All you need to know about Premature Ejaculation

Many of the sexual issues are primarily not big problems. However, because of the taboo and inhibition around them, they are not discussed openly, hence they also fail to get resolved and become bigger. In fact most of the times there are no visible symptoms of any functional problems. Many of them are very basic issues and because of ignorance, myths, and social taboos lead to development of anxieties, distress and further worsening of the problem.

Often men are concerned about their performance in bed with their partner. They worry about- how best then can do, masturbation habits, size of penis and sperm quality. 

Consequences of Premature ejaculation (PE): 
Both you and your partner may end up experiencing highly unsatisfactory sex. In fact, it can significantly increase anxiety, which may deteriorate the problem. 

PE is one such sexual issue. It's not a disease; Not at all..!! 
If a person is sexually fit and experiences normal erections but just fail to hold the orgasm/ discharge for reasonable time then he is suffering from premature ejaculation. It's  a very normal problem, which if managed properly it can be easily resolved.

We will discuss this PE in 4 parts covering: what it is in actual, how does it happen, how to approach to resolve this problem with behavioural methods, exercise, techniques and medical remedies present in both modern and alternative medicine. 
Let s understand the problem in this 1st part!

What is Premature Ejaculation? 

Premature (early) ejaculation also referred to as rapid ejaculation; also called as early discharge. 
PE is the most common type of sexual dysfunction in men younger than 40 years and seen across all age groups. In elderly men (>60 years) erectile dysfunction is more common. A study conducted by the Journal of Sexual Medicine revealed that this condition is almost equally prevalent in sexually active men of all age groups. 
If a man experiences uncontrollable ejaculation (discharge of semen from your penis) either before or shortly after sexual penetration (usually within 1-2 minutes of penetration), he may be suffering from PE. The Mayo clinic at the United States defines PE as a condition in which  a man  always or nearly always ejaculates within one minute of penetration."

Instances of PE:
An occasional instance of premature ejaculation might not be cause of concern, but, if the problem occurs more than 50% of attempted sexual relations signifies existence of abnormal pattern for which treatment is required.

Premature ejaculation takes place with negligible sexual stimulation and even before the desire 
to ejaculate. Another way of describing PE by most therapist or clinicians is the occurrence of ejaculation sooner during sexual intercourse than he or his partner would like. 

This broad definition thus avoids specifying a precise  normal  duration for sexual activity and reaching a climax. The duration of sexual activity is highly variable and depends on various factors specific to each individual. Take a situation, a male may reach orgasm after 7 to 8 minutes of sexual intercourse, but if his partner is able to achieve climax mostly in 5 minutes and both are satisfied with this timing, then this is not defined as PE. 

Alternatively, a male might delay his ejaculation for up to 15- 20 minutes of sexual intercourse, but if his partner, even with foreplay, requires 25-30 minutes of total sexual activity before reaching climax, he may still consider his ejaculation premature because his partner has not been satisfied (at least, not through intercourse). But in routine practice this kind of situation is NOT called as PE. So every individual and every couple is unique. Same individual may have different sexual behaviour with different partners and different circumstances. Varied situations and varied places of performing the act have a vital role to play in determining the outcomes of individual sexual performance/s.



Knowing Premature Ejaculation - PART 1: Understanding What is PE

There is hardly any person who does not want to enjoy a healthy and satisfying sex life. As per Ayurveda, a healthy sex life is very much a reality provided one diligently follows the golden sex rules as mentioned in various Ayurvedic books and journals:

Ayurveda believes that a couple should refrain from having sex when the female partner is having her periods. Some health experts are of the belief that sex during periods may give rise to a condition termed as Endometriosis (the endometrial cells grow outside the uterus, often in the ovary or the fallopian tubes).
According to Ayurveda, an ideal sex position is one where the woman is lying with her face directed in an upward position.
Ayurveda also believes very overweight or obese people should avoid having sex.
Have sex only when your private parts are clean and healthy (as this helps to prevent infections and associated complications).
According to Ayurveda, loyalty and faithfulness are what gets a relationship going. Infidelity, adultery, or cheating on your wife is a crime that will only spell doom.
Ayurveda is against a couple having sex during pregnancy or immediately after delivery. One should have control over their urges. It further states that a 5-months time in the case of a C-section and 2-3 months interval in the case of a normal delivery will go a long way in ensuring a healthy sex life (will help the woman to recover well).
Ayurveda is vehemently opposes violent sex. Making love is suppose to soothe your soul rather than scar it. Violence during sex is not healthy at all.
Ayurveda believes in having sex using sexual organs. Thus, oral sex and other similar pleasures are a big No as per Ayurveda.
Ayurveda does not advocate the practice of having sex on days of prime significance such as festivals, various eclipses, on a full moon or new moon nights, to name a few.
Sex on empty stomach or after a heavy meal can trigger a plethora of health problems by causing a Vata and Pitta imbalance. The imbalance may give rise to digestive problems, headache, gastritis.
Ayurveda is strictly against the idea of having sex with aged women or with children.
Always have sex when both the partners are in a comfortable position. This is to ensure that you enjoy the intercourse sans any injury.
Never have sex if you are sick or physically and mentally not fit.
Having sex with animals (bestiality) is considered unhealthy as per Ayurveda.
Sex is not a wise idea when you have to lighten yourself (defecate or urinate).
According to Ayurveda, your sex life is governed by the four seasons during which your body strength changes.
The body strength is the lowest during the monsoon and summer, hence have less sex during that time (once in fifteen days).
With moderate body strength, sex once in three days is advisable during spring and summer.
During winter the body strength is at its peak, hence one can have sex daily.

Golden Sex Rules Of Ayurveda!

People who have healthy sex life are not only happier but also healthier than those who don't. Here are 9 health benefits you never knew sex can provide -

1) Rocking Immune System: Regular sex ensures higher levels of what defends your body against germs, viruses, and other intruders.

2) Lowers Blood Pressure: One landmark study found that sexual intercourse specifically (not masturbation) lowered systolic blood pressure.

3) Great Exercise: Sex is a really great form of exercise. It is a muscular exercise that burns calories and increases your heart rate.

4) Lowers Heart Attack Risk: Great sex life is good for your heart. It not just raises your heart rate, sex helps keep your estrogen and testosterone levels in balance.

5) Reduces Pain: Getting an orgasm can block pain. Vaginal stimulation can block chronic back and leg pain, and can reduce menstrual cramps, arthritic pain, and in some cases even headache.

6) Improves Sleep:  People usually dose of quickly after sex and tend to get a sound sleep.

7) Relieves Stress: Sexual arousal releases a brain chemical that revs up your brain's pleasure and reward system. Sex and intimacy relieve you of stress and boost your self-esteem and happiness too.

8)  Reduces Risk Of Prostate Cancer: A study, published in the Journal of the American Medical Association revealed that men who ejaculated frequently (at least 21 times a month) were less likely to get prostate cancer.

9) Helps Women's Bladder Control: Incontinence, a problem that affects about 30% of women at some point in their lives is helped with a regular sex. Good sex is like a workout for their pelvic floor muscles. An orgasm causes contractions in those muscles thus strengthening them

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Having Sex - 9 Health Benefits

Why you must try kegel exercises for an amazing sex life!

Kegel exercise, also known as pelvic floor exercise, is the repeated contraction and relaxation of the pelvic floor, which is the muscular base of the abdomen connected to the pelvis. These simple exercises are proven to enhance the functioning of the pelvic organs and improve sexual health. How you ask? read on to find out.

Both men and women can improve their sex life to a great extent by practicing Kegels.

How does it improve sexual function in women?

 tones and strengthens the vaginal muscles that boost arousal

 causes a tighter grip during intercourse

 leads to more intense contractions during orgasm

How does it improve sexual function in men?

 allows for men to have stronger, long-lasting erections

 keeps the hips and pelvic region healthy

 leads to greater control over ejaculation

 prevents the occurrence of erectile dysfunction

How does kegel exercise betters sex life?

To get started on kegel exercises for a better and healthier sex life, follow these simple steps:

1. Locating the right muscles: the most important part of doing kegel exercises is locating the pleasure-maxing muscles in the pelvic region. This can be done by stopping urination midstream or blocking the passage of gas. Once you've successfully managed to identify the target muscles, kegel exercises can be done anywhere at any time.

2. Staying focused: it is important to stay focused on exercising the pelvic floor muscles. Easy breathing while doing the exercise and keeping from flexing other muscles in the abdomen and buttocks are necessary parts of the routine.

3. Sharpening the technique: practice tightening and releasing the pelvic floor muscles till you have perfected the technique, working up to a 10-second hold before releasing and relaxing for 10 seconds between each contraction.

Repeat daily

Get into a regimen doing 10 to 20 kegel exercises three times a day, holding each one for 10 seconds.

Kegel exercises will not only improve your sex life, but also combat disorders of the bladder and lower intestines. Plus, they've been proven to enhance orgasms, turning them into more frequent occurrences than before.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 5 Do's + Don'ts for a Healthy Sex Life

Why You Must Try Kegel Exercises for an AMAZING Sex Life!

Physical intimacy between couples can be something that can never be judged based on their relation. Many factors can hamper the satisfaction of the people involved, and you would have said that at least one point of time in your life that the zest has fiddled out. Do not fret as you are not alone. You are voicing something which billions of couples would have expressed at some point in time in their life. In a long-term relationship, the partners can almost complain about the same things which they believe is needed to make their physical intimacy to work out even more.

