The fact is that nobody can define the proper duration of the sexual intercourse. That is why it is quite senseless to treat premature ejaculation as a time-related issue. The medical definition of the PE says the following: “Premature ejaculation is ejaculation that occurs after only minimal sexual stimulation, during, or shortly after penetration and before the person wishes for ejaculation to occur”.
So, the problem of premature ejaculation occurs only if the man or his wife or partner considers he does have it. On the one hand the man cannot be satisfied with quite short ejaculation occurring before the penetration; on the other hand, a woman may need more time for becoming sexually excited and having orgasm. No wonder that the problem of premature ejaculation becomes the problem of relations in most cases. Inability to satisfy the woman and to postpone the ejaculation often leads to the increased anxiety, stresses and failure expectations. Soon it may be spread to other life spheres as job, professional achievements, friends and so on. As a result, the man obtains low self-esteem, broken relations and failures at work.
Causes of Premature Ejaculation
Premature ejaculation can be caused by various factors or a combination of them. It is very important to correctly define the factor of PE because the choice of the treatment methods will mainly depend upon it. Here we have collected short description of the PE reasons.
Sensitive penis head or high sexual arousal
People have different constitution including sexual one. Some women need much more time to get orgasm; some men need just some seconds to ejaculate. Short ejaculation period may depend upon the high sensitivity of the balanus. It is not a real problem; it just means that the man cannot his ejaculation if his is too excited or hungry for sex. The real problem is that it the balanus is too sensitive the ejaculation may occur during the foreplay. This situation is typical of teenagers and in most cases disappears with years. However, sometimes it remains even in the adulthood.
Stress and anxiety
Sex can be exciting, wonderful, thrilling – and at the same time a little scary. The man may be anxious for the first time with different partner or if he experienced some sexual troubles like erectile or ejaculation problems before. The anxiety does not help in sexual relations as it may provoke further complications. So, the man won’t be able to control the ejaculation process. The scientific explanation of the situation when the man ejaculates faster under the circumstances of threat can be taken from the animal world. In animal world sex serves mainly for the propagation of species. At the same time animals do not have time for long sexual marathon as their life is under the constant danger. Therefore the coitus lasts within several seconds and finishes with the male ejaculation. We see the same situation in people: when the man feels anxious or stressed the brain signals to the body and he ejaculates quickly – before it is too late.
Erectile dysfunction can also be the reason of premature ejaculation. The body signals to ejaculate if there is no ability for the erection to last longer. From the point of view of the laws of Nature this is quite logic as the coitus without releasing the semen and fertilization is senseless. Thus, the body reacts with the signal to empty the seminal vesicles before the penis fails.
Drugs, alcohol and depression
Bad habits like alcohol as well as therapy with certain drugs can be another factor of premature ejaculation. Depression can be added to the list. All the above-mentioned factors lead to the decrease of serotonin in the body that in its turn can provoke the decrease of coitus duration.
Methods how to Cope with Premature Ejaculation
Methods of treating the premature ejaculation are quite numerous mainly because of the necessity to adapt the treatment to each individual case. Some cases can be coped with some simple tricks. At the same time some situations require serious medical assistance. Surely methods can be combined in order to achieve higher effectiveness of treatment. Below there is information about each method.
Stop-start technique refers to the physical exercises aimed at training the ability to stop and delay the ejaculation. Two types of this technique are applied: self-exercising and exercising with partner.
Stop-start technique: self – exercising
This method is very simple. The man should masturbate until he feels sexually excited and able to ejaculate. After that he should stop until sexual excitement falls down and start again. He can use sex toys or lubricants to get more realistic feelings. However, this method does not work in all the cases. Even if the man succeeds alone he may feel stressed having sex together with the partner and the problem may return. It is difficult to control the excitement process and to feel anxious about the results.
Stop-start technique with a partner
The given technique is much more effective however it requires true intimacy between the partners. As both sides are affected by the problem of premature ejaculation the method involving two of them brings more fruit. The partner stimulates the man until he feels the ejaculation to come and stops. The man should take the passive position and focus only on his own feelings. When the sexual tension subsides the partner should get back to stimulation. The process should be repeated several times. The more times you will repeat the better results you will get. The man should not participate in the process at all.
Delay spray against premature ejaculation
A delay spray is an anesthetic medication sprayed on the balanus5 to 15 minutes prior to the coitus. It makes the head less sensitive to sexual stimulation so the man can have longer coitus. It is one of the most effective methods for those who have very sensitive balanus. Despite the fact that spray is considered to have the temporal effectiveness some patients notice the long-standing improvements. Moreover, the other advantage of the spray is that it does not affect the woman’s sensitivity as it dry over the skin in a few seconds. The spray is also good if the man feels nervous before the sexual intercourse. In this case the application of spray has psychological rather than psychiological character. The man feels confident about the outcome as he has made some steps to get ready so the nervousness and performance anxiety fall down. The spray should be used by patients with allergic reactions to any of its components.
Drugs against premature ejaculation
A lot of sedative drugs and antidepressants are available at the market. They improve psychological state of the patients helping them feel better and raise their self-confidence. Moreover, some of them are known to decrease libido and thus provide delayed ejaculation. Among these medications one should mention Celexa, Prozac, Paxil and Zoloft. They influence the level of serotonin level in the brain and serotonin is known to influence the ejaculation process. Antidepressants should be prescribed by the doctor as they have certain contraindications and side effects.
Priligy (dapoxetine) against PE
Priligy, the market name of Dapoxetine, is a newly-invented medical drug aimed at postponing the ejaculation. The drug works like a kind of antidepressant releasing the tension and helping delay the ejaculation. It should be taken 30-45 minutes prior to the sexual intercourse. The usual therapeutic effect of the medication involves the following:
- Reducing the anxiety to ejaculate too early;
- Controlling the sex act duration;
- Helping cope with the performance anxiety;
- Yielding maximal benefits for both partners.
At present Priligy is considered to be the most popular solution among all the other methods presented here. Generic Priligy, or Dapoxetine widely available for patients is not only effective, but also quite affordable way of treating the PE. The only thing about generic Priligy is the importance of finding reliable online drug store in order to have high-quality and safe medication. Don’t neglect consulting your health care specialist before taking any decision regarding the choice of PE treatment method.