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How You Can Stop Premature Ejaculation.


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What do you understand as Premature Ejaculation (PE)?
Premature ejaculation (PE) is defined in different ways by different people depending on
their perspective. Basically, it is a condition in which a man ejaculates (sexual climax)
before his partner would like him to, or is able to climax in consonance.
Most men will experience premature ejaculation at least once in their lifetime. It
becomes a problem when it occurs frequently (at least more than fifty percent of the
time of sexual encounters).
There is a great variability in the time men ejaculate during the sexual act because of the
many variables involved, some scientific researchers have tried to form a quantitative
definition of premature ejaculation.
They say that intravaginal ejaculation latency time (IELT) is about six and a half minutes
in 18 to 30 year olds and therefore define PE as an IELT of two minutes or less.
However,this is not the case in all cases, as it is possible for a man with an IELT of less
than two minutes (say 1.8 minutes) to be “satisfied” with his performance and be
accepted by his partner and does not report a lack of control, and therefore could not
be defined as having PE, while  in another case, a man with 2 minutes or more IELT
may see himself as having poor control over his ejaculation, be distressed and
experience various emotional difficulties with his partner, and be diagnosed as
having PE.

What effects does PE have on inter-personal relationships?

In many cases PE leads to “unsatisfied” sexual experience for both partners, and this

may gradually lead to an emotional rift which may result in uncontrollable damage
to the relationship. Majority of divorce cases have sexual undertones and untreated
PE happens to be a major cause of unsatisfactory sexual encounters in most homes.

 

Causes of PE

 

The causes of PE are rather complex, and include both psychological
and biological factors.
Among the psychological factors are:-
Masturbation as a teenager – most teenagers masturbate with the mindset of
ejaculating as quickly as possible, so that they would not be discovered by family
members. As a result, PE has become more like a habit to such persons and in
adulthood they may find it difficult to stop, since their body has been accustomed
to expecting PE. Such persons need to “re-train” their bodies to stop expecting
ejaculation so quickly during the sexual act.
Guilt Feelings: Some individuals may have guilt feelings (for whatever reasons)
and this tends to make them rush through sex.
Anxiety: Anxiety in relation to sexual performance or other issues makes
some men to have PE.
Erectile Dysfunction: Men who suffer from this condition are usually anxious
about obtaining or maintaining an erection and tend to form a pattern of rushing
to ejaculate during the sexual act. This pattern can be difficult to change.
Inability to Control Intense Sexual Arousal and Stimulation: some men cannot
hold back ejaculation once they are intensely aroused or stimulated.
Relationship Problems: Interpersonal issues between you and your partner
may contribute a lot to PE, especially if you have had satisfying sexual
relationships in the past in which PE occurred infrequently or not at all.
Among the biological factors thought to contribute to PE are:-
  • 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
  • Inherited traits
  • Nervous damage from surgery or trauma
  • Part of symptoms experienced when certain medications used to treat
  • mental health problems are withdrawn

 

 

 

 

 

Management and Treatment

There is no particular or specific way of stopping PE.

For most sufferers of the condition a combination of various proven strategies,
with medications and psychotherapy seems to work best.
Basically the aim of management is to maximize the benefits of behavioural
techniques in consonance with the medications while also ensuring the man’s
mind in terms of the sexual act is well educated and adjusted.
Among the medications used to treat PE are delay creams, gels, sprays and pills.
Delay Creams – These are thought to be much safer than pills in the sense that they
act faster and have few side effects. Some also contain small amounts of anaesthesing
agents to delay ejaculation by reducing the man’s penile response without necessarily
affecting the woman’s sexual feelings or responsiveness. A good delay cream should
contain the following proven and effective ingredients like Niacin (a natural
testosterone booster), Lecithin, L-Arginine (which improves circulation to the penis
for good erection), Acetyl Dipeptide-1, Cetyl Ester, Isopropyl Myristate etc.
Sprays – Some sprays available of the counter (OTC) in some chemists help to
desensitize the penis and delay ejaculation.
Pills – Dapoxetine (Priligy) a short-acting selective serotonin reuptake inhibitor
(SSRI) is used for the treatment of PE. Other antidepressant drugs are also used to
treat PE although mostly this effect is actually a side effect of these drugs and may
not be approved by regulatory drug agencies for treatment of PE.
Physical Control Methods, Psychotherapy and Exercises
These include:-

  • Presex Preparation/Technique: This involves the man ejaculating briefly either by
masturbation or intercourse and then relaxing for about 30 to 45 minutes until gaining a
second erection, which should allow the individual to have longer intercourse without
suffering PE.

of sex medicine and psychotherapy.


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