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Disorders be it physical or psychological can affect anyone, irrespective of thier age. However, there are certain issues, which can dampen you relation with your partner and can negetively impact your relationship. Premature ejaculation (PE), also referred to as rapid ejaculation, 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 penis) either before or shortly after sexual penetration (usually within 1-2 minutes of penetration), he may be suffering from PE.
Types of premature ejaculation:
Premature ejaculation can be Acquired (recent) or Chronic (lifelong).
- 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 the problem.
- Chronic PE: In chronic (lifelong) premature ejaculation, the person has been experiencing premature ejaculation since he became sexually active (ie, post puberty).
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:
- Mild: Occurring within approximately 30 seconds to 1 minute of vaginal penetration.
- Moderate: Occurring within approximately 15-30 seconds of vaginal penetration.
- 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. If you wish to discuss about any specific problem, you can consult a sexologist.
Keeping your body fit is not only a prerequisite for a healthy life, it is also important for your partner's healthy life. When it comes to sexually transmitted diseases or STDs, there is no doubt that prevention is better than cure. Contrary to popular belief, STDs do not spread only through intercourse. STDs can also spread by skin to skin contact. The easiest way to prevent STDs is by abstaining from sex or being in a monogamous relationship with an uninfected person.
This may not be possible for many men. Hence, let's take a look at alternatives to prevent sexual diseases:
- Get tested - Most STDs can be easily tested for and treated. Thus, it is a good idea to regularly get yourself tested if you have more than one sexual partner. Your partner should ideally also get tested for STDs. However, remember that herpes and the human papillomavirus do not show up on STD tests.
- Avoid sex under the influence of alcohol or drugs - When inebriated, you may not make the best decisions. Decisions made at this stage are usually rash and not thought out. Thus, you may forget to ask the other person if she has been tested for STDs.
- Vaccinations - Vaccinations can be effective against some types of STDs. The HPV vaccine can be given to boys as young as 11 years until they turn 26. Other vaccines that protect men from STDs are Hepatitis A and hepatitis B vaccinations.
- Use condoms - Condoms are the only way to protect yourself against the transference of STDs during intercourse. A condom should be used even if the woman is using an alternate form of birth control. Never reuse a condom and do not use an oil based lubricants with a condom. Before using a condom always check to ensure the condom is not punctured in any way and that it is within the expiry period. A condom should be used for oral, vaginal and anal sex. However, this does not prevent the transmission of STDs like syphilis, herpes and HPV.
- Communicate with your partner - It is a good idea to share your sexual history with your partner. This creates an environment where you can discuss getting tested for STDs before engaging in intercourse. You must reach an explicit agreement about what forms of intercourse both of you are comfortable with. It is also a good idea to discuss a possible monogamous relationship with your partner.
- Circumcision - Male circumcision is said to reduce a man's risk of contracting STDs like HIV, genital herpes and genital HPV. If you wish to discuss about any specific problem, you can consult a sexologist.