The reasons for the problem of premature ejaculation in men

Premature ejaculation

Ejaculation - a complex physiological process that combines two processes - emission and ejaculation proper. Phase issue - the result of a reflex response in the nervous system (and reflexes, if you remember, of our will depend very limited).

This occurs after erotic stimulation (visual or during direct contact). In the phase of emission sperm is released into the lumen of the urethra due to the reduction of the vas deferens, seminal vesicles and prostate. While sense ejaculation approximation increases, the possibility of voluntary control decreases progressively, reaching a certain point where ejaculation can not be stopped.

Immediately after the expulsion phase of emissions should be - as a result of the unconditional, ie, not giving volitional control, reflex. In this phase closes the internal sphincter of the bladder so that there is no reverse casting seed. After that, it opens the external sphincter, and the semen is thrown out due to the reduction of the pelvic floor muscles.

If you dig deeper, then at the biochemical level ejaculation - more complex process. I do not urge you to remember the complicated names, I will outline them only for you to imagine how difficult it is even a very competent doctor to understand why this or that man originated the problem.

Thus, the participants in the process: norepinephrine, serotonin, gamma-amino-butyric acid, nitrogen oxide. Elevated levels of estrogen hormones (also called "female", although a certain amount of estrogen must be men) or reduced levels of testosterone - the main male hormone - can cause ejaculation disorders. If a man is wrong with the thyroid gland, it usually leads to problems in the sexual sphere. If the amount of thyroid hormone is increased, it may be premature ejaculation (PE). If reduced, it is usually broken erection process.

Now judge for yourself - just whether it difficult to treat premature ejaculation...

Prematurely - when?

Indeed, what is considered premature ejaculation? For someone an hour a little, and many, and three minutes is sufficient. You can find several different definitions of what is "premature ejaculation" in the medical literature.

For example, in 1943 Schapiro B. offered to share PE on the primary and secondary (acquired).

Primary - this is when PE occurs within the first 30 seconds - 2 minutes for each, or almost each act of intercourse, and from the beginning of sexual activity. Recycled PE occurs after several years of normal sexual activity, and usually may be due to the following reasons:

  • Psychological problems (in this case, one partner is normal, on the other - it does not work)
  • Erectile disfunction
  • Prostatitis
  • Diseases of the thyroid gland, accompanied by an increase in its function (in the "scientific" - Ray)
  • Testosterone deficiency
  • Receiving drugs or psychoactive substances that violate the ejaculation process (such as marijuana).

In August 2007, experts from the International Society for Sexual Medicine on the basis of generalization of numerous observations came to an agreement that called premature ejaculation should be "sexual dysfunction in men, in which ejaculation occurs within the first minute after vaginal penetration, as well as the inability to delay ejaculation on all or almost all cases, accompanied by negative emotional reactions such as stress, anxiety, frustration and avoidance of sexual relations."

How often do men have problems with ejaculation?

Some time ago, in the US, Germany and Italy were interviewed more than twelve thousand men from 18 to 70 years, and found that premature ejaculation - a problem almost one in four! (More specifically, it occurs in 22.7% of men).

As it turns out, men who experience problems with ejaculation, are more likely to complain of erectile dysfunction, decreased sex drive, depression, anxiety, orgasm disorder. However, only one in ten go to the doctor, and one of those who tried to be treated, more than 90% are not satisfied with the results.

At what age often have problems with ejaculation?

According to a survey of a large amount (to be precise - 12 133 thousand.) Men - anywhere. From the young to the elderly. Only in the age category of 18 years do24h men with PE is slightly smaller (by "scientific" truth, statistically significantly less).

Does it matter: married or single?

It turns out that is. Do married men (or living in couple) PE more often, but only 7%. But married men live longer ...

Are there treatments for PE?

If you do not mind, go back to Step №1 and pay attention to the "participants" in the process of ejaculation. The main character - a serotonin, the lack of it is the main cause of PE.

Therefore, the most effective tool in the treatment of PE is considered to be the use of antidepressant drugs group, namely the group "selective serotonin reuptake inhibitor" - SSRIs, which increase the concentration of this hormone. As a result, the time is delayed ejaculation. This, drugs such as paroxetine, dapoxetine, sertraline, but they are sold strictly on prescription, to use their own strongly advise you not to.

Once again I draw your attention, if there are problems with erectile dysfunction, it is necessary to start with this. Only it is important to remember that there are medications to treat ED, but there are dietary supplements (dietary supplements) .BADy are not worth your attention!

Dermatologic need normal, proven medications. The first line in the treatment of ED today - is "inhibitors of phosphodiesterase type 5". They increase blood flow to the penis, causing an erection full.

If you go back again to the point №1, please note that another important "member" of the process of ejaculation - nitric oxide. This substance is a simple formula (NO) - probably the most necessary for the "male power". It is thanks to him, in the end, and there is blood filling the penis and an erection.

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