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

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

Intercourse is meant to be a pleasurable and intimate experience. But it might become an unpleasant act if you are suffering from performance anxiety. When you are mentally occupied by questions such as "Do I look too fat?" or "Did I do that right?", sex stops being a gratifying experience.

Incessant anxiety over your ability or appearance can result in sex becoming nerve-wracking and stressful for you. It might even have you avoiding sex altogether. This psychological condition is termed as sexual performance anxiety.

Sex isn't only a physical reaction, there are emotions tied to it as well. If you are too stressed out and your mind is preoccupied, your body reflects your inner turmoil and you cannot get aroused.

Causes
The causes of sexual performance anxiety include:
1. Fear that you wouldn't be able to satisfy your partner and perform well sexually
2. Body image issues (Such as stressing about your weight)
3. Problems in your relationship
4. Men worry that their penis don't 'measure' up
5. Men might be concerned about taking too much time to orgasm, or about premature ejaculation
6. Women worry about not enjoying the experience or being unable to have an orgasm

Symptoms
Your mental state has a deep impact on your physical state. The effect of stress hormones norepinephrine and epinephrine can hinder your sexual performance. Symptoms of sexual performance anxiety include:

1. In men, blood vessels constrict due to the effect of stress hormones. This leads to reduced blood flow to the penis, thus making it difficult for the man to get an erection.

2. Often though it is less diagnosed in women, sexual performance anxiety leads to trouble in lubrication during sex. Lack of lubrication dims the desire to have sex.

Sexual performance anxiety is a vicious, inescapable cycle. Increased anxiety hampers you from having sex, making you think you won't be able to perform well, which causes even more anxiety.

Treatment
Consult a doctor you will be comfortable with discussing your problems. Sexual performance can be either treated by medication (if you have an underlying medical condition such as erectile dysfunction) or through therapy.

Talking to a therapist or counsellor about your problems can help you in several ways. You can learn to become more comfortable with yourself and your body. You can also understand your problems better, which can eliminate your anxiety.

All About Sexual Performance Anxiety

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!

Your good intention during intercourse might be to give your partner an intense orgasm, but orgasms aren t something one can  give . All you can do is make the conditions more favorable for the other person to have them by manipulating your moves. 

Here are six ways in which you can orgasm better: 

Don t skip the foreplay: Just like it is not a good idea to run a marathon without sufficient warm up, it isn t advisable to skip or shorten the foreplay. Explore and find out and choose the right kinds of foreplay that take the arousal to great heights. Oral sex, clitoral stimulation and self-stimulation during sex are incredible in achieving a better climax. 
Experiment with edging: Try what we call 'edging'. That is, bring yourself close to climax, then stop short of reaching climax, and after a pause a few seconds, rebuild your arousal   again just close to climax. Repeat this until you can't hold any more and then come! The resulting orgasm is very intense and worth the effort. 
Try sex toys: Once in a while let a sex toy join the fun. Sex toys are useful in maximizing the pleasure levels during intercourse or solo. 
Use a lubricant: Don t think that a lube just addresses the vaginal dryness and painful intercourse. Research shows that as many as 50% women get better orgasms when they use lubricants. The lubrication adds sensitivity to the genitals and helps get good orgasms. 
Target the C-spot: A lot of women have problems in getting orgasms during intercourse as the clitoris isn t stimulated enough. The clitoris has the maximum number of nerve endings and during intercourse, clitoral contact is needed for most women to reach orgasm. Tip: Try out woman-on top, side-to-side and doggy style positions for clitoral stimulation. There are many more options too. 
Do not overlook the testes: Stroking your sack upwards right before getting an orgasm adds more power to the orgasms in men. The testes are tremendous pleasure points for a man and gently stroking them is useful in heightening the arousal which leads to a stronger orgasm.

6 Ways To Orgasm Better

6 Dangerous Effects of Alcohol on Your Sexual Well-Being

While small amounts of alcohol do not have any effect on your sexual health, moderate amounts of drinking are known to cause problems in both men and women.

Let's take a look at the effect alcohol may have on your body and sex life:

1. It acts as a depressant - Acting as a depressant (a drug that reduces stimulation or arousal in various parts of the brain), alcohol inhibits certain areas of the central nervous system that are important for orgasm and arousal, more specifically - the circulation, respiration, and feeling of nerve endings.

2. It dehydrates your body - Sexual arousal requires an adequate supply of oxygen and flow of blood to the private areas so as enable you to experience the different sensations that accompany a sexual act. Adequate blood flow in the case of women is important for lubrication and in the case of men for developing and sustaining an erection. Less fluid in the body and a depressed nervous system can affect your sexual performance.

3. It's not an aphrodisiac if you go overboard - Several studies show that alcohol can help certain people to overcome feelings of deficiency or sexual reserve. This can only happen if you limit your consumption to only 1-2 drinks. If you go overboard, the depressant action of the drink begins to take effect preventing your body's ability to react sexually.

4. It causes fewer erections - Drinking large amounts of alcohol or even long-term drinking can cause erection problems to develop. Erectile dysfunction is said to occur when too much drinking causes dehydration leading to a decrease in blood volume and an increase in the angiotensin hormone, which is associated with ED. The likelihood of this occurring gets further increased if the body's central nervous system is unable to act in a natural way.

5. It leads to delayed ejaculation and orgasm - A 2004 study reveals that about 11% of alcohol users face difficulty in having an orgasm. While the men faced difficulty in ejaculating, women participants required more stimulation to reach an orgasm, compared to men and women who did not drink or drank little.

6. It causes vaginal dryness - The dehydrating effect that normally occurs if you drink a lot can also cause vaginal dryness. It causes a decrease in your sensations and hampers the production of vaginal secretions for sexual penetration, leading to painful sex.



6 Dangerous Effects of Alcohol on Your Sexual Well Being

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