Category: Men’s Health

Now that you have a better understanding of premature ejaculation, learned how how to stop premature ejaculation, and the differences between male sexuality and female sexuality, it is time to put all you know to the test. This section will give you specific advice and techniques to help you manage premature ejaculation yourself. You’ll be able to work with your partner to enjoy fulfilling sex life. Let’s get started.

Take a look at a prescription

It was revealed that antidepressant medications known as selective serotonin reuptake inhibits (SSRIs), can be used to treat premature ejaculation. These medications balance your levels of dopamine and serotonin, which are neurotransmitters that regulate the ejaculation process. Your ejaculatory threshold is raised by serotonin, which delays ejaculation. Dopamine reduces this threshold and triggers it. Research has shown that men who have premature ejaculation have lower levels of serotonin.

SSRIs can increase serotonin and can also increase your ejaculatory threshold. This is the amount of time that you can have intercourse before you start ejaculating. Even tho the results may not always be spectacular — SSRIs can double your IELT for some men, it is worth looking into if you have premature ejaculation.

SSRIs were not recommended for me when I was younger, and because of my experiences with premature ejaculation, they were quite distressing. If they were, I’m sure I would have tried them. Regardless of the embarrassment and risk of side effects, or the inconvenience of speaking to a doctor. My entire sex life was affected by premature ejaculation.

It’s easy to see how an SSRI can help you boost your sexual confidence, and provide a foundation for a comprehensive plan to tackle premature ejaculation. Preventative medication alone will not cure premature ejaculation. It is important to not become dependent on it, or use it as a crutch. If you look at it this way, taking a pill doesn’t mean that you are weak or lazy.

It’s another tool in your arsenal for premature ejaculation. Other benefits of an SSRI include helping you deal with anxiety and depression related to premature ejaculation. Counseling men suffering from premature ejaculation has shown that many of them are anxious and depressed. An SSRI can help to reduce anxiety and depression and delay ejaculation.

You should also remember that some side effects, such as decreased sexual desire and nausea from SSRIs, may be counteracted by other medications, like Viagra. Yes, SSRIs can sometimes decrease your sexual desire while increasing your IELT.

Side effects from taking one medication to prevent premature ejaculation can lead to the need for another. It’s frustrating — but I’m not saying that pharmaceuticals can solve all problems. However, these tradeoffs may be worth it if you are suffering from premature ejaculation.

There are some medications that might help

Let’s look at some medications that could improve premature ejaculation. The U.S. Food and Drug Administration (USFDA) has not approved any medications to treat premature ejaculation. The medications listed below are all prescribed by doctors “off label”.

This means that they can be used for other conditions (depression, for instance) and may also be useful for treating premature ejaculation. These drugs may have side effects but they are safe and effective. Doctors will often prescribe them for premature Ejaculation.

Paroxetine (Paxil)

Type: SSRI

Typical dose: 20 mg/day

Side effects: Nausea, headache, sleepiness, dry mouth, dizziness

What to Expect: It may take up to six weeks for you to notice the benefits of premature ejaculation. You must continue to do this every day.

Men with liver disease, bipolar disorder or bleeding disorders or those who have had a heart attack or have just been diagnosed with it should be cautious.

Notes: This drug may interact with the antiseizure drugs phenobarbital, warfarin, Coumadin, alcohol, and other antidepressants

Prozac (fluoxetine)

Type: SSRI

The average daily dose is 10-20 mg

Side effects: Nausea, headache, insomnia, nervousness, dizziness

What to Expect: It may take up to six weeks for you to notice the benefits of premature ejaculation. You must continue to do this every day.

Men with diabetes and a history of seizures should be cautious

Notes: This medication may interact with antiseizure drugs phenobarbital, warfarin, Coumadin, lithium, sedatives and other antidepressants

Zoloft (sertraline).

Type: SSRI

Typical dose: 50 mg/day

Side effects: Nausea and headaches, diarrhea, insomnia

What to Expect: It may take up to six weeks for you to notice the benefits of premature ejaculation. You must continue to do this every day.

Men with liver disease, kidney disease or glaucoma should be cautious and consult a physician before using this product.

Notes: Warfarin (Coumadin), diazepam, Valium, sedatives and alcohol may interact

Priligy (dapoxetine)

Type: SSRI

Side effects: Nausea, headache, dizziness, nervousness

What to Expect: This product is suitable for “ondemand” use, meaning it can be used before you have sex every day.

Notes: This product is not yet available in the United States. It can be obtained by prescription in certain countries like Germany, Finland and Sweden.

Viagra

Type: Phosphodiesterase type 5, (PDE5) inhibitor 25-50 mg one to two hours prior to intercourse

Side effects: Diarrhea, dizziness, facial flushing, stuffy nose, heartburn

The typical dose: This is for “ondemand” use. It can be taken before you have sexual activity, but not every day.

Men with high blood pressure, or those who have had a stroke or heart attack in the past should be cautious. Men who take nitrates should not use this product.

Notes: Interacts avec nitrates. Some antibiotics and protease inhibitors may interact.

Talk to your doctor

Although medication can be beneficial, you must get it from your doctor. I’ll repeat the last sentence: your doctor. Do not order SSRIs or prescription drugs over the Internet. It’s easy and convenient, but it can also be cheaper. It’s risky, at best.

You don’t know if the medication you ordered is safe or legitimate. Talking with a pharmacist and doctor can help you understand the interactions and possible side effects. Don’t fall for the hype of online sales and instead make an appointment to see a professional.

Many men don’t want to discuss premature ejaculation. It can be difficult to ask a doctor for assistance. This article should have given you the confidence to have a mature discussion about premature ejaculation without embarrassment. In the wake of decades of Viagra prescriptions and commercials, doctors and patients have become more comfortable talking about sexual issues.

They also see a problem as a physiological one, and not just a sexual one. There is less stigma. Despite this, it’s likely that you won’t be the only one feeling uncomfortable. It’s not uncommon for doctors to be uncomfortable discussing sex. Doctors are not likely to bring up sex with patients on their own.

It is up to you to discuss premature ejaculation. It’s likely that you will have to bring up the topic during your visit. In fact, your doctor may not know as much about premature ejaculation as you do. This is where you can do all your research. Here’s a comprehensive overview of premature ejaculation, its causes, and how you can manage it.

It should be possible to explain the problem to your doctor and what he can do for you. It is a good idea to bring information about premature ejaculation and how SSRIs may help. This guide can be used to inform your doctor.

How to prevent premature ejaculation

Your doctor will be there for you, regardless of any discomfort or lack thereof. They are likely to be open to discussing your concerns and offering possible treatments. You will need to lead this conversation, as I have said. These are some suggestions to get you started.

“I am embarrassed. But I would like to talk with you about a problem that I have.”

“I have a sexual issue that I would like to talk about.”

“I read an article on premature ejaculation, and I think that it might be something I have.”

“Do you handle sex-related issues? If so, can you refer me?”

After you have started to talk, mention that you read about SSRIs and how they can improve premature ejaculation. Your doctor should also know that premature ejaculation can be a chronic condition. Before you receive your prescription, there are some other issues that you should discuss with your doctor. Here are some things you might want to think about:

The length of time you will be taking the medication. Some studies show that some men have an increase in IELT after stopping taking SSRIs. However, these improvements will eventually fade if the medication is stopped.

I would not worry about how long you should be taking SSRIs. It doesn’t matter if you have any side effects other than mild, taking SSRIs now will help you to focus on a comprehensive, long-term approach to premature ejaculation. You can take it one step at a given time. You should concentrate on your premature ejaculation. If SSRIs do help, it’s a positive thing.

These are some possible side effects. Below is a list of side effects that are common with SSRIs. You can ask your doctor for more information on side effects and interactions between SSRIs. There are many side effects that can occur.

For example, you may not feel any side effects. You might experience mild nausea and not be able to deal with headaches. You won’t know what side effects you might experience until you actually take the medication. Talking with your doctor about the options can help you choose which SSRI is right for you. It is likely that you will start with a very low dose and increase your dosage over time.

Naturally increase serotonin

Research has shown that SSRIs are the best way to increase your serotonin levels. However, they are not the only way to go. Here are some drug-free ways to increase serotonin.

Exercise. Regular exercise can help with depression symptoms, according to studies. Although more research in humans is necessary, research in rats suggests that animals with higher levels of serotonin experience increased exercise.

While there is no evidence that physical activity can help with premature ejaculation (premature ejaculation), I believe it can and should. A daily walk, jog or bike ride can improve your mood and reduce anxiety, which are important benefits for premature ejaculation men.

Sunlight. Bright light exposure is a standard treatment for seasonal affective disorder (the so-called “winter blues”), and may prove to be more effective than antidepressant medication. Research suggests that it might increase serotonin.

This is naturally lower during winter months when days are shorter. One 2002 study showed that serotonin production is directly related to how much sunlight is received by the brain. The brighter the sun, the more serotonin can be made. We need to study the impact of bright light on premature and severe ejaculation.

A walk in the sun during lunchtime may be a good option to combat the anxiety and depression that often accompany premature elimination. A sun lamp or lightbox, which mimics the sun’s bright rays, may be worth considering.

Supplements. Here’s a quick overview of some supplements that are commonly used for premature ejaculation. They claim to increase serotonin similar to SSRI drugs. Research suggests that 5HTP (5-hydroxytryptophan), a natural compound, may increase serotonin.

There is little evidence that 5HTP supplements, which are usually made from African Griffonia seeds, can reduce depression or even treat premature ejaculation. I would recommend that you avoid such supplements and instead focus your attention to other treatments.

Can yoga stretch your IELT?

As a way of coping with premature ejaculation, relaxation is often recommended. It’s not surprising that premature ejaculation can be exacerbated by stress.

Deep breathing, meditation and physical activity are all ways to reduce stress. Counseling is another option. However, little clinical research has been conducted to establish whether certain relaxation techniques actually increase premature ejaculation.

This is beginning to change. In 2007, 68 men were diagnosed with premature ejaculation. A study in the Journal of Sexual Medicine was published. Half of the men received a daily dose SSRI fluoxetine, while the other half were required to practice yoga for one hour each day.

Yoga poses focused on strengthening the pelvic muscles and deep breathing. Eight weeks later, 82 percent (82%) of the men who took fluoxetine saw a significant clinical improvement in premature ejaculation. The IELTs were also increased. All of the men in yoga improved.

Although more research is necessary, this study shows that yoga may be beneficial for men with premature ejaculation. It may help improve focus, strengthen the pelvic muscles and manage stress. Another benefit? Evidence suggests that yoga can increase sexual arousal in women and provide better orgasms. This is a good reason to take a yoga class with your partner or alone.

Give yourself a helping hand.

Masturbation is something I recommend that almost doesn’t seem like work. Masturbation, and how you approach it, can be a great way to manage premature ejaculation, regardless of whether you are single or in a relationship.

