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

Knowing premature ejaculation - part 3: management and techniques (non-medical methods)

As shared in part 1and 2 of this series, because of premature ejaculation (pe), both the partners may end up experiencing highly unsatisfactory sex. In fact, it can increase anxiety, which may deteriorate the problem. 
Remember there is not a single magical drug or medicine in the chemist shop which can solve your problem overnight especially if you have chronic pe. Before seeking any medical treatment for pe, it is appropriate to consider the varied options for solving this issue. These include counseling with a sexual therapist, non- medical treatments like various exercises/ techniques and medical treatments including both modern and alternative medicine.

A. Counseling from an expert - sexual therapist or sexual medicine practitioner:
It is well understood that sex is in the mind. However, repeated pe/ failures can lead to lot of stress and disappointments. Anxiety due to pe itself is a big issue and can lead to recurrence of pe.
Reassurance from sexual therapist / counselor that pe is not a disease and can be easily treatable is relaxing for men who are facing this problem. So please share your detailed history and sexual habits with the expert. This may help the expert to guide you well.

B. Behavioral changes:

Some basic things may also help you to deal with the problem. 

1. Some men attempt to treat themselves for premature ejaculation by distracting themselves by thinking nonsexual thoughts (such as naming cricket players and records) to avoid getting excited too fast when approaching their partners. This helps them to focus their attention away from the sexual stimulation.

2. It is also suggested to men that they should relieve themselves of the sexual tension by ejaculating with self masturbation 1-2 hours before attempting sexual intercourse with their partner.

3. Using condoms is known to help in premature ejaculation in some men by decreasing sensation.

4. Women on top position usually helps to delay orgasm in men

 
C. Exercises &amp; techniques:

There are several exercise and techniques you can try sitting in your home.

1. The" stop and start" method:
This technique involves sexually stimulating the man by self until he feels like he is about to reach orgasm. Then he needs to stop the stimulation for about 20-30 seconds and then start it again. Repeat this pattern until the man wants to ejaculate. This can be continued for 10-15 minutes. At the end of say, 10th or 15th minute, continue stimulation until the man reaches orgasm and ejaculates.
2. The" squeeze" method:
 This technique involves sexually stimulating the man by self or by his partner until he recognizes that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans penis meets the shaft) for at least 15 seconds. Stop sexual stimulation for about 60 seconds, and then start it again. The person or couple may repeat this pattern for at least 10-15 minutes. At the end of say, 10th or 15th minute, continue stimulation until the man reaches orgasm and ejaculates.
3. Practice breathing exercises 

Deep breathing can greatly help in controlling the arousal and tension that cause early ejaculation. Men must avoid shallow breathing as it can trigger premature ejaculation. Instead, what you should do is spend 5 seconds taking in a long deep breath; then hold it for 3 seconds and then exhale for the next 5 seconds. If you can do this for 5 minutes in the bedroom without pause then you can control premature ejaculation.

If you would like to consult with me privately, please click on'consult.

Knowing Premature Ejaculation - PART 3: Management and Techniques (Non-medical methods)

Foods that kill sex drive in men
 
Do you wonder why suddenly at times you go on a zero sex drive? it could happen even when your chemistry with your partner is fine, nothing is heaving on your mind, and you are otherwise healthy too. Only you just don't feel like having sex. This might have to do with what you are eating. 
Here are some of the foods which can kill your sex drive.

1. Diet soda - while staying fit is an excellent idea, drinking diet sodas with artificial sweeteners can be absolute mood killers as they directly affect the levels of serotonin, a hormone which assists you in reaching the zone.
2. Caffeine - it certainly increases stamina for sex. However, for someone who is already nervous, this would mean increased anxiety which in turn would lower the sex drive. Overdose of coffee is known to increase one's stress hormone levels, too, affecting one's sex drive.
3. Chocolate - this is surprising since chocolate is known as an aphrodisiac. A study has shown that since it stimulates love and euphoria, it might also suppress, at times the testosterone levels in the body.
4. Mint - while mint is a good way to clear your breath after a meal, the menthol in it is also known to lower the testosterone. This lowers your sex drive.
5. Popcorn - when popcorn is made in the microwave and eaten, it could totally kill the mood for sex, especially in men. Research suggests that the bag's lining has chemicals which kill sex drive and in the long term can also cause prostrate problems.
6. Cheese - if made of cow's milk, cheese contains a lot of synthetic hormones which are known to mess with human body's natural hormone production that primarily includes testosterone and estrogen.


Did You Know These Shocking Foods Kill Sex Drive In Men?

There are phases in life when you do not feel energetic enough to engage in sex. It could be due to stress, long work hours or other biological reasons. A healthy, active sexual life helps in reducing a number of health issues, keeps you de-stressed, happier and most importantly, helps in keeping the relationship's spark alive! Certain foods are known to address just that and help in running your libido.

