Premature ejaculation is one of the greatest taboos in nowadays society. Men are ashamed by that problem and are reluctant to talk about it.
What is premature ejaculation?
Briefly, we talk about premature ejaculation when a man ejaculates very quickly. But how to determine that he ends very quickly? Is there a norm forendurance? Is it a question of a minimum time or a certain number of movements?
“Prolonged or recurrent ejaculation with minimal sexual stimulation occurs before or shortly after penetration, without the man wants it.”
“The inability to delay ejaculation long enough for satisfactory act that occurs through ejaculation either before or shortly after penetration or ejaculation occurred in weak erections, which prevents intercourse.”
“Ejaculation with minimal stimulation occurred earlier than desired, before or shortly after penetration, causing discomfort and stress and over which the sufferer has little or no control.”
“Premature ejaculation is a male sexual dysfunction, which are characterized by ejaculation which always or nearly always occurs prior to or shorter than 1 minute after penetration. It is an inability to delay ejaculation, which leads to negative consequences personality such as stress, anxiety, frustration, and sometimes even to avoid sexual activity. “
The fact that there are offered four valid official definitions of the problem shows that it is not yet fully understood. We are talking about premature ejaculation only if it occurs before one or the other participant in the sexual act wants, sometimes it can occur before the vaginal penetration.
On the other hand the lack of premature ejaculation is the ability to decide the time of ejaculation. This is the ability to slow time of the orgasm and extending the duration of intercourse.
What are the reasons for premature ejaculation?
The reasons for the rapid termination are not well understood. Various biological and psychological factors can lead to it – anxiety and stress or increased sensitivity of the head of the penis. Premature ejaculation is not influenced by age, although it is more common in younger men.
Are there many men, experiencing this problem?
More than one in three men are facing this problem these days! In France, in a poll conducted in 1992, 37% of men confirm that they often or sometimes havepremature ejaculation. In the United States in men between 18 and 59 years, the frequency is 31%. These figures are close and internationally.
Is this a disease?
Premature ejaculation is neither a disease nor a handicap, because although the man ejaculates quickly, he actually functions completely normal – he has an erection, orgasm, ejaculates and can have children.
However, uncontrolled and occurring before the desired moment ejaculation still causes problems in sexual connection as often, satisfaction and pleasure from it are insufficient neither for the man nor for his partner.
Here we should mention the global role of the media, the Internet and the easy access to pornography, which inculcated ‘modern’ ideas and expectations that the man in order to be a “real” man, must have sex for hours till he ejaculates. Most likely this is the reason for the increased number of patients with PE.
At the moment we do not know exactly why some men can control their ejaculation, while others fail to do that. According to some studies part on the ability to delay ejaculation have cerebral neurotransmitters. Stress and anxiety accelerate ejaculation, but these are not the only factors for premature ejaculation.
Is premature ejaculation hereditary?
Currently there are no such evidence and no study to confirm or refute this hypothesis.
Are there any medications that can treat this problem?
Dapoxetine hydrochloride is an antidepressant with a short action that is appropriate for the so-called treatment of premature ejaculation as needed (1-2 hours before the act) by increasing the time to ejaculation 3-4 times.
Other antidepressants (the so called Group of SSRI) have shown their efficiency, slowing the time of ejaculation. But they treat the symptoms – they do not cure the cause, which means that the discontinuation of the problem returns. On the other hand it is possible in some men the effect and improvement of the drugs is insufficient as the sexual act seems too short. Possible manifestation of the side effects of antidepressant therapy (loss of mood, drowsiness, sleepiness, even lack of desire for sex), causing patients to stop yourself.
Drugs from the group of phosphodiesterase inhibitors (Viagra, Levitra, Cialis) are not directly related to the duration of the act, but some patients have some effect due soon acquired a sense of security and simplified re-erection and respectively second act.
The use of anesthetic gels, sprays, condoms also have some effect, but it is not permanent and does not work for all men.