Premature Ejaculation

You are alone with your partner. The events develop quickly and you intend to prolong your pleasure. But everything ends up before its beginning...

It is normally when it occurs sometimes.  It may occur during foreplay or right after penis touches vulvar lips or enters vaginal opening of the woman. However, if it happens regularly it is abnormal and here we can talk about premature ejaculation.

First of all in this case do suffer man's self-rating and also relationship with his partner. It is not necessarily to bear with that because premature ejaculation can be treated.

What are the causes?
There is no unambiguous answer. There are several causes of premature ejaculation:
1. psychological factors (depression, stress, feeling of guilt, low self-rating, excessive nervousness owing to sex)
2. diseases (problems with thyroid gland, prostate infective diseases, changing of level of particular hormones and substances produced by brain).

Premature ejaculation of young people is connected with inexperience (they do not know yet their body very well). Some men have premature ejaculation as a result of erectile dysfunction.

Diagnosis
For premature ejaculation diagnostics the doctor should find out many things from the past and present patient's state of health and also all about medicines the patient is taking.  The doctor has to ask in details about sexual relationship with the partner.

It is very hard to talk about sexual problems with the doctor, but it is important to ask honestly his questions. Here is an approximate list of the questions:

• How long premature ejaculation is observed?


• Does this problem appeared recently or it exist from the very beginning of sexual life?


• Does the premature ejaculation occur every time or just sometimes?


• Does it occur with only one partner or with every women?


• How often do you make sex?


• Do you take drugs or alcohol?

To find out potential medical reasons of the problem the doctor can appoint complex examination.

How it can be treated?
The main method of treatment is psychological, sexual, pharmacological therapy. In some cases helps the only one way of treatment, in other cases it necessary to use them in complex.

Psychological therapy.
Speaking with psychologist often can be very useful.  Patient can come to consult the doctor along with his partner. Specialist will help to release stress and to improve quality of sexual life.

Sexual therapy.
There are some exercises that help to learn to delay ejaculation, that can be done alone or with the partner.
1. Compression method.  Partner stimulates your penis with her hand until erection.  When she feels that ejaculation is coming she compresses penis head for several seconds. Erection is coming down partially. In 30 seconds  partner stimulates penis again. It should be repeated several times and finally ends with ejaculation.
2. Interrupter method. Partner stimulates penis until ejaculation. At this moment she stops stimulation and waits until the man cools down. Then again she starts to eat penis with her hands. It repeats until ejaculation.

Pharmacological therapy.
1. Antidepressants. Drug side effect of some medicines belonging to that group (paroxetine, flouxetine) is orgasm delay. That is why they can be used on doctor's orders to treat premature ejaculation. If those medicines do not help then doctor prescribes another type of antidepressant called clomipramine.
2. Creams containing local anesthetic (for example, lidocaine) are used for many years to treat premature ejaculation. Cream application on head of penis opiates sensation and delays ejaculation. Before sex cream should be washed off to avoid its contact with woman's genital organs.