This guide explains that a powerful cocktail containing neurochemicals, the chemical messengers dopamine and serotonin, can take over sexual arousal when you are having fun or playing with your partner. This cocktail can make you feel like your body has been lifted.

It can be more difficult for guys suffering from premature ejaculation to control their ejaculation. Masturbate allows you to pay more attention and be more attentive to the different levels of arousal. Masturbation is more than just a great feeling. Masturbation is a powerful tool to deal with premature ejaculation.

Getting started

This is one way to prevent premature ejaculation. Don’t get too “graphic with your graphics” yet. I recommend that you start slowly and avoid using magazines, DVDs, or Internet porn before you dive into the familiar habits of masturbation.

We discussed earlier how visual stimulation, namely pornography, decreases your ejaculatory threshold. Two factors are responsible for this: physical stimulation (reflex-based) and visual stimulation, and porn — because it contains high levels of visual novelty — increases dopamine transmission.

Masturbating without porn reduces a key input to the ejaculatory reaction and also tries to decrease dopamine transmission so we can concentrate on the physical nuances that sexual arousal.

For now, you can masturbate without visual aids. You can rely on your imagination and the physical friction that comes with masturbation. Listen to what sensations you feel. Get used to feeling close to orgasm, but slow down before you go (see below section on Kegel exercises).

For a few days, continue to masturbate in this manner before you move on to the next stage. You should pay extra attention to the sensation of ejaculatory necessity and approach the point of no return without moving past it.

You can experience one to two orgasmic contractions and the expulsion of a few drops “precome” which will help release some of the blood engorgement in your genitals as well as some of the sexual tension. You may notice a slight increase in your arousal, and you might be able to last longer. This technique can cause a loss or soft erection in some cases.

This is especially true if you are older and your refractory period (the time it takes to get an erection back) has increased. Masturbation can be a great way to test this technique to see if it is right for you. It will be helpful to become more aware of your arousal process and expand it rather than rush through it.

Masturbation Plus

After you have mastered the technique, it is time to add some porn. Pornography can be especially beneficial for men with premature ejaculation. It introduces a high degree of visual stimulation and, therefore, excitement, which is similar to what you feel when you have sex.

Masturbating can be compared to learning how to drive. If you think masturbating is just a way of getting around a parking lot at night, then masturbating with porn would be like driving on the highway at dawn. Although there are fewer drivers than before, it is still closer to the real thing.

Remember that your goal when using porn is to keep the same physical awareness as when you were masturbating with no visual aids. You want to feel in control of your sexual urges and to be able to pull back after having had enough.

A word about it:

As a sex counselor and relationship coach, I spend a lot time helping men detox from porn. Although “addiction” might seem like a strong term to describe the problem of sexual dependency, many men are now able to access porn online. This article explains that sexual arousal can affect your brain’s reward centers just like other addictive behaviors, such as gambling and drugs.

This is a problem for two reasons. First, porn can provide men with a lot of visual stimulation and can lead to boredom when it comes to real sex. As we age, our refractory periods become longer. This is the time it takes for your body to recover from its pre-aroused state or the length of time you wait between erections. You may lose your natural libido if you waste it on porn.

Although I often recommend that men cut down on porn, I prefer to do the opposite with guys who have premature ejaculation, especially during training. Men with premature ejaculation often have a different experience than men who aren’t.

Men who depend on porn for masturbation may develop unique masturbatory styles. This means that they may use different friction and pressure levels to masturbate than what is actually happening during real sex. They may experience difficulty in having real sex after they get used to the masturbation style. This is called delayed ejaculation.

This desensitization is not only a problem for most men, but can also be beneficial for those with premature ejaculation. Premature ejaculation can be controlled by using more stimulation. Porn and other forms of erotic material can help manage premature ejaculation.

However, you need to be aware of the potential problems. Porn, like SSRI drugs, can cause side effects and tradeoffs. These issues can be avoided by being aware, monitoring them and weighing the pros and cons.

Here are some techniques to try.

These are just three things you should consider when masturbating.

Lubrication. Do not add any lubrication to your hands when you start masturbating for the purpose of managing premature ejaculation. Dry your hands. Once you are able to recognize and delay your point of ejaculatory inevitableness, you can add lube with porn. This will increase your physical stimulation.

sleeves. Sleeves are also known as “artificial vaginas.” They provide more stimulation for masturbation. There are many sizes and shapes available, some of which resemble flashlights or motorcycle grips. They also come with silicone coatings.

It’s simple. You just need to insert your penis in the sleeves and then pump it away. Some sleeves are designed to delay premature ejaculation. Although such claims may seem exaggerated it is worth trying a sleeve. You can use one after you have learned to recognize your point in ejaculatory necessity with regular masturbation to help you get used the higher levels of stimulation. Sites like babeland.com sell sleeves

Kegels. Women have long been advised to strengthen their pelvic floor muscles, also known as the pubococcygeus or PC, to help with bladder control, labor pains, and improve sex life. These exercises are also known as Kegels after the 1940s doctor who created them. They may also help prevent incontinence in men. Kegels can also be used by sex therapists to treat premature ejaculation. They allow you more control of your pelvis.

Although I think Kegel exercises are a pre-ejaculation management tool that is overhyped, it can be a great way to identify and contract these muscles and help you get away from the point where ejaculatory inevitability occurs during intercourse and masturbation. Here are some tips to help you identify and exercise your PC muscles.

• As if you want to stop passing gas or urine flowing, tighten your rectum.
• Do not perform the exercises while you are actually urinating.
• As you perform the exercises, your PC muscles should be pulling inwards and upwards. Your penis and testicles may also feel a little more flexible.
• For 3 to 5 second, hold the contraction and then release them for 3 to 5.
• You can repeat up to seven cycles of relaxing and contracting at once, at least three times per day.

Do you need to masturbate before having sex?

If masturbation can be helpful in ejaculating prematurely, then should you also masturbate before having sex? This is a common approach that premature ejaculated men have tried. It seems natural to masturbate immediately to “get it out” and make your body last longer.

It’s not so simple. Although masturbating before having sex can delay ejaculation, it is not a viable option. My experience is that older men have difficulty regaining an effective erection. I’ve also seen younger men struggle to get an erection after masturbating. However, they are more likely to do so when they’re surrounded by a person, and their IELT doesn’t increase.

Some men are unable to regain soft or even quick erections. A man can ejaculate physiologically without having an erection. Many men who have premature ejaculation are in this position. Second ejaculations, in this instance, after masturbation or during intercourse, are often not as enjoyable as the first. Masturbing before sex is a good way to mask the fact that you have premature ejaculation. It doesn’t solve the problem. This article will help you to make progress in your ability delay ejaculation.

Final words

You should be able to manage premature ejaculation yourself after you have finished reading this section. You’ve taken one step closer towards lasting longer by getting a prescription for SSRIs or other medications. You’ll be able to put together all the lessons you have learned with your partner. You want to live a happier sex life.

Continue Reading

• The Complete Guide To Premature Ejaculation (Part 1/5 – Quiz)
• The Complete Guide To Premature Ejaculation (Part 2/5 – Common Myths)
• The Complete Guide To Premature Ejaculation (Part 3/5 – Understanding Arousal)
• The Complete Guide To Premature Ejaculation (Part 4/5 – Treatment Options)
• The Complete Guide To Premature Ejaculation (Part 5/5 – Putting It All Together)

Understanding arousal

I briefly explained the basics of ejaculation. We’ll now be looking at how to prevent premature ejaculation, instead of getting best otc premature ejaculation pills. I also want to give you an overview of male sexual arousal and what you and your partner should expect when you are turned on. Masters and Johnson, pioneering sex researchers, created this four-stage model to understand male sexual response in the 1960s. It still holds true today.

Excited. This is the first phase of sexual tension. You’ll feel and see it in your body. Your penis blood vessels begin to fill up with blood when you stimulate them. This causes them to swell and harden. It’s not just your penis that becomes erect. Your nipples and earlobes, lips and nostrils all swell and darken as well, and your testicles become closer to your body. Your heart rate and breathing speed increase, and blood pressure increases.

Plateau. Your excitement might start to level off or plateau before you feel even more excited. This phase is when your body is ready to have an erection. Your abs and thighs become tighter as you prepare to come. Your hands and feet start to clench and your breathing becomes faster and more uneven.

Orgasm. This third stage of sex is considered the most enjoyable. All that tension that has been building up during orgasm is finally released. The plateau phase is marked by increased blood pressure, rapid breathing and muscle contractions. This is when you reach your point of ejaculatory inevitable and cannot stop yourself from climaxing.

Resolution. After your orgasm, the final phase of sexual reaction occurs. This is basically when your body relaxes. The tension in your muscles and blood pressure drop, and your excitement begins to fade. Many men feel tired during resolution. Unless you are a teenager, your penis will also go on a rest. This is the time when your body heals from an orgasm, but you don’t have an erection immediately. It varies depending on your age.

Controlling the ejaculatory inevitable

I understand what you are thinking. You can’t resist orgasm once you have passed the point of ejaculatory inevitable. How can you manage ejaculatory inevitable?

It’s clear that you can’t get to the point where ejaculatory inevitable happens too fast. However, if you are able to recognize when you are approaching ejaculatory inevitable you can also learn to control it. You get an erection if blood enters your penis and the base muscles contract to keep it full. When you reach the point where ejaculatory inevitable is reached, your muscles relax and some of the blood starts to flow out. After an orgasm, your muscles relax completely and all the blood returns out.

This physiological process can make you live longer. To avoid missing your moment of ejaculatory inevitable, you need to know where it is. It’s like a valve you use to release some of the sexual buildup. This will allow you to last longer and cycle you back a little in the process.

You might notice some precome or seminal fluid when you use this technique. After experiencing a few of the pleasures of orgasm without actually ejaculating you can give your penis a squeeze. This will reduce the urge to ejaculate and force some blood from the penis. This is a great strategy to make your orgasm last longer and it feels great. This technique can result in multiple orgasms for men or, at the very least, the concept of male multiple Orgasms. You will experience one to two pleasant contractions and then you are able to go back to the beginning.

You should feel one to two pleasant orgasmic contractions once you reach the point where ejaculatory inevitability is possible. You will feel some relief from the sexual tension in your pelvis. However, you won’t ejaculate. Instead, you keep an erection to continue. When we talk about techniques, we’ll discuss more details on how to identify and control the “point of no returns”.

Multiple orgasms between him and her

While I won’t dwell too much on male multiple orgasms (although it is a technique to “come close”), I don’t believe this should be confused or misunderstood with the incredible female potential to experience multiple orgasms. It’s a way to enjoy some of the pleasures of orgasm, but delay the huge payoff of ejaculation. Women, however, have an innate ability to experience multiple orgasms. Women’s genitals take longer to recover from a loss of erections than men. Men lose their erections more quickly and enter what’s known as a refractory phase. The clitoris doesn’t contain the venous plexus which is the mechanism in the penis to retain blood and sustain an erection.

