| Premature ejaculation represents the inability to delay ejaculation long enough to have a satisfactory sexual experience. Premature ejaculation occurs when a man has an orgasm sooner during intercourse than he or his partner wishes. This definition of the premature ejaculation where it is not mentioned exactly how long is long enough, is the best one according to many experts.
This is definitely a problem for both sexual partners and it should be treated as such.
If the male in a couple reaches climax in for example 10 minutes and his partner regularly climaxes in 5 minutes, this is not considered a premature ejaculation problem. However, if a man delays his ejaculation for as long as 25 minutes but his partner needs 40 minutes of stimulation before reaching an orgasm, they have a problem.
It is clear that in such cases both partners are not satisfied and can become unhappy and frustrated.
Process of ejaculation
In a very simple description, the male ejaculatory mechanism consists of two reflexes: the glans-vasal and urethromuscular. Glans-vasal reflex seems to bring the semen to the posterior urethra (the emission phase of ejaculation) and then the urethromuscular reflex ejects it to the exterior (ejection phase of ejaculation).
Deeply involved in mechanism of ejaculation is the paired, striated muscles at the base of the penis called the bulbospongiosus. Once the seminal fluid reaches the bulbous urethra, the bulbocavernosus muscle contraction (BCM) compresses the urethra and expelled its contents.
Causes of premature ejaculation
In case of individuals who have never had sexual intercourse before, excitement or anxiety may be present and this could definitely lead to a premature ejaculation. Guilt and other psychological factors may also be involved.
Most of the young men that are about to have a first sexual experience have deep anxiety about sex because they planned it for a long time before it happened. Traumatic experiences from the past can also affect man’s ability to have a normal sexual experience. This could be caused by family incest, sexual assault, conflict with one or both parents and several other causes from the past!
Over the time, most men will learn to control their orgasm. When it comes to secondary premature ejaculation, things look a bit different. In most cases, psychological problems such as stress, depression and other factors that can affect mental and emotional health are responsible for the ejaculation problems!
Beside these psychologically caused premature ejaculations, there are several medical conditions that really can affect person’s ability co control his ejaculation.
Some of these disorders are
• multiple sclerosis,
• extreme sensitivity of the penis,
• injury to the nerves, and
• other neurological problems
Possible Complications
• Very early ejaculation, before the man is able to enter the vagina, may prevent a couple from achieving a pregnancy.
• A continued lack of control over ejaculation may cause one or both partners to feel sexually dissatisfied. It may be lead to sexual tension or discord in the relationship.
Therapeutic approaches to premature ejaculation
Sexual behavioral therapy
Reducing the stimulation
Sex positions
Kegel exercises
Desensitizing creams
Medications therapy
Psychotherapy
There are a few things that may help
You may also try the "Stop and Start" method. This technique involves sexual stimulation until the man recognizes that he is about to ejaculate. Remove stimulation for 30 seconds and then resume. Repeat until the desired moment of ejaculation is reached.
There is also the "Squeeze Technique." This involves having your partner squeeze the penis where the head (glans) joins the shaft when you are about to ejaculate. Squeeze for 30 seconds and then resume intercourse. If the desire to ejaculate resurfaces, repeat the exercise.
Treatment
There are many ways to treat the problem but herbal treatment being the easiest and the most effective. Many herbs for men's sexual health are available in the market today. Some of these, such as Yohimbe and Maca extracts, are basically stimulants and may have unwanted side effects, especially for older men.
Whereas very promising herbs are: purified Saw Palmetto,Tribulus Terrestris, Avena Sativa,Mucuna Pruriens,Siberian Ginseng,Strychonus Nuxvomica,Withania Somnifera,Asphaltum pure,Crocus Sativus and Asparagus adscendens.Taken regularly, these herbs have been proven by many scientific medical studies to help men overcome premature ejaculation without side effects. Moreover, the scientifically processed herbs help boost sex drive, increase stamina and control, and even improve sensation.
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