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Premature ejaculation -
What is ejaculation?
early, precocious, premature? When a man is sexually excited, he usually
have an erection Whether
masturbates or has sex with a
couple, your excitement will intensify and eventually ejaculate. Ejaculation
it consists of a coordinated action of various genital and pelvic structures
which give rise, in the first instance, to the deposit of the ejaculate in the urethra and to
its subsequent evacuation through it abroad. This process is accompanied
usually of pleasant sensations that constitute the
Premature ejaculation can
end up creating problems in the couple; but generally it has
In a normal sexual relationship, the
excitation increases progressively until a plateau phase (of
stabilization), enjoying your sexual pleasure until such time as
voluntarily reaches the climax. However, some men ejaculate very
quickly. In fact, some even climax before penetrating their
partner. If a man usually ejaculates very quickly and much earlier
that your partner would like, obviously has a problem, which is called
premature ejaculation (EP). In PD, the male cannot remain in the phase of
plateau (stabilization), but there is a rapid excitation and a
involuntary ejaculation If this is the problem, there are means available to
get over it
In our section 'Sexuality'
You will find articles of great interest:
Inability to ejaculate
Orgasmic disorder: problems in
Early (PD) is the most frequent sexual dysfunction, calculated to affect
even 30% of men. However, this figure also influences the
that the term has been defined in a very precise way. Let's put three
diagnosis "of the American Psychiatric Association (DSM IV, 1995) is
refers to it as the situation in which "persistence occurs or
recurrence of ejaculation before a minimum prior stimulation, during or
immediately after penetration, always before the subject
It has also been described as the inability to
exercise adequate voluntary control over ejaculation, producing this
reflexively and uncontrollably before, during or immediately after the
Masters and Johnson, prestigious
70s sex therapists defined PD as the inability to
defer ejaculation enough for the couple to reach orgasm
50% of the times.
In most of the
cases, the cause of PD is usually psychic, considering the
most frequent manifestation of a set of ejaculatory alterations of
psycho-sexual base that also includes the
delayed ejaculation and post-ejaculatory pain.
Very rarely it can be secondary to certain processes
organic such as degenerative disorders, vascular or type alterations
neurological (spinal tumors,
multiple sclerosis), urethral abnormalities
posterior and of the
prostate, etc. Also, numerous drugs can
affect ejaculation, and some may act by facilitating it.
Ejaculation is a complex process that requires coordination
of several nerve pathways and the integrity of the various organs involved.
The stimuli involved in ejaculation and orgasm come from
glans, external genitalia and the posterior area of the urethra. These stimuli
They are transmitted through the nerves of the penis to the spinal cord.
The cerebral cortex receives information from the
sensory stimuli and other areas of the nervous system responsible for
orgasm. However, once the ejaculation phenomenon has started, the
The brain cannot exert any control over it. However, it can
voluntarily control the onset of ejaculation, graduating the intensity
of the stimuli that cause it.
See some questions of our users in 'Ask the
I am no longer what
How is premature ejaculation treated?
Some men help each other considerably
using sexual therapy techniques. This must be understood within the context of
the couple; In addition, we must not forget that sexual behavior is the interaction
between individual and the environment, in which numerous factors intervene
environmental (cultural, personality, family environment, age, etc.).
Psycho-sexual treatment is effective in many cases.
Stimulation-stop and penis compression techniques are the most
The best way to address your problem is
Get help from the couple. You may need the help of a professional in
some time, but in fact you can try together at home the technique of stopping
and start to see if they can
improve things for themselves.
How does the
stop and start technique? The technique of "stop and
start "is the most popular:
First you can try masturbation. One is done
stimulation until considerable excitation is achieved and then stops and
The sensations are allowed to calm down. It is recommended that several
times before allowing yourself to climax.
therapists recommend that the man lie on his back, naked and
relaxed. Your partner, also naked, should sit or lie nearby. The man
you must remain passive (does nothing) while she is active, and you
caresses in an way that induces an erection. The male will only focus on
the caresses and the sensation and sexual tension it causes.
When he feels that sexual tension increases and that his ejaculation
is close, will tell her to stop. She will stop petting him immediately
and sexual tension will decrease. The male will lose the feeling that he is at
Then she will begin to stroke another
time, until he tells her to stop. Stop and start this way three
times. The fourth time, for example, continue until ejaculation.
Can you repeat the exercise? The exercise can be
Repeat as often as desired. Remember that the male has to
remain passive and only she be active. The male needs to concentrate
exclusively in your own problem without performing any activity
Is the male ready for intercourse? After a while
the man will learn to control himself more and more, and can let her continue more
time before feeling that it reaches "the point of no return". In fact, when
feel much more confident in your control, and this will probably take several
weeks, you can try to make an intercourse.
again the technique of stopping and starting. The most appropriate position to start
it is in which the woman straddles the man, who will ask him to
stop moving when the sensations get too strong and then
You should allow your feelings to calm down before she continues. Be
you should try several times, trying not to allow yourself to reach orgasm until
the fourth time, for example, as in the previous phase.
It may be a good idea that she be stimulated by the male or
by herself for
have an orgasm before or after intercourse, because in
this moment of the sexual act man needs to be free to take care
exclusively of his sensations and his ejaculation.
However, many couples find they need help
additional from a professional (psychologists specialized in this field). Too
You can be told to use the "compression-stop technique". Is about
a technique that the woman learns and that requires her to compress the penis of the
man every time he is climaxing.
However, there are patients who find these techniques uncomfortable, or
They simply do not want this type of therapy. In addition, it has several
inconveniences; requires the participation of the couple in the sessions and
They require certain cultural conditions.
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