Pre Mature Discharge - Demystyfied

Pre mature discharge - demystyfied

About 35% of patients visiting my hospital have premature discharge. There are many misconceptions regarding this problem. Most relate it with masturbation they practiced previously and suffer from an extreme guilt of a sin they have never comitteed. Some believe it has led to weakness of their" nas, others think they should have controlled their sexual urges. Still others blame some other cause and so on
Let us understand what is pre mature ejaculation. Human sexual response consists of desire for sex, arousal (excitement) slowly rising to a level where it stays for some time before reaching a tipping point consisting of release of excitement, called as orgasm or climax. This is followed by a variable period of inability to get erection in males
Pre mature ejaculation happens when a person is unable to stay in the state of excitement and moves to the stage of orgasm before they like. It can be defined as intravaginal stay of less than 2-5 minutes associated with distress to either partner
It can be present since the time one started to have vaginal sex (life long) or may develop this problem later after having some period of normal satisfactory sex life (acquired). It can be experienced with one partner (situational) or every partner (global)
There can be many possible causes

1- hereditory- latest research has shown that life long pre ejaculators have genetic problem in the regulation of neuro transmitters serotonin and nor epinephrine in the spinal cord" they are born like this"
2- fear of inadequacy- changing times have made women aware of their sexual rights and demanding their just and satisfying sex life. Many youngsters coming to me have doubts about their ability to perform a good sex many of them already had active sex life, either paid sex or with a girl friend. Many girls/ sex workers give a comment or two like" you finish so fast" this triggers a panic situation, producing extreme performance anxiety. They start doubting themselves
3- psychiatric problems like anxiety, depression, alcohol abuse can worsen the situation
4- ed - presence of inadequate hardness due to any reason may be responsible for prompting your genital controls to finish the job quick
5- unreasonable expectations by male or female partner, fuelled by" tall claims" of their friend's description of super human time they take to finish the job. Many get unusual joy to brag about the time they take before discharge, number of times they can have sex in a night etcetra. Oops! never believe a friend in these matters, it can be misleading.

Treatment- every case needs a detailed evaluation including some lab tests
The treatment modalities include medications, counselling, adopting a healthy life style, local preparations to be applied on penis, and keeping focus on pleasure rather than the performance of penis) improving muscle tome by yoga
Some times surgery is needed, it is called frenulotomy. It makes the penis less sensitive
Intra penile injection therapy is helpful in many cases I prefer to employ multi modal treatment plan consisting of suggestions for healthy life style, medicines, counseling and frequently intrapenile injection
I also treat such problems online the results are very good you may need to take medicines for 6-9 months but treatment has to be tailored according to the needs