The impact of psychological and biological factors on ejaculation
Good morning I'm Dr. Pradeep Aggarwal. I have done MBBS MD in many subjects of my interest you can consult me for diabetes for any chronic problem like Allergy, Asthma infection, sexual problem and also for a cosmetic and dermatological purpose. Today we'll talk about premature ejaculation.
premature ejaculation is a disease in India almost 1 out of 3 men suffer from it and although it is a treatable disease, many men find difficulty in presenting their symptoms. They feel embarrassed about it,but if you seek treatment there is definitely a cure. Basically as per the WHO as per the psychological Indians engine of psychology guideline.
there are three criteria when we say the patient is suffering from premature ejaculation.
On the basis of that, we will decide the patient is suffering from premature ejaculation.
- first when a patient is unable to control or unable to delay his declaration when he's already emasculate with in one minute of intercourse and if he is unable to satisfy his partner in sexual activities. So we will talk about the cause. Basically, we divide cause into two types that are biological cause and other is emotion and Secretary emotional causes come when a person is in fear that someone might come and see him. Sometimes person feels guilty in having sex that is also a psychological calls and sometimes he may have anxiety or performance issues that make him unable to have a sex or sex with a proper caliber sometimes that is there is biological cause also like abnormal brain chemicals abnormal hormone thyroid issues, infections, inflammation and many genetic issues also make him unable to do sex with a proper of ejaculation period. So these are basic cause that is reason of premature ejaculation.
premature ejaculation as concern can be divided into two parts
- one is primary premature ejaculation that occurs when persons have difficulty in having sex or have a pre ejaculation problem for the first time when he has sex and
- second is previously if he has normal sexual habits and suddenly he feels symptom of premature ejaculation that is called as secondary premature ejaculation
treatment of premature ejaculation can be divided into five parts-
- first concerned with a thorough medical revolution that what is causing premature ejaculation, we have to see the patient we have a certain test that we prescribe to the patient and a thorough evaluation is done to decide what is causing the premature ejaculation.
- Then the treatment part can decide first always first in the sexual therapy that we guide patient that whenever you have sex with your try to make her wife her girlfriend to reach the climax excite to the level that he is at the end so that they can satisfy him at that time.
- Second is the controlling breath and thought cycle we always auspicious take a long breath when they have sex or when they are doing premature ejaculation by taking a long breath they can delete ejaculation periods.
- We can also prescribe the patient some exercise like squish technique. Squish technique is perfect items can lead to better treatment of ejaculation without any medicine patient just have to when is just about to ejaculate he has to press his penis low level that he was unable to ejaculate and then when the arch pass he can place his penis and then after again 30 seconds he can continue with the sex. By that how he can regulate his ejaculation habit and he can delay the ejaculation periods by doing it for long time.
- Apart from this certain medicines like antidepressants are also there some oral anesthetics are also available that can delay the ejaculation periods vision can apply that anesthetics like lidocaine and xylocaine jelly over there penis and all the time it will decrease the sensitivity of the penis and they are able to do sex for the long time.
That is how we can treat premature ejaculation if you have any further queries or any question you can consult me on lybrate.read more
What is cryo lipolysis process?
It is a process of fat freezing, we also call this cool sculpting or freezing the fat.
We have seen in India there are number of obese patients and they have to go liposuction and many dietaries. So today, I am going to demonstrate how cryo lipolysis work. Just we have a handle for cryolopolysis we use to suck out the fat, we freeze the fat and it is removed from the body to body natural mechanism. When we do cryolopolysis we suck out the fat, it freeze to about 1degree C to -40 degree C and after finishing it will be removed. Your adipose tissue will get each and through the mechanism of apoptosis it get removed from the body. Inflammatory cell engulf or digest the apotised adipose cells and it will be removed from the lymphatic system and eliminated out of the body. It is a natural process and long lastin. Just think how we are doing. The fact is sucked into the handle of cryo lipolysis tube and get reached here. After finishing it for the each time we just remove the cryo lipolysis handle. So we remove the cryo lipolysis handle. Your fat is sucked here and we will just flat it and we will leave the patient for three months and by the time of 3 months the fat get out of the body through lymphatic drainage and you feel an emptiness here so it is a natural mechanism of fat removal and it is very safe.
