Premature ejaculation , to know the causes and how to overcome them

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In sex , duration is one important factor. There is no standard for sure about this because of the long duration is dependent upon the satisfaction of each partner . When a man is considered too fast ejaculate during sex , it was called a premature ejaculation .

The study ever done about how long intercourse should take place. As a result, the average time for men to achieve ejaculation after penetration is approximately 5-6 minutes. The question is whether women are satisfied with the time? The answer is relative. There is no specific definition of how long intercourse should last.

Premature ejaculation occurring occasionally is common and nothing to worry about. But if half the effort you always end up having sex with premature ejaculation, then you can see a doctor.

Premature ejaculation is divided into two, namely:

• Secondary premature ejaculation, when premature ejaculation happens to a man who previously had a history of normal ejaculation. This kind of ejaculation is the most common type.
• Primary premature ejaculation, that premature ejaculation is always experienced by men since the first and every time you have sex. This type is very rare.

Conditions Cause Premature Ejaculation
Actual ejaculation problem is very complex and its causes were varied. Among these problems in relationships, previous sexual experience that create traumatic, depression, stress, health problems, drug use, and the condition of the penis is very sensitive due to biological conditions. Examples of biological conditions which can cause premature ejaculation is not normal hormone levels and disorders of the thyroid gland.

Even anxiety can cause premature ejaculation. For example a man who worried that he will suffer from erectile dysfunction, it could lead to him having sex with a rush.

Cause Premature Ejaculation
Secondary causes of premature ejaculation
Secondary premature ejaculation is a kind of premature ejaculation is the most common and experienced by men who previously were able to ejaculate normally. This condition is caused by two factors, namely in terms of psychological and physical.

Some of the things that fall into the psychological factors are stress, depression, anxiety or guilt and conflict in relationships that have not been resolved.

What is meant here is the physical factors underlying health problems, such as prostate disease, thyroid gland problems, high blood pressure, sex hormone imbalances, diabetes, and lifestyle such as drug use or excessive alcohol consumption.

The cause of primary premature ejaculation
A man called primary premature ejaculation if he ejaculates too quickly since the first and every time you have sex. In this condition, the man usually does not have the ability to hold ejaculation within the expected time duration. That situation could lead to the men feel embarrassed, frustrated, and the avoidance of sexual intimacy, so it is not impossible if later these things can ruin a relationship in pairs.

Some things might be the primary cause of premature ejaculation are:

• Traumatic sexual experiences. Primary premature ejaculation in a person can sometimes be caused by trauma he had experienced sexual experience, such as sexual abuse as a child or teenager, or even the trauma of caught masturbation.
• masturbation habits quickly. Many doctors believe that these habits can affect an adolescent sexual behavior in the future. Accidentally made ejaculate as quickly as possible for fear of being caught by other people during masturbation or masturbation can train your body to ejaculate prematurely.
• Biological factors. There are studies that suggested that biological factors can cause primary premature ejaculation. An example is the change in the sensitivity of the nerves of the penis so that it becomes too sensitive. Because his penis is very sensitive, it becomes easier man ejaculate when exposed to even the slightest stimulus.
• Upbringing and background. Feelings of guilt and anxiety can interfere with one's sex life. Early teachings were very tight, especially the doctrine that limits sexual activity (that is taboo and the new activities may be carried out if someone is married), can make a man feel relaxed later when having sex with their partner. It is not impossible that the strict teachings also formed the idea that sex is a sin.

Diagnosis of Premature Ejaculation
Before giving the medication, of course, the doctor will find out the cause of premature ejaculation and health of patients first overall. Some things you may ask your doctor is about:

• Health conditions, such as whether the patient has high blood pressure (hypertension), heart disease, or diabetes.
• The drugs are consumed.
• Family health history as possible hereditary conditions.
• Injuries that may have been experienced by patients in the pelvic area or operation that may never he lived in the area.
• Mental health and mind.
• Aspects of lifestyle, such as what type of food consumed and how much alcohol you drink patients each day.

