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

6 Symptoms of Low Testosterone

Testosterone is an important hormone for men and is responsible for male sexual and reproductive health. It begins to spike during the years of puberty, helping in development of primary and secondary sexual characters. In boys, it helps to build muscles, deepens his voice, and boosts the size of their penis and testes. It plays an important role during later years as well, by maintaining mood, libido, emotional and physical health. That’s why low testosterone can cause a variety of problems in men. 

Here is a list of symptoms that will help you understand if you may have lower testosterone levels.

1. Drop in Energy: Sometimes, we all feel full of energy, but sometimes those energy levels are quite low. And then, there are occasions when we feel low on energy, you may feel that you are getting tired easily and frequently. Fatigue is one of the common effects of low testosterone. If this happens with you regularly, if you are tired all the time despite sleeping for 6-8 hours, consider getting yourself checked by a consultant.

2. Changes in Sex Life: A sudden drop in your sex drive or facing problems in erection (erectile dysfunction) can be another  common symptom of low testosterone. But you should get yourself tested for other conditions as well, including heart disease or diabetes, especially if you are over 35 years of age. Ask for online consultation if you want everything to be private and discreet.
 
 3. Fuzzy Thinking: Do you sometimes think that your thoughts are a blur? Low testosterone can also impact your memory. It can make you feel stressed, sad and even depressed, resulting in concentration problems. These  can be a result of low testosterone

4. Mood Changes: Testosterone directly impacts your mood, even leading to extreme sadness or psychological depression. If nothing seems to make you happy, if you are not what you used to be, then visit a doctor.

5. Muscle Changes: Muscle mass and strength reduces over the years. As testosterone helps build muscle, low levels may be the cause if you witness sudden drop in muscle mass. In such a case you should consult a doctor. It can be because of low hormone function.

6. More Body Fat: If you have been enjoying a more fit or healthier weight most of your life but suddenly start gaining weight, it might point towards low testosterone in the body. Also, if you are unable to lose weight even on a healthy diet, consider consulting a doctor.



6 Symptoms of Lower Testosterone - Most Important Male Sex Hormone

5 mind reasons you might not be getting an orgasm

Sex is not only a physical need, sex is a great way to emotionally bond and get closer to your partner as well. Any dissatisfaction in the bedroom can affect other aspects of your life, and can lead to fights, squabbles and general unhappiness. The inability to orgasm can become a major bone of contention. There can be various reasons behind the inability to climax. Some of the common ones are detailed below:

1. Lack of stimulation

Studies show that only 25% of women reach climax during sexual intercourse. The remaining 75% of women require more stimulation, like fingers or even toys and tongues to reach orgasm. Amongst this is a subset of 10-15% of women who never reach orgasm. Thus, a large number of women require extra stimulation to achieve climax during sex. You must talk to your partner about putting in some extra effort and providing the extra stimulation you need to achieve climax.

2. Over-thinking

Many men and women over-think their actions in bed. From their expressions to how they are reacting and how they are making their partner feel - everything is under constant scrutiny and revision. This leads to a lot of stress, which can hinder your ability to reach orgasm. You need to relax in the bedroom, because whatever you do will feel good in some way or another. Your anxieties can also distract you from what is going on, which means you don't get the chance to fully experience the pleasures of sex. If it helps, speak to your partner about your anxieties and tell them what you are stressing about during sex.

3. Differences between men and women 

Men are visual creatures. This means that what they see turns them on. A woman's orgasm, on the other hand, happens in her head. Thus, men and women have different roots to their stimulation. Lack of an orgasm might mean either of these needs isn't being fulfilled. A great way to work around this and make sex more fun is to include a lot of foreplay in your love-making session. You can do this by trying out role-playing or using sex toys. Make sure to take it slow for a great build-up to your orgasm.

4. Performance issues

Porn has an impact on your sex life. It can increase your expectations to a considerable extent, which may not be fulfilled, thus hampering your experience in the bedroom. A lot of people become so focused on reproducing that experience that they forget that its real life. The focus on performance overwhelms their actual experience of sex, which results in an inability to reach orgasm. Try to accept the fact that you don't really have to perform for your partner. Your partner appreciates you for what you are, despite everything.

5. Mental blocks

A problem in the relationship, certain health conditions like depression, past trauma and negative social conditioning can all have negative impacts on your ability to orgasm. Talk to your partner about past trauma if you have any, and what your triggers are. Consider speaking to a sex therapist as mental health issues should never be neglected. Depression hits the libido hard, and the problem is only compounded by antidepressants. Negative social conditioning can only be helped by therapy, so try to reach out to a mental health professional.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Why You Must Try Kegel Exercises for a Happier Sex Life

5 Mind Reasons You Might Not Be Getting an Orgasm

8 amazing health benefits of masturbation

Masturbation can be extremely beneficial to your health and well-being. It doesn't just feel good, it has other benefits too that can vastly improve your health and life.