Women who have more blood in their pelvic region after orgasm can experience more orgasm. Natalie Angier, a science writer for the New York Times, wrote that while it may take a long time to reach the first summit, the lusty mountaineer will find wings waiting her once she has reached the top. She doesn’t need to climb back up to the top to reach the next peak. Instead, she can glide on currents of joy like a raptor.

Another way to think about arousal

A new theory by John Bancroft and Erick Janssen at the Kinsey Institute offers a different way to think about sexual arousal. It is called the Dual Control Model of Sexual Response and it has real potential to help us understand sex. My Good in Bed colleague Emily Nagoski (PhD), author of The Good in Bed Guide to Orally Pleasuring a Man, and The Good in Bed Guide to Female Orgasms, has collaborated with Kinsey researchers. She shared her findings with me.

The new model of sexual arousal consists of two parts.

Sexual Excitation System (SES). This is your sexuality’s gas pedal. There are many things that can push the pedal to rev your engine. These include visual stimulation (looking at your partner and viewing porn), tactile stimulation (having someone touch you), and everything else in between. Your environment and thoughts are constantly being scanned by your SES to identify sexually attractive things. It sends signals to your brain to activate those items when it finds them.

Sexual Inhibition System (SIS). Your SIS acts as your body’s brake pedal. There are two types of SIS, according to research. One is performance anxiety, which can be characterized as your fear of premature or irreversible ejaculation. This is called SIS1. Your SIS2 is a response to your fears of unintended pregnancy and sexually transmitted disease. Your SIS2 scans your environment for potential turnoffs, just like the SES. Although it sounds like a negative, the SIS can be a great help. It will prevent you from having an erection at a meeting with your boss or family dinner.

Each of us has both an SES or SIS, and both are necessary for a healthy sex lifestyle. Arousal is a two-part process. It requires stimulation for the SES as well as removing triggers that could trigger the SIS. The amount of stimulation received by the SIS and SES will determine how sexually stimulated you are. Your sexuality is like a car. You need the right mixture of gas and brakes to ensure a smooth ride.

SES and SIS can be used by premature ejaculated men and their partners to put the brakes on during sex. In this article I mentioned that premature ejaculation can be managed by anticipating and postponing the point of ejaculatory inevitable. Here power and control are key. Your partner will be able to do certain things to engage your brakes or SIS once she is familiar with you. You will have to wait longer to have an orgasm if she keeps stepping on the brakes. This can not only prolong the time it takes to ejaculate but can also make your orgasms even more intense.

This is a great way to get to know your brakes and pedals.

You can delay your point of ejaculatory inevitableness to help you manage your premature ejaculation. However, you must identify the revs and brake pedals that you use to control your engine. You should make a list of the pedals and brakes that you use. Also, note the fears and worries that you avoid. There are many factors that can affect the effectiveness of pedals and brakes. What works for one person may not work for another. Here are some examples.

Pedals

• Visual excitement: Looking at your partner and viewing pornography
• Tactile excitement is when your partner touches you or you touch them. It also includes the amount of friction and lubrication used. Oral stimulation or manual stimulation.
• Sexual excitement: Thinking about sex with your partner, daydreaming or fantasizing about sex.
• Premature ejaculation is more severe than others. Premature ejaculation can be pushed over the edge by negative emotions, interruptions during sex, or other factors that may act as brakes. These pedals are:
• Environment excitement (seeing, hearing, or anticipating interruptions that could speed ejaculation such as a knock on the door, crying baby or barking dog)
• Anxiety, which is a common emotion in men with premature ejaculation, can be paired with sex.

Brakes

• Fear of sexually transmitted diseases, pain and injury, as well as unintended pregnancy, are some of the negative consequences of sex.
• Be worried about pleasing your partner.
• Beware of being seen or heard by others while you are having sex
• Problems in relationships or thoughts that distract
• Music, television and talking are distractions that can be used outside of work.

Partnering with you

You should now have a good idea of how sexual arousal works and your responses to it. What about your partner’s sexuality, though? Premature ejaculation doesn’t only affect you, as I have said before. Your partner will also be affected by premature ejaculation. Not only does it affect your sexual ability, but also how she reacts to and handles your premature ejaculation. Premature ejaculation can be described as a relationship problem.

Congratulations if you have had an honest discussion with your partner about premature Ejaculation. Your partner is already far ahead of the rest, as most men would rather watch Gossip Girl than discuss premature ejaculation. You might be embarrassed or uncomfortable talking about it, but this is one the most important conversations that you and your partner will ever have.

You can actually make things worse if you don’t discuss premature ejaculation. You might not be able to explain what is happening and why, and she may feel confused. You can’t blame her if she feels that way. Premature ejaculation can be difficult for women to comprehend when you consider the differences in sexuality and arousal between men and women.

Female arousal: Looking under the hood

Most guys don’t know as much about the inside of a car as they do about the outside of a clitoris. We are woefully ignorant about female sexuality, not only the physical but also the emotional. While I won’t spend too much time discussing the details of pleasing a woman, it is crucial that you make sure your partner is happy for men with premature ejaculation. These are the essential facts you need to know.

Emotion. A woman must feel desire before she can be aroused. This is why female sexuality differs from male sexuality. Most men only need a little visual stimulation in order to feel the urge to have sex. This is why men are the main consumers of porn, and Viagra works well for them. Rosemary Basson MD, a University of British Columbia psychiatrist, says that many women don’t realize their physical arousal, which is an increased blood flow to the genitals. Arousal is directly related to desire and men are more easily aroused. Female sexuality is more complicated. One of the major differences between male sexuality and female sexuality, however, is that men don’t have to feel emotionally connected with the person they’re having sex. Scientific research supports the fact that women feel sexual desire towards men with whom they feel an emotional bond. This could be due to evolution. While men have an almost unlimited supply of fertilized sperm, women only have very few eggs. They will be more selective about who they have sex, and that includes the desire to feel emotionally connected. Of course, not all women want to fertilize their eggs, and many couples use birth control. However, many women still need to feel connected emotionally. To get women in the mood to have sex, the number one thing to do is to establish a strong relationship outside of the bedroom. Premature ejaculation men tend to be focused on the fact they won’t last very long so they create a vision of sex that will last longer and emphasize less important aspects. Premature ejaculation means that men are more concerned about performance than the emotional connection. You must make a change if you want to have sex with your partner in a healthy and satisfying way.

How can you make an emotional connection with your partner? For 20 seconds, try hugging. Although it sounds easy, 20 seconds can seem like a long time for a hug. However, studies have shown that this is the time women need to produce significant amounts of oxytocin (also known as the cuddlehormone). Touch stimulates oxytocin, which is directly linked to a feeling of wellbeing and connection. Although women produce more oxytocin in their bodies than men, it is not a guarantee that they will enjoy hugs (and other touch forms that stimulate oxytocin), the feeling of emotional connection may not be as strong. We mentioned in this section that many women require an emotional connection to feel desire. The oxytocin connection could be one reason.

Anxiety. You just learned that the brain is a woman’s largest sex organ. To turn her on, however, you must help her to turn off her brain. I mentioned earlier that brain scans revealed that women’s brains responsible for processing fear, anxiety and emotion experienced a slowdown when they were aroused. This is a powerful indicator that women must let go of anxiety and fear to reach climax. As I have said, women do not have the female equivalent to a point in ejaculatory impossibility. They can also lose their orgasm as it happens. I will repeat it: You must help your partner turn off her brain if you want her to be ejaculated. This means letting go of your worries in the bedroom. It can be difficult, but not impossible, for couples who are dealing with premature ejaculation.

Fantasy. In 1908, Sigmund Freud called fantasy a “disgusting” concept. He said that a happy person does not fantasize, but only a dissatisfied person. But, research has shown that people who have active fantasy lives are more sexually fulfilled, more sexually responsive, and more adventurous about sex. It’s important to know the difference between sharing a fantasy or actually acting it out. Sharing a few naughty thoughts might be enough to start the conversation. Research has shown that women are more likely to fantasize than men when they have sex. This helps them escape from reality and aids in the important “turning off” process we mentioned last point. As Mark Solms, a neuroscientist and leading expert in sleep research, says, “Dreaming is a cousin to dreaming.” It keeps the brain sufficiently entertained so that the more serious players can get the needed recovery time. The brain wouldn’t be pushing us out into the world without this diversion. Guys suffering from premature ejaculation may use fantasy to help them get closer to orgasm.

Anatomy. Anatomy. Although the brain is often considered to be the most important sex organ for a woman, it’s not the only one. You must also know the geography of your partner’s vulva to satisfy her. This includes the northern tip of the clitoral glazens (the “lovebutton”), the western and eastern borders of her labia minora (her inner lips), and the southernmost regions (the thin area of skin below the vaginal entrance). To help a woman have orgasm, it is important to understand her body. The clitoris has more than 18 parts and twice the number of nerve endings as penis. It also has the unbeatable power to produce multiple orgasms. Most of the nerve endings that are responsible for female orgasm can be found on the surface of a vulva. They do not require vaginal penetration. Applying pressure to the vulva and the clitoris is better than constant thrusting and switching positions. Many intercourse positions won’t stimulate her clitoris and will not give her an orgasm. So get cliterate!

Premature ejaculation can be less problematic if you are able to satisfy a woman regardless of how it happens. Many men with prematurely ejaculated, including myself, have learned to perform oral sex. Oral sex, as I will explain, is not only the best way to give a woman orgasm; it also relieves the pressure on your penis, allowing you to slow down, observe, and take in the world around you.

It is important to focus on your partner and not on her intercourse. Let me be clear: I have found that partners of men who are experiencing premature ejaculation are more inclined to cheat than those who are not having orgasms in another way. While many women will agree that this is acceptable, and women are more open to sexual experiences that do not include orgasms, it is not the norm. We should not diminish the importance of female orgasms as part of sex. If your partner feels fulfilled, she is less likely be upset and annoyed about the premature ejaculation. Although she might still be upset that sex must take place in a certain manner or that she is limited in her pleasuring you, she will generally be more supportive. You can make your partner have an orgasm, and it will shift the Code Red situation of premature ejaculation to something more tolerable for both of you.

This is how you can learn: Watch and learn

You can get a better idea of her interests by paying attention to you during sex. Honest communication is also possible. Ask your partner what she likes and doesn’t like and then observe how she reacts to stimulation. These are just a few examples to help you get started.

• What is the difference between her turning on and off?
• What is her average frequency of having an orgasm?
• What is the average time it takes for her to have an orgasm.
• Which stimulation types — verbal, verbal and oral — make her happy?
• What makes her feel uneasy?
• What amount of foreplay (nonintercourse), does she prefer?
• What does she feel when sex isn’t up to her standards?
• What are her most cherished fantasies?

