Premature Ejaculation

Most men have experienced the problem of premature ejaculation at some time in their life. Premature ejaculation is one of the most common sexual problems. Premature ejaculation is explained as a condition where in a person is unable to delay ejaculation to a point when it is mutually desirable for both the partners. That means ejaculation occurs before a man wants it to happen. Some men ejaculate during foreplay while some do so at the very entry itself.

But few men feel that 5 or 10 minutes time to have orgasm is not enough and they feel that this is also premature ejaculation. This suggests premature ejaculation is most likely psychological in origin than physiological. The exact cause of premature ejaculation is still unknown.

Ayurveda has said Kshiprumunchati Shukram……. this means the person will have Premature ejaculation when vata in his body aggravates and leads to a very quick ejaculation of shukra (semen).

The probable causes for premature ejaculation:

• Anxiety during the first experience of sex. Some men will develop
a longer-term anxiety toward sex, which can cause a prolonged experience
with premature ejaculation.

• A long period of abstinence from sex.

• Younger men tend to ejaculate more quickly than older men, as
experience seems to be associated with ejaculatory control.

• Depression or anxiety about poor sexual performance

• Anxiety due to anticipation of Rejection by partner.

• Anticipation of failure to satisfy his partner

• Anticipation of pain

• Adverse experiences with sex in childhood

• Religious beliefs

• Financial burdens

• Job stress

• Relationship problems

• Side effects of some prescription drugs

Apart from psychological causes some physiological causes like inflammation of prostate gland or spinal chord problems may cause premature ejaculation.

According to ayurveda when vayu gets vitiated it causes premature ejaculation. The following causes vitiates vata

• Consuming stale, spicy, cold and junk food (Men who are away from
home on business mostly consume this sort of food )

• staying up for long hours at night .

• long gap between meals

• Controlling natural urges (this happens during long corporate
meetings)

• Physical and mental exertion.

• Under nourishment due to worries and grief.

• Sitting for long hours in uncomfortable chairs.

• Traveling at high speeds.

Prevention:

• Seek psychotherapy to maintain a healthy attitude towards sex.

• Do not blame yourself for premature ejaculation. Anybody can
experience premature ejaculation.

• Speak openly with your partners to avoid misunderstanding and
miscommunication.
• Use some relaxation techniques to reduce stress.

• Have full knowledge about sex

• Try to minimize the above said causative factors.

Simple Remedies

Many techniques are used to control premature ejaculation. “The squeeze technique” is popular and effective amongst all. Squeeze technique is a behavioral therapy. If a man senses that he is about to experience premature ejaculation, he interrupts sexual relations. Then the man or his partner squeezes the shaft of his penis between a thumb and two fingers applying gentle pressure just below the head of the penis for 20 seconds. 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.

The Masters & Johnson method:

• The best way to combat premature ejaculation is by learning to
control the sensations prior to orgasm. This method takes time and
practice, but it is very effective.

• First you need to bring yourself close to orgasm (this can be
done via masturbation, without the involvement of your partner) and then
stop and relax before recommencing. Each time you need to bring yourself
closer to orgasm until finally you cannot control it. If you do this
often enough, you will learn where your point of climax is. This is
helpful when interacting with your partner.

• You will need to practice reaching your climax point with your
partner by engaging in non-penetrative sex so that when you feel it is
near, you signal them to stop and you allow your erection to subside.
This also needs to be repeated so that you and your partner are familiar
with the procedure.

• Once you feel you are ready for intercourse, it is best to start
by lying on your back so that you can guide your partner during
penetration. When you are near orgasm, give your partner a signal to stop
and you should relax and start again. Once you get the hang of it (it may
take several weeks or months), premature ejaculation shouldn’t be too
much of a problem.

• A variant of this method involves the partner squeezing the tip
of the penis just before orgasm (“squeeze technique”). This pushes blood
out of the penis and reduces the erection.