It is important for the patient to answer all questions honestly doctors that patients can receive effective treatment.

In addition to asking about his medical history and lifestyle, your doctor may also do a urine test to ensure the absence of infection. If patients experience premature ejaculation, difficulty maintaining an erection, or even difficult to have an erection, blood tests would be well advised to examine the levels of the hormone testosterone.

If the doctor suspects the possibility of injury or infection in the pelvic area as a cause of premature ejaculation, the doctor will perform a physical examination.

For seniors who are aged over 50 years, a rectal examination performed to check the prostate gland. Besides the blood pressure and heart rate will be measured as well.

Treatment of Premature Ejaculation
Premature ejaculation treatment is divided into four, namely independently handling, treatment with topical anesthesia, with oral medications, as well as couples therapy that involves counseling and techniques of slowing down ejaculation.

independent handling
Independent handling is a way that you can do yourself before going to the doctor. By doing some relaxation techniques or techniques to distract, premature ejaculation can be treated.

Try to perform sexual positions with the woman on top during sex. The aim is that your spouse can easily withdraw when you start to reach ejaculation. After ejaculation curiosity has been lost, you can return to the penetration.

To hold the ejaculation reflex, you can do it by taking a deep breath and rest awhile. While resting you can be distracting to other things in order to decrease the urge to ejaculate.

Another way you can do is to masturbate one or two hours before sexual intercourse. If your penis is very sensitive, use a thick condom can also help reduce the sensation.

Additionally, you could also try to reduce or eliminate the habit of smoking and alcohol consumption. These measures can increase your control in the ejaculate.

Ejaculation control techniques
There are two most popular techniques in this method, namely 'squeeze technique' and 'stop-start technique'.

• In the squeeze technique, your female partner will try to give you masturbate. When you start feeling to ejaculate, give a signal to your partner to stop and immediately squeezes the penis head for ten to thirty seconds. Once the penis is released, wait for half a minute before repeating the same process. Do this method repeatedly before ejaculation actually allowed to happen. 

• The second is the technique of stop-start. This technique is performed during penetration. When you are about to ejaculate, pull your penis out of your partner, and then began to take a deep breath. Having lost the urge to ejaculate, continue further penetration. Do this technique repeatedly in accordance with the needs of you and your partner.

The effectiveness of these techniques will increase with the frequency of your workouts and your partner.

Handling of premature ejaculation with a topical anesthetic drugs
Topical anesthetics contain substances that can make the body become numb and numb. Topical anesthesia is used shortly before sex. Numbing effects of these medications can reduce the sensation thus delaying ejaculation.

Although effective, treatment in this way also have side effects. Some of the men claimed less enjoy sexual relations due to their reduced penile sensitivity. Not only men, the female partner can also experience the same thing. This is because the anesthetic agent been absorbed by the vagina. In rare cases, a topical anesthetic may cause the wearer to suffer from allergies.

Handling of premature ejaculation with drugs
One drug used to treat premature ejaculation is a selective serotonin reuptake inhibitor (SSRI). This drug is actually an antidepressant or depression reliever. But it also has the effect of SSRIs that can delay ejaculation and widely prescribed by doctors.

Some people claim to feel the effects of this medication after use during 7-14 days. SSRI commonly used in dealing with premature ejaculation is fluoxetine, sertaline, and paroxetine.

Side effects such as fatigue and nausea that may arise due to SSRI is quite mild and usually your body will adjust after a few weeks.

What if SSRIs are not effective in treating premature ejaculation? As alternatfinya doctors may prescribe analgesics, such as tramadol. This drug is actually a pain reliever but as SSRIs, can delay ejaculation analgesics. The side effects of analgesic use can include headache, dizziness, and nausea.

Counseling
During counseling, the couple will be encouraged to share any problems that may affect their relationships and find solutions together with the help of an expert (usually a psychologist). This session can also help couples reduce anxiety and cope with stress. Usually the effect of counseling would be more realistic if it is supported by the administration

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