The top five myths that women have about premature ejaculation

Understanding the differences in male and female sexual arousal will help you see why so many women don’t understand premature ejaculation. They don’t know what the point of ejaculatory inevitable is so it’s hard for them to imagine what it would be like to have no control over their orgasm. This disconnect and the fact that most men don’t want to talk about sexual dysfunction makes it difficult for women to understand what’s happening. This leads to a mix of misinformation about premature ejaculation. These are the five most common misconceptions:

Premature ejaculation can be a sign that you are passionate. Some women may initially feel flattered by premature ejaculation. Some women misinterpret this as a sign that you are too hot for them. It can be tempting to believe that a woman believes this. This boosts her self-esteem and allows you to get off the hook for disclosing your pre-ejaculation. Don’t let this fool you. It is a mistake to misrepresent your early ejaculation and passion. This creates a false relationship between your sexual disorder, and her sexual self-esteem. Imagine if you were experiencing erectile dysfunction. Would you want her to believe that you aren’t interested in you? Most men with premature ejaculation, particularly those with chronic, lifelong, premature ejaculation, or other sexual disorders, have little to no relationship with their sex partner.

Your partner may not be interested in you. Your partner might view your premature ejaculation, or the way that you handle it, as an indication that you aren’t interested. This is because premature ejaculated men tend to avoid sex and foreplay as a way to hide the problem. They may also make excuses for not having sex after they have had foreplay to keep their partners from discovering that they have ejaculated. This is not a good way to fool anyone. You’ll both be miserable and confused, and she will feel confused. Unfortunately, many men would rather have their partner feel this way than admit it.

You are sexually selfish. Lorena Bobbitt was mentioned earlier in this article. She referred to her husband’s “selfishly sexual behavior” — “he never waits on me” — after revealing that he had sex with his penis. Although we don’t know if John Wayne Bobbitt has premature ejaculation or not, I believe it safe to say most men with this condition are self-centered. It’s easy for women to mistake premature ejaculation for a “wham bam, thank-you, ma’am” approach if you finish quickly. Although some men might be a bit boorish, most premature ejaculators are overly sensitive and obsessive about their performance.

You are inexperienced. Uninformed women may believe that premature ejaculation indicates inexperience or immaturity. They are not wrong. You can’t talk about premature ejaculation. She may only be exposed to it through the TV or movies. This leaves her with the image of an envious, horny teenager who cannot control his emotions. But, this is often not the case. The guys with premature ejaculation are often very mature and experienced. However, they don’t have the ability to translate their intentions into action.

You are a bore in bed. Men with premature ejaculation develop a plan for sex that they can follow over time. This is called a script. While it can help with premature ejaculation, it is not a good idea. If your partner doesn’t understand why you are following your “script,” she may believe you want to continue having sex in the same way over and over. It’s been said before, and it will be repeated again: Our brain is our largest sex organ. Talking with your partner about a racy fantasy can help create a sense of adventure and excitement in the bedroom.

These myths often stem from ignorance or lack of information about premature Ejaculation. They can be corrected. This article can be shared with your partner. Communicating honestly with her can help to clear up any misconceptions.

Your ideal partner

• Is there a woman who is perfect for a man with premature ejaculation, or a girl like her? She…
• Open to an oral, manual, or any other type of stimulation, as well as intercourse
• Fake orgasm is not a good idea. Faking it only creates anger and resentment.
• It doesn’t always say “it’s okay” even if it’s not.
• Understanding that sex must happen in a certain manner to manage premature ejaculation
• Accepts oral sex.
• Understanding that premature ejaculation doesn’t signify passion, selfishness, or any other connection to your attraction to her
• It doesn’t take a lot of sexual novelty. (Novelty stimulates dopamine transduction, which increases sexual excitement and arousal.
• Don’t be angry or frustrated if you ejaculate to soon
• Are you not fixated on simultaneous orgasms?
• Can you communicate with me about premature ejaculation?

Don’t worry if your partner doesn’t possess all of these attributes. If she is open to discussing premature ejaculation, she might be able adjust her expectations and work together to create a healthy sexual relationship that’s both satisfying for you.

Partnering with you

You now understand the importance of having a discussion with your partner about premature ejaculation. It’s not easy, but it is possible. If you want to have a honest conversation with her, you have to bring up the topic first. You should be aware that she might not know what is happening. Even if she does, she likely doesn’t understand premature ejaculation.

When it comes to communicating about sexuality, there is often a disconnect between what we mean and what we actually say. Even the most gentle words can seem confrontational. Critique, whether it is expressed or perceived harshly by others, is the sexual kiss to death. If you are able, express your feelings as a positive change-on and not as a turn-off.

Be closer. Men with premature ejaculation should use intimate moments outside of the bedroom to begin a conversation. As you kiss your partner, you can say something like “I love kissing and being with you, and really hope you enjoy it when you’re with me.” “I know sex can sometimes feel rushed. But I really want to make an effort not to rush things and to enjoy every moment with you.” These little conversations can be used after an intimate moment to express your pre-ejaculation or feelings.

Talk “by” her, not “to” him. There are other options if you feel uncomfortable speaking about sex with her face-to-face. Anthropologists have observed for years that women communicate “face-to-face” with men, while men do it “side by side.” This is likely due to the fact that women are more comfortable with direct eye contact. Direct eye contact can be very confrontational for some men. Helen Fisher’s remarkable article Why We Love explains that this response is likely due to men’s ancestral history. “For many millennia, men faced their enemies. They sat or walked side by side while they hunted game with friends. It might be easier to have your conversation while you are walking, driving, or watching TV.

Have fun. It’s a great time to have a private conversation. You can have intimate conversations with your partner by sharing your fantasies and needs, and discussing what works. Foreplay can create the ideal “timezone” to discuss sex. Because sexual arousal increases, inhibitions decrease due to a powerful neurochemical cocktail that is specific to sexual arousal. It’s easier to share feedback about how something feels or if it could be better. It is also easier to share a bad idea or fantasy. Talking about sex should not be sexual and constructive conversations can be part of foreplay. This process is for guys who have premature ejaculation. For example, you can tell your partner that there’s a fantasy or sexy vision that involves the sex script that works best. In most cases, this will be oral sex. To prolong your pleasure, you can also suggest mutual masturbation. You could take turns as receiver or giver.

Count to 10. This advice works well for many couples. But what if a woman criticizes your performance? It can be difficult for women to understand premature abortion, as you’ve seen. You may find your partner hurtful or frustrated. It’s not a good sign that your relationship has ended. It helps you understand the effects of emotions on the brain and allows you to see her point of view.

Intimacy issues can cause confrontation, especially if egos are easily bruised. Confrontation triggers the brain’s fight or flight response. Most men will respond by fighting which increases heart rate and blood pressure. Women can also experience flight as an adverse reaction. This is because women tend to suppress their emotions and avoid expressing them. It can lead to anxiety, depression, stress, and other unhealthy behaviors. Instead of trying to fight or fly, take a deep breathe and let your gut reactions pass. Next, start talking to get back in a better place.

Ask for help. You are allowed to feel that you need professional help with premature ejaculation. Even a few sessions with a counselor can bring your issues to the surface so that you can make the most out of your evenings. You can find a therapist in your area by visiting www.aasect.org, the website of the American Association of Sexuality Educators, Counselors, and Therapists.

Final words

Understanding your personality is crucial to avoiding premature ejaculation, as you have seen in this section. It is important to get to know your partner and understand her body and mind, as well as the role they play when she sexually arouses. You’ll feel lighter once you have talked to your partner about premature sexual ejaculation. Although it is important to have this discussion, it is only the beginning of your efforts to manage the condition. You’ve found the information and tools that you need to manage premature ejaculation. You’re now ready to put them into practice. Learn how to work with your partner towards a happy, healthy sex life.

Continue Reading

• The Complete Guide To Premature Ejaculation (Part 1/5 – Quiz)
• The Complete Guide To Premature Ejaculation (Part 2/5 – Common Myths)
• The Complete Guide To Premature Ejaculation (Part 3/5 – Understanding Arousal)
• The Complete Guide To Premature Ejaculation (Part 4/5 – Treatment Options)
• The Complete Guide To Premature Ejaculation (Part 5/5 – Putting It All Together)

This guide has already mentioned that there was not much information on premature ejaculation treatment in my youth. Internet, as it exists today, didn’t exist. There were very few articles or articles in mainstream magazines on the subject. It was not something I wanted to ask friends, family, or doctors about.

False or true? Premature ejaculation can be curable

False. I wish I could say that there is a cure for premature, or even permanent, ejaculation. Anyone who says otherwise is lying. It’s not a problem if there was a cure for premature, chronic, and lifelong ejaculation. The condition that causes premature ejaculation can be improved if treating the underlying cause.

We know that premature ejaculation affects at least 30 percent of men. This guide will give you a solid understanding of the reasons that many “cures” don’t work. You’ll be armed not only with useful, accurate information but also the ability to understand premature ejaculation so that you can live a happier sex lifestyle.

We are constantly being bombarded with information about premature ejaculation. This includes spam emails and articles from respected sex therapists. This is the good news. The bad news? The bad news? This article will cover some of the most common claims you’ll find and help you distinguish the lies from the truth.

Premature ejaculation treatment: Separating facts from fiction

Here are the most recent claims and treatments regarding premature ejaculation.

The solution? “Sexercises”

They are two exercises that sex therapists recommend to increase the time a man can stay on the sex table. These techniques, also known as the stop-start and squeeze techniques, have been used for years to control sexual arousal and manage premature ejaculation.

Stop-start stimulates your penis until it is close to ejaculating. Then, stop stimulation and begin again. Your partner will squeeze the technique by placing her thumb on your penis, and your index and middle finger on your penis. She will squeeze your hand when you feel ready to go for the climax. This supposedly stops you from ejaculating and quells your desire. These techniques were devised by sex therapists to help you last longer.

Bottom line: While you can practice the stop-start technique by yourself, most experts recommend that you do it with a partner. To be effective, the exercises must be done regularly and they won’t always produce consistent results. Some people find them difficult, which can make sex more work and less enjoyable. I have also found that most women don’t like doing them.

Are you curious about so-called sexercises

This article explains why it might not be a good idea to involve your partner.

Many experts advocate the integration of behavioral exercises during sex such as the “stop/start” method and the “squeeze” technique, both of which require a high degree of partnercollaboration.

While communication and teamwork are important components of any healthy relationship these techniques can actually be more harmful than beneficial when you consider that premature ejaculation is a man’s main goal. He wants to bring his partner to an orgasm. As we discussed, women are not subject to ejaculatory inevitability.

They can experience an “ejaculatory loss” and even have the ability to stop orgasms from happening. Many women will tell you that there is a possibility of the experience being disrupted or altered by a disruption or change in the stimulation pattern during sex. This may be caused by a change in the brain’s processing of arousal. Recent research has shown that women may need to “turn off”, in order to turn themselves on.