Here are some reasons why you should masturbate regularly:

1. It boosts your mood

Masturbating releases the hormones oxytocin and dopamine, which improve your mood and give you a natural high. It helps you relax and decreases your stress and anxiety levels.

2. Helps you sleep

Having an orgasm relaxes you physically and mentally, relieves tension and makes you feel satisfied due to the lowering of blood pressure and the release of endorphins. This helps you fall asleep faster and sleep better.

3. Lesser junk food cravings

The release of oxytocin makes us feel happier, lowering emotionally triggered food cravings, which help you make better food choices and avoid unhealthy and fattening 'comfort' food.

4. Relieves cramps

Masturbation can help relieve menstrual cramps. It increases blood flow to your pelvic region and hence eases pain, cramps and backaches.

5. Helps cure urinary tract infection in women

Those suffering from utis can get relief by masturbating as it flushes out bacteria from the cervix.

6. Prevents prostate cancer

Masturbation flushes out the toxin build-up in the urogenital tract, making men who ejaculate frequently three times less likely to develop prostate cancer.

7. May get rid of restless leg syndrome

People who suffer from restless leg syndrome feel a constant need to move their limb, which may cause leg pain and cramps. A publication in 'sleep medicine', a medical journal suggests that sex and masturbation may help relieve symptoms of rls.

8. Boosts your immunity and general health

Ejaculation in males triggers the release of cortisol, a stress hormone. Although stress inducing, experts believe that small doses of this hormone help build your immunity. In women, masturbation is known to improve cervical and cardiovascular health while also reducing the risk of type-2 diabetes.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Common Myths on MASTURBATION, Busted!

8 Unbelievable Health Benefits of Masturbation

3 Proven Ways of Increasing Intimacy

Here is a list of 3 scientifically proven ways of increasing intimacy with your partner.

1. Look them in the eye and tell them all about yourself

Self-disclosure is an important part of relationships, especially during the initial phase. However, gradually as people feel that they've known enough about each other, communication seems to come to a standstill.

But the actual reason for this is not the lack of things to talk about but resistance which arises out of a feeling of vulnerability. It mostly happens in established relationships because both the partners do not wish to break past the certainty and assurance.

Therefore, the revealing part that may lead to some changes in perception is often skipped. However, not doing so and truly communicating with your partner can help you in increasing intimacy and having a deeper connection with your partner.

2. Share the laughter

Sharing the joy and the humorous experiences is a great way of increasing intimacy with your partner. Since every person's sense of humour is different, humour is a deeply personal aspect of your personality. Therefore, when you share genuine laughter with your partner that is when your sense of humour matches with each other, it improves your understanding and builds intimacy.

3. Tell them how you feel and know how they feel

It is extremely important for you to talk with your partner about how you feel - not just about the relationship, but about other important aspects of your life as well. If conflicts are dealt with by discussing how you feel about them and not on the lines of rationality, you end up feeling more intimate with your partner. Honestly discussing and exchanging your feelings is an amazing way of increasing your intimacy with your partner.



3 Proven Ways of Increasing Intimacy

How too much sugar can adversely affect your sex life

Sugar is an important source of calories in the body as it can provide immediate energy to the body after consumption. Sugar being a simple carbohydrate is digested quickly and released into the bloodstream to be used as energy. However, too much sugar in the bloodstream at once can cause a host of disorders in the body including affecting one's sex life. Outlined below are the ways how sugar adversely affects sex life-

1. Impairs the gene that regulates sex hormones

Glucose and fructose are synthesized in the liver, where the excess is converted into fat. When fat synthesis rate goes up in the body, it affects SHBG (sex hormone binding globulin) gene in the body. This gene is responsible for regulating the levels of testosterone and estrogen in the body. Hence, in this case, the affected person becomes highly susceptible to infertility.

2. Lowers testosterone levels

Indulging in a diet that consists of too much sugar affects insulin resistance. Due to this, testosterone levels drop in both men and women. This causes disorders related to sexual function such as erectile dysfunction and also reduces sex drive.

3. Fatigue and reduced energy levels

Foods high in sugar cause temporary spikes in blood sugar which in turn results in fatigue, thus reducing sex drive. It also decreases levels of Orexin, a neurotransmitter that regulates feelings of arousal in the body, causing fatigue and lethargy.

4. Increases stress

Increased stress levels as a result of sugar consumption occur when high insulin levels cause the body to produce cortisol, a stress hormone. Too much cortisol in the body decreases libido



How too much sugar can adversely affect your sex life

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