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Last Updated: Aug 29, 2019
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Premature Ejaculation;
Why should we take advice on sex from the pope? If he knows anything about it, he shouldn't!
--George Bernard Shaw
Premature ejaculation (PE) is probably the most common male sex problem and one of the graetest cause of unhappiness in the marriage, Is a condition in which a man ejaculates earlier than he or his partner would like him to. Other names to this condition; coming too soon, rapid ejaculation, hair trigger problem. Rapid ejaculation, rapid climax, premature climax, or early ejaculation. This can happen to every man at sometime or the other. Masters and Johnson define PE as the condition in which a man ejaculates before his sex partner achieves orgasm, in more than fifty percent of their sexual encounters. Eminent sexologist from India Dr. Parkash Kothari names it as early orgasmic response. (EOR).
“Persistent or recurrent ejaculation with minimal sexual stimulation before,on,or shortly after penetration and before either of partner wishes it.
Male with PE feels inadequacy to satisfy the female, each failure leads to expectation of another failure, and this creates a state of stress which makes successful intercourse unlikely. As a precautionary step male rushes to penetrative sex which again adds to the problem. PE has a significant impact on affected man and their partners in terms of self steam, personal distress, interpersonal difficulty, and dissatisfaction with their sexual relationships and finally this distressing condition gradually withdraws both the partners from intimate relationship.
In newly married man or younger age group who is overly excitable and ejaculates quickly has no real problem to handle the situation, since he can repeat the act within a short time and generally the second episode lasts longer, but as age advances the recovery phase is prolonged now he is unable to prolong the act as desired. Despite the high prevalence 30-40% male suffer from this problem very few about 9% seek medical advice.
Most of time premature ejaculation is associated with infrequent sex, men with low frequencies of sexual activity often get extra excited and aroused, which can manifest as PE. The less frequent sex the more chances of early ejaculation or the frequent sexual activity helps to maintain the longer ejaculation time. Whereas it is seen that due the fear of early ejaculation most of the couples post ponds sex in the hope, the less frequent they do will help them to prolong the ejaculation.
Common causes of PE are long abstinence from sex, , lack of privacy, lack of knowledge about female sexual responses, how to over excite the female partner, lack of knowledge how to delay orgasm, , inability to control ejaculation, new partner, extra marital relationship anxiety, depression, guilt feeling, male concerned about his pleasure only.
Clinically it is divided in two types;
1- Acquired PE 2- Life long PE
Acquired PE means man has previously experienced normal or satisfactory ejaculation or his partner was satisfied with his performance most of the time but gradually started complaining about performance.
Life long PE means since start of sexual experience/ majority of sexual intercourse or almost persistently ejaculating with minimal sexual stimulation, SUCH AS just glimpse of female breasts/ watching porn movies/ casual touch of female in public transport vehicles/ during intimate kissing/ during foreplay/ before entry/ with insertion/ with few thrust or finally sufficient stokes without female satisfaction.
The more precise way to asses’ ejaculation latency is to count no. Of strokes because according to one study an average fully excited female with proper foreplay needs 30 to 60 strokes to reach to orgasm at different times.
It is seen that most male do not pay much attention to make ready their partner to reach to orgasm and prefer hurried intercourse this makes them habituated to early ejaculation and later it becomes their natural response to ejaculate earlier. This habit can be unlearned. Previously like other sexual problems premature ejaculation treatment was mostly based on psycho-behavioral therapy. Drug therapy was in the form of topical anesthetics agents, gradually drug therapy became available with newer molecules being introduced for this particular
problem and now a days more selective SSRIA”S are giving good results combined with self leaning programme and gradual withdrawal of drugs after 6-8 weeks gives better control over male early ejaculation.
Most of you can eradicate premature ejaculation in a few months if you stick to your program. There are a lot of self-help books, videos, therapists, and sex coaches that can help you through this process. One issue with training yourself to last longer is that once you start lasting longer it’s difficult to go back to quickies. But, I guess most of you can live with long sessions of intense sensation, arousal and partners screaming your name in ecstasy.
What is found that in a very lager percentage of cases the man who is willing to work at it can overcome the problem. The ones who fail are those WHO GIVE UP.
Dr.Ambekar M.S.
City Sex Counselling & Therapy Center.
5’ Doctors House; Trimbak Road. Nashik.
