Tips On How To Prolong Sexual Intercourse

1. Use condom when you make sex.

2. Try to think on abstract subjects during sex. Here sometimes help thoughts about an unpleasant event or phenomenon.

3. Try next yoga exercise. It is connected with urination. Learn to control it or in other words voluntarily keep urine stream and then again start to urinate. Scientists still have not found the connection but in some patients this yoga exercise works.

4. Masturbation helps to prolong sex as well. It should be done just before sex.

5. Operation of circumcision is an effective way to prolong sex by 2 – 3 times.

6. To delay ejaculation you should not squeeze urethra with hand because in this case part of sperm remains on the backside of urethra, goes back in seminal vesicles and enters the urethra. In males who frequently does this, occurs stagnation in prostate which may lead to development of chronic inflammations in prostate gland. Besides this, may appear disorders in functioning of prostate sphincteric apparatus that causes retrograde ejaculation.

Premature Ejaculation Causes

Most common psychological cause of ejaculation problems is sexual overexcitement. Most frequently it occurs in young men who just have started their sexual life but from time to time it may occur in experienced men. Excessive excitement is connected with tension increase in section of cerebral cortex responding for sexual function. That is why occurs premature ejaculation and orgasm.

Much rarely meets such factor as fear of sexual intercourse that causes premature ejaculation. For instance, sexual intercourse occurs in an unconventional place (in a country-house, in a car, in parent's bedroom). In this case a male on the subconscious level tries to finish as quickly as possible and thus in him occurs premature ejaculation. It should be mentioned that fear of sexual intercourse occurs mostly in young men, therefore in this situation rarely is possible to follow up causes of sexual dysfunction.

In most cases problems with premature ejaculation connected with psychological specific features in a male go away with time. Sometimes the disorder may aggravate thus making man refuse from sexual life in future. Often premature ejaculation is accompanied with erectile dysfunction.

In case it is impossible to solve psychological problems independently and they do not go away with time, male should consult a psychologist who specializes on such disorders. Also key role plays women's attitude who must help her male. A tender and careful partner may help much better than a professional.

Distinctive Features of Ejaculation Disorder Connected With Psychological Problems

 - beginning of sexual life
 - irregular sex life during which are alternated periods of high activity with long-term abstinence
 - duration of sexual intercourse may be different
 - with different partners intercourse occurs differently and lasts different period of time
 - frequently after first intercourse it is impossible to continue intimate interaction due to lack of normal erection
 - problems with ejaculation often do intercept with erectile dysfunction
 - it is possible to prolong sexual intercourse from time to time mentally switching to abstractive themes, often unpleasant. Sometimes this way to abstract from reality leads to erection disappearing.
 - alcoholic drinks help to relax but they delay ejaculation.

Chronic Inflammation of Seminal Vesicles And Premature Ejaculation

The inflammation of  seminal vesicles is called vesiculitis. Seminal vesicles are a part of male reproductive system which do accumulate sperm cells and other components of sperm. They are located behind prostate gland. Seminal vesicle muscles get compressed during ejaculation and all their contents move to the back of urethra.

In most cases vesiculitis is associated with prostate gland inflammation called prostatitis. In seminal vesicles inflammation their tissue becomes sensitive to irritations, so ejaculation may be caused even by insignificant excitement.

Signs of premature ejaculation connected to vesiculitis:
 - problems with ejaculation occur from time to time, i.e. sexual intercourse may last an acceptable time, but sometimes may end prematurely;
 - premature ejaculation is developing gradually and with all this previously man had no problems with ejaculation before the disease onset;
 - ejaculation may occur not only at once after penis entering into vagina but also during arousal, and besides this, a slight arousal may be enough to cause premature ejaculation;
 - each eventual intercourse lasts longer than the preceding one;
consumption of alcohol prevents from quality improvement of sexual life and even significantly aggravates it;
 - orgasm is felt not so strongly as without vesiculitis, ejaculation may be painful, and sexual intercourse gives no pleasure;
 - usage of condoms and lubricants do not help to prolong sexual intercourse. Besides this, sprays with anesthetics do not help to improve the situation.

Diagnostics of seminal vesicles and its treatment is connected directly to solution of prostate problems.

Specific Features of Hypersensitive Glans

Hypersensitive glans is most common cause having an effect on time when ejaculation occurs and intercourse duration.

Hypersensitive glans may be acquired or congenital. Acquired hypersensitive nerve endings in most cases is caused by phimosis or balanoposthitis but this disorders occur quite rarely.

