pre mature ejaculation

pre mature ejaculation: what is PE?

It's one of the commonest of all sexual problems. Recently, we did a survey of several thousand British males, and approximately 10 per cent of them said that they 'often' or 'sometimes' had this trouble. We found that it's commoner in younger men - which is not surprising, as there's a distinct tendency for it to improve with age. Men generally get better control as they grow older. However, a 2004 survey in Europe showed that middle-aged men still have this problem. Fortunately, good treatments are available.
Premature ejaculation occurs when a man reaches orgasm and ejaculates too quickly and without control. In other words, ejaculation occurs before a man wants it to happen. It may occur before or after beginning foreplay or intercourse. Some men experience a lot of personal distress because of this condition.

Premature ejaculation is usually an unmistakable experience to a man or his partner, but through the years it has been difficult for professionals to agree on a precise definition of this common sexual concern. As Helen Kaplan, M.D. and other professionals point out, this phenomenon may occur because the man is unable to recognize that he is about to ejaculate. And even when he does recognize he is approaching ejaculation, he feels he is unable to control or delay the process. (read more on pre mature ejaculation)

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There's no medical standard for how long it should take a man to ejaculate. The primary sign of premature ejaculation is ejaculation that occurs before both partners wish in the majority of sexual encounters, causing distress for one or both partners. The problem can occur in all sexual situations, including masturbation, or may only occur during sexual encounters with another person.
Ejaculation is a reflex that, once a certain level of stimulation is reached, is automatic. Controlling the ejaculatory reflex requires that the man be able to recognize and regulate the amount of stimulation he is experiencing so that he does not reach the level that will trigger the ejaculatory reflex before he wants to.
The main cause of premature ejaculation is biological. Upon sexual stimulation and arousal, the normal physical responses for a man and a woman are similar. A man will achieve a climax and then ejaculate about two to three minutes after penetrating the vagina. Women will reach orgasm about 12 to 14 minutes after intercourse occurs. Many women do not achieve orgasm especially if only penetration of the vagina by the penis occurs during sexual activity. Many women achieve orgasm through other methods of sexual stimulation although for some, orgasm is not achieved under any circumstances nor with any type of stimulation. Roughly 10% of women fall into this category. Other causes of premature ejaculation include psychological factors such as marital and relationship issues; performance anxiety (with partners new to each other and especially in the inexperienced partner); fear (associated with concerns regarding getting caught or discovered, sexually transmitted diseases or potential pregnancy ); and guilt (believing the activity is sinful e.g., premarital or extramarital sex).
For many years, sex experts have tended to say that premature ejaculation is caused by early 'conditioning'. In other words, the man's early, rushed (and perhaps furtive) sexual experiences had to be quick - so as to avoid detection! The idea is that all this hectic rush 'conditions' him to climax as quickly as possible.

pre mature ejaculation

The knowledge of normal male and female sexual responses prior to engaging in sexual activity may be helpful in preventing premature ejaculation.
Behavioral therapy is one possible approach for treating premature ejaculation. Most commonly, the "squeeze technique" is used. If a man senses that he is about to experience premature orgasm, he interrupts sexual relations. Then the man or his partner squeezes the shaft of his penis between a thumb and two fingers. The man or his partner applies light pressure just below the head of the penis for about 20 seconds, lets go, and then sexual relations can be resumed. The technique can be repeated as often as necessary. When this technique is successful, it enables the man to learn to delay ejaculation with the squeeze, and eventually, to gain control over ejaculation without the squeeze. Behavioral therapy helps 60% to 90% of men with premature ejaculation. However, it requires the cooperation of both partners. Also, premature ejaculation often returns, and additional behavioral therapy may be needed.
Squeeze Methods: this method involves either the man or his partner squeezing (fairly firmly) the end or the tip of the penis for 10 to 20 seconds when ejaculation is imminent, withholding stimulation for about 30 seconds, then continuing stimulation. This can be repeated until ejaculation is desired. The stop and start method can be used with the squeeze method as well.
The emergence of sexual tension and relationship difficulties are greatly reduced if sexual activity occurs under these circumstances: only after the partners know each other well and are comfortable with one another. Both partners consent to sexual intimacy without feeling pressured. Sexual activity should occur in a private and relaxed setting. In addition, contraception issues should be discussed, decided and acted upon by the couple. (read more on pre mature ejaculation)

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