Research has shown that a woman’s ability to feel relaxed and not anxious is key to her desire to have an affair with a man. Researchers from the University of Groningen, Netherlands, scanned the brains of 13 men and women while they were being manually stimulated to orgasm.

The scans revealed that women’s brains responsible for processing fear and anxiety slowed down as they were more sexually stimulated. These brain areas showed less change in men.

According to researchers, this could mean that women need to let go of anxiety and fear in order to have an orgasm. In a sense, women must turn off to be able to turn on. Your partner will be less likely to have the mental deactivation she needs to enjoy sexual pleasure and orgasm if there is a lot of “stopping, starting”, or feeling interrupted or anxious about “squeezing” your penis at a specific point.

My professional experience with men suffering from premature ejaculation has shown that sex exercises, while effective in achieving successful sexual experiences, can be very ineffective. They can however be used with a sexscript that isn’t distracting a woman and doesn’t place her burden of participation, if they are reconceived in a way that allows them to work with guys. I’ll discuss this reconceptualization in Part 4.

Are Supplements The Solution?

These claims are easy to find: A quick Internet search will reveal a lot of claims claiming that various herbs and supplements can be used as quick and easy remedies for premature ejaculation. There’s nothing more appealing than popping a pill to fix your problems, especially if it’s all natural.

Supplements for premature Ejaculation often include passionflower, B vitamins, griffonia seed, and other ingredients that are said to improve your body’s serotonin production and male sexual dysfunction. These products can boost stamina in as little as 24 hours.

Bottom line: Does it sound too good to be true? It is. It is. Despite the claims of some manufacturers, there is no solid clinical evidence supporting such supplements. Remember, just because a product claims to be natural doesn’t necessarily mean that it is safe. Some vitamins and herbs can interact with medications and we don’t always have enough information about the potential side effects.

Is Hypnosis The Soluution?

What is it: Hypnosis recordings can be marketed online as a pre-ejaculation remedy. These CDs can be listened to by those who believe that they tap into the subconscious, which will make you last longer.

Bottom line: Hypnosis is not used to treat premature ejaculation. There are other medical uses that hypnosis can be used for, and there has been good research. As I mentioned, premature ejaculation is not caused by psychological factors.

You need to use a combination of treatments for best results.

Is Alcohol The Solution?

It’s a way for guys who have premature ejaculation to make themselves last longer by having a few beers before they go out on sex.

Bottom line: While alcohol may increase stamina slightly, it is not a solution. There are many negative consequences of excessive alcohol use, such as liver disease, depression, and increased accident risk. Erectile dysfunction, a condition often associated with premature ejaculation, can be caused by alcohol intake.

Are Desensitizing Products The Solution?

They are creams, gels and sprays that numb your penis head. This makes your sensation less intense and lasts longer. This is often done with condoms that are thicker and contain topical numbing lotions. To reduce their sexual stimulation, some men may use multiple condoms simultaneously.

These products are often sold under the names Maintain, Prolong and StaHard. They usually contain some kind of numbing agent such as benzocaine. This anesthetic is also used in many over-the counter remedies for canker sores or ear pain.

Desensitization does not address the root causes of premature ejaculation so it is only temporary. Some men, or their partners, may be allergic to benzocaine and other inactive ingredients in these products.

Overuse of benzocaine can increase the risk of developing acquired methemoglobinemia. This blood disorder can cause headaches, fatigue and shortness of breath. A desensitizing spray has potential to treat premature ejaculation. See “Promising Treatments on the Horizon” on pages 49 and 49 for more information.

Is Intracavernous Pharmacotherapy The Soluution?

What they are: Intracavernous Pharmacotherapy (ICP), is a treatment that the Boston Medical Group advocates. It is an official contingent of 23 North American medical groups (but not Boston). You must inject a vasodilator into your penis to achieve ICP. This increases blood flow to the organ. The Boston Medical Group claims that this procedure can cause an erection lasting approximately an hour, even after you have ejaculated.

Bottom line: ICP can cause side effects other than the discomfort of injecting something into your penis. These include pain, tenderness, scarring, bruising and prolonged painful erections. The approach can also be dangerous. In 2009, a former patient sued the company for permanent damage to the penis due to ICP.

Are Antidepressants a Solution?

What are they? I explained how neurotransmitters (chemical messages) serotonin, dopamine and serotonin regulate the ejaculation process. Dopamine reduces ejaculatory threshold, while serotonin increases it.

For optimal sexual function, you need to have the right balance of both neurotransmitters. Premature ejaculation has been linked to lower levels of serotonin in men. This may explain why they ejaculate so quickly.

A class of antidepressant drugs known as selective serotonin reuptake inhibits, or SSRIs, increases serotonin levels. Doctors may prescribe SSRIs off-label to treat premature ejaculation because higher levels of serotonin can raise the ejaculatory threshold.

Bottom line: SSRIs can increase IELT (the time a man can stay in intercourse before ejaculating). It sounds impressive, but it might not be. It may not sound impressive, but it is possible. Although it is a significant difference, it is not always dramatic. SSRIs require a prescription from a doctor. They can cause weight gain, headaches, nervousness, and other side effects. You can also expect to return to the original IELT if you stop taking SSRIs.

Can Viagra Help?

Viagra changed how we see erectile dysfunction. It brought it out of our bedroom and into the doctor’s office. And it made it easier for men to talk about it. Even Bob Dole, a former senator, admitted that he took Viagra. There is some evidence to suggest that this blue pill may also be effective in treating premature ejaculation.

European Urology published a 2007 review of all previous studies and found Viagra (sildenafil) increased IELT, and sexual satisfaction. Researchers aren’t sure how Viagra works to improve premature ejaculation.

However, they believe it may work by altering the nervous system, prolonging the erections or relaxing the smooth muscles of the male reproductive systems. Both young and old men suffering from premature ejaculation seem to benefit from Viagra.

Research suggests Levitra and other medications in the phosphodiesterase type 5-inhibitors class may also have similar effects. It’s an interesting possibility, but we need to do more research before we recommend Viagra for premature ejaculation. Keep watching.

There are promising products at the horizon

We live in an information- and misinformation-filled world about premature ejaculation. It’s also a fortunate time to have good scientific research on the condition. There are more clinical studies published about premature ejaculation and its causes.

This research has sparked a lot of controversy about “medicalizing premature ejaculation” by creating drugs to treat it. Critics claim that drug companies are creating a market for new products by making men believe they have prematurely ejaculated when in fact they don’t.

A 2009 New York Times article on premature ejaculation states that “While there’s no doubt that some men feel distressed by their inability control their orgasms,” there is very little evidence to support the claim that premature ejaculation is epidemic. The reporter also quoted a psychologist as saying that premature ejaculation will “become a problem once there is enough publicity.”

This is something I strongly disagree with. I strongly disagree. To suggest premature ejaculation as a fake issue being manufactured by pharmaceutical industry to sell drugs is not only offensive to the legions men (and their spouses) who are suffering from this very real problem but also hinders the development of a much needed solution.

An FDA panel has rejected a pill to treat premature ejaculation (dapoxetine), once before it was approved. Although there are legitimate concerns about its efficacy, the FDA panel rejected it because of an anti-pharma backlash against the medicalization of sexual issues.

There have been attempts to develop drugs that can be used to treat other sexual issues (such as low female desire) and there were also efforts to create drugs to help with these problems. Many people were dismayed by the marketing of erectile stimulants to men who might not really need them. This created a culture of suspicion and caution around the medicalization of sexual problems.

I am not one to jump on the bandwagon of pharmaceutical companies and suggest drugs to “relationship problems”. There is no doubt that chronic premature ejaculation has a biological basis, as is erectile dysfunction.

A drug treatment may be an important part of the overall solution. My personal and professional experiences have shown that medical treatment for prematurely ejaculated men can be extremely helpful.

This is especially true since the condition is likely to be biopsychological and genetic in nature. Don’t forget that I also recommend combination therapy. The medical part is just one aspect. Hopefully, lessons have been learned over the past decade. Only men suffering from chronic premature ejaculation will need medical treatment.

My professional experience with men suffering from premature ejaculation and ED has shown me that most of them are afraid to use drugs due to potential side effects or developing a dependence in order to have sex. Contrary to what the media portrays as a “culture of pill popping”, these men aren’t just going to start using drugs to treat their problems, but they will be careful.

To my mind, there is more to be done to educate people about the biological basis of sexual problems and the legitimacy and effectiveness of combination therapy. Instead of living with the consequences and stress of these issues or seeking out solutions that may not work, or even dangerous, I believe that it is better to educate them.

There will always be someone who uses these drugs recreationally or abuses them, but I believe that the vast majority of men suffering from chronic premature ejaculation will benefit from proper doctor and patient education.

Here are two promising options for medical premature ejaculation that might soon be yours.

Priligy (dapoxetine)

A pill for premature ejaculation is being developed, just as Viagra can be used to treat ED. Dapoxetine hydrochloride is an SSRI being developed and marketed as a treatment for premature ejaculation. Dapoxetine, like other SSRIs increases the ejaculatory threshold. It also delays orgasm. Dapoxetine is different from other SSRIs in that it is short-acting. You only need to take it “on the demand” about an hour before you have sex.

There is increasing evidence that dapoxetine may increase IELT in premature ejaculated men. For example, a large study published in October 2009’s Journal of Sexual Medicine found that men suffering from premature ejaculation could take dapoxetine for up to three to four hours more than those who received a placebo.

This increased their IELT by an average of 1.1 to 3.9 minutes and 4.2 minutes depending on the dosage. A 2009 study of men suffering from premature ejaculation found that dapoxetine significantly increased the IELT. Dapoxetine also has been shown to decrease distress and relationship problems associated with premature ejaculation. Side effects such as nausea, headaches, and sleepiness may not be severe and can be reduced if the drug is taken only when needed.

Despite these benefits, dapoxetine has not yet been made available in the United States. Johnson & Johnson makes the drug. It is also sold in nine countries under the name Priligy. Although the U.S. Food and Drug Administration denied its 2005 application, there has been an increase in research that may have helped dapoxetine to be granted approval again soon.

TEMPE spray (PSD502)

Topical desensitizing creams are said to make you feel more rested by numbing the penis. These products are sometimes effective for some men, but they can also be messy and ineffective. Researchers have now developed an anesthetic spray to treat premature ejaculation.

This spray is called PSD502 (Topical Eutectic Mixedture for Premature Ejaculation) and contains an aerosol version prilocaine and lidocaine, two numbing substances. These compounds seem to increase IELT when sprayed on your penis.

