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

4 Easy ways to increase your libido

Libido is a term that is used to describe the sexual desire for sexual activity. According to WHO, sexual health is a state of physical, mental and social well-being, which is why libido is one of the key factors to a sound and healthy life. As men have 40 times as much testosterone as women, they are thought to have a more intense sexual drive. Dopamine plays a strong role in libido and motivation. Physical issues like low testosterone, too much exercise, and alcohol can cause low libido. Psychological issues may include depression and stress in everyday life.

The good news is that libido can be increased through some simple measures, which are:

1. Have a positive outlook

Prolonged stress can diminish your interest in sex, and men and women have different reactions to stressful situations. Both partners need to discuss their stressful jobs each day and find a non-stressful time for sex. Besides, being self-confident and optimistic makes you feel more sexual and charming to your partner.

2. Following a proper balanced diet

Natural supplements can increase your blood flow and help fight vaginal dryness. You can try the much-touted libido-boosting foods, known as aphrodisiacs. Figs, bananas, avocados, eggs, chocolate, and mangoes can help to increase libido. Foods rich in vitamin E, vitamin C, vitamin B complex, and zinc may help to boost sperm count, improve sperm motility and increase testosterone production in men.

3. Prepare for intimacy

If you are planning some quality time with your partner and hope to get him/her 'in the mood' you can try chocolate and coffee. Chocolate has been as the symbol of a desire not only for its delectable taste but because of its power to improve sexual desire. Coffee and chocolate both produce positive mood states, releasing endorphins, providing energy and increasing physical endurance. Wine, or any other form of alcoholic drink, consumed in a small amount, may help people to relax and get in the mood. However, caution must be maintained as excessive consumption can result in impotence in men.

4. Take time to meditate and relieve stress

Being stressed out can affect your sex drive. To relieve stress you can indulge in sports activities and exercises. Lifting the weight or doing resistance training exercises like pushups help to break down and rebuild muscles, creating a spike in testosterone production. For many couples, working out together can become a stimulating experience that gets them in the mood. Exercises can increase performance, range of motion, endurance, boost confidence and help you look younger and more attractive.



4 Easy Ways to Increase Your Libido

Alchol can it affect your intimacy level with your partner, yes! But with this you might be wondering how can that be possible when you actually sustain yourself for long, maybe longer than you should be. It is probably the  whiskey penis . Alcohol may give you a sense of elation at one point of time, but it is essentially a nervous depressant. The over consumption of alcohol mainly has a reduced effect on sensitivity for both men and women.

How alcohol affects sex life in men: The effect of alcohol on the sex life of men is immense. In most cases, chronic and acute cases of alcohol consumption have shown to reduce the production of testosterone in men. Since testosterone is the hormone that results in the increase in libido in men, the effects of alcohol really reduce the performance in men. It has shown to reduce pleasurability and it can also reduce the intensity of orgasms. Sometimes, it can cause difficulty in ejaculation or delayed ejaculation.

How alcohol affects sex life in women: Alcohol can have a very mixed effect on women in general. While it can increase sexual arousal and desire, it can also result in low sensitivity. Women have a higher percentage of fat as compared to water in their bodies, this means that alcohol has a more profound effect on their bodies as compared to that in men. Their bodies also take longer to process and eliminate the alcohol. While some women report a heightened sense of sexual arousal and an increase in the duration of the orgasm, a large number of women also complain of lesser lubrication.

Alcohol also has a psychological effect; that is the loss of inhibition that may help in developing carnal instincts when intoxicated. This psychological effect may have a more profound effect than the physiological effects as a result of which women might claim that alcohol does indeed help in better sex.

Alcohol - How it Affects Your Sex Life?

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)

1. Wash Your Hands Thoroughly - Before having sex, do remember to wash your hands. Maintaining such a basic sexual hygiene habit is important as you will be running your fingers over the tender parts of your partner. Since your hands would have come into contact with germs of all kinds, having sex with dirty hands can bring about infections of those parts. Just as you would wash your hands before having your food, don't skip this habit when it comes to having sex.

2. Communicate - Communication is vital for a healthy sex life, and you'll both feel extremely satisfied if you're on the same page. Whether you need to have conversations about STDs such as HIV, HPV or on different sexual positions and techniques, talking to one another can help you and your partner to understand each other better in between the sheets.

3. Reciprocate - Reciprocity can make or break your sex life. Sex can be satisfying only when you both you and your partner experience the same amount of pleasure. So if your partner focuses on your pleasure spots, make sure to return the favour by turning your attention to his/her erogenous zones.

4. Don't be Afraid to Ask - Good sex is also about letting your partner know what your desires are. By doing so, your partner would be able to respond better to what you want and you'll find your sex life improving for the better.

5. Don't Criticise - In case of any sexual issue that may arise between you and your partner, it's best to solve it together instead of blaming each other. Whatever suggestions you may have for each other, always put them forward in positive terms. Criticism may make your sex life bitter and can also adversely impact your relationship in the long run, so it's best to avoid it.



5 Do's + Don'ts for a Healthy Sex Life

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'.

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

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