Skip to: Premature ejaculation from medical point of view | Publications about premature ejaculation | Treatment comparison
Premature ejaculation - Should I be worried | Premature ejaculation - General concepts | Tantric massage and premature ejaculation
When a penis ejaculates, it basically needs two consecutive actions to occur: first is emission and then expulsion. Medical science believes that the serotonin neurotransmitter is responsible for ejaculation modulation. Insufficient levels of serotonin are considered a possible cause for premature ejaculation. So of course it only makes sense that doctors are treating PE with selective serotonin uptake inhibitors, with relatively decent results. The spinal cord's lumbosacral and thoracolumbar areas supply motor neutrons also involved in ejaculation.
A genetic discrepancy in the brain causing inadequate communication with these areas through the neurological system may be a hereditary deficiency passed down from male to male. Premature ejaculation resulting from neurological factors can frequently be treated by sex therapists with simple exercises. When anxiety becomes a contributing factor for premature ejaculation, therapists will frequently prescribe paroxetine or sertraline, which are anti anxiety medications. Anesthetic creams on the other hand, can help to deaden the sensation, thereby dealing ejaculation; but these can have unfortunate side effects such as deadening the sensation of their partner as well.
Then again, you may just be having a temporary lapse. Premature ejaculation cannot be officially diagnosed if the problem occurs from intra personal difficulties, marked distress, or merely occasional problems with PE that are not reoccurring or persistent. The newness of a man's partner, recent sexual activity, overall sexual experience and the age of the individuals suffering from possible PE will be taken into account before an official diagnosis of a recurring problem can be made.
Should a man be officially diagnosed with recurring PE, all hope is not lost. Improving and training mental habituation to develop stimulation control during sexual activity is currently being utilized as a treatment for PE. There are medications already on the market however which are being utilized as well. As of right now Dapoxetine is the singular drug with regulatory authorization for treatment of officially diagnosed PE, but is currently still in the testing phase in the United States and European countries.
The stop-and-start method where a man brings himself close to climax but then stops all arousal before ejaculating, rests and then starts up again is another practice which is a more natural treatment for PE. This last one may literally curl your hair but there is a method being used to prevent premature ejaculation which involves injecting a drug directly into the penis (ouch) to help maintain a man's erection thereby dealing ejaculation. The chemical injected is known as a vasodilator.
Premature ejaculation can be defined as a condition in which a man achieves orgasm either earlier than he would like to, earlier than this partner would like to or both. Premature ejaculation has been a cause of concern for many men in this day and age for many reasons. One of the most important is the fact that men who experience premature ejaculation normally feel inadequate, and this may lead to other psychological problems or breaking up relationships. It is for this reason that a lot of scientists have a lot of time and energy to research the various aspects of premature ejaculation.
An objective definition of premature ejaculation has been elusive. The above definition is very subjective; it uses the experiences and expectations of the parties involved in formulating ideas. However, in the scientific field and especially in medicine, any condition has to have definite parameters in order for it to be easier to handle. For instance, when defining mental retardation, one would use numbers such as the age of the patient and his/her relative intelligence compared to a standard measure of intelligence. Different scientists and health practitioners have come up with different parameters for premature ejaculation in a bid to try and explain it better.
For instance, some scientists consider premature ejaculation to have happened when ejaculation occurs less than two minutes after penetration. This is in comparison to the majority of men between 18 and 30, who have a latency of around six minutes following penetration. This is one of the more widely accepted definitions of premature ejaculation and which is in use in many institutions and publications today. One thing to note is that though premature ejaculation is a problem that can seem very grave to a lot of men, it's much more common than we would all think.
A recent study suggests that over 75% of men experience ejaculation within two minutes in over half their sexual encounters. However, a significant proportion of these does not claim to have premature ejaculation, and may be happy with their performance. This means that any man is likely to have premature ejaculation a number of times in their lifetime, but this shouldn't be a cause for any alarm unless it becomes the norm rather than the exception. This also emphasizes the fact that premature ejaculation is a heavily subjective term, since even those who fit into the scientific mold of ejaculating within two minutes may not have a problem with it.