Premature ejaculation caused by hypersensitive nerve endings found on head of penis (glans) has many  specific features:

• Duration of all sexual intercourses is approximately the same.
• In most patients ejaculation disorders are observed during all sexual life.
• Each next intercourse lasts approximately the same as first one.
• Sexual intercourse with condom lasts significantly longer than without it. The same effect has artificial lubricants – as more amounts of it are used, the longer sexual intercourse is.
• Sperm release doesn't occurs before penis enters vagina. Here are not taken into consideration cases when ejaculation occurred because of friction of erected penis against linen or during wearing condom.
• Small amount of alcohol helps to increase duration of sexual intercourse.
• It is possible to prolong sexual intercourse by using special condoms with anesthetics and artificial lubricants based on this substances.

There exists a simle way to deal with premature ejaculation connected with hypersensitive glans. You should use gel lubricants containing  anaesthetics. Apply it on glans 10 – 15 minutes before sexual intercourse. Also to prolong intercourse may be used spray that contains lidocaine which applied  as well directly on penis.

What Are Premature Ejaculation Causes?

Premature ejaculation is characterized with sperm release from penis before penetration or right away after it. There is no another scientific description of this disorder in medicine.

Many sexologists tried to find a connection between premature ejaculation and intercourse duration, number of frictions during intercourse, time that it takes a woman to reach orgasm, but no one has found this connection.

Who suffers from premature ejaculation?
In most cases premature ejaculation is found in young men who started early their sexual life. Premature release of sperm occurs because of excessive excitement or hypersensitive glans – these are two major factors causing premature ejaculation right away after beginning of sexual intercourse or before penetration.

It is considered that premature ejaculation occurs in younger age and with experience disappears. However, when the situation not changes, man starts seeking medical advice.

Premature ejaculation occurs rarely among adult males. However, the disorder may be kept from teenage but may appear in mature years. Causes of premature ejaculation in experienced men differ from premature ejaculation in young men.

Premature ejaculation causes
All factors causing premature ejaculation may be divided into next groups:
 - physiologic, i.e. connected with diseases and peculiarities of male genitalia constitution
 - psychological, i.e. connected with environmental effect over male psyche

There are two physiologic causes of premature ejaculation:
1) chronic inflammation of seminal vesicles  (vesiculitis);
2) hypersensitive glans.

Ejaculatory Dysfunction

Ejaculatory dysfunction is common notion for a group of sexual pathologies that show with ejaculations disorders or its absence.

Forms of ejaculatory dysfunction

Anejaculation 
Anejaculation is a syndrome which is characterized with orgasm without ejaculation. In diagnostics it requires differentiation with aspermia and retrograde ejaculation.

Causes
1. pathology of nervous system resulting in ejaculatory duct disorder
2. ejaculatory duct obstruction

Risk factors

• spinal cord injuries
• diabetes
• vesiculitis

Premature ejaculation
Premature ejaculation is a condition characterized with ejaculation occuring after very few number of frictions during sexual intercourse or before penetration into female vagina

Causes
Premature ejaculation may have psychological or physiological causes. Most common psychogenic cause is excessive degree of sexual excitement specific essentially for men with little sexual experience  which occurs during first sexual intercourses. Among physiological factors most frequent cause is sensitive penis head which may be a normal individual indication of a male, or resulted from different urological diseases such as balanoposthitis.

Retrograde ejaculation
Retrograde ejaculation occurs when semen releases backwards into bladder. Most frequent cause of retrograde ejaculation is operation in neck of urinary bladder - transurethral prostatic resection and open adenomectomy.

Delayed ejaculation
Delayed ejaculation occurs when a male experiences difficulty to orgasm.

Psychogenetic Forms Of Premature Ejaculation

Most common psychological cause of premature ejaculation is overexcitement and this occurs more frequently in young men who just have started sexual life. However, premature ejaculation occurs in adult men too. In a very strong sexual excitement rapidly is increased strain in a particular part of cerebral cortex which leads to quick ejaculation and orgasm.

Another cause of premature ejaculation is fear of sexual intercourse. For example, sexual intercourse is performed in a inappropriate place which not provides safety (outside, in the car, when parents disturb).In this situation man hurries to finish intercourse and accelerate ejaculation. It should be noted that this occurs often in young men, therefore causes of premature ejaculation here may be defined rarely.

