Fastest Premature Ejaculation

Fastest Premature Ejaculation

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Written by Dr Vijayasarathi Ramanathan | Updated : March 13, 2015 5:48 PM IST
In a country like India, where sex is still a taboo topic in family conversations, a lot of people end up forming conclusions about sex through porn. One of the misconceptions that this has created among men is that they are supposed to last for a long time before they ejaculate. Most porn films last 30 to 40 minutes, and expecting to have intercourse for that long is bound to lead to anguish and disappointment. We asked Dr Vijayasarathi Ramanathan , a Sexual Health Physician and Medical Sex Therapist to shed some light on premature ejaculation .
In simple terms, premature or rapid ejaculation refers to the event where a man ejaculates before he feels he s ready to ejaculate. It s far more prevalent than we think, in fact it s the most commonly reported sexual problem for all the different ages. PE is definitely more common among younger men, perhaps because of their lack of experience or insecurity about sex.
The timing of ejaculation is generally used as an objective measure of ejaculatory control. So, there is no fixed time for defining too soon and it varies among the individuals or couples. Say for an example, if a man/couple wants to ejaculate after 40 minutes of sexual intercourse and if he ejaculates at 25 minutes that is still premature ejaculation for him /couple. On the other hand, if the man/couple wants to ejaculate in 3 minutes but actually ejaculated in 1 min, that is still premature ejaculation for him/them. For a heterosexual man, a commonly used definition of premature ejaculation is ejaculating between 1-2 minutes of his penis entering the woman s vagina. Studies have shown that most men ejaculate within 3 to 5 minutes after penetration.
Premature ejaculation can be basically divided into two categories
1. Primary or lifelong premature ejaculation is when a man has not had control of ejaculation from the time of his first sexual experience. If left untreated, this will continue for the rest of his life.
2. Acquired premature ejaculation is usually when there has been a period of normal functioning before the premature ejaculation began. Acquired premature ejaculation often happens as a result of psychological (relationship) issues or due to other erectile problems.
Most men will experience rapid ejaculation on some occasions. This is nothing to worry about. It becomes a problem only when it occurs during most sexual interactions. Before I can give advice about how to solve the issue, we need to understand that ejaculation is in fact part of a complex process which involves different parts of your body including the brain work together to contract the pelvic muscles that control ejaculation. Another thing you need to realise is that a male orgasm or a climax (the peak of sexual excitement) is actually a separate event from ejaculation. Since they happen so close to another we fail to appreciate the difference.
There can be various reasons for PE. Here are some of the most common reasons:
Anxiety: This can be triggered by a variety of reasons. Someone having sex for the very first time or with a new person or after a long interval will definitely feel a little nervous. It can also be triggered by a desire to play the part of the perfect lover . Feelings of guilt due to masturbation or irrational beliefs about sexual ability, body appearance , etc. can all make a person more anxious. Read about the various tips to deal with first night anxiety.
Sexual partner: Another reason for PE could be because of one s partner. A lot of partners put enormous pressure on their men by making sarcastic comments about coming too quickly which can play on man s mind for a very long time. Comments made in public can only make it worse.
Neurological: Lifelong premature ejaculation can be caused by a chemical imbalance in important brain centres, which may result in a lower ejaculatory threshold. As these men need less stimulation before they ejaculate, ejaculation can happen sooner than desired.
Erectile dysfunction : Acquired premature ejaculation is most commonly caused by erectile dysfunction. It is thought that men with erectile problems begin to ejaculate quickly to compensate for not being able to keep an erection. This may be because of the need for intense stimulation to get and maintain an erection or from anxiety about difficulty in getting and keeping an erection. If a man has erectile problems and experiences premature ejaculation, treating the erectile problems first is important.
Other medical condition: It is rare for premature ejaculation to be caused by a physical disease or conditions.
Mixed causes: It is quite possible for many men to have more than one cause. In such case, a careful history is important to understand the sequence of all events leading to premature ejaculation.But don't worry. Like other conditions premature ejaculation can easily be treated.
There are several techniques that can help treat premature ejaculation. Some techniques like the squeeze technique , Masters and Johnson technique can help prolong the time it takes for you to ejaculate. You can read about how you can perform these techniques here. In case, they don't help then you should consult a sex therapist who will be able to suggest a way forward.
For further queries you can contact Dr Vijayasarathi Ramanathan on his website.
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Your health care provider asks about your sex life and your health history. Your provider might also do a physical exam. If you have both early ejaculation and trouble getting or keeping an erection, your provider might order blood tests. The tests may check your hormone levels.
In some cases, your care provider might suggest that you go to a urologist or a mental health provider who specializes in sexual problems.
Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. It might take time to find the treatment or combination of treatments that work for you. Behavioral treatment plus drug therapy might be the most effective.
In some cases, therapy for premature ejaculation involves simple steps. They may include masturbating an hour or two before intercourse. This may allow you to delay ejaculation when you have sex with your partner.
Your care provider might recommend avoiding intercourse for a period of time. Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse.
The pelvic floor muscles support the bladder and bowel and affect sexual function. Kegel exercises can help strengthen these muscles.
Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.
Your health care provider might instruct you and your partner to use the pause-squeeze technique. This method works as follows:
By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique.
If the pause-squeeze technique causes pain or discomfort, you can try the stop-start technique. It involves stopping sexual stimulation just before ejaculation. Then waiting until the level of arousal has diminished and starting again.
Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed "climax control" condoms are available without a prescription. These condoms contain numbing agents such as benzocaine or lidocaine to delay ejaculation. They might also be made of thicker latex. Examples include Trojan Extended Pleasure and Durex Prolong.
Creams, gels and sprays that contain a numbing agent — such as benzocaine, lidocaine or prilocaine — are sometimes used to treat premature ejaculation. They're applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation. They're available without a prescription. However, a cream containing both lidocaine and prilocaine (EMLA) is available by prescription.
Although topical numbing agents are effective and well tolerated, they have potential side effects. They may cause decreased feeling and sexual pleasure in both partners.
Many medications might delay orgasm. These drugs aren't approved by the Food and Drug Administration to treat premature ejaculation, but some are used for this purpose. They include antidepressants, pain relievers and drugs for erectile dysfunction.
These medications might be prescribed for either on-demand or daily use. Also, they may be prescribed alone or with other treatments.
Antidepressants. A side effect of certain antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs) are used to treat premature ejaculation. SSRI s include paroxetine (Paxil, Pexeva, Brisdelle), escitalopram (Lexapro), citalopram (Celexa), sertraline (Zoloft) or fluoxetine (Prozac).
The SSRI dapoxetine is often used as the first treatment for premature ejaculation in some countries. It's not currently available in the United States.
Of the drugs approved for use in the United States, paroxetine seems to be the most effective. These medications usually take 5 to 10 days to begin working. But it might take 2 to 3 weeks of treatment to see the full effect.
If SSRI s don't improve the timing of your ejaculation, your health care provider might prescribe the tricyclic antidepressant clomipramine (Anafranil). Side effects of antidepressants might include nausea, perspiration, drowsiness and decreased sex drive.
Pain relievers. Tramadol (Ultram, Conzip, Qdolo) is a medication used to treat pain. It also has side effects that delay ejaculation. Tramadol might be prescribed when SSRI s haven't been effective. Tramadol can't be used in combination with an SSRI .
Side effects might include nausea, headache, sleepiness and dizziness. Tramadol can become habit-forming when taken long-term.
Research suggests that several drugs might be helpful in treating premature ejaculation. But more study is needed. These drugs include:
This approach involves talking with a mental health provider about your relationships and experiences. Sessions can help you reduce performance anxiety and find better ways of coping with stress. Counseling is most likely to help when it's used in combination with drug therapy.
With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner.
Your partner also might be upset with the change in sexual intimacy. Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful.
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Several alternative medicine treatments have been studied, including yoga, meditation and acupuncture. However, more research is needed to determine their effectiveness.
It's typical to feel embarrassed when talking about sexual problems. But you can trust that your health care provider has had similar conversations with many others. Premature ejaculation is a very common condition. And it's one that can be treated.
Being ready to talk about premature ejaculation will help you get the treatment you need to put your sex life back on track. The information below should help you prepare to make the most of your appointment.
The list below suggests questions to ask your health care provider about premature ejaculation. Don't hesitate to ask more questions during your appointment.
Your health care provider might ask very personal questions and might also want to talk to your partner. To help your provider determine the cause of your problem and the best course of treatment, be ready to answer questions, such as:
Deciding to talk with your health care provider is an important step. In the meantime, consider exploring other ways in which you and your partner can connect. Although premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition.
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From Wikipedia, the free encyclopedia
Ejaculation and climax soon after initiating sexual activity
This article is about the medical condition. For the music group, see Premature Ejaculation (band) .

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^ Byers, E.S.; G. Grenier (2003). "Premature or Rapid Ejaculation: Heterosexual Couples' Perceptions of Men's Ejaculatory Behavior". Archives of Sexual Behavior . 32 (3): 261–70. d
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