Premature Ejaculation Treatment

The cause of premature ejaculation is not clear and the disease is believed to be mainly a psychological problem. To understand how premature ejaculation can be successfully treated, we need to present some facts related to ejaculation and its mechanism.

The mechanism of ejaculation is actually quite complicated and is associated with three different simultaneous events:

release of semen from the prostate (seminal emission),
propelling the semen out the prostate and penis (ejaculation ),
and prevention of semen going backwards into the bladder (bladder neck closure).

In a very simple representation, the male ejaculatory mechanism consists of two reflexes: the glans-vasal and urethromuscular. Glans-vasal reflex seems to bring the semen to the posterior urethra (the emission phase of ejaculation) and then the urethromuscular reflex ejects it to the exterior (ejection phase of ejaculation).

Deeply involved in mechanism of ejaculation is the paired, striated muscles at the base of the penis called the bulbospongiosus. Once the seminal fluid reaches the bulbous urethra, the bulbocavernosus muscle contraction (BCM) compresses the urethra and expelled its contents.

This introduction was necessary because any dysfunction of all mentioned above seem to induce ejaculatory disorders and any treatment is close related to this dysfunction.

Squeeze Technique aims to educate bulbocavernosus muscle to eliminate involuntary contractions that may cause the ejaculation with minimal sexual stimulation. This technique described by Masters and Johnson is very successful if the sufferer has a willing and understanding partner. The person with premature ejaculation is stimulated by his partner to the point of imminent ejaculation. Just prior to ejaculation, the partner squeezes the penis in its base to prevent ejaculation. Once the sensation of impending ejaculation has subsided, the process is repeated. Gradually, over time, a man can prolong his time until ejaculation.

“Stop and start” method This involves sexual stimulation until the man recognizes that he is about to ejaculate. The stimulation is then removed for about thirty seconds and then may be resumed. The sequence is repeated until ejaculation is desired, the final time allowing the stimulation to continue until ejaculation occurs. To be successful this method also claims the partner co-operation.

Reducing the stimulation For men with premature ejaculation a number of creams are available that can partially anesthetize (numb) the penis and reduce the stimulation that leads to orgasm. Another option is to use one or more condoms. However, either of these techniques may interfere with the pleasure experienced during sex.

Drugs

Alternatively, your doctor may prescribe medication that helps to delay ejaculation. Delayed orgasm is a common side effect of certain drugs, particularly those used to treat depression. When this type of medication is given to men who experience premature ejaculation, it can help to postpone orgasm for up to several minutes.

Premature Ejaculation, How Quick Is Too Quick?

Many men around the world ask themselves this question every time they have sex with their partners and feel an uncomfortable sensation of guilt after looking at her disappointment for the short sexual encounter they have just had, a situation that inevitable leads them to the sad conclusion that maybe they indeed are “too quick”.

Masters and Johnson have stated that a man ejaculates too quick if he does it before his partner achieves orgasm in more than fifty percent of his sexual encounters. Other sex researchers consider an early ejaculation the one occurring within two minutes of penetration, though there are some discrepancies on this timing. This condition of “quick ejaculation” is what is called Premature Ejaculation and in the US the prevalence rate in American males is estimated to range from 30-70%.

Premature Ejaculation is believed to be a psychological problem and does not represent any known organic disease involving the male reproductive tract or any known lesions in the brain or nervous system. In short, PE is not a physiological problem or disease, though it manifests physiologically by considering the organ systems directly affected , this is the male reproductive tract.

Apart from the dissatisfaction in the sexual life of the partners and the stress this situation brings to the relation, if ejaculation continually occurs so early that it happens before commencement of sexual intercourse, as it does in grave cases of premature ejaculation, and the couple is attempting pregnancy, then pregnancy is impossible to achieve unless artificial insemination is used.

Many men think this is a hopeless situation, but that’s far from being true. There is cure for premature ejaculation and this can be achieved in a few weeks by treating the origin of the illness, this is the mind of the individual and by having the patience and discipline for following the correct techniques that will led to the total cure of the condition and the regaining of a healthy and satisfactory sexual life for both partners.