Premature ejaculation: what is it and what are its causes

So what is premature ejaculation?

Premature ejaculation - is when a man loses control over ejaculation. It can occur in 30-60 seconds after the beginning of intercourse and can and to penetration.

Though usually refers to ejaculation during sex is the time, in general, the problem may occur during any sexual practices, including masturbation.

Also on the duration of the standards of "normal" sexual intercourse imposed porn, should forget. MD, a urologist and professor of surgery at the University of Maryland Medical School in Baltimore Andrew K. Kramer (Andrew C. Kramer) claimsHow to Overcome Premature Ejaculation. That the average time taken for ejaculation during sexual intercourse, about 4-5 minutes.

How common is this problem?

Highly. This is a problem facedCurrent therapies for premature ejaculation. one of the three men at any age. Most often it found men 18-40 years.

But not every case of premature ejaculation is considered a diagnosis. If this does not bother you, and occurs infrequently, it is ok.

According to the Mayo Clinic, which employs more than 3,000 physicians and scientists who diagnosed you may be made if:

• You are always or almost always ends in one minute after penetration.
• You are unable to delay ejaculation during sexual intercourse is always or almost always.
• Once you feel depressed and upset and avoid sexual intimacy.

Premature ejaculation can be classified as

• Lifetime (primary). It is almost always starting from your first sexual encounters.
• Acquired (secondary). Develop after sexual intercourse and sexual practices that have gone without any problems with ejaculation.

Doctors at the Mayo Clinic sayPremature ejaculation. That many men tend to believe that they have premature ejaculation, but their symptoms do not meet the medical criteria for its diagnosis.

Instead, they may have a natural periodic premature ejaculation, which includes periods of rapid ejaculation and normal.

What are the psychological causes?

Harassment or violence

Any violation of personal boundaries leaves a mark on the person's character. If you are faced with similar, you can help the therapist to work through negative experiences.

It is important to remember that you are not alone on the right side of it is you, not the one who broke your boundaries.

about the body systems

Due to the media about their appearance are experiencing absolutely everyone on the planet. Look at the cool guys from BuzzFeed, who talk about the pressure on men. And yet their photos processed to match the "ideal standards" of beauty.

Depression

As the state itself, as well as preparations of it can affect premature ejaculation. If you do not take any medication and do not know what you depressionBut for a long time are depressed, you may want to go to a psychologist.

Worry about what you can happen premature ejaculation

If this has happened more than once, preoccupation with a possible bug system may just trigger premature ejaculation.

erectile dysfunction

Erectile dysfunction refers to psychological problems, because the men who focus on getting or maintaining an erection during sexual intercourse, can ejaculate prematurely.

Relationship problems with partner

If you were all right in sex with others, and premature ejaculation happened infrequently or it did not exist, the problem may be in a relationship with current partner.

Guilt

How do I findTeenage Habits and Adult Premature Ejaculation. scientists, the lack of dialogue about sex, health and personal space as a child directly affected by the problems in adult life. They not only cause premature ejaculation, but also to the erectile dysfunction.

If the family is not called genitals straight terms, not to talk about personal space, masturbation, sex, pollutions, the first manifestation of the work of sexual function, the boy will cause stress.

first pollutions They occur at the beginning of puberty. If a child is not ready for them or not be able to discuss them, you will develop a sense of shame for any manifestation of sexuality. And it is not mythical feeling that a "real" man in himself would be able to put down.

scientists agreeTeenage Habits and Adult Premature Ejaculation. the opinion that the sense of shame for spontaneous erections, ejaculation and fear of being caught during masturbation develop or relax in total inability, or real jerk, with which man is to orgasm need less than two minutes.

If a teenager gets used to the idea that you need to finish as soon as possible, premature ejaculation becomes the norm for the body. Reconstructed without the help of specialists, exercise or medication will be very difficult.

Early sexual experience

This question is not accepted to discuss, boys no one says that morally they may not be willing to have sex. Instead, there is an unspoken code that long to be a virgin deadly reputation and that can not be "real" man to doubt, to think and reflect.

This can be explained: because of sex is not to say, a teenager can learn about sex, just deal with it.

