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 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

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

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

Viagra doesn t boost your libido, it simply works when the man is sexually aroused, by giving him the power to perform and enjoy a passionate stance. Instead of depending on an external drug, go natural by adopting the following means by not only increasing your libido but also enhancing performance.

4 powerful ways to make your sex life better

1) Natural Nitric Boosters - They are a must have if you want a better sexual health. Nitric oxide is one of the main reasons behind an  erection  and therefore, it can be directly taken in the form of food or as a supplement. It helps in preventing blood pressure, cardiovascular diseases and improves the blood flow. There are certain foods that can boost nitric oxide naturally, such as dark chocolate, walnuts, pomegranate, watermelon, brown rice, beets and garlic.

2) Exercise - It is important to exercise and stay fit if you want a healthier sex life. You shouldn t have to do furious strength training. Instead, simply opt for cardio exercises, do strength training or weight lifting if you like. 

3) The greens - There are several greens that, when combined with the bacteria in your gut can help in transforming nitrites to nitric oxide. This includes cabbage, iceberg lettuce, parsley, spinach, celery and collard greens.

4) Sunlight - Sunlight provides us with Vitamin D and also gives the skin an opportunity to synthesize more nitric oxide. 


4 Recommended Natural Sex Boosters 

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?

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