Premature ejaculation

You are alone with a partner. Events are developing rapidly, and you intend to prolong the pleasure as long as possible. But all over, has barely begun.

If this happens only occasionally, it is normal. In some men it can occur during foreplay or right after the penis, labia or concerns penetrates the vagina partner. However, if this happens regularly, then there is a problem and talk about premature ejaculation.

In this case, mostly suffering from male self-esteem, and relationship with a partner. But to put up with this completely optional: Premature ejaculation is treatable.

Why?

Definite answer to this question is no. Here are some possible causes of premature ejaculation:

* Psychological factors (depression, stress, guilt, low self-esteem, increased anxiety on the grounds of sex).
* Medical disorders (thyroid problems, infectious inflammation of the prostate, changes in the level of certain hormones and substances produced by the brain).

In young people, premature ejaculation is usually associated with inexperience (they are still not widely known by his own body). In some men, premature ejaculation is a consequence of erectile dysfunction.

Diagnosis

For diagnosis of premature ejaculation, your doctor have a lot to learn about the past and current state of health of the patient, as well as the medicines he takes. The doctor has to ask in detail about sexual relations with a partner.

Talk about intimate problems is difficult enough, but honestly answer the questions the doctor is very important. Here's a sample list:

* How long have observed premature ejaculation?
* There was a problem in recent times, or it has existed since the beginning of sexual life?
* Does premature ejaculation each time or only sometimes?
* Do you see it with all the partner or only one?
* How often you have sex?
* Eat you alcohol or drugs?

To identify possible causes of the problem of medical doctor may prescribe a comprehensive survey.

How is it treated?

The main methods of treatment of premature ejaculation are psychological, sexual and pharmacological therapy. Sometimes it helps one type of treatment, but often requires a combination of them.

Psychological therapy

Talking with a psychologist is often very useful. You can come to the consultation, together with a partner. The specialist will help relieve stress and improve the quality of sexual life.

Sexual Therapy

There are exercises that can help you learn to delay ejaculation. Making them can be one or with a partner.

* Compression method. Arm's partner stimulates the penis for as long as it will not be on the verge of ejaculation. Sensing the approach of ejaculation, it squeezes the head member for a few seconds. Erection partially decreases. After 30 seconds partner again begins to stimulate the penis. This is repeated several times and ends with ejaculation.
* The method of interruption. 's Partner stimulates the penis for as long as you will not feel the approach of ejaculation. At this point, it stops the stimulation and waiting when the man bit "cool". Then again she begins to fondle his penis. This is repeated until ejaculation has not yet come.

Pharmacotherapy

* Antidepressants. A side effect of some drugs in this group (paroxetine, fluoxetine) - delay the onset of orgasm. Therefore, the prescription can be used for the treatment of premature ejaculation. If these medicines do not help, appoint another type of antidepressant - clomipramine.
* Creams containing local anesthetics - for example, lidocaine, - used for the treatment of premature ejaculation for many years. Application of funds for the crown member dulls the senses and delaying ejaculation. Immediately before intercourse cream should be washed, to avoid contact with genital partner.
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