ejaculation – treatments including medications, psychological counseling and learning sexual techniques to delay ejaculation can improve sex for you and your partner. For many men, a combination of treatments works best. – www.mayoclinic.com
Cause of Severe Premature Ejaculation.
1.Extreme levels of arousal caused by the overproduction of sex hormones. Simply stated – Hormones control “everything” that happens during a sexual performance – from the erection to the ejaculation!
A normal ejaculation occurs when sexual excitement triggers glands, located inside your body, to begin a slow release of chemicals (hormones) into your blood stream. The slow release of these hormones tells your brain to gently stimulate the nerves at the glans (head of your penis). As you become more and more sexually excited, your body produces more and more of these hormones. The sensitivity becomes greater and greater until you reach the point at which time you ejaculate. Under normal circumstances the production of hormone is gradual and a man has the ability to control the sensations of sex.
When Does Premature Ejacualation Occurs
Premature Ejaculation occurs when your body produces too much hormone too fast. Your body becomes “over stimulated” . The head of the penis becomes so sensitive that you ejaculate almost immediately. There is absolutely no control.
This Extreme Sensitivity on the head of your penis causes the ejaculatory mechanism, inside your body, to go into “spasms” . It’s these spasms that cause the overpowering Urge to Ejaculate. The head of your penis becomes so sensitive and the urge is so strong that you ejaculate immediately. If you slow down the production of excess hormone – you slow down the ejaculation.
Treatment For Premature Ejaculation
University of Minnesota researchers have shown that the drug dapoxetine is a safe and effective drug treatment for premature ejaculation. The drug, dapoxetine, is a selective serotonin reuptake inhibitor (SSRI) that was developed specifically to treat premature ejaculation. SSRIs, normally used to treat depression, have been prescribed “off-label” for treatment of premature ejaculation, but those drugs need to be taken regularly in order to be effective. Dapoxetine, however, is a short-acting drug that has an effect within about one hour.
Some people believe that Premature Ejaculation is the same as Erectile Dysfunction which means that an individual y cannot have a second episode of vaginal intercourse in a giving moment. Premature Ejaculation happens almost immediately upon penetration and is different from Erectile Dysfunction.
Pathophysiology of Premature Ejaculation
Premature ejaculation is believed to be a psychological problem and does not represent any known organic disease involving the male reproductive tract or any known lesions in the brain or nervous system. The organ systems directly affected by premature ejaculation include the male reproductive tract (ie, penis, prostate, seminal vesicles, testicles, and their appendages), the portions of the central and peripheral nervous system controlling the male reproductive tract, and the reproductive organ systems of the sexual partner (for the purpose of this discussion, the partner is assumed to be female) that may not be stimulated sufficiently to achieve orgasm.
If the premature ejaculation occurs so early that it happens before commencement of sexual intercourse and the couple is attempting pregnancy, then pregnancy is impossible to achieve unless artificial insemination is used. Perhaps the most affected organ system is the psyche of the partners. Both partners are likely to be dissatisfied emotionally and physically by this problem.
Premature ejaculation has historically been considered a psychological disorder. One theory is that males are conditioned by societal pressures to reach climax in a short time because of fear of discovery when masturbating as teenagers or during early sexual experiences “in the back seat of the car” or with a prostitute. This pattern of rapid attainment of sexual release is difficult to change in marital or long-term relationships. The fact that female arousal and orgasm require more time than male arousal is being increasingly recognized, and this may result in increased recognition and definition of premature ejaculation as a problem.
Some have questioned whether premature ejaculation is purely psychological. A number of investigators have found differences in nerve conduction/latency times and hormonal differences in men who experience premature ejaculation compared with individuals who do not. The theory is that some men have hyperexcitability or oversensitivity of their genitalia, thus preventing down-regulation of their sympathetic pathways and delay of orgasm.
One might find some logical sense, from an evolutionary point of view, that males who can ejaculate rapidly would be more likely to succeed in fertilizing a female than males who require prolonged stimulation to reach climax. (This applies to prehistoric evolutionary development; little, if any, human evolution has occurred over the last 5000 y.) The genes of a person who ejaculates rapidly (but not so rapidly that ejaculation occurs before intromission) would be more likely to be passed on to succeeding generations. The male who does not complete the fertilizing process quickly might be pushed away or killed by a competing male because of his obvious vulnerability during intercourse. Adapted from Medscape
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