Distinctive features of psychogenetic premature ejaculation:

• beginning of sexual life
• rare, irregular sexual life
• duration of sexual intercourse may be different with different partners
• it is impossible to perform second sexual intercourse because of lack of erection
• premature ejaculation often courses with erectile problems
• sometimes abstract thoughts help to prolong intercourse. Such thoughts often lead to loss of erection
• small amount of alcohol usually greatly improves situation

Often psychologic problems with ejaculation are solved quickly with age and further sexual life experience. However, sometimes problems just get increased making sex life difficult or even impossible. Premature ejaculation sometimes goes with erectile dysfunction or ejaculation delay.

Severe psychologic problems require help of experienced sexologist or psychologist. Great importance has partner's behavior – it is easier to solve problem together than alone. Sensitive and intelligent woman is able to lend man greater support than a good psychologist.

Chronic Vasculitis And Premature Ejaculation

Vasculitis is an inflammation of seminal vesicles. Seminal vesicles are located behind prostate gland and their function is to accumulate spermatozoids which are produced in testes. During ejaculation  seminal vesicles get shrinked and their lining gets into back part of urethra.

Vasculitis usually develops with prostatitis (inflammation of prostate gland). In vasculitis the walls of seminal vesicles are more sensitive, therefore their compression and ejaculation may be caused by a slight sexual excitement.

Distinctive signs of premature ejaculation associated with vasculitis:

• wavy course (periods of normal intercourse are alternated with periods of premature ejaculations);


• premature ejaculation developed gradually and  before its appearing there were no problems with sexual life;


• ejaculation may occur before intercourse, touching and penis head stimulation;


• second and further intercourses are significantly longer than first one;


• alcohol consumption never changes the situation and only aggravates it;


• sensation of orgasm is fuzzy, sexual intercourse not satisfies and ejaculation is followed by pains;


• usage of condoms and lubricants not influences on intercourse duration.

Hypersensitive Glans

This is most frequent cause of premature ejaculation. Hypersensitive glans may be inherent or acquired. Acquired hypersensitive glans may be resulted from balanoposthitis or phimosis but this occurs rarely.

Premature ejaculation connected with hypersensitive glans has a number of peculiarities:
- It never courses wavily, which means duration of sexual intercourse is always the same.
- Most of all premature ejaculation goes with a male all his life.
- Second and third sexual intercourses are not longer than first one.
- Duration of sexual intercourse with condom is significantly longer than without condom.  -  - The same thing is about non-natural lubricants  - the more it is applied , the more longer sexual intercourse is.
- Ejaculation never occurs before sexual intercourse except cases when ejaculation occurs when wearing condom or rubbing penis head of underwear.
- Drinking some alcohol helps to significantly prolongation of sexual intercourse.
- Special condoms and lubricants prolong sexual intercourse.

Generally, it is easy to find out if premature ejaculation is connected with hypersensitive glans. For that purpose you should use special lubricant with anesthetic which you may buy in pharmacy or sex shop. As a rule, such lubricants are applied within 10 minutes to penis head before sexual intercourse. If you see it works and duration of sexual intercourse is increased then your premature ejaculation is really connected with hypersensitive glans. However, it does not mean that is the only cause of premature ejaculation.

The most effective way of treatment for  hypersensitive glans is circumcision (penis foreskin removal). After this operation glans is in permanent contact with underwear. After circumcision the duration of sexual intercourse increases twofold even if you had no problems with it before. In case you had problems they are solved easily.

If hypersensitive glans is connected with balanoposthitis or phimosis then operation is the only  solution. In case male refuses to make circumcision he may continue to use lubricants with anesthetic. It seems not favorable but it helps to avoid operation and lead normal sex life.

What Premature Ejaculation Is

Premature ejaculation is a condition when ejaculation occurs before penetration into female vagina or immediately after penetration. There is no exact definition of premature ejaculation. Many sexologists tried to link premature ejaculation with length of sexual intercourse, number of frictions and even with partner's orgasm but no one gave exact definition.

Who Suffer From Premature Ejaculation?
Mainly, these are teenagers at the onset of their sexual life. Premature ejaculation in teenagers may be connected with overexcitement or hypersensitiveness of penis head, and as a result ejaculation often occurs before penetration into vagina or after making just several movements. Frequently it quickly passes with experiences in sex life but in some cases it persists for a long time.

Seldom premature ejaculation occurs in older males. This may be premature ejaculation persisted from youth or one that has appeared in older age. It may have various causes. Let us see them.

Premature Ejaculation Causes
Premature ejaculation causes may be divided into two groups:
1) physiological – connected with health problems or peculiarities of structure and functioning of genitalia
2) psychological

There are two physiological causes:
- hypersensitive glans
- chronic vesiculitis

Next article will be dedicated to hypersensitive glans.

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.