Premature Ejaculation: What it is, Causes and Treatment

Premature ejaculation is one of the most common sexual dysfunctions that affect men.

Even today, the different problems or difficulties related to sexual desire and performance are a great source of anguish and frustration for those who suffer from them - especially because of the stigma and secrecy that exists around them.

Although there are no definitive data, premature ejaculation is one of the most common sexual dysfunctions among men. In this article, we will see what premature ejaculation is, what are its causes and what premature ejaculation treatment in Delhi exists to solve this problem, both from psychology and medicine.

What is premature ejaculation?

According to the best sexologist in Delhi, premature ejaculation is a male orgasmic disorder in which man, after minimal sexual stimulation, experiences involuntary ejaculation in a persistent and recurrent manner.

Now, when can we consider that ejaculation occurs early? According to the well-known researchers on human sexuality William H. Masters and Virginia Johnson, it can be considered that there is a diagnosis of premature ejaculation if the man reaches orgasm before his sexual partner in more than 50% of sexual encounters.

However, many other authors and researchers differ radically with this description. According to the sexologist in Delhi, the diagnosis of premature ejaculation cannot be subject to the time required for the other person to reach orgasm.

The reason is that each person needs different times to develop a complete sexual response, so using this variable time as a diagnostic criterion is not very effective.

According to sexologist doctor in Delhi, the main aspect when distinguishing a case of premature ejaculation is the lack of voluntary control over the ejaculation reflex. That is, there is premature ejaculation when in cases in which orgasm is given as an immediate and uncontrollable response once the man reaches an intense level of sexual arousal.

There is also another important parameter for the diagnosis of this dysfunction. Frequently, in premature ejaculation, there is an absence or decrease in the perception of erotic sensations. It is a sensation similar to genital anesthesia.

What are the causes of premature ejaculation?

This disorder is considered a multifactorial condition, so premature ejaculation can be associated with both physical and psychological causes.

Physical causes

Although few cases of premature ejaculation have physical causes, it is essential to perform a medical examination that helps rule out an organic origin of the disorder.

For example, in those patients who previously had good control over ejaculation and who suddenly become premature ejaculators, it is recommended by sex specialist in Delhi to carry out neurological and urological exams that help rule out the possibility of a malfunction of these systems.

In these cases, known as secondary premature ejaculation, incontinence could be a symptom of a neurological disorder - specifically a malfunction of the nerve pathways that innervate the reflex mechanisms that control orgasm.

Neurological diseases such as multiple sclerosis, degenerative diseases and physical conditions such as prostatitis can be the cause of the appearance of premature ejaculation.

Psychological causes

The psychological causes explain the majority of cases of premature ejaculation. Although it has not yet been possible to determine what psychological factors or aspects are the origins of this disorder, there are several theories that relate it to an anxiety mechanism.

According to sexologist in South Delhi, the main psychological cause of premature ejaculation is anxiety. This anxiety increases as different levels of sexual arousal are reached and are what triggers involuntary orgasm.

Other sexologists in Delhi add that, in reality, anxiety prevents the person from clearly perceiving the premonitory sensations of orgasm and, as a consequence, prevents ejaculatory control.

On the other hand, sexologist in East Delhi stated that the main cause of premature ejaculation is the conditions that occurred during the first sexual experiences of the person. If these were especially tense, fast or traumatic they can generate involuntary conditioning.

Treatment of premature ejaculation

Whatever the cause of premature ejaculation, the truth is that in all cases it generates strong feelings of anguish in the person, who feels that his sexual capacity and performance are in question and can ruin his sexual relations.

Before starting the premature ejaculation treatment in Delhi, possible physical causes should be ruled out. In most cases where there is an underlying cause or physical illness, treatment will cause an improvement in ejaculatory control.

However, because this occurs in the smallest number of cases and tends to leave a psychological mark on the person, the main premature ejaculation treatment in Delhi is sexual and psychological therapy or drug treatment.

Sex therapy

The main objective of sexual therapy is that the patient constantly focuses their attention on the sensations that surround orgasm, teaching the patient to clearly perceive and identify pre-orgasmic sensations and, in addition, to prevent the development of the sexual act from distracting from your goal.

There are several techniques for the premature ejaculation treatment in Delhi, such as Kegel exercises that help strengthen and control the pelvic floor muscles or the "compression technique", one of the most common procedures for the treatment of premature ejaculation.