A study published in BJU International on April 23, 2009, found that men suffering from premature ejaculation who used TEMPE spray five to ten minutes before having their first period saw an improvement in IELT of approximately 15 to 3 minutes. Similar results have been reported in other research. They suggest that the spray has minimal side effects and causes little to no skin irritation. TEMPE spray, like Priligy is not currently available in the United States. However, its manufacturer plans on submitting it for FDA approval shortly.

Final Words

Let me wrap up by stating again that there is no cure for premature ejaculation. Don’t let Internet advertisements or false marketing claims fool you. You can manage premature ejaculation to have a fulfilling sex experience. You will need to use a combination approach that combines the best of behavioral, medical and relationship methods to increase your IELT and work with your partner to address premature sexual desire.

This section explains what premature ejaculation looks like and what researchers think may be the cause. You will also learn which premature ejaculation treatment to avoid and which ones to keep in mind for the future. The next section of this article will give you the tools and techniques you need to prevent premature ejaculation.

Continue Reading

• The Complete Guide To Premature Ejaculation (Part 1/5 – Quiz)
• The Complete Guide To Premature Ejaculation (Part 2/5 – Common Myths)
• The Complete Guide To Premature Ejaculation (Part 3/5 – Understanding Arousal)
• The Complete Guide To Premature Ejaculation (Part 4/5 – Treatment Options)
• The Complete Guide To Premature Ejaculation (Part 5/5 – Putting It All Together)

Most men keep PE a private matter because it is embarrassing. Men strive to be strong and masculine in their relationships, but PE can prevent them from achieving these goals. People don’t want to talk about their sexual problems with their friends so tips and strategies for improving and treating PE are not shared.

This article provides the perfect opportunity for you to get real, data-driven information on how to move past premature ejaculation.

Definition

What is premature ejaculation? Premature ejaculation is when a male ejaculates earlier than his partner or he would like to. Premature ejaculation is rare and not something to worry about.

If PE becomes a frequent occurrence and ejaculation occurs much sooner than anticipated, such as before or shortly after the intercourse begins, this is called Premature Emaciation.

Premature ejaculation is a common sexual problem. Statistics vary, but on average, 1 in 3 men has this sexual problem. This can happen for many reasons. Premature ejaculation can be caused by both psychological and biological factors.

Many men are embarrassed to bring up this topic, considering it a negative for their masculinity. Premature ejaculation can be treated with over the counter PE pills.

There are many methods, including sexual techniques, that can be used to improve the sex between you, your partner, and cause a delay in ejaculation. Premature ejaculation is usually treated with a combination.

The Symptoms

Premature ejaculation is the first sign you might be suffering from.

It is when your partner and you do not want it to occur that the problem is detected. This can happen in any sexual interaction, even masturbation.

Two types of premature ejaculation have been identified by doctors:

• Lifelong (Primary) Premature Ejaculation
• Acquired (Secondary), Premature Ejaculation

According to the International Society for Sexual Medicine, Lifelong Premature Elimination has these characteristics:

• Ejaculation is almost always within one minute of vaginal penetration.
• Incapable to delay vaginal penetrations.
• Negative personality traits include frustration, stress, and a tendency not to have sexual intimacy.

There is one crucial difference in Secondary Premature Ejaculation:

• Secondary Premature Elimination occurs after successful, satisfying intercourses with no ejaculatory dysfunctions.

How to See a Doctor

If premature ejaculation becomes a problem on a regular basis, it is time to see a doctor. To ensure a happy sex life, you need to get the right treatment.

Sometimes it is very comforting to meet with a doctor. Sometimes, premature ejaculation can be perfectly normal. Average ejaculation for a healthy adult is about 5 minutes from the start of the intercourse.

You cannot ejaculate if you do not ejaculate within this time frame. No matter what, a doctor can help you solve your problem. It is best to see a doctor as soon as possible.

Causes

It is not yet known what the exact reason for premature ejaculation is. It was once believed that premature ejaculation was a psychological phenomenon. Doctors now know that the problem is much more complex. Premature ejaculation involves a complex mix of psychological and biological influences.

Psychological Factors

Medical research on premature ejaculation has shown that a pattern of ejaculation might have been established early in a person’s life, and can be difficult to alter later. These psychological factors are:

• Situations in which a person rushes to reach the climax to avoid being discovered.
• This is a feeling of guilt that can increase your desire to have more sexual intercourse.

Other factors that play a vital role in premature ejaculation include:

Erectile Dysfunction

People are often anxious about whether or not they will be able to maintain an erection during intercourse. This could lead to a rapid ejaculation pattern that can be difficult to control.

Anxiety:

Anxiety problems can also be experienced by people who have premature ejaculation. Anxiety can be related to sexual performance, or other related or unrelated issues.

Complex Relationships:

Sometimes, it happens that your sexual encounters with previous partners were successful and fulfilling. However, with the current partner, the problem seems to have taken on a whole new dimension. It could be because of interpersonal problems between you and your partner. Counseling might be an effective solution in such cases.

Biological Factors

Premature ejaculation can be caused by a variety of biological factors. These factors include:

• Hormone levels that are abnormal
• Abnormal levels of a neurotransmitter (brain chemicals)
• Abnormal ejaculatory reflex function
• Thyroid gland problems of any kind
• Prostate infection or urethra infection
• Hereditary characters

Risk Factors

You can increase your chances of premature ejaculation by considering a variety of factors. These might not be the exact factors that cause your premature ejaculation case, but it is important to remember them.

Erectile Dysfunction

Are you having trouble with erections? Erectile dysfunction is a very common problem. Erectile dysfunction can cause a person to be afraid of losing his erection. You might feel rushed during an intercourse. You might find yourself in a sub-conscious mental state and have difficulty controlling your urges.

Health Questions:

An anxiety response to sex can sometimes be caused by a medical condition such as a heart disease or other health issues. Unknowingly, this anxiety can lead to a tendency to ejaculate.

Stress:

Stress is dangerous and can cause anxiety and depression.

Some Drugs:

Even though it is rare, certain drugs can sometimes affect the function of chemical messengers within the brain. These are known as psychotropics. This could lead to premature ejaculation.

Complications

Premature ejaculation can be a serious problem. Although there are very few chances that it will put your health at risk, it can cause problems in your personal life that must be addressed.

Relationship Strains

This is one of many consequences of premature ejaculation, which doctors must deal with regularly. Talking to your doctor about your premature ejaculation may help you have a better relationship with your partner.

Fertility Issues:

This is not an uncommon occurrence, but it can cause problems in fertilization. It might also make it difficult to start a pregnancy. If premature ejaculation isn’t treated correctly, it’s a good idea to take your partner to infertility treatment. Experts say this is a great way to address fertilization issues in couples.

Preparing for Appointment

Talking to a doctor about premature ejaculation is a common thing. Sometimes, a urologist might be referred to you. Talking to your doctor about your concerns is a good idea. There’s nothing to be embarrassed about when you visit your doctor’s office. A doctor will know how important it is to have a healthy sex lifestyle. There is a good chance your doctor will bring up your sex life before you have the chance to discuss it.

Talking about sexual issues can make you feel embarrassed. You should know that your doctor has been able to discuss these issues with other patients. This is not something new or unusual for him. It is very common to have premature ejaculation. Relax and let him/her know about your case of premature ejaculation.

It will be easier to fix the problem and help you live a happy and fulfilling sex life. Here are some tips to help you get your doctor’s appointment!

Things to Note Before An Appointment

Pre-Appointment Restrictions

Make sure you ask your doctor if there are any restrictions you must follow before making an appointment.

Symptoms

Notify your doctor if you have a history of premature ejaculation. Also note how long you can continue to have intercourse without ejaculating.

Sexual History:

Try going back to your past sexual encounters. This is something new? Are you a victim of premature ejaculation? What was the relationship like back then?

Medical History:

Note any medical conditions you have been diagnosed with, including mental health problems. Take note of all medications you are currently taking or were prescribed.

To make the most of your appointment, it’s a smart idea to have a list of questions ready for your doctor. These are the most important questions you should ask your doctor. These are just a few of the many questions you can ask your doctor. You should always be prepared to ask any additional questions.

• What is the reason I am having pre-ejaculation?
• What treatment should I use?
• What is the time it will take to improve my health?
• What level of improvement can I reasonably expect?
• This is a potential recurring problem.
• Are there alternatives to the drugs you are prescribing?
• Which website do you recommend?

Here are some questions you can expect from your doctor. These questions might seem personal but you should be able to answer them all without hesitation.

• Are you prone to premature ejaculation?
• Was this problem present suddenly?
• Is this a problem that only one partner has?
• Is it possible to do this while masturbating
• Is your premature ejaculation occurring during every sexual intercourse or just one?
• How often do your intercourses occur?
• What are your concerns about this issue?
• Are you in a happy relationship?
• Please tell me about your first experience with sexuality.
• Do you suffer from erectile dysfunction or other symptoms?
• Which medications do you currently take or have you used before?
• Are you a recreational drug user?

What to do before the appointment

You’ll need to wait until the appointment so enjoy your time with your partner. You and your partner might enjoy something different. Talking to your doctor is a brave decision. You can now wait patiently and treat your condition with no stress or anxiety.

Treatments & Drugs

There are three main areas of treatment for premature ejaculation: medication, sexual therapy and psychotherapy. A combination of all three is most effective for most patients.

Sex Therapy

Sexual therapy refers to the physical exercises that can improve your ejaculation. Masturbating for a few hours before sex can help delay ejaculation. Doctors may recommend that you take a break from having intercourse for a longer period of time to relieve stress and allow your body to focus on other sexual activities.

The Squeeze Technique

This is a common treatment that doctors often recommend. The Squeeze Technique is explained below:

• Step 1. Step 1.
• Step 2. Step 2. Ask your partner for assistance.
• Step 3. Step 3. Your penis will be less erect during the squeeze, but it will return to full erection once the sexual stimulation is resumed.
• Step 4. Step 4.

You can repeat this process as many times you want until you feel comfortable with your partner and are able to penetrate them without the need to ejaculate. After a few practice sessions, you can delay ejaculation and become accustomed to satisfying sex without the need for the squeeze technique.

Medications

Premature ejaculation can be treated with a variety of medications. You can treat it with certain antidepressants. The treatment can be assisted by topical anesthetic creams. These medications have not been approved by the FDA for premature ejaculation treatment. However, they can still be used in certain cases and are very effective. Before you and your doctor can find the right treatment for your problem, you can try different combinations of medications.

Antidepressants

Antidepressants can cause a side effect called delayed orgasm. Doctors sometimes recommend using anti-depressants to delay ejaculation in order to take advantage of this side effect. These anti-depressants may also cause dryness of the mouth, nausea, drowsiness, decreased libido and nausea.

A number of SSRIs (Selective Serotonin Reuptake Interceptors) can be used to delay ejaculation. Sertraline, fluoxetine and paroxetine are some of the most well-known SSRIs. These drugs will not take effect in the first ten working days.

