Premature ejaculation( ejaculation) - Causes, symptoms and treatment. MF.
Mar 25, 2018
Premature ejaculation is the rapid onset of ejaculation and the peak of sexual arousal. It can occur even before the onset of intercourse or at the beginning of the latter. In addition, ejaculation can occur without any sexual satisfaction.
Causes of premature ejaculation
Most often, this problem is just a functional disorder that does not have any cause. During the process of maturation and the constant acquisition of sexual experience, men begin to get rid of this pathology. Also involuntary ejaculation can occur after a long period of retention from sexual relations or during intercourse with a new partner.
Among the pathological causes of premature ejaculation can be identified psychological factors. Most often, it can be depression, stress, incredible expectations of sexual intercourse or other factors that leave a negative imprint on the human subconscious.
In addition, the officially proven fact is that premature ejaculation can come from the lack of magnesium in food. Especially relevant this issue is for Western countries, in particular the United States of America.
A scientific study was conducted that allegedly revealed the fact that premature ejaculation is inherited, although there are still quite serious disputes about this.
Symptoms of premature ejaculation
The name of the disease puts all the points above the clinical picture of this pathology. Indeed, the main sign of this problem should be considered early onset of ejaculation. At a time when none of his partners does not want and does not expect. As a rule, this fact leads to dissatisfaction with the sexual act of both partners, which further exacerbates the problem.
In the most severe cases of the disease, ejaculation occurs even before the moment of penetration of the male sexual organ into the woman's vagina. Also often there is the fact of ejaculation in a man with only one kind of external genitalia of a woman.
As already mentioned, premature ejaculation has the property of self-resolution, that is, go through with time and the acquisition of a certain sexual experience. Although there are cases when the solution of the problem does not occur for years, which causes quite serious difficulties. In this case it is better to consult a specialist. To date, two specialists are involved in the problems of premature ejaculation in our country. This is a psychologist and sex therapist. There is no need to treat such a symptomatology with a urologist, since it is quite rare that the cause of premature ejaculation can be an organic pathology, for example, a trauma to the penis, although the latter also need not be excluded.
Diagnosis of premature ejaculation
At the first stage of the diagnosis of premature ejaculation, the patient will have a constructive conversation with the doctor, during which the doctor will try to find out the possible causes of the pathology. If such a method does not give any result, then most likely, the diagnosis will pass to the second stage.
At this stage, not only the patient, but also his sexual partner, will be required to intervene. The so-called lidocaine test is carried out. Lidocaine is a local anesthetic drug that is used to anesthetize skin sites in surgery and other specialties where surgery is practiced. Lidocaine treated the skin of the glans penis in the bridle area. After this, the patient is recommended to have a sexual intercourse, during which he must record the results of the study.
If no positive dynamics were noted during this study, a full lidocaine test is performed. To do this, the head of the penis is completely treated with lidocaine, after which the patient is once again invited to engage in sexual intercourse.
Among other methods is worth noting the definition of the sensitivity of the skin of the penis and checking its reflexes, which is carried out on special equipment.
Treatment of premature ejaculation
Treatment of arbitrary ejaculation depends on the nature and severity of the process. For example, if the peak of sexual arousal occurs 2-3 minutes after the onset of sexual intercourse, then in this case one can confine oneself to the psychological suggestion that the sex therapist conducts, and constant training.
If the sexual intercourse does not last even two minutes, then it is better to take medication. Moreover, they can be purchased without any problems in almost any pharmacy. Among the best known are the selective serotonin reuptake inhibitors and Prozac, as a bright representative of this group.
If the medicines do not have a positive effect, they resort to a surgical solution to the problem. The volume of the operation is determined based on the earlier conducted lidocaine test. If ejaculation normalizes during anesthesia only the bridles of the penis, then resort to selective denervation of this site, which implies the intersection of the nerve that innervates this area.
Operation - denervation of the head
If the function of the genital organ is normalized only after a full lidocaine test, then during the operation a neural trunk is intersected, innervating the entire head. Carrying out such an operation without the preliminary carrying out of the lidocaine test is dangerous because the process of ejaculation can be completely disrupted.
In addition, there are methods that are alternative to surgical intervention. These include, for example, the use of a special silicone ring, which is worn on the penis in the area of its neck. During sexual intercourse, the latter simply has less contact with the walls of the vagina, and therefore less excited. This method of treatment is used in those patients who refuse surgical treatment or the latter is simply contraindicated.
Silicone ring for the treatment of premature ejaculation
Features of nutrition and lifestyle
The modification of the lifestyle in premature ejaculation is the normalization of the mental state. If possible, you need to get rid of stress and mental stress. If you need to change your place of work or residence, you do not need to resist this decision. Sometimes, material values can not cover the damage that can arise from the violation of sexual function. If the independent regulation of the psychological state fails, it is better to seek help from a psychologist. He can help in solving the problem.
Rehabilitation after illness
Often after several cases of premature ejaculation, a kind of psychological block arises in a person that does not allow him to have sex next time. In this case, the patient needs a rather serious psychological support, which can be provided only by a professional psychologist. Several sessions of psychotherapy will help a person to regain his former self-confidence and begin to live a sexual life with new strength and desire.
Treatment of premature ejaculation with folk remedies
Premature ejaculation and impotence are probably the two diseases on which folk healers have come off in full. Nothing else, like these two problems, does not bother men and does not cause them a sense of shame. That's why most patients with premature ejaculation do not turn to medical institutions, but to folk healers. The only problem is that those funds that are appointed by healers, have absolutely no effect on this issue. Of course, nothing wrong with the fact that you will drink tea from natural dog-rose, will not happen, but you should not expect a miraculous effect from it.
Undoubtedly, there are cases when such therapy has an incredible effect. This is explained by nothing more than a placebo effect, that is, self-hypnosis. Man, taking an absolutely ordinary tea, inspires his subconscious that this drug should be effective. As we know, premature ejaculation in most of its manifestations, a psychological illness, which means that such therapy has a definite meaning.
Complications of premature ejaculation
As for the complications of premature ejaculation, they tend to have a purely psychological character. For example, if a young man once had unsuccessful sexual experience with the appearance of an episode of premature ejaculation, then he may develop a kind of psychological block, which leads to fear of sexual partners and subsequent intercourse. Further in the life of this young man there is a fairly long period of sexual abstinence, which simply can not but affect the functional state of the penis. And even if, theoretically, after a few years he has the opportunity to engage in sexual intercourse, this does not mean that he can physically produce it. Thus, through a complex psychological mechanism, even one episode of premature ejaculation can lead to erectile dysfunction.
There is also such a thing as social complications of premature ejaculation. Quite often, men suffering from a similar problem ejaculate in the vagina of a woman, which in some cases leads to an unwanted pregnancy.
Preventing premature ejaculation
Preventing premature ejaculation is recommended only after the first episode of an arbitrary ejaculation. It is proved that the psychological mood of a young man even before the onset of sexual life itself contributes to the occurrence of premature ejaculation and erectile dysfunction.
In the prevention of premature ejaculation, only psychological methods are used. They should be conducted only by a specially trained psychologist or sex therapist. A few decades ago, the technique of preventing premature ejaculation with the help of masturbation was popular. At the moment, its usefulness is completely refuted and the fact of even greater aggravation of the problem is proved.
An important fact is the fact of medical interaction. For example, if before the episode of premature ejaculation the patient took any medications or medications, then it is recommended to exclude their use or replace with another pharmacological group.
To which doctors to address if premature ejaculation occurs:
Psychologist, sex therapist. In rare cases, you may need the help of a urologist.
Doctor urologist Startsev V.Yu.