Since premature ejaculation always occurs at times of sexual interaction with another person, the patient will need the help of a sexual partner for treatment. Both people must carry out the indications of the top sexologist in Delhi as dictated.

First of all, the sexologist in Delhi must explain how the different steps that include sexual therapy through “compression techniques” are developed. This therapy is carried out gradually through sexual exercises or tasks, starting with masturbation by the couple in which the man must concentrate on the sensations and notify the couple when he feels he will reach the climax so that this it stops.

Repeating this technique is very effective in increasing ejaculation control. Once the patient improves on this task, they move on to more complex tasks such as “stop and start”, which already include penetration.

It is necessary to emphasize that the treatment of premature ejaculation should always be done by a professional sexologist in Delhi and never on their own since this can generate even more feelings of frustration and anxiety. In addition, the therapist will also carry out sex education and the elimination of myths about sexuality.

Medication

Medication may be an alternative for patients who are reluctant to sexual therapy. However, this is not always effective and is more a palliative or "patch" treatment than a solution in itself.

Drugs that increase serotonin levels in the brain help decrease the intensity of ejaculation and are used with some success in the treatment of premature ejaculation. These include some selective serotonin reuptake inhibitors (SSRIs) such as paroxetine.

The patient who undergoes a treatment of premature ejaculation using drugs usually perceives the first results within a few weeks of the start of the mediation. However, these drugs also have side effects that affect sexual performance. Among them, we find other types of sexual dysfunction such as anorgasmia, erectile dysfunction or decreased libido.

Finally, the use of topical desensitizing drugs such as lidocaine is also recommended by a sexologist in Delhi, which is applied to the tip and stem of the penis just before sexual activity. The main drawback of these products is that they usually reduce the sensitivity of both the patient's penis and the intimate areas of the couple.

Cholesterol and Erection Problems

Erectile Dysfunction and Cholesterol

Erectile dysfunction and cholesterol are closely related. There are two types of cholesterol, one good and one bad. The considered bad remains stuck in the walls of the veins and obstructs blood circulation causing erectile dysfunction.

How do I know if I have Erectile Dysfunction?

For an erection to occur, vascular and nervous mechanisms triggered by hormonal factors must be put in place. When the cavernous bodies of the penis fill with blood, the penis becomes erect, explains sexologist in Delhi.

The blood that floods these cavities comes from a series of veins and arteries that run around the circumference of the penis. In the event that these or others that are responsible for supplying them are clogged, the desired erection will not occur.

If sometimes you do not get a satisfactory erection it may be because you are suffering from erectile dysfunction. If cholesterol levels are high, the cause is most likely due to an obstruction in the veins and arteries of the body.

Before any of the following symptoms it will be necessary to seek advice from a specialized sexologist doctor in Delhi:

1. Difficulty reaching the erection. Difficulty achieving an erection is one of the most common symptoms of erectile dysfunction. It is not about whether it is finally obtained or not, but of the effort and time that it is necessary to invest until it is achieved.
2. The erection is weaker or less rigid. If a decrease in the strength and duration of erections is noted, the first symptoms of dysfunction are likely to be suffered. Before it is too late you have to ask for help from the best sexologist in Delhi so that the problem does not increase.
3. Spontaneous erections in the morning are less frequent. Morning erections are a natural system of the body to regenerate penile tissues. The relaxation that occurs in the muscles allows the entry of blood into the corpora cavernosa and erection. If morning erections do not occur as often as before, there is likely to be a vascular problem that is affecting blood flow. It is advisable to analyze and supervise a sex specialist doctor in Delhi to recommend the necessary preventive and corrective measures.
4. Loss of erection with a change of posture. When arousal has occurred it is not normal to lose it until orgasm does not occur. If firmness is lost before finishing, for example when changing positions, it is advisable to see a sex specialist in Delhi.
5. The climax is reached in less time with an incomplete erection. Another of the symptoms that can show that dysfunction is beginning is that the climax is reached before the full erection. This type of premature ejaculation may indicate that there is not enough blood to fill the entire corpora cavernosa.

The causes of erectile dysfunction

As we have seen, high cholesterol may be one of the reasons for erectile dysfunction. The obstructions of the walls of the blood vessels make it difficult for blood to enter the corpora cavernosa so that the desired erection does not occur.

Another cause similar to the previous one may be high blood pressure. When this disease is suffered, vasoconstriction occurs, which is a narrowing of the vessels. Blood does not flow freely and the corpora cavernosa receives neither the amount nor the blood pressure necessary for the desired erection to occur.

One more reason is the psychological causes. In 10 patients, 1 suffers from dysfunction for reasons related to his mind. Among the most common thoughts is fear of failure, anxiety, stress or nervousness. The best thing in these cases is to talk openly with a sex doctor in Delhi to assess the seriousness of the matter and diagnose the best treatment.

Drugs may be another reason why erection is not achieved. Some patients react in this way to the side effects of the medicines. This highlights the vital importance of not self-medicating, rather it is necessary to be guided by the prescriptions of a person empowered to do so, the best sex doctor in Delhi.

If the medications used have been prescribed by a top sexologist in Delhi and still, some type of dysfunction is suffered, it is necessary to return so that it can be estimated if it is possible to modify the treatment, which is possible in a large part of the cases.

Using drugs can lead to dysfunction in the present or the future since the effects are cumulative. They act negatively on the nervous system and affect libido and hormonal response to stimuli. The same can happen if alcohol is consumed in excess, it also affects the central nervous system and can be a trigger for erectile dysfunction.

Tobacco contains nicotine that acts as a vasoconstrictor of blood vessels. As with high blood pressure, the veins and arteries contract and do not allow proper blood flow through the body or the penis, causing dysfunction. They also destroy the vascular endothelium, responsible for decreasing the resistance of blood to circulate, among other things.

Those who suffer from diabetes may also experience dysfunction. The disease causes hardening of the walls of the arteries, which contract and do not dilate long enough to allow blood to flow satisfactorily.

Recommendations to combat erectile dysfunction

To reduce the chances of suffering from erectile dysfunction it is good to maintain sexual activity. Maintaining sex will keep the erection mechanism active for longer and improve self-esteem, suggests the best sexologist in South Delhi.

Physical exercise will improve blood circulation and cell regeneration, so it is a practice to exercise regularly. This also activates and regulates testosterone in man.

A good diet, based on healthy and balanced diets will prevent the accumulation of cholesterol and the vasoconstrictor effects of some foods that are not recommended. It is essential to eat enough vegetables and fruit for the cardiovascular system to function properly.

You have to get enough sleep and run away from stress so that our nervous system and brain chemical processes work properly. If they fail, there will be a radical decrease in libido and the result will be erectile dysfunction. Among these healthy habits is also not using drugs and not drinking alcohol excessively, suggests sexologist in Delhi.

Never use the medication without medical control. The side effects of some may affect the ability to achieve and maintain erections. In some cases, the damage can last a long time. That is why you should always go to a specialized sexologist in Delhi for any symptoms of erectile dysfunction.

Premature ejaculation - if you come too early

Premature ejaculation is the most common problem among men in the sexual field. 

20-30% of Indian men aged 18-59 years suffer from premature ejaculation during intercourse.

Premature ejaculation is understood as an ejaculation that is perceived too quickly and that happens against the will of the man. These men cannot control their ejaculation, or cannot control it sufficiently. They feel that they cannot last long enough during sex because they climax too early, explains sexologist in Delhi.

Features of premature ejaculation

There are different definitions of whether there is premature ejaculation or not. It therefore plays an important role how the person concerned feels about the situation and the level of suffering they are suffering from. According to the best sexologist in Delhi, there is no clear limit and the sensation of affected men or the partner “what is normal” varies and is subjective.

In general, premature ejaculation is characterized by

• an ejaculation that always or almost always occurs less than three minutes after the limb is inserted into the vagina
• the feeling of the affected person that they cannot influence the timing of the ejaculation or cannot influence it sufficiently
• negative personal consequences, such as suffering, anger, frustration and/or the avoidance of sexual intimacy

What happens during premature ejaculation?

The normal sexual response in men is a gradual process. It starts with sexual stimulation, penis swelling and an erection. The phase in which this high arousal is maintained without ejaculation is called the plateau phase.

This is followed by ejaculation - usually in conjunction with an orgasm, followed by sagging of the penis. This can be graphically represented as a four step cycle: arousal, plateau, orgasm (in connection with ejaculation) and regression, explains top sexologist in Delhi.

In men with premature ejaculation, the overall ejaculation process is shortened compared to the normal process. A strongly increasing excitement phase with a normal erection is followed by a shortened plateau phase and rapid ejaculation in connection with an orgasm.

How many men are affected?

Premature ejaculation is one of the most common sexual dysfunctions in men. Studies have shown that about every fourth man is affected.

The interesting thing is: only a few men have such a high level of suffering that they need premature ejaculation treatment in Delhi. We know from our own study collective that a maximum of 3 to 6 percent of the men affected want therapeutic measures to "come later".

Diagnosis of premature ejaculation

Numerous medical societies have defined premature ejaculation (ejaculatio praecox, EP for short) differently. A distinction is made between lifelong (or primary ) and acquired (or secondary ) premature ejaculation.

In the first case, the problem has existed since sexual activity began. In the second case, there was a period in which the time to ejaculation was experienced by the man as sufficient and satisfactory.

As per sex specialist in Delhi, the affected man should have the following examinations performed for complete diagnosis and therapy:

1. Biothesiometry (for measuring nerves)
2. EMG (to measure the pelvic floor muscles)
3. Doppler duplex sonography (for measuring the four vessels of the penis)
4. Examination to determine the composition of the erectile tissue
5. Blood sampling (examination of various hormonal parameters)

Treatment options for premature ejaculation

There are various ways of premature ejaculation treatment in Delhi. Which of these is the most suitable depends on the underlying causes of premature ejaculation. In addition, it should be clarified whether the development of the pelvic floor muscles is possibly too low and whether the nerves on the penis are too sensitive. This can be measured with a so-called biothesiometry, suggests sexologist doctor in Delhi.

In addition to oral medications that change the messenger substances in the brain, there are various options that are individually tailored to men to delay premature ejaculation. A distinction is made between non-drug therapy and drug therapy.

The involvement of the partner is often at the center of non-drug treatment. Simply approaching the problem together in some cases leads to success and supports all further measures positively. This can also minimize the pressure to succeed (eg first step: sex without sexual intercourse). The drug approach primarily (only) treats the symptom as such. Surgical treatments cannot currently be recommended by sex doctor in Delhi.

Important: Before a therapy, the causes must first be explored, since premature ejaculation can have a variety of causes, both organically and psychologically. The psychological component plays a central role even in the case of organic disorders, says sex specialist doctor in Delhi. 

Non-drug therapy for premature ejaculation

There are several methods that can be used to delay ejaculation.

Targeted pelvic floor training/potency muscle training

The ejaculation reflex is triggered not only by the ichiocavernous and bulbospongious musculature, but also by the corresponding nerves. If these structures are very well trained, the man can prolong the sexual act through special training, suggests the best sex doctor in Delhi.  

Stop-start technology

With this technique, the penis is stimulated until shortly before the point of ejaculation (point of no return), then paused and, as soon as the excitation has dropped to a low level, the stimulation is resumed. This change between stimulus and pause is said to change the neuromuscular reflex mechanism and lead to an extension of the erection duration.

Squeeze technique or pushing method

This is a variation of the stop-start technique. Here the man learns to perceive his arousal and the time of the unwanted ejaculation more consciously. With this method, the penis is gently pressed at the tip. As a rule, you put your index finger on the frenulum and your thumb on the glans and press gently for several seconds. Shortly before ejaculation, the state of arousal usually decreases. After that, it is advised by sexologist in Delhi to wait a few seconds to a minute and then resume sexual activity. Tip: Both the stop-and-start method and the push method usually require some training to make it work.

Masturbate before intercourse

Many men report that they have better control over sex if they ejaculate beforehand. This affects younger men in particular. Because with increasing age, many men have difficulty in building a new erection after ejaculation. The strategy is only suitable for men who can build a second erection after ejaculation in a certain time interval.

The use of condoms

Some men experience that using a condom makes them less sensitive. By reducing the sensitivity on the penis, the ejaculation reflex is triggered later. As a result, many men have a longer stamina. The best thing for men to do is to test this out for themselves.

Redirect thoughts

Some men try to distract themselves during the act and think about other things. This can also cause the sexual act to last longer.

Therapeutic measures by doctors or psychologists

These can also help reduce anxiety and frustration surrounding premature ejaculation. Sometimes there are other psychogenic factors, so that appropriate therapy makes sense here. 

Which therapy option works best for affected men depends on the underlying cause. Therefore, you should definitely have yourself examined by a sexologist in Delhi.