If you don’t see any improvement in your timing of ejaculation after taking these drugs, your doctor may suggest tricyclic clomipramine. This medication has been proven to be very effective for many people with premature ejaculation.

These medications don’t have to be taken on a daily basis. A small amount taken just a few hours before your intercourse can dramatically improve your premature ejaculation.

Anti-depressants aren’t approved to treat this disorder. It is best to talk with your doctor about the pros/cons of using them in your situation. Although they are generally safe, it is best to not put your health at risk for premature ejaculation.

Topical Anesthetic creams

A topical anesthetic cream’s main purpose is to numb your penis with prolocaine and lidocaine, thereby slowing the ejaculation process. The creams should be wiped off if you feel your penis is no longer feeling the sensation. For premature ejaculation, a spray containing prilocaine and lidocaine is being developed.

Topical anesthetic creams can cause a reduction in sexual pleasure for those who have used them. Many female partners also reported that creams reduced their sexual pleasure and made sex less enjoyable, even after they were washed off. Some people may also experience allergic reactions to these creams in rare instances.

Cognitive Behavioral Therapy

Counseling is another name for this method of treating premature ejaculation. This involves talking with a mental health specialist and sharing your sexual experiences and other problems. It is an effective way to reduce anxiety and find the best solution for your problems and stress. When combined with medication for premature ejaculation, counseling can be extremely beneficial.

Other Treatments

You can search the internet for solutions to premature ejaculation. Many of these solutions involve physical exercises that improve your ability to control ejaculation. The Kegel Exercise is one of the most well-known methods.

You will need to contract your PC or pubococcygeus muscles during the Kegel Exercise. This is the muscle you feel contracting after you stop urinating. This is a great way to work this muscle. It’s possible to practice contracting the PC muscles for 10 seconds, up to sets of 50 and kegels under almost any circumstance.

Condoms can sometimes reduce the penis sensation and delay ejaculation. Condoms with lubricants can cause a stronger sensation in your penis, which can make ejaculation more difficult.

Also, you can try different sexual positions to prolong your ejaculation. According to a survey, premature ejaculation rates are lower when the female partner is at the top or in a missionary position. It can be both fun and profitable to try out different sex roles.

People often try yoga to treat premature ejaculation. Even though the effectiveness of yoga for treating PE is not well-studied, it’s worth a shot for anyone who is desperate for a solution.

To live a happy and sexually fulfilled life, it is important to be as stress-free as possible. You can take a break and explore other sexual activities. You can strengthen your relationship with your partner by connecting on a different level.

De-emphasize intercourse for a while and forget about worrying about early ejaculation. This will help you build a foundation for a happier sexual relationship.

Prevention

Doctors have found that early ejaculation is often caused by communication gaps between partners, or a lack of understanding about the functions of the female and male sexual organs. A woman usually needs more stimulation to have an orgasm experience than a man. This could lead to resentment and stress between male and female partners and cause conflict over sexual intercourse. The likelihood of premature ejaculation increases as intercourse pressure increases.

Being patient is the best way to manage premature ejaculation. It is possible to reduce tension and anxiety around sexual performance by having open communication with your partner and being determined to try different approaches. It is important to approach the issue with love and compassion. Partners should not blame each other for sexual dissatisfaction.

Premature ejaculation has been a major factor in the development of unhappy sex relationships and broken relationships throughout history. A doctor is able to help if it becomes difficult to resolve sexual problems through a mutual discussion. You shouldn’t leave your sex life up to chance and hope that premature ejaculation will be cured. Keep fighting and working harder. There will be light at the end. Relax and enjoy a happy sexlife!

Conclusion

Next, you need to put into practice what you have been taught. Actively working to overcome PE is the key to success. If you don’t put in the effort to achieve them, you won’t get any results.

You will most likely want to have sex all your life. You will reap the rewards of a lifetime of treatment for PE with a small investment. Don’t hesitate to make that decision.

Introduction

You probably know what it’s like to sometimes ejaculate earlier than your partner would prefer. It’s frustrating. It makes you feel embarrassed and self-conscious, and it can make you worry about her. Before you reach for premature ejaculation pills, read this article.

What if you ejaculate consistently too quickly? Intercourse can last only a few seconds, sometimes just a minute. Imagine if you felt ashamed, anxious, and stressed by the idea of sex. What if there was a better way?

Premature ejaculation (PE), the most common form of sexual dysfunction that a man can experience, is also the most common. Experts estimate that as many as 30% of men suffer from premature ejaculation. But, you wouldn’t be able to tell by talking to your friends.

It’s difficult to talk about premature sexual ejaculation. Many men won’t admit they have a sexual problem, particularly one as sensitive and painful as PE. Premature ejaculation is often viewed as a problem that only horny teens have (just look at American Pie and Fast Times at Ridgemont High) or selfish jerks (Lorena Robertbitt famously stated after cutting off her husband’s penis, “He always wants an orgasm, and doesn’t wait to see me.”

PE is something that can happen to anyone; it’s true. It doesn’t really matter what age you are, how experienced you are, or how knowledgeable you are about sex. Trust me, I have experienced PE.

Do You Have Premature Ejaculation?

1. Do you find it difficult to control your ejaculation?
2. Do you ejaculate within one minute of having intercourse, or upon penetration?
3. You have tried many methods to treat PE, only to be disappointed.
4. Are you unhappy with your sex life and sex relationships?
5. Are you worried about pleasing your partner or ejaculating too quickly?
6. Is it possible for foreplay to lead to ejaculation? When you are playing with a woman, are you unable to control your penis touch?
7. Do you try to cover it if you ejaculate too early?
8. Avoid intimate situations, as they can lead to PE. So why bother?
9. Are you frustrated at your inability to have sex with a woman?
10. Are you having problems with your relationships with women because of premature ejaculation?

You could be suffering from chronic PE if you answered “yes” to all of these questions.

What Is Premature Ejaculation?

Premature ejaculation, or PE, is one of the most common sexual problems that a man can experience. However, it is also one of the most misunderstood. Most of us have ejaculated in intercourse more often than we want, as I mentioned previously. It can be frustrating, but it’s not PE. However, if you ejaculate consistently too quickly, you might have PE.

Understanding the workings of PE is key to understanding how you and your body react to it.

Although you might think that ejaculation, the release of seminal fluid, is restricted to your testicles and penis, it’s not. In fact, your nervous system plays a key role.

Sympathetic nervous system responses are responsible for some parts of sexual arousal, while sympathetic is responsible for other aspects. Your body’s stress-related functions, such as “fight or flight,” are controlled by your sympathetic nervous system.

This allows your caveman ancestors to escape or fight dangerous predators. These days, it’s more common to rely on the fight or flight response for a meeting with your boss. The parasympathetic nervous system controls your “rest-and-digest” response, which includes lower blood pressure, slower heartbeats, and other functions that relate to relaxation.

When you are sexually stimulated, this is when your penis touches, rubs, or has sex. Your brain sends signals to your lower spinal cord. Your parasympathetic nervous system is responsible for erections.

Your parasympathetic nervous system controls the rhythmic contraction of the muscles of your prostate gland, seminal veins (both of which make seminal fluid), and vas deferens (the tube connecting the testicles and the urethra) and contracts rhythmically.

This causes semen to move through your body and into the glands and bladder. Ejaculation can produce an orgasm, which is a feeling of pleasure.

Premature ejaculation is when the process occurs earlier than you or your partner would prefer. The medical community has been divided on how to define PE. The International Society for Sexual Medicine (ISSM), which has the most accepted definition, says that PE can be defined as “a male sexual dysfunction that occurs before or almost immediately after vaginal penetration.” The inability to postpone ejaculation for all or nearly all vaginal penetrations. There are also negative personal consequences, such as distress, bother, and frustration.

It’s easy to see that the history of premature and misunderstood ejaculation has led to a lot of confusion. Also, there is shame and reluctance for many men to declare that they have PE. Women are more willing to pretend to be having an affair in order to save their partners from the embarrassment and humiliation of dealing with premature and/or failed ejaculation.

What Does Premature Ejaculation Mean For You?

While there are disagreements, the main issue with chronic, lifelong, PE is:

• How long do you stay before you get an orgasm?
• You can delay ejaculation.
• Personal consequences can be very damaging.

Let’s take a look at each issue one by one.

You don’t last long. Do you think you are experiencing PE if you find it difficult to keep going for long periods of time? Don’t think about what you have seen or heard in the locker room. Most men can only have intercourse for two to five minutes before they have to ejaculate. Men with PE can have intercourse for only a few minutes before they stop.

How can we find out this? Researchers devised a system called Intravaginal ejaculatory latency time (IELT) to measure how long a man can have sexual intercourse before he ejaculates. Researchers have discovered that premature ejaculation can last anywhere from 15 to 60 seconds, although different researchers may have come up with different results.

As a sex therapist, my experience has shown me that many men with PE never make it to penetration. They adore frottage (heavy sex), oral stimulation, and any manual stimulation.

These activities are often considered inappropriate by most men with premature sexual awakening. They have difficulty enjoying all the possibilities of sexual pleasure. It can also be difficult for them to explain why they are unable to get sexual stimulation. This can leave their female partners feeling less engaged and confused.

You cannot hold back. For guys suffering from premature ejaculation, the old “think about baseball” trick won’t work. Regardless of whether or not they wish to, they are unable to control or delay their ejaculation at or shortly after penetration.

All men reach a point in sex where they are unable to control or delay ejaculatory inevitability. All men have an “ejaculatory threshold,” which is the maximum amount of stimulation they can receive before reaching the “point of no return.” Men with PE reach their “point of ejaculatory inevitable” much sooner.

Women on the other side don’t feel the ejaculatory inevitable–they can lose an orgasm as it happens. It makes sense that women want to get their men as hot as possible, even though they are not familiar with the concepts of ejaculatory impossibility and ejaculatory threshold.

This is a bad approach for men suffering from premature ejaculation. A woman who has had PE can ask a man to wait for her orgasm. This is one of the most damaging things she can do to him. As you will see, stress caused by being told to wait is likely to increase ejaculatory inevitability.

This can make it difficult for a woman to have intercourse. Each woman’s ability to orgasm is unique, so you can’t determine if you have premature ejaculation by how long it takes for her to get there. However, premature ejaculation is a condition in which a man can’t satisfy a woman for long enough to have vaginal intercourse. Many men suffering from PE worry about their sexual health.

Premature ejaculation affects your life. You don’t need me to say that these first two issues, not being able to last long enough and being unable to hold back, do not inspire sexual confidence. They can cause a host of negative emotions in premature ejaculation men: anger and frustration with themselves, insecurity about their sex lives, anxiety, shame, and concern about their relationship.

Premature ejaculation guides tend to focus on “mindbody” techniques. However, such attempts to distract yourself or mentally hold back are likely to increase anxiety and trigger a series of physiological reactions that increase the rate of arousal.