You've read all the articles online about premature ejaculation. You're considering talking to your doctor about the problem. As we all know, there are self help books for almost anything imaginable, so why not pre mature ejaculation? Here are some tips on any number of good books about premature ejaculation. These are rated on a five star basis. One star being hideous and five stars being excellent.
4 ½ to 5-star publications on PE:
4-star publications on PE:
Not yet reviewed but a little more current than the others is a 2010 edition offering easy and quick solutions on how to help yourself through premature ejaculation issues and enhance your endurance now; published by Build A Better Life.
This should supply you with more than enough reading material to keep you busy. Of course there are any number of websites that one can look at that will promote anything and everything to do with premature ejaculation from pills, to creams, to exercises, to prescription treatments. And premature ejaculation is by far not the only affliction that can befall a male. There is delayed ejaculation, week ejaculation, painful ejaculation (sort of takes all the fun of it, doesn't it?); and of course the penile affliction to end all penile afflictions… complete and total impotence. Perish the thought.
And everyone has a solution or treatment; doctors, herbalists, bodybuilders, even porn stars will all tell you that they have just the right cure for this condition. If it were that simple, there wouldn't be so many exercises, pills, creams and shots on the market. Oh and let's not forget the therapists, both physical and sexual alike, that are still bringing in the almighty buck treating and curing male PE.
Which will they cure first? Cancer or premature ejaculation?
The problem of premature ejaculation, or PE, affects well over half the male population during approximately 50% of intercourse situations. There are many methods by which a man can seek treatment and/or a cure for what is frequently an embarrassing development.
Over the counter treatments that contain chemicals such as DMA (reduces sensitivity), niacin (erections last longer due to extra blood flow from dilated blood vessels) and lecithin (enhances critical hormone levels and testosterone production; frequently used in male enhancement treatments). By directing solutions at the body, the need for lengthy counseling or expensive therapy can possibly be averted.
The following is a review of some over the counter medications for PE: (the following is based on a 0 to 4 rating scale, zero being the worst and 4 being the best)
So there you have it; you can see for yourself how closely over the counter treatments resemble each other. It certainly can be considered easier than repetitive exercises, injections directly into your penis with vasodilators, and embarrassing moments. Keep in mind however, that some PE problems can be taken care of through therapy involving more than just physical exercises but mental health and clarity as well or instead. Sometimes, our bodies can't function because we simply can't get our mind around a situation or circumstance. Learning how to deal with whatever that circumstance or situation may be could be the first step not only to mental health but to getting rid of premature ejaculation once and for all.
Of course, there is the affliction on the other end of the scale known as delayed ejaculation, but that is an entirely different subject for an entirely different article.
A lot of men get worried because they occasionally have premature ejaculation. Although paranoia would be a perfect word to describe that, it's probably best to just sympathize and clear up the myths about premature ejaculation for goodness' sake. Men who fear the worst because they get this dysfunction from time to time should take comfort in the fact that this dysfunction happens to all men. It's non-restrictive when it comes to age groups, although younger men who are new to sexual intercourse would be more susceptible. That doesn't mean younger men have anything to worry about, though. As men grow, it becomes easier to control ejaculation and lengthen the duration of the intercourse, thereby making the act more satisfying for both parties.
The reason why one too many men get worried easily about premature ejaculation is because this is a turn off for women, especially the more aggressive ones which also are harder to come by. Anyway, doctors argue that having this once or twice in a long while doesn't mean anything. Men should, however, start becoming suspicious when the frequency of the dysfunction rises; more so for younger men who can't seem to learn to control it.
Speaking of control, most men learn to delay ejaculation through time. For others, this can become a long-term issue, a continuous problem that is going to cause only more frustration in the future. This puts his sex life on the line, so to speak. The cause for this dysfunction is very difficult to figure out. It can be caused by a number of reasons, including age, experience, psychological and emotional aspects, drugs, and prescription medications, among many others.