There are enough diseases and infections related to sex that can physically veer a couple from having a healthy intimacy. Add to that; there are many psychological parts too that can hamper a robust and active sexual life. Thanks to the times we live in almost all the sexual diseases and infections can be treated and kept at bay. However, the psychological imbalances have to be adequately addressed and channeled using the right medium. It can be very beneficial to consult a sex therapist for the underlying problems and more often it can be better if the sessions are had as a couple. Let us look at a few of the symptoms that can lead to issues in bed:

Laziness: The intimacy cannot have the desired result if you find that if you or partner is lagging in the enthusiasm. Boredom can easily set in, and this can easily have an effect on how physical you are. Talk this out with a therapist and try to look for ways in which the laziness and the routine can be reduced.
Body Image: It is true that a body image can be one of the factors for a good sex life, but as we age we tend to get loose and do not make an effort to keep our body fit. This, in turn, can affect the intimacy has the partners can lose interest in each other as a couple. Have a healthy lifestyle and stay away from foods that can hamper your wellbeing. Exercise regularly and keep surprising each other.
Exhaustion and Stress: Needless to say this one factor and the modern times have been the main culprit for making you have issues in bed. Our work nature has forced to work 24/7 sometimes leaving us little time for other crucial intricacies of life. This has left us with a void and has made a dent in our space and the way we react to a sexual urge. The only way by which this can be minimized is by having a good work life balance and by giving the needed importance to the relationship. Remember that your work is not important than your physical well-being, and if your nature of the work is the cause of your ailments, then it is high time you think about changing it.
Communicate: More importantly, talk to a counselor about the problem you face and about your anxiety levels. Try having an open communication between you and your spouse and know your interest quotients. It is not wrong to appraise each other as far as physical intimacy s concerned. Remember that an open mind is always the fostering channel for dissolving the issues in bed.

Are You Having Issues In Sex Life? Know The Possible Reasons Behind It!

Knowing Premature Ejaculation - PART 2: Diagnosis, Types & Causes

As many as 30-40 % men across the world including India experience problem of PE at some time of life. In Part 1, we learnt about the condition called Premature Ejaculation (PE). In this 2nd part, let’s understand about it’s diagnosis & types of PE - why and how it happens.

How to Diagnose PE:

The specific criteria for premature (early) ejaculation are as follows:
- In almost 75-100% sexual activity, the experience of ejaculation occurring during sexual intercourse within 1 minute after vaginal penetration and before the individual wishes it.
- The problem has persisted for at least 6 months and is a cause of mental stress to the person.
- The dysfunction cannot be better explained by any other nonsexual mental disorder, any medical disease, the effects of a drug or medication, etc
 
Severity of PE:
 
The severity of premature (early) ejaculation is broadly defined as follows:
1. Mild (occurring within approximately 30 seconds to 1 minute of vaginal penetration)
2. Moderate (occurring within approximately 15-30 seconds of vaginal penetration)
3. Severe (occurring even before sexual activity, at the start of sexual activity, or within approximately 15 seconds of vaginal penetration). In such cases conception will not be possible unless artificial insemination is used.
 
TYPES and Characteristics of P.E. :
Premature ejaculation can be Chronic (lifelong) or Acquired (recent).
Chronic PE:
With chronic (lifelong) premature ejaculation, the person has been experiencing premature ejaculation since he became sexually active (ie, post puberty). 
Acquired PE:
Acquired (recent) premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and only recently has developed PE.

What are the Causes?
The causes of PE can be divided into two broad sub-heads, which are psychological or biological cause:
 
 
1. Psychological Causes:
Premature ejaculation is believed to be a psychological problem and does not represent any known organic / physical disease involving the male reproductive organs or any known defect in the brain or nervous system. It is usually due to a pattern that is hard to change and is a result of your previous sexual experiences.
 
One of the most common reason is childhood habit of reaching climax/ ejaculation quickly because of fear of discovery when masturbating or during early sexual experiences with a female partner. This pattern of rapid attainment of sexual release is difficult to change in later stage of life (in marriage or long-term relationships).
 
Other reasons are situations in which one may have hurried climax/ ejaculation in order to hide any problem or feelings of guilt that make you rush through sexual encounters. Also, psychological causes include anxiety and relationship issues which can also result from deep anxiety about sex that relates to bad experiences encountered by the patient during development (eg: incest, sexual assault, conflict with parents, etc ).
 
2. Biological Causes
 
A number of researchers have found differences in nervous stimulations and hormonal differences in men who experience premature ejaculation compared with individuals who do not.
 
Some believe that some men have hyper-excitability or oversensitivity of their genitalia.
 
Abnormal functioning of the ejaculatory system can be attributed to:
- Thyroid problems; infection or inflammation of the urethra or prostate.
- Nerve damage occurring due to trauma or surgery (a very rare cause).
- Abnormal levels of hormones and/or neurotransmitters (chemicals present in the brain)
- Higher free and total testosterone levels or varied other biochemical markers
*The research however has been non-conclusive.

In Part 3 and 4, we will discuss the right approach and therapy for the men / couple suffering due to PE.



Knowing Premature Ejaculation - PART 2: Diagnosis, Types & Causes

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