Premature ejaculation and erectile dysfunction are one of the most common sexual dysfunctions in men. Let’s find out more on the subject
It is estimated that an average of 30-50% of the male population after the age of 40 suffers from this disease, although according to reports by American researchers, this number can be up to 30-55%
When can we talk about premature ejaculation? According to the definition of the International Society of Sexual Medicine (ISSM), it is a sexual dysfunction in which ejaculation occurs in less than or about a minute from the start of penetration, and the causes of the disorders can be psychological as well as the result of somatic disorders.
The most frequently mentioned include:
- low frequency of sexual intercourse;
- fear of not pleasing the partner;
- the habit of accelerated ejaculation;
- emotional disturbances;
- neurological disorders;
- hormonal disorders;
- inflammation inside the urethra and prostate;
- hypersensitivity of the penis.
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 adequate treatment.
Premature Ejaculation Diagnosis
Diagnosing premature 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.
The diagnosis of premature ejaculation is made, among others, on the basis of these criteria:
- duration of sexual intercourse less than two minutes;
- periodically ejaculates with minimal or short sexual stimulation and independent of male control;
- premature ejaculations are disturbing and cause discomfort for the man;
- no control over ejaculation;
- premature ejaculation occurs during most sexual intercourse for at least 6 months;
- negative personal consequences arise.
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 premature ejaculation has involved biological and psychological theories. Most of the theories proposed are speculative. Psychological theories include the effects of early sexual experience and the frequency of sexual activity.
The biological explanation includes evolutionary theories, penile hypersensitivity, disturbances in central neurotransmitters and sensitivity of serotonin receptors, and variability in sex hormone levels. There is currently a biochemical explanation. A specific biological variability of serotonin receptors, so-called both congenital and acquired 5-HT in people with high levels of sexual anxiety.
How to treat premature ejaculation?
In the treatment of premature ejaculation, the following methods are used:
- sex therapy;
- psychotherapy;
- medication
In many cases, the combination of these three methods is the most effective.
Sex therapy it consists of simple exercises such as prolonged masturbation before intercourse to delay the ejaculatory reflex during sex. Your doctor may also recommend that you abstain 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 it involves talking to a psychologist about the relationship and your sexual experiences. It aims to reduce the level of anxiety related to sexual performance and to find effective methods of dealing with stress and solving problems. Psychotherapy is most effective when used in parallel with drug therapy. Premature ejaculation can cause a lot of tension and anxiety in a relationship, but it is treatable.
Pharmacological treatments for premature ejaculation include, but are not limited to the use of elements that increase the level of serotonin, a hormone involved in the control of ejaculation. Dapoxetine is the only official drug designed to treat premature 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 drug is Super Kamagra, or P-Force. These drugs should be used 30-40 minutes before sexual intercourse, and have an active treatment time of 4-6 hours.
You can generally buy Kamagra from any reputable online pharmacy. The price of Kamagra is around 19 Eur for a pack of four pills.
If premature orgasm 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 can, in a sense, reduce sensitivity to stimuli.