Try these boosters to get the spark back in your life.

1) Black Raspberries - They will get you into mood. Snack on it as it helps in increasing your sexual endurance. Consume at least 10 black raspberries an hour before getting busy.

2) Figs - Figs are considered excellent stimulants of fertility, enhance the secretion of pheromones. Try feasting on a few figs every day to notice a difference.

3) Cloves - Cloves are sex-superfoods. In fact, they have been used as a natural treatment for sexual dysfunction for years. They possess aphrodisiac qualities. Having a few will naturally up your libido.

4) Watermelon - Watermelon is known for boosting serotonin and endorphin levels, both of which are linked to improved sexual performance. Have the fruit regularly.

5) Eggs - Poach them, scramble them, make an omelette or do a sunny side up. There are just so many ways to eat an egg. But no matter how you eat it, the results will be the same - your libido will rocket up. It is used for heart ailments and erectile dysfunction as well.

6) Ginger - A little bit of ginger every day boosts circulation and so enhances your libido.

7) Lettuce - Lettuce is a libido booster for both men and women. Have iceberg lettuce with little salad or just nibble it and you will be good to go!

If you have any questions on improving sexual health, please click on 'Consult.

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Boost Your Sex Drive With These 7 Foods

8 Exciting Benefits Of Morning Sex

Men love morning sex. A man's body is such that he wakes up ready for sex, psychologically (and, physically) ready for sex, but has to go about his morning chores. Women, on the other hand, wake up to face the day with upcoming days errands on their mind. They need time to warm up for sex. But it is all in the head. While the male partner prefers to snuggle and have a round of morning sex, the female prefers to start the day by getting out of the bed.

The following benefits might change your opinion about the same.

1) Makes You Happier - Beginning your day with sex keeps you happier through the day, and hence healthier
2) Creates Bonding - Couples will be more connected throughout the day, even as they go about with their own work, at different locations. There’ll be a smile on their faces.
3) Enhances Immunity - It makes you upbeat and helps build a stronger immune system.
4) For Skin And Hair Health - Might come as a surprise, but it also improves the quality of your nails, skin and hair, and lessens your chances of catching a cold.
5) Improves Blood Circulation - Being a form of physical exercise which helps dilate the blood vessels and facilitate smoother blood circulation, lessening the risk of heart attack or stroke.
6) Rejuvenates You - Beginning the day with a session of lovemaking ensures you are alert and active as you feel rejuvenated.
7) Lessens Pain - Morning sex is also said to help reduce migraine and pain from arthritis.
8) Burns Your Calories - You burn around 300 calories even before your day has officially begun.


If you would like to consult with me privately, please click on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


 8 Reasons 'Morning Sex' Is The Best Start Of The Day

For a healthy relation it is important that we learn to communicate our feelings with our partners. Foreplay not only plays an essential role in sexual arousal prior to the act of sexual intercourse, but it also has a number of health benefits for both men and women, which are both physical and emotional in nature. It also works towards increasing intimacy between couples and often leads to a higher level of sexual satisfaction, again for both sexes. 

Here are some foreplay moves you can use to make your time in the bedroom more satisfactory.

1. Engage in conversation: Communicating with your partner is often a great way to get things started. Talking dirty not only increases intimacy between the couple, but also makes it more fun for both, thus reducing stress level, it often reduces the performance anxiety disorder, especially in men.

2. Take it slow: Taking your time during foreplay, with prolonged periods of kissing and sexual stimulation, can exponentially increase levels of arousal for both sexes, and thus add to the chances of reaching orgasm in the ensuing act of intercourse. Many women have also reported that climaxing during foreplay itself increases the probability of achieving multiple orgasms, due to release of a high number of endorphins, thus inducing feelings of euphoria.

3. Try to provide equal attention to all erogenous zones: Spending time in stimulation of each and every erogenous zone of the body such as the neck, breasts and clitoris (for women), penis and scrotum (for men), etc., can often prove to be very useful in sexually arousing your partner and increasing chances of achieving an orgasm.

4. Erotic massages work great: Deep and sensuous massages, especially of erogenous zones, coupled with small breaks to kiss your partner can lead to high levels of arousal due to the friction between your hands and their skin, which aids the release of several arousal hormones, and works great to maximize pleasure.  

5. Engage in oral sex: Though many may be averse to the idea of engaging in oral sex, it has been found that it has a number of health benefits. It not only acts as a stress buster but also helps regulate blood pressure levels, increases chances of conception, relieves pain, and even reduces chances of prostate cancer in men.

5 Foreplay Moves To Get It All Started

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