The Art Of Avoiding & Overcoming Premature Ejaculation 2

Posted on August 2, 2012 by admin Premature ejaculation (PE), simply put, is where a man ejaculates before he or his partner want him to come. PE can be called rapid ejaculation, rapid climax, early ejaculation or premature climax. Masters and Johnson defined PE as where a man climaxes before his partner’s orgasm more than half the time. Nowadays there is no agreed definition but most sex clinicians agree that PE is where ejaculation occurs within two minutes of penetration. But Alfred Kinsey’s survey in the 1940s showed that 75% of men climax within two minutes! PE has two types: “Primary”, which is there from puberty, and “Secondary” which occurs or develops later. PE can also be classed as “Global”, which occurs with all partners and “Situational” which occurs with specific partners. Most men get PE at least once in their sexually active lifetime. Every man has his average duration for making love, and every man, and couple, have their own expectations, so it is difficult to say what is ‘premature’ and what is normal. Studies show that there is an average ‘intra-vaginal ejaculation latency time’ (IELT) of six and a half minutes. This suggests that any time below 2 minutes is abnormal. But it is possible that some men with low IELTs could be OK with it and don’t complain. Also men with high IELTs could be unhappy with it and could even benefit from treatment to avoid premature ejaculation. This is how ejaculation works. First, the emission phase puts seminal fluid from the seminal vesicles into the posterior urethra. Next is the expulsion phase which includes closure of bladder neck, followed by the regular muscle contractions. The neurotransmitter serotonin is vital in ejaculation control, so low levels of serotonin in the brain may possibly be a causative factor in PE. This means PE can, at least in theory, be avoided by using certain prescription drugs (SSRIs) which increase serotonin levels. Several areas of the brain are known to be involved in ejaculatory control, which tells us there may be a genetic link to certain forms of PE. One study showed that 91% of men who have always had PE had a near relative with the condition. If PE is caused by neurological issues, simple exercises prescribed by sex therapists can do the trick, but if that fails, medications can help as suggested above. When it comes to diagnosis and cure, the clinician should take into account the individual’s age, sexual experience, recent sexual activity, and the relationship with the partner. The clinician should also ask if substance use is a factor in the man’s life. It is important to look at the general medical condition, with particular reference to the patient’s sexual history, ejaculation control and any dissatisfaction felt by patient or partner. PE is not the same as erectile dysfunction although the two can go together as almost half of men with PE have erectile dysfunction as well. Some men with erectile dysfunction tend to omit strategies for delaying orgasm, while others require longer foreplay to develop a proper erection. Sometimes sexual arousal can be so high that ejaculation occurs immediately. Please note that occasional climaxing problems that don’t persist do not count for the diagnosis of premature ejaculation.