But medical workers and psychologists working in TeenHealthFX - special project for teenagers Morristown Medical Center - note that many teenagers minimize the value of sex with another person, so often surprised by the intensity of the emotional reaction, especially if the relationship with your partner is not ongoing.

They recommend to ask yourself a few questions before sex:

1. You understand the physical component of sex? You know how it is physically arranged for you and your partner?
2. Are you ready to deal with all the consequences of sex (STDs, unwanted pregnancy)? Do you have good access to condoms?
3. Since the probability of pregnancy is, and protected sex, are you ready for what your partner can get pregnant? Do you have any plan of action in this case?
4. If you still be infected STDs, What are you going to do? You have the opportunity to receive treatment? Are you ready to talk about it to someone who can help?
5. Are you comfortable talking about sex with your partner, and ask your doctor about safe sex practices?

If you answered "no" at least one of the questions, until you are ready to have sex. Psychologists also point out that sometimes simply to ask yourself, "Am I ready for sex?" If there is any doubt, then, it is too early.

Premature ejaculation during the first sexual intercourse is often said that you were not ready for intimacy. Postpone sexual life for a while better than getting emotional breakdown or become infected.

When should I see a doctor?

If you ejaculate sooner than they wanted, while the majority of sexual contacts, go to the doctor.

Doctors sayPremature ejaculation. That premature ejaculation - a common and widespread phenomenon, treatable.

They also add that for some men, it is enough to talk with a urologist to get rid of the problem. Or it becomes clear that there is no problem, and the man does not know that the random premature ejaculation - the norm, and the average time from the onset of sexual intercourse before ejaculation is about five minutes.

What are the treatment options?

Typically, treatment options for premature ejaculation include behavioral techniques, anesthetics, medications and counseling. Keep in mind that it may take time to find the treatment or combination of treatments that will work for you.

Doctors often recommend counseling. It may be psychotherapy, as well as conversations with your partner.

Dr. Kramer saysHow to Overcome Premature Ejaculation. one of the most effective options for behavioral method. Better to start with masturbation without a partner. "You get to the point that you are going to ejaculate, and then stop and think about what you can cool down," - he explains.

Of other behavioral methods can help:

• Masturbation for an hour or two before intercourse.
• Waiver of the usual sex for some time, replacing it with other practices to reduce the emotional pressure.
• Kegel exercises on the pelvic muscles. Stop urinating in the middle of the process, remember what muscles you did it. Strain them 3 times a day for 10 repetitions for 3 seconds. Do not hold your breath, do not strain your abdominal muscles, hips and buttocks.
• Technique "pause-compression". To learn how to perform it correctly, you will tell the doctor.
• Condoms thick latex, which reduces sensitivity.

Medicines should recommend and pick up the doctor. They may consist of a gel or anesthetic, reducing the sensitivity of the penis. But properly selected drug can lead to serious loss of sensitivity.

How best to talk with your doctor?

To speed up the selection of the correct diagnosis and treatment requires a dialogue with the competent doctor.

You can ask him all your questions, even if they seem unimportant or you hesitate. You do not know what will help your doctor better understand your problem, so that says it all, that you care about. These issues can serve as a template:

• Which can cause premature ejaculation?
• What tests do you recommend to hand over?
• What treatment do you recommend?
• How soon after treatment can I wait for improvements?
• How can I do expect improvements?
• I have a risk again run into this problem?
• Is there an alternative medicine that you assigned?
• Are there any important information, a brochure or a website that I should read the information?

Be prepared for the fact that the doctor can ask very personal questions that may seem out of place. Here's a sample list:

• How often do you have premature ejaculation?
• The first time you have experienced premature ejaculation?
• It is you only with a particular partner or all?
• This happens when you masturbate?
• This happens every time you have sex?
• how often you have sex?
• As far as you are concerned about premature ejaculation?
• How your partner bothering your premature ejaculation?
• How much are you satisfied with the current relationship?
• Do you have problems with obtaining or maintaining an erection?
• You are taking prescription medications? If yes, which recently started or stopped taking?
• Do you use drugs?

Although treatment and will take time, it will significantly improve the quality of your life. And it is not necessary to delay the trip to the doctor because of embarrassment. Remember that this is a common problem that can enter into depression, self-esteem and destroy the force to avoid sex. And this despite the fact that getting rid of it is possible at any age.