Prematue Ejaculation: Real Solution. Posted: 09-02-07 21:17pm
Many men occasionally ejaculate sooner
during sexual intercourse than they or
their partner would like. As long as it
happens infrequently, it's probably not
cause for concern. However, if you
regularly ejaculate sooner than you and
your partner wish — such as before
intercourse begins or shortly afterward
— you may have a condition known as
premature ejaculation.
Premature ejaculation is a common sexual
disorder. Estimates vary, but some experts
think it affects as many as one out of
three men. Even though it's a common
problem that can be treated, many men feel
embarrassed to talk to their doctors about
it or seek treatment.
Once thought to be purely psychological,
experts now know that biological factors
also play an important role in premature
ejaculation. In some men, premature
ejaculation is related to erectile
dysfunction.
You don't have to live with premature
ejaculation — treatments including
medications, psychological counseling and
learning sexual techniques to delay
ejaculation can improve sex for you and
your partner. For many men, a combination
of treatments works best.
There's no medical standard for how long
it should take a man to ejaculate. The
primary sign of premature ejaculation is
ejaculation that occurs before both
partners wish in the majority of sexual
encounters, causing concern or distress.
The problem may occur in all sexual
situations, including during masturbation
— or it may only occur during sexual
encounters with another person.
Doctors often classify premature
ejaculation as either primary or
secondary:
You have primary premature ejaculation if
you've had the problem for as long as
you've been sexually active.
You have secondary premature ejaculation
if you developed the condition after
having had previous, satisfying sexual
relationships without ejaculatory
problems.
Experts are still trying to determine
exactly what causes premature ejaculation.
While it was once thought to be only
psychological, we now know premature
ejaculation is more complicated and
involves a complex interaction of both
psychological and biological factors.
Psychological causes
Some doctors believe that early sexual
experiences may establish a pattern that
can be difficult to change later in life
such as:
Situations in which you may have hurried
to reach climax in order to avoid being
discovered
Guilty feelings that increase your
tendency to rush through sexual encounters
Other factors that can play a role in
causing premature ejaculation include:
Erectile dysfunction. Men who are anxious
about obtaining or maintaining their
erection during sexual intercourse may
form a pattern of rushing to ejaculate
which can be difficult to change.
Anxiety. Many men with premature
ejaculation also have problems with
anxiety — either specifically about
sexual performance, or caused by other
issues.
Biological causes
Experts believe a number of biological
factors may contribute to premature
ejaculation, including:
Abnormal hormone levels
Abnormal levels of brain chemicals called
neurotransmitters
Abnormal reflex activity of the
ejaculatory system
Certain thyroid problems
Inflammation and infection of the prostate
or urethra
Inherited traits
Rarely, premature ejaculation is caused
by:
Nervous system damage resulting from
surgery or trauma
Withdrawal from narcotics or a drug called
trifluoperazine (Stelazine), used to treat
anxiety and other mental health problems
Although both biological and psychological
factors likely play a role in most cases
of premature ejaculation, experts think a
primarily biological cause is more likely
if it has been a lifelong problem (primary
premature ejaculation).
Various factors can increase your risk of
premature ejaculation, including:
Impotence. You may be at increased risk of
premature ejaculation if you occasionally
or consistently have trouble getting or
maintaining an erection. Fear of losing
your erection may cause you to rush
through sexual encounters. As many as one
in three men