You can consult me on lybrate.com, you can chat with me, you can email me, you can call me or you can have a video call with me. I am available 24 hours on lybrate.com.
You can have anti-obestic guideline, you can meet me for obesity, you can meet for sexual problems, you can meet me for diabetology. Just follow lybrate.com and you can consult me. Thank you
I’m Dr Pradeep Agarwal, consultant physician, doctor cosmetologist, diabetologist and sexologist. Today we will discuss premature ejaculation. Premature ejaculation is lifelong or it may be acquired. Lifelong premature ejaculation is diagnosed in tight teenagers. When a person is in teenage, he masturbates and feels quick ejaculation within two minutes or when he has
Premature ejaculation is lifelong or it may be acquired. Lifelong premature ejaculation is diagnosed in tight teenagers. When a person is in teenage, he masturbates and feels quick ejaculation within two minutes or when he has the first project with his partner and acquired when he gets premature ejaculation in the age of 30 to 40 years, or he starts after that. Acquired premature ejaculation is due to stress, environmental condition, lifestyle and unsatisfactory sexual behaviour or when there is a gap in the relation between male and female. So these two types of premature ejaculation we deal in daily practice. When we are treating them we have several options to treat or to cure the premature ejaculation. One is by using medicines such as duloxetine or by using creams like pyroclean lidoclean.
What does this cream do?
These creams lower the sensations, these are anaesthetics that lower the sensations carried by the penis. So while they lower the sensations, there are more periods of sex that a person can do and secondly there is a loss of sensation in that part so sexual stimulation can take time and while using tablets such as duloxetine, other medicines they make up a person to do sex more than three times of his capacity. They have to take the tablets just before the sex and by taking the tablet their performance can be increased three times. But these tablets and anaesthetic creams are not a permanent treatment of premature ejaculation. For that purpose, we have certain other exercises also and certain behavioural modifications and lifestyle changes are also needed. Walnuts are very good for premature ejaculation. One can take walnut with honey daily to avoid premature ejaculation, it
Walnuts are very good for premature ejaculation. One can take walnut with honey daily to avoid premature ejaculation, it helps in making more erection. If you want firm erection then you have to daily do daily lower limb exercise and take walnuts with honey that will help you in long run. Second, y we come to nutrition part, addition of omega fatty acids, omega fatty acid 3,6,9 and vitamin e, glutacone. These all antioxidants help in getting more firm erection and delaying the ejaculation.
A person should have control over its ejaculation. Pre mature ejaculation all depends on its sensation, your control, and a person has to develop his control over his sensation. So we have a multiple exercise that can help these are PC muscle exercise, stop-start technique and fast squeeze technique and they are many. So we will start from start stop technique. In start stop technique person has to do six and at a time when he is just about o ejaculate he has to stop 30 to 60 seconds and he again has to stimulate himself. So by doing this four to five cycles he slowly slowly starts to get in more ejaculation. He starts getting longtime when he has sex and he starts getting control over his ejaculation.
- The second one that is fast squeeze technique, patient has to consult with his wife, because in this technique her wife has more role . her wife has to stimulate him and when is just about to ejaculate, he ha sto stop ejaculation, his wife has to press his penis from shaft to glance , in between that he has to press his penis. By doing that the ejaculation stops and again we have to repeat 4 to 5 cycles and while doing these two techniques, slowly slowly over a time of 6 to 5 months, patient gets relief from premature ejaculation.
- The other thing patient can do for premature ejaculation is controlling his breathing, he can take a deep breath when he is about to ejaculate, to stop the ejaculation and by stopping and controlling ejaculation or while urinating he can stop his urine in between and then continue. he can stop urine by 30 to 50 seconds, by doing that he can achieve more firm control over his muscles and that’s why stop premature ejaculation.
You can consult me on lybrate.com, you can chat with me, you can email me, you can call me or you can have a video call with me . I am available 24 hours on lybrate.com. Thank you.read more
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