Thursday 16 December 2010

What is premature ejaculation?

What is premature ejaculation? 


Well the simple answer is when a man ejaculates earlier than he has intended or his partner would like him to, or in some cases even before an orgasm is reached. Premature ejaculation (PE) is also known as rapid ejaculation, rapid climax, premature climax, or early ejaculation.


How common is premature ejaculation?

Premature ejaculation is commonly reported as the most common male sexual problem of all ages. The Global Study on Sexual Attitude and Behaviours (2005) did collect data on the prevalence of PE from many countries around the world but did not collect for India. From studies done in India, mainly using clinic samples, the prevalence of PE ranged from 12% to 78%. A 2006 study on urban slum men reports a prevalence of PE to be16%. Premature ejaculation is more common in younger men, as they are often less sexually experienced or secure with the situation in which they are having sex.

Symptoms and Causes of Premature Ejaculation


Predominant age: All age groups
Predominant sex: Male only

Signs and Symptoms

  • Ejaculation occurring before individual wishes
  • Ejaculation does not occur following normal erection (including masturbation)

Causes

  • Never any ejaculate
    • Congenital structural disorder (Mullerian duct cyst, Wolffian abnormality)
    • Acquired (radical prostatectomy, postinfectious, post-traumatic, T10-12 neuropathy)
  • Retrograde ejaculation
    • TURP (25%)
    • Surgery on the neck of the bladder
    • Extensive pelvic surgery
    • Retroperitoneal lymph node dissection for testicular cancer (also can produce failure of emission)
    • Neurologic disorders, eg, multiple sclerosis
    • Drugs, eg, amoxapine, desipramine, imipramine
  • Retarded ejaculation
    • Rarely may be due to underlying painful disorder, eg, prostatitis, seminal vesiculitis
    • May be psychogenic as part of erectile dysfunction
    • Sympathectomy, eg, spinal cord injury, diabetes mellitus
    • Some drugs may impair ejaculation, eg, certain MAO inhibitors, SSRIs, alpha-blockers, antipsychotics, tricyclic antidepressants
    • Premature ejaculation
    • Sexual inexperience
    • High level of sexual arousal
    • Fear of sexually transmitted disease
    • Anxiety
    • Guilty feelings about sex
    • Interpersonal maladaptation (marital problems, unresponsiveness of mate)
    • Lack of privacy


What Treatment Is Available for Premature Ejaculation?

There are many ways of improving your staying power, some are more laborious including Masters and Johnson recommended a start and stop technique to increase the time until ejaculation. This requires a great deal of couple cooperation and communication, and may be difficult for some.


There are also various treatments available on the web, one treatment stands out called Stud 100 The active ingredient, Lidocaine, is a anaesthetic which is used to reduce the sensitivity to touch of ejaculation in cases of over-rapid or premature ejaculation. It delays ejaculation by reducing the sensitivity of the penis, significantly prolonging intercourse and providing greater satisfaction for both partners. Stud 100 can be used with both latex and non-latex condoms: Stud 100 has been tested with leading brand condoms and meets the BSI Test Protocol.





References

  1. http://www.sexualhealthindia.com/sexual-health/premature-ejaculation
  2. http://www.health.am/sex/premature-ejaculation/
  3. http://www.medical-specialists.co.uk/chemist-shop/stud-100.php


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