Treatment of premature ejaculation

Premature ejaculation is one of the most common forms of impaired sexual function, occurring in 30% of the male population, regardless of age. To start effective treatment, you need to know the exact causes of the ailment, and then take measures to eliminate them.

main reasonsPremature ejaculation

The most common cause of premature ejaculationThis is not the pathology of the urogenital sphere, but the primary defeat of the mechanism of regulation of emptying of the bladder and rectum, ejaculation. In medical practice this condition is known as syndrome of paracentral lobules .The cause of this disease in most cases remains unclear.

The main criteria for the diagnosis of the paracentral lobular syndrome

• The presence of daytime pollutions, not provoked by erotic stimuli.
• Frequent nocturnal pollutions and pollutions at a late age.
• Weak or prolonged prolongation of the effect of alcohol and other prolonging agents.
• Ability to induce ejaculation with the help of thought or visual images, without direct caresses of the genital organ or with superficial caresses.
• With repeated sexual intercourses, the duration of intercourse is practically not increased, but then the anejaculatory condition may occur, in which there is no ejaculation at all.

Possible causes of premature ejaculation

• Rare intercourse.
• Constant concern for their sexual competence, fear of not satisfying the partner.
• Developed habit of rapid ejaculation, acquired through rapid masturbation.
• Enuresis.
• Hypersensitivity of the glans penis.
• Genetic predisposition.
• Dysfunction of 5-HT-receptors. Organic factors - prostatitis, vesiculitis, colliculitis.
• Taking certain medicines.

Psychological disorders of premature ejaculation

Psychological disorders are one of the main causes of ailment. This pathology can be both an independent cause of premature ejaculation, and an adjacent one. However, men whose sexual acts overwhelmingly end with accelerated ejaculation, have to a certain extent problems at the psychological level.

Psychological disorder tends to increase over time and cover other causes with its negative impact. The thing is that after another unsuccessful sexual intercourse the man in the subconscious mind is fastened with the attitude that he is incapable of prolonged intercourse. Therefore, most methods of treatment of premature ejaculation will be directed at eliminating negative and acquiring positive psychophysical attitudes.

Methods of treatment of premature ejaculation

1. Psychotherapy and sexual therapy

For the removal of negative psychological attitudes, it is necessary to undergo a course of treatment for a psychologist-sexologist. Self-study can consist of self-training, suggesting the right settings for sexual intercourse. The essence of the treatment is the loss of an obsessive condition associated with the duration of the sexual act. Those. In the first place, the patient must get rid of any thoughts about the duration of the act during intimacy.

2. The method of "stop-start"

The patient through masturbation reaches the pre-change state and stops for several shocks before ejaculation. Slightly curbing sexual desire, continues to stimulate the penis until it reaches the next peak. Exercise can be done both independently and with a partner.

3. Reducing the sensitivity of the glans penis

In many men, the penis head is constantly hidden under the foreskin and exposed only when intercourse. This anatomical feature makes it possible to avoid contact between the head and external stimuli, while maintaining the sensitivity of the nerve endings to touching and caressing.

To reduce sensitivity, maximize the duration of contact between the scalp and external stimuli. The following options are available:

1. Keep the head naked by rolling the foreskin behind the head. At first, it can cause discomfort, but gradually the scalp becomes coarser, and you will cease to feel uncomfortable. In addition to this procedure, you can rub the open head of the penis with a stiff washcloth, each time with water procedures. But do not overdo it in your endeavors - start with light movements and without "fanaticism".
2. Circumcision of the prepuce. In addition to medical indications and religious traditions, circumcision( circumcision) is a popular procedure in the treatment of premature ejaculation. With circumcised foreskin, the head constantly contacts external stimuli, which deprives the nerve endings of tissues of a certain proportion of sensitivity( see the advantages and disadvantages of circumcision).
3. Surgical operation for denervation of the glans penis( see below).

4. Techniques for prolonging sexual intercourse:

• Compression of the frenum of the penis head.
• Constriction of the base of the penis.
• Pulling the scrotum down.

Fig.1 - Technique of contraction: a) bridle or base of the head of the penis b) the end of the penis c) of the base of the penis

Fig.2 - Drawing the scrotum down from the body

To begin with, it is necessary to learn the technique of prolongation in solo practice, and then applyin sexual contact. These techniques require a stop in sexual intercourse, which is not always convenient, but can be used by men in extreme situations. Most importantly, they give a conscious notion that control of ejaculation is possible, relieving stress on the subconscious plane.

5. The use of prolonging agents

To prolonging agents include special sprays, creams, ointments, as well as special condoms with a thick foundation and prolonging effect.

Prolongation of sexual intercourse can be of great help to one patient, and do not bring the desired effect to another. The essence of these techniques is reduced to overcoming the psychological barrier, the formation of a persistent reflex to a prolonged sexual intercourse.

6. Medication:

- serotonin reuptake inhibitors;
- alpha-blockers;
- tranquilizers;
- tricyclic antidepressants.

7. Surgical methods:

- denervation of the glans penis. Surgical operation, the essence of which is the intersection of nerves, providing sensitivity to the head of the penis. As a result, the glans penis loses sensitivity, which is restored within 3-4 months. During this period, a persistent psychological reflex should be developed, allowing for prolonged sexual contact. Before the operation, a special lidocaine test is performed to make sure that it is necessary. If the test shows that the sensitivity of the head is not the main factor affecting the duration of sexual intercourse, then the profitability of the operation is questioned.
- Plasticity of the frenulum of the penis. A short frenum of the penis can cause an early ejaculation. The operation to extend it will solve the problem.

Multiple orgasm in men as a way to treat premature ejaculation

The method refers to non-traditional medicine and implies not the struggle with the problem, but the cardinal replacement of the usual orgasm on so-called."Dry" orgasm. Having mastered this technique, you will never have problems with the duration of sexual acts. More on the multiple orgasm in men.

Sources:

1. S.Y.Kalinchenko, I.A.Tyuzikov "Practical Andrology."
2. Mantak Chia "Taoist secrets of love, which every man should know."

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