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 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

8 Steps to a Happier Sex Life - Sex is probably the most important part of a relationship along with compatibility, trust and comfort. To make your relationship stronger and deeper, happiness in sex life is crucial. It must be the part of your life that you always look forward to and that brings the two of you together irrespective of the way your days go.

Follow these simple protocol to make for a happy sex life and therefore a happy life.

1) Believe you are sexy - Stop undermining yourself. You are sexy, accept it. And believe that your partner gets turned on by you. When you believe that your partner finds you sexy, you will be more interested in sex and so will your partner be.

2) Believe in the little gestures - Sex is not always awesome while you are in the act. The build up through the day can be made with the simplest of actions. A meaningful touch on the breakfast table, a mid-day text saying you miss him and an intimate evening message, or simply holding hands while shopping for grocery, all add up to build the connection between both of you.

3) Focus on the positive - Tell your partner what he does that you like. The kiss on the nape or how their breathe on your skin makes your senses tingle ? tell that. When your partner knows what you like, your bedroom experiments can take interesting turns. Always help your partner focus gently to what gives you pleasure.

4) Make time for sex - When new in a relationship, couples tend to have more sex and the frequency diminishes once they are comfortable in the situation. Avoid this; sex should be in your priority list at all times. Sex indeed should be a natural event. However, our lifestyles don't permit it. Also, there are too many distractions. If you need to schedule sex, it's okay. The idea is to indulge in it. You both have your needs and they should be fulfilled, right?

5) Fantasize - One great way to keep the passion alive is to share your fantasies. Doesn't matter how dirty it is, don't worry about what your partner will think. Far from judging, you yourself might realize something new about your partner. Chances are, that you might love the fantasies you both talk about.

6) Take it easy -  In real life, it is okay to not be perfect, to stop to catch breath and be real. To be happy with your sex life doesn't mean having spectacular sex every time. More than how you perform, it is how the experience was for both of you. Enjoy the process, it is for real.

7) Be responsive - Respond, even if you are not in the mood. Don't shun your partner because you are not in the mood. But if one of you wants to have sex, pushing them away is not a good idea. And if you still don't want to go ahead, explain that it's not them, but the time and plan to connect some time in near future.

8) Be willing to have sex - If you would rather watch tv all day rather than have sex and then do it nevertheless just because your partner initiated it, they would know. Never make your partner feel that you are having sex out of obligation. This is a mood killer and a guarantee for low satisfaction derived. Make sex an enjoyable affair, think what all you like and show them to your partner. 

If you have any further questions on sexual health, ask me by clicking 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.

Having Better Sex - 8 Steps to a Happier Sex Life

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

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

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