Other problems can contribute to the onset of this dysfunction. Keep in mind that all men are vulnerable, regardless of whether they have learnt proper control. In this case, the culprit is most likely an emotional or psychological factor. Physical factors such as fatigue can also alleviate to this problem. Men who fear they are having this problem should wait it out and see if it's just a temporary thing. If not, it could be the start of a permanent change. Prevention is the best option, in this situation. Men who experience this more often than normal should consult with a doctor and talk about immediate options. Coming clean and talking to his woman might also be an option, since as aforementioned; frustration can also alleviate this problem.
Premature ejaculation concerns many men today. Rather than a medical or physiological issue, the concept of premature ejaculation has more of a psychological impact on the wellbeing of the individual. This is to say that premature ejaculation isn't a disease that can cause dysfunction in the sense that one would need hospitalization; it's just one of those diseases that have a more psychological impact. Most men who have premature ejaculation normally have a low self-esteem and feelings of inadequacy that may cause them to take out their frustrations in other ways, such as through violence or rape. Apart from that, premature ejaculation also rarely causes infertility.
This means that though premature ejaculation does not have much of an impact on the physical health of a person, the effect on the psychological health is profound and needs to be attended to. Mental health is just as important as physical health, which means that anything that has the potential of affecting it adversely needs to be addressed, just as one would address physical problems such as hypertension and diabetes. Premature ejaculation is more prevalent than most people imagine, and this calls for greater involvement in sensitizing people about this condition.
One thing about premature ejaculation that makes it especially interesting is the fact that as it can cause psychological problems such as depression for the man, depression on its own can also cause it. This means that when a man starts to feel inadequate due to premature ejaculation, it may spiral out of control in time as one reinforces the other. This is yet another reason why premature ejaculation should always be taken seriously.
If you know of someone who suffers from premature ejaculation or if you suffer from it, you should know that help is at hand. There are very many remedies to this situation, and you can easily find one to suit your needs. For instance, you can use one of several medications to remedy the situation through various means. If you are not keen on taking drugs, you can easily do exercises or practise how to suppress the ejaculation when having sex. This means that whatever your preferences, you will always find something that can work for you.
Basically, all you need to do is look around for all the correct information that relates to premature ejaculation. A lot of research has been done on the subject, which means that there's a lot of information about it out there so that you can know your remedy options well.
Men like to talk about all aspects of life with other men, but one of the areas of taboo is premature ejaculation. This is not an area that men are comfortable talking about. In fact, some men may even deny they have such a problem to themselves. However, if this is a common occurrence then it is acceptable, even encouraged, to find a way of preventing this and prolonging sexual pleasure, not only for the man, but his partner too whether that partner is male or female.
Contrary to popular belief, premature ejaculation is not restricted to one class or age group. It affects men across the board. One of the most unfortunate things about this complaint is the more you think about it and try to avoid it, the more it will happen. But there is something you can do about it. Tantric massage is a special area of massage that teaches techniques, tips and tricks that are designed to enhance the sexual experience and prolong sex as long as possible. Once you have learned the art of tantric massage, you will be too busy enjoying yourself and considering your partner's needs to worry about premature ejaculation.
In tantric massage, a lot of attention is focused on breathwork and muscle control. It is surprising how these two seemingly innocuous aspects can make a huge difference in terms of sexual enjoyment and can lead to natural ejaculation at a point that is beneficial to both parties. There are a variety of schools springing up that teach these Eastern techniques, and although expensive, it can make a huge difference to any sexual difficulties being encountered on a regular basis.
In the West, we tend to ignore the sensuality part of sexual intimacy and get carried away with having sex. This approach to just get on with the job can be detrimental and can cause a wonderful act to be completed within a matter of minutes. However, as many men have discovered, this has led to a great deal of upset and premature ejaculation can even lower their self-esteem. In all honesty, it is a self-perpetuating cycle that can easily be broken with tantric massage techniques. The East is more focused on the control of their body and bodily functions, and this does not only relate to sexual activity. In fact learning the art of tantric massage can help in other areas of life too as it will give a different perspective, and the breathwork can help in many situations where stress rears its head.
So, if you are worried or affected by premature ejaculation and it is ruining your life – take a proactive approach and enroll in tantric massage classes. This will give you the control you need and the joy you deserve.