Psychology studies show that the harder you try to avoid thinking about something, the more likely it is that you will think about it. Then you worry about the fact that you are not fulfilling the purpose of the exercise.

These techniques can be rebranded as “meditative exercises” to promote “sensual experiences” rather than sexual ones. They may not only have no scientific basis, but they could actually worsen the situation if they are used as the foundation of premature ejaculationer’s efforts to solve the problem.

Men with premature ejaculation fear that their partners will be sexually lazy or selfish. Some women don’t understand the term “premature” and may even think so. Ironically, premature ejaculation men are often very sensitive lovers who are unable to put their intentions into action.

If you are too focused on delaying your orgasm, you may find it hard to have sex and avoid relationships with women. Women often don’t realize their partner has premature ejaculation and believe that something is wrong in the relationship.

Some women wonder why their partners are depressed, distant, or avoid sex. Premature ejaculation can cause you to withdraw from male friendships as well as affect the woman in your life.

This can leave you feeling isolated and like you don’t have anyone to talk to about it. Premature ejaculation can cause you to feel sexually immature and out of control, and you may find it easy to get angry at yourself if you don’t understand why. I will show you later how to deal with these emotions and make you feel more confident.

Which Type Of PE Are You?

As I have mentioned, these three main issues are lifelong, chronic, premature ejaculation. This means that it has been a problem since your first sexual encounter and can even happen while you are masturbating.

Premature ejaculation has also been seen in other men. Situational PE is also known. It occurs after previous relationships that have been healthy. Premature ejaculation can result from a variety of factors, including relationship or psychological issues.

It may also be caused by physical conditions such as erectile dysfunction or prostate problems. This guide is intended for men who have suffered from premature ejaculation their entire lives. However, it may also be useful for people who have acquired prematurity. These questions will help you determine what type of PE you have.

• Are you having problems with premature ejaculation?
• Is premature ejaculation possible in all sexual situations, such as intercourse, oral stimulation, or manual stimulation, with different partners (including during masturbation alone)?
• Are you healthy and free from any conditions that could lead to PE, such as spinal cord injury, prostate infection, multiple sclerosis, or other conditions?
• Are you taking tranquilizers, opiates, or ephedrine/pseudoephedrine (found in cold medicines and decongestants)?

You are likely to have lifelong, chronic premature ejaculation if you answered “yes” to the first three questions and “no” to the fourth. You have probably developed PE if you answered “no” or “yes” to the first and fourth questions.

What Causes Premature Ejaculation?

Premature ejaculation was not always a problem. In fact, it was something that people used to strive for. The superior male who could fertilize a woman faster than the other men was the premature ejaculator, which would have been hundreds of thousands of years ago.

He was able to have more sex and father more children. This allowed him to win the “sperm wars” and earn his place at the head of his tribe.

His family also benefited from it. Cavemen and women didn’t just retire to luxurious honeymoon suites to have sex. Most sex was done outdoors, where predators could easily turn them into tasty snacks.

The added risk led to anxiety, and the man had to ejaculate earlier. Men who could finish faster were valued because they were exposed to less danger. It is likely that primitive times didn’t have any awareness of female orgasms, so it wasn’t a problem for them to come quickly. Although we’ve all heard, “survival to the fittest,” it was really about the survival of those who were the fastest.

Experts believe that this trait was passed down from generation-to-generation, giving premature ejaculation, as we call it, an evolutionary advantage. Although most people would consider it an evolutionary disadvantage, some experts believe it is a benefit.

However, today’s premature ejaculationers may also have inherited the sensitivity of our forefathers to environmental stressors like loud noises. The culprit in this instance is more likely to be an ejaculating horn than a growling, saber-toothed tiger. New fathers have told me that hearing their baby cry in the other room while they are having sex almost always triggers ejaculation.

Premature ejaculation has become less of an evolutionary problem than a flaw thanks to our increased knowledge of female sexual pleasure and our ability to safely couple privately. Why is PE still a problem for some men?

According to some cultures, PE can be caused by anything from “weak blood” and “loose nerves” to cold weather or stress. It sounds absurd, right? It’s not easy to determine the true causes of premature ejaculation.

There have been many causes of premature ejaculation over the years. While some of these theories may hold some truth, they do not appear to be the sole reason for PE. Let’s look at some of these more popular theories.

Psychological issues Premature ejaculation has been viewed historically as an emotional problem. Its roots are in mental problems such as guilt, anxiety, depression, and anxiety. These concerns may be present in many men who have suffered from PE for a long time. However, these issues are not the causes of premature ejaculation.

Masturbation behaviors As a teenager, you may have been rushing to get in front of someone. Worst-case scenario: it’s your mother. Experts once suggested that racing to the finish line could lead to PE.

This would make it more likely to ejaculate rapidly. We now know that while this can worsen or reinforce prematurity, it doesn’t necessarily cause it. Research shows that men masturbating is a common behavior, regardless of whether they are suffering from premature ejaculation. We all use the same level and intensity of stimulation.

However, it does seem that visual stimulation is different—pornography, for example. Research shows that men who add visual stimulation to their physical stimulation have lower ejaculatory control, which increases the risk of PE. Premature ejaculation is more common when there’s a combination of psychogenic (visual/mental stimulation) and reflex (physical stimulation).

This is a significant discovery as many treatments for premature ejaculation focus on meditation-based awareness training during masturbation. While it may work if you have only one penis, most masturbating men use porn or visual stimulation.

Awareness training won’t work if you add that type of psychogenic stimulation. You are less likely to be successful in having real sex with your partner. This article will show you how to use visual stimulation to make your sex last longer.

Inexperience It’s not true that PE is only a problem for young men, as I said earlier. Some people believe that premature ejaculation makes men less sexually aware and more sexually active. However, this is also false.

Studies show that masturbating men who have prematurely ejaculated use the same stimulation levels as those without. Men with and without PE have the same technique and self-awareness.

greater penile sensitivity. Men with premature ejaculation might have higher penis sensitivity, which could explain why they ejaculate so quickly. Research supports this theory. It has been proven that men with premature, chronic, long-term ejaculation have higher penile sensitivities than those without. Creams, sprays, and other products to numb their penis appear to be quite effective.

However, evidence suggests that PE can make men’s penises more sensitive. A study of 83 men was published in the Journal of Sexual Medicine on June 6, 2009. Half of them had premature ejaculation for their entire lives.

The other half didn’t have any ejaculatory conditions. To determine their level of sensitivity, the researchers used a tool to apply hot, cold, or vibration-type sensations to men’s penises. Five such tests revealed that PE caused a decrease in penile sensitivity.

This is not to suggest that these men wouldn’t benefit from numbing drugs, but we cannot say that premature ejaculation is caused by heightened penile sensitivities.

The Most Recent Thoughts

Experts now believe that PE can be compared to certain birth defects. It’s something you are born with and likely have at least one relative. Researchers also discovered links between premature ejaculation and changes in the nervous system.

Like Father, Like Child

Premature ejaculation is not something that most people want to talk about with their dads. Research is showing that PE is an evolutionary consequence of winning the “sperm battles.”

Research on twins shows an increase in premature ejaculation. One Dutch study also found that premature ejaculation was more common in men who had at least one first-degree relative (such as a father, brother, or sister) with the condition.

It is possible that PE may have a genetic basis. This means that you could inherit your risk, like your risk of developing heart disease or other types of cancer.

Based On The Brain

Did you remember when I described the basics of ejaculation? Your nervous system is crucial in this process. Researchers are finding that premature ejaculation is more likely to be due to neurological factors than anything else.

In particular, it is possible that PE may be caused by changes in the levels of two neurotransmitters. These are chemical messengers that your nervous system depends on to regulate many bodily functions.

The brain cells that control mood, sleep, memory, and sexual desire are influenced by the neurotransmitter serotonin. Serotonin levels are lower in those with mood disorders such as depression.

Studies also showed that serotonin levels were lower in prematurely ejaculated men. Antidepressants such as Prozac, Zoloft, and Celexa are known for increasing levels of serotonin. Simply put, higher levels of serotonin can make you happier and more active.

SSRI users know that higher levels of serotonin can increase ejaculatory thresholds and slow down orgasmic activity. This can be a problem for some men, but it could also be a benefit for those with premature ejaculation. I’ll explain why later. Although you can increase your serotonin levels naturally by exercising, men with PE may need to take drugs.

Dopamine is also needed to ensure optimal sexual function. Do you remember that feeling of being giddy and floating on air when you fall in love? Dopamine is the reason. Dopamine is also released by your body when you are sexually stimulated, having sex, or masturbating.

From an evolutionary perspective, dopamine can be thought of as your reward for reproducing. Dopamine can be addictive, and you should consider the fact that other drugs, such as alcohol or cocaine, can also trigger your body to release this neurotransmitter.

Too much good quality is not always a good idea. Ejaculation can be triggered by high levels of dopamine, which can lower the ejaculatory threshold. Premature ejaculation can cause the brains of men to have lower levels of serotonin and higher levels of dopamine, making them more vulnerable to premature ejaculation. As I will explain, the best way to control PE is to increase serotonin and lower dopamine during sexual activity.

Overdrive Of The Nervous System

Premature ejaculation can make it difficult for men to perform ejaculation. Research has shown that prematurely ejaculated men have a higher heart rate than those without it. Although it may sound unrelated, this difference could be a sign of premature ejaculation.

This is because PE causes men to shift faster from their parasympathetic nervous system to their sympathetic nervous system than those without. The sympathetic nervous system is responsible for an increased heart rate.

This system regulates our fight-or-flight reaction to stressors. These stressors could include anxiety, the presence in another room, loud noises outside of the bedroom, or the excitement of sex.

Premature ejaculation makes men more susceptible to rapid ejaculation by allowing them to shift to the sympathetic nervous system.

These sympathetic responses may be triggered by their anxiety and nervousness about premature ejaculation or being in a sexual environment. As you will see, one of the keys to developing ejaculatory control is being able to manage and lower your heartbeat.

Continue Reading

• The Complete Guide To Premature Ejaculation (Part 1/5 – Quiz)
• The Complete Guide To Premature Ejaculation (Part 2/5 – Common Myths)
• The Complete Guide To Premature Ejaculation (Part 3/5 – Understanding Arousal)
• The Complete Guide To Premature Ejaculation (Part 4/5 – Treatment Options)
• The Complete Guide To Premature Ejaculation (Part 5/5 – Putting It All Together)

Sources:

• Intravaginal Ejaculation Latency Time – Wikipedia. (2022, January 31). Intravaginal ejaculation latency time – Wikipedia. https://en.wikipedia.org/wiki/Intravaginal_ejaculation_latency_time.
• Home. (2022, February 4). ISSM. https://www.issm.info/.
• @. (n.d.). Premature Ejaculation: Causes & Treatment. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation.