Questions and Answers About Ejaculation Control

One of the most discussed topics in this men's health blog is premature ejaculation, and in fact most of the questions from our readers have to do with this topic. 

That is why we decided to summarize the information of the different articles that we publish on premature ejaculation and present the most frequently asked questions about it with their corresponding answers. 

How could you define premature ejaculation? Is there a normal time of sexual intercourse or intercourse? 

The best sexologist in Delhi, Dr. P K Gupta explains that it is necessary to consider the time elapsed from vaginal penetration to ejaculation, the inability to delay ejaculation and the resulting negative personal consequences of the problem. Consequently, sex doctor in Delhi defined lifelong or primary premature ejaculation as a male sexual dysfunction characterized by:

-Ejaculation that always or almost always occurs before or within approximately one minute of vaginal penetration.

-The inability to delay ejaculation in all or almost all vaginal penetrations.

-The negative personal consequences such as anguish, annoyance, frustration and / or the avoidance of sexual intimacy. 

Is premature ejaculation frequent? 

It is definitely much more prevalent than most people realize. However, we do not have unified figures, and in fact they vary considerably. The highest prevalence rate that has been documented to date is 31% (in men between 18 and 59 years old) and was found in the National Survey of Health and Social Life of the United States of America. However, the prevalence is unlikely to be that high considering the relatively low number of men presenting for consultation with sexologist in Delhi for this symptom. 

Are there different degrees of premature ejaculation? 

According to the sex specialist doctor in Delhi, three degrees are established:

Grade I or Mild . After penetration and a few coital movements.
 

Grade II or Moderate . Immediately after penetration, it is also called ante portas .
 

Grade III or Severe . Before penetration, also recognized as ultra early . 

What are the causes of premature ejaculation? 

Several causes of premature ejaculation have been established, both from a biological and psychological point of view: generalized anxiety, penile hypersensitivity, performance anxiety, genetic predisposition, poor general health and obesity, inflammation of the prostate, hormone disorders thyroid, diabetes, emotional problems and stress, bad masturbatory habits, traumatic sexual experiences, chronic prostatitis, among others.

Sex specialist in Delhi highlights the particular negative influence of rapid self-stimulation habits, when the man seeks a sexual discharge instead of trying to prolong the pleasure of arousal prior to orgasm. On the other hand, anxiety about sexual performance, understood as the marked (almost obsessive) concern about not ejaculating quickly, generates a physiological acceleration and the lack of awareness of the levels of arousal, perpetuating the problem. 

Are there sexual positions that favor or complicate ejaculatory control? 

In general, the posture that allows better control is the one in which the couple sits on top of the man, who is lying on his back. In this case, he is physically relaxed and can better perceive the signals of sexual arousal, a fundamental condition for ejaculatory control. 

Lateral postures also make it easier to control ejaculation. This is possible because the penetration is not very deep, and the movements in general are not as fast as in other cases. 

In general, the missionary position, that is, the man on top, is not favorable for the control of ejaculation since the body is tense, the penis enters the vagina more precisely and in general the position leads to an unstoppable race towards orgasm. In a few cases, men state that it is the best position for them because they better manage the speed and depth of coital movements. 

What are the main compensation mechanisms used by men with problems to control ejaculation? 

The folkloric methods are many, some really unusual and even counterintuitive. In the consultation during the sex treatment in Delhi we frequently hear the following: mental distraction –thinking of non-sexual or anti-erotic images, drinking alcohol, smoking marijuana, prior masturbation, causing pain by biting or pinching the skin, among others. 

How are the treatments for premature ejaculation? 

The recommendation of the current protocols is to coordinate medical and psychological treatment (focused on sexual symptoms). According to current scientific evidence, drug therapy is superior in reducing premature ejaculation symptoms compared to psychological treatment alone. However, the pertinent psychological problems and mechanisms should not be overlooked, and it is important to treat, for example, levels of performance anxiety and modify dysfunctional sexual habits for a definitive solution to the problem.

Behavior therapy methods include the stop-start technique and the squeeze technique. Another possible therapy, increasingly recommended by sexologist doctor in Delhi, is pelvic floor rehabilitation exercises. All of these behavioral therapy approaches have the potential to be beneficial when combined with drug treatment.

The topical methods are a simple local treatment modality, wherein the lidocaine-prilocaine cream studied most. The results of research on these types of therapies indicated that the duration of vaginal penetration increased 6.3 times. 

We definitely have a lot of evidence and therapeutic tools to help our patients with a premature ejaculation diagnosis. Timely consultation is key to short and effective premature ejaculation treatment in Delhi.

People who sleep 8 hours have more orgasm

There are many reasons to get a good night's sleep. Sleeping for at least eight hours can help improve memory, curb inflammation, and sharpen your attention.

But there is another hidden benefit: those who sleep more each night have more orgasms!

Sex specialist in Delhi, Dr. P K Gupta states that sleeping more can lead to a greater increase in sexual desire and increase sex hormones, such as testosterone.

Sexologist in Delhi tells that the two are so closely linked and how not only good sleep can lead to better sex, but good sex can lead to better sleep.

HOW THE BEST SLEEP IMPROVES SEX FOR WOMEN

Sexologist doctor in Delhi says that if you have problems with sleep or sex, it can affect others.

"A good night's sleep can increase interest in sex and a good sexual encounter can lead to better sleep," sex doctor in Delhi explains.

A 2015 study conducted by the University of Michigan School of Medicine found that women who slept more had more sex drive the next day.

For every additional hour women slept, the chances of having sex with their partner increased by 14%.

The same study found that more sleep also equated to better genital arousal.

"Women are balancing different demands, whether it be work or children. They feel tired and stressed."

Best sexologist in Delhi says there are two things that can be done to improve a woman's sexual desire.

First, sex does not have to happen overnight when you are tired. Find a different time of day,” he said.

The second is what the sex therapist calls "just do it".

Dr. Gupta says the research has shown that most women in long-term relationships no longer feel spontaneously aroused.

They don't realize that diminished sexual desire is expected and end up feeling that something is wrong with them, " We think we first need to feel aroused, then have sex. But there is no need to follow this basic format," top sexologist in Delhi explained.

"Reverse the equation because, after having sex, you will feel excited and all of these hormones will be released, and you will feel good when you are in the moment."

HOW BETTER SLEEP IMPROVES SEX FOR MEN

Lack of chills translates into a lack of sexual desire in both sexes because it increases levels of cortisol, also known as the stress hormone.

Although this can affect women, it has a particularly powerful effect on male libido.

Along with the fact that insufficient sleep also lowers levels of the sex hormone testosterone, the impact is significant.

A University of Chicago study looked at the time and quality of sleep for men and found that men who slept four hours had significantly lower T levels than those who slept eight hours.

The problem is that cortisol and testosterone work against each other, according to several studies.

High levels of testosterone allow men to decrease body fat, build muscle and maintain a high libido.

The cortisol works exactly the opposite and leads to muscle breakdown and gain visceral fat and slow the immune system.

Not getting enough sleep can also decrease men's sexual functioning, said sexologist in South Delhi.

A study at Donaustauf Hospital in Germany in 2009 found that men who suffer from sleep apnea are more likely to have erectile dysfunction and general sexual dysfunction.

BETTER SEX ALSO IMPROVES SLEEP

Just as better sleep can lead to better sex, the reverse is also true, both immediate and long term.

The reason is mainly biological. After orgasm, our body releases a hormone called oxytocin, also known as the "cuddle hormone" (others call it the love hormone).

Oxytocin triggers drowsiness immediately because it counteracts the effects of cortisol.

Sexologist in East Delhi explains that physical contact during sex can also help to improve long-term sleep.

"When you are in physical contact, you experience reduced stress, which in turn helps you to relax and therefore falls asleep," sexologist in Delhi said.

Studies have shown that intimate touch can help lower blood pressure and heart rate, relieve pain, and reaffirm bonds within relationships.

There are also gender-specific benefits to how good sex helps us sleep.

In women, sex increases the levels of the hormone estrogen. Estrogen is a hormone that maintains sleep and high levels have been shown to improve the quality of sleep, reduce the time to fall asleep and increase the amount of REM sleep (deepest sleep phase).

The effect on women is long-term. There is a natural decrease in estrogen levels after women enter menopause, which is why postmenopausal women are more likely to suffer from insomnia.

For men, among the many hormones they release during ejaculation, one is a biochemist known as prolactin.

Prolactin levels are naturally higher during sleep, and research shows that animals injected with the chemical get tired immediately.

What happens if you take too much medication for erectile dysfunction?

Oral medications provide a convenient way for men to manage their erectile dysfunction (ED). These drugs are called phosphodiesterase type 5 (PDE5) inhibitors. Some of the most prescribed ED drugs are as follows:

• Sildenafil (Viagra)
• Vardenafil
• Tadalafil
• Avanafil

These drugs work by relaxing the soft muscle tissue in the penis, allowing more blood to flow when a man is sexually stimulated. This blood is essential for a firm erection.

While PDE5 inhibitors are effective for many men with ED, some men wonder if they will see better results if they take more medications than the sexologist in Delhi has prescribed. But doing so can be dangerous.

Therefore, it is important to use these medications exactly as your sexologist doctor in Delhi prescribes and carefully read the accompanying information pack. The top sexologist in Delhi must also know what other medications or supplements a man is currently taking.

One of the risks of oral overdose of ED drugs is priapism, an erection that lasts several hours. Priapism can happen if too much blood flows into the penis, causing it to swell. Some men with priapism experience discomfort or pain.

Men who have a long-lasting erection are urged to seek emergency medical care. When blood is in the penis for a long time, it is difficult for oxygen to reach the area. This situation can lead to tissue damage, permanent erectile dysfunction, or disfigurement of the penis.

Treatment for priapism may include draining excess blood from the penis, medication, or surgery.

Another risk associated with oral ED drugs is a drop in blood pressure. Men may start to feel weak, dizzy, and nauseous. They may start breathing more quickly, experience blurred vision, and have difficulty concentrating.

In severe cases, low blood pressure can substantially reduce the amount of oxygen that reaches important parts of the body, such as the heart and brain. Eventually, these organs can become damaged.

Men who believe they have taken too much of any drug are advised to see a sex specialist in Delhi as soon as possible. They should also seek immediate medical attention if they experience any of these symptoms after taking an antidepressant medication:

• Rash
• Urticaria
• Swelling of lips, tongue, or throat
• Breathing or swallowing problems
• Vision problems
• Hearing problems

Men who feel that their ED medication is not working should talk to the best sexologist in Delhi. The dose may need to be adjusted, but this should only be done under the care of a sex doctor in Delhi. Men should also remember that these drugs are prescription drugs and are not suitable for all men. For example, men who take drugs that contain nitrates should never take ED drugs.

Ejaculation Disorders: Types, Diagnosis and Treatment

 

According to the best sexologist in Delhi, India, 43% of Indian men have premature ejaculation at some point in their life. Furthermore, it is an underdiagnosed problem and, as a consequence, not treated.

What are ejaculation disorders?

The male ejaculation is the expulsion of sperm through the urethra of the male when it is exposed to sexual stimuli. When there is an alteration in this ejaculation process, it is called ejaculation disorder. This type of sexual dysfunction is the most common among men and, in fact, occurs frequently among men of different ages.

The ejaculation process is usually characterized by the expulsion of sperm in a duration of between 15 and 20 seconds and after a certain period of time, although the latter is relative. Another of the main characteristics of these disorders is the influence they exert on the quality of life of patients since it usually causes psychological and emotional problems.

Although there are various ejaculation disorders, the most frequent and common are mainly three: premature ejaculation, retrograde ejaculation, and delayed ejaculation. Sometimes anejaculation can also occur, that is, the absence of ejaculation.

 

What types of ejaculation disorders are there?

There are mainly three types of male ejaculation disorders:

• Premature ejaculation: This type of ejaculation disorder is the most common. It consists of a lack of control over the ejaculation process, causing it to occur earlier than desired. Normally the time scale used to define this condition is ejaculate between 30 seconds and three minutes from the start of the sexual encounter. In most cases, this problem tends to have a psychological origin although it can also occur due to physiological causes such as infections, hormonal imbalances, or neurological problems.
• Delayed ejaculation: Unlike the previous one, this condition is characterized by obtaining ejaculation much later than expected or desired. Sometimes it can even lead to anejaculation or lack of ejaculation. This type of condition does not normally occur during masturbation, so it is most common for it to come from psychological causes. However, it can also be due to medical causes such as neurological disorders or the consumption of certain substances.
• Retrograde ejaculation: This disorder is characterized by a reverse sperm expulsion, that is, instead of being expelled through the urethra, the sperm is expelled into the bladder. Retrograde ejaculation is usually due to a defect in the bladder neck that sometimes contracts and can cause semen to go to the area of least pressure. This type of condition is usually caused by neurological alterations, previous prostate surgeries, and even on very rare occasions the consumption of drugs.

How is this pathology diagnosed?

The diagnosis of ejaculation disorders is based primarily on the sexologist's interview with the patient. In this consultation, the patient must provide the sexologist in Delhi, India with his complete medical history. Through it and in conjunction with the interview, the sex specialist in Delhi, India will be able to determine if the patient suffers from said ejaculation disorder always or only on certain occasions. This especially becomes important when there is a difference between the appearance of the disorder when sexual intercourse occurs or when masturbation occurs.

If the alteration in the ejaculatory process occurs only when having sexual intercourse and does not occur during masturbation, then it is very likely that the cause is psychological and not physiological. On the other hand, in case the disorder always occurs both in the case of having sex and masturbating, the top sexologist in Delhi, India will carry out a physical examination of the patient in search of a physiological and clinical cause that produces it.

After the physical examination, the sexologist doctor in Delhi, India may consider it appropriate to perform certain diagnostic tests to determine the existence of said pathology. These can be varied from analysis to a urinalysis or a sperm analysis, among others.

What is the treatment for ejaculation disorders?

The treatment of ejaculation disorders varies greatly depending on the type of condition and, above all, its cause. If it is determined that the cause is emotional or psychological, the patient is referred to a sex doctor in Delhi, India who will help him to solve his problem through his consultations.

However, if the cause is physiological, its treatment will depend on the disorder suffered and on said physiological cause. Thus, for premature ejaculation, the use of anesthetic lubricants to delay ejaculation is usually indicated. In addition, the consumption of medications such as some antidepressants that have been shown to prolong ejaculation time such as paroxetine, fluoxetine or sertraline is also usually indicated.

In the case of delayed ejaculation, as most of the time, it is psychological causes, psychological therapy is usually indicated to solve it. Finally, in terms of retrograde ejaculation, although it has been seen that improvements occur with the consumption of medications such as pseudoephedrine or imipramine, there is currently no definitive treatment to treat this condition.