Premature ejaculation is a condition typical of young men in early sexual activity.
When it happens occasionally, especially with new partners, after a long period of abstinence or the first sex, it is not considered any medical problem. There is also female ejaculation. A disorder is exclusively male.
Premature ejaculation is considered a problem when it affects over 50% of sexual relationships of adults. There is no very objective definition of what premature ejaculation is. There is no time limit. Some cases are obvious with ejaculation occurring before there even penetration. In general, it is defined as an inability to control ejaculation so that the relationship is satisfactory for the couple.
Nowadays it is considered that premature ejaculation is a psychological disorder rather than an organic disease itself. There is no problem in the male reproductive system. Penis, testicles, prostate and seminal vesicles are in perfect order.
Premature ejaculation can be divided into primary, when it occurs at sexual initiation, or secondary, when it appears after a few years of normal sex life.
Usually where there is a primary psychological disorder such as anxiety, guilt about sex, or history of trauma, such as sexual abuse or simply having been surprised by someone while masturbating.
In secondary cases, premature ejaculation may occur with a feeling of inferiority of man over woman. Something like: she is "too much sand for my truck." New partner after a long relationship can lead to a feeling of obligation to be effective. Premature ejaculation can also occur after a single episode of sexual impotence, causing anxiety in the next frame relations. Charges against male sexual performance or simply the fact that the new partner takes more time than before to reach orgasm can also be the cause.
As you can see, they are all problems of psychological background. The fact is that a single episode of premature ejaculation can cause so great stress and frustration that it becomes itself a triggering factor.
In fact, there are reports that premature ejaculation can be caused by hormonal changes or the nerves that carry signals from the brain to the sexual organs. However, no objective cause has been identified yet.
There are four ways to treat premature ejaculation:
1. Control of ejaculation
Some techniques help in prolonging the sexual act as pauses when the stimulus becomes too intense, you can withdraw the penis from the vagina and cause compression of the glans (penis head) for a few seconds. Another option is to think of little facts stimulants during sex, such as accounts payable or problems at work, returning to focus on decreasing even after the stimulus.
Another option is to train control through masturbation, performing pauses to prolong erection and orgasm free period. When you can predict a sexual relationship for the next few hours, some people without problems to start an erection can masturbate some time before so that at the time of the act, the excitement is not so intense.
In some men the mere presence of a condom is enough to reduce penile sensitivity and prevent premature ejaculation. There are thicker condoms that reduce sensitivity of the penis, helping in some cases.
2. Psychological support
Some cases of severe anxiety or psychological problems may need professional help. Many men can control their erection after starting psychological treatment.
3. Medicines
There are some options, as anesthetic creams or condoms with products that decrease the sensitivity of the penis. In some cases antidepressants such as Sertraline, Dapoxetine, Fluoxetine or Paroxetine help in the treatment of premature ejaculation. You should never treat yourself because inappropriate use of a drug can have side effects and even worsen the situation.
4. Maturation
Premature ejaculation is very common in teenagers and people in sexual initiation. The help and understanding partner is essential not to create an undue burden on the fact. As the man gets more comfortable with their sexual life, he begins to have greater control over his ejaculation.
The best treatment for premature ejaculation in young people is training, i.e. sex without guilt.