Mob.9823086760
Why should we take advice on sex from the pope? If he knows anything about it, he shouldn't!
--George Bernard Shaw
Premature ejaculation (PE) is probably the most common male sex problem and one of the graetest cause of unhappiness in the marriage, Is a condition in which a man ejaculates earlier than he or his partner would like him to. Other names to this condition; coming too soon, rapid ejaculation, hair trigger problem. Rapid ejaculation, rapid climax, premature climax, or early ejaculation. This can happen to every man at sometime or the other. Masters and Johnson define PE as the condition in which a man ejaculates before his sex partner achieves orgasm, in more than fifty percent of their sexual encounters. Eminent sexologist from India Dr. Parkash Kothari names it as early orgasmic response. (EOR).
“Persistent or recurrent ejaculation with minimal sexual stimulation before,on,or shortly after penetration and before either of partner wishes it.
Male with PE feels inadequacy to satisfy the female, each failure leads to expectation of another failure, and this creates a state of stress which makes successful intercourse unlikely. As a precautionary step male rushes to penetrative sex which again adds to the problem. PE has a significant impact on affected man and their partners in terms of self steam, personal distress, interpersonal difficulty, and dissatisfaction with their sexual relationships and finally this distressing condition gradually withdraws both the partners from intimate relationship.
In newly married man or younger age group who is overly excitable and ejaculates quickly has no real problem to handle the situation, since he can repeat the act within a short time and generally the second episode lasts longer, but as age advances the recovery phase is prolonged now he is unable to prolong the act as desired. Despite the high prevalence 30-40% male suffer from this problem very few about 9% seek medical advice.
Most of time premature ejaculation is associated with infrequent sex, men with low frequencies of sexual activity often get extra excited and aroused, which can manifest as PE. The less frequent sex the more chances of early ejaculation or the frequent sexual activity helps to maintain the longer ejaculation time. Whereas it is seen that due the fear of early ejaculation most of the couples post ponds sex in the hope, the less frequent they do will help them to prolong the ejaculation.
Common causes of PE are long abstinence from sex, , lack of privacy, lack of knowledge about female sexual responses, how to over excite the female partner, lack of knowledge how to delay orgasm, , inability to control ejaculation, new partner, extra marital relationship anxiety, depression, guilt feeling, male concerned about his pleasure only.
Clinically it is divided in two types;
1- Acquired PE 2- Life long PE
Acquired PE means man has previously experienced normal or satisfactory ejaculation or his partner was satisfied with his performance most of the time but gradually started complaining about performance.
Life long PE means since start of sexual experience/ majority of sexual intercourse or almost persistently ejaculating with minimal sexual stimulation, SUCH AS just glimpse of female breasts/ watching porn movies/ casual touch of female in public transport vehicles/ during intimate kissing/ during foreplay/ before entry/ with insertion/ with few thrust or finally sufficient stokes without female satisfaction.
The more precise way to asses’ ejaculation latency is to count no. Of strokes because according to one study an average fully excited female with proper foreplay needs 30 to 60 strokes to reach to orgasm at different times.
It is seen that most male do not pay much attention to make ready their partner to reach to orgasm and prefer hurried intercourse this makes them habituated to early ejaculation and later it becomes their natural response to ejaculate earlier. This habit can be unlearned. Previously like other sexual problems premature ejaculation treatment was mostly based on psycho-behavioral therapy. Drug therapy was in the form of topical anesthetics agents, gradually drug therapy became available with newer molecules being introduced for this particular
problem and now a days more selective SSRIA”S are giving good results combined with self leaning programme and gradual withdrawal of drugs after 6-8 weeks gives better control over male early ejaculation.
Most of you can eradicate premature ejaculation in a few months if you stick to your program. There are a lot of self-help books, videos, therapists, and sex coaches that can help you through this process. One issue with training yourself to last longer is that once you start lasting longer it’s difficult to go back to quickies. But, I guess most of you can live with long sessions of intense sensation, arousal and partners screaming your name in ecstasy.
What is found that in a very lager percentage of cases the man who is willing to work at it can overcome the problem. The ones who fail are those WHO GIVE UP.
Dr.Ambekar M.S.
City Sex Counselling & Therapy Center.
5’ Doctors House; Trimbak Road. Nashik.
Mob.9823086760
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