In recent years, the medical community has improved the appreciation and understanding of male sexual dysfunction, including the problems that people may encounter in sexual intercourse. A premature ejaculation is a form of sexual dysfunction, which is a negative influence on the quality of a sex life.
The achievement of climax and ejaculate sperm during penetrative sex is the typical route to which infants are understood, but premature ejaculation is not only complicated reproduction, it can also have a negative effect on the sexual satisfaction for both men and their partners. The information here refers to premature ejaculation and Demystify list of active treatments for those cases where it is desired.
Treatments for premature ejaculation
The good news for most men worry about premature ejaculation is that the majority of cases, a psychological cause, and a good prognosis (outlook for the future). If the problem occurs at the beginning of a new relationship “Often matures resolving the relationship.”
In fact, in most cases, of any psychological or relationship problem, the problem usually resolves over time without treatment – a conversation with the doctor may be all that is needed.
Test and Diagnosis
In addition to questions about your sex life, your doctor will ask about your health history and may perform a physical examination. Your doctor may command a urine test to rule out possible infection. If you have both premature ejaculation and trouble getting or maintaining an erection, your doctor may order blood tests to check your male hormone (testosterone) levels or other tests.
In some cases, your doctor may suggest that you go to a urologist or a mental health professional who specializes in sexual dysfunction.
Cause of Premature Ejaculation
There may be a psychological component premature ejaculation. The insufficient concentration of the neurotransmitter serotonin is now thought to be a physical cause.
Premature ejaculation is the most common male sexual dysfunction, which is about 20 percent to 30 percent of the male population at a given time. Currently available data suggest that only 1 percent to 12 percent of males self-reporting receive treatment for their premature ejaculation dysfunction.
Classification of premature ejaculation
A classification of premature ejaculation has to differentiate between hyper- or hypo-orgasmic orgasmic between situational or global; It must also determine whether this during vaginal penetration or even during masturbation, and will have latency periods and the relationships of the erectile dysfunction, which is often associated study.
Premature Ejaculation Research
The first drug formulated to treat premature ejaculation delayed climax and increased for satisfaction reported in a late-stage study, its developer, Johnson & Johnson, said. A Phase III clinical study of 2614 men showed the drug provided “significant improvements in sexual function, including ejaculatory control, satisfaction with sexual intercourse for men and their partners, and increases in intravaginal ejaculatory latency time,” Ortho-McNeil Pharmaceutical, a unit of J & J, said in a statement. The drug, called dapoxetine, is being co-developed by J & J’s Alza Corp. And Johnson & Johnson Pharmaceutical Services, LLC units. The company Ortho-McNeil Pharmaceutical unit will receive the drug market in the United States as the US Food and Drug Administration approval.
Premature ejaculation. Definition and etiology
Arch Ital Urol Androl. 2004.
There is not to assess the overall agreement on the definition of premature ejaculation, so scientific studies often reach conflicting results depending on whether they increase ejaculatory latency or sexual gratification of the couple. Etiological theories can be divided into psycho-sexual (anxiety-related, behavioral) and biological (pelvic floor change, hypersensitivity of the glans, accelerated conduction and cortical amplification of the genital stimuli), both parts neurobiological assumption of serotonergic mediation. Premature ejaculation can be iatrogenic (amphetamine cocaine, dopaminergic drugs) or secondary to urological disorders (prostate vesiculitis, frenulum breve) and neurological diseases (multiple sclerosis, peripheral neuropathy, medullary expansion processes).
What causes premature ejaculation?
Most cases of premature ejaculation have no obvious cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation can occur with a new partner. It can happen only in certain sexual situations, or if it’s been a long time since the last ejaculation. Psychological factors can cause such fear, guilt, or depression. In some cases, may be related to medical causes such as hormonal problems, injury or side effect of certain drugs.
What are the symptoms?
The main symptom is uncontrolled ejaculation begins before or shortly after sexual intercourse. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
How premature ejaculation diagnosed?
Your doctor will discuss your medical and sexual history. He or she will do a thorough physical examination. Your doctor may want to talk to your partner. Premature ejaculation can have many causes. So your doctor may order laboratory tests to rule out other medical problems.
How is it treated?
In many cases, premature ejaculation gets better on its own time. The treatment may not be necessary. Practicing relaxation techniques or methods of distraction can help delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs can improve how well they can control ejaculation.
Your doctor may recommend that you and your partner practice certain techniques to help delay ejaculation. So you can learn to identify and control the sensations that lead to ejaculation. And you can learn to communicate with your partner to slow down or stop stimulation. You can try using a condom to reduce sensation to the penis. Or you can try a different position (as lying on your back) during intercourse. Counseling or behavioral therapy can help reduce anxiety associated with premature ejaculation.
Antidepressant drugs are sometimes used to premature ejaculation. These medicines include clomipramine (Anafranil) and Dapoxetine (Priligy). They are used because of their side effects is inhibited orgasm, which helps delay ejaculation.
There are also creams, gels such as Pelay, and a spray that can be used for premature ejaculation by reducing sensation. These drugs are applied to the penis before sex. They include lidocaine and lidocaine-prilocaine. But one must be careful when using some of these drugs as they may also affect a man’s sexual partner by reducing sensation for the partner.