Premature ejaculation has been defined as persistent or recurrent ejaculation with minimal sexual stimulation before, during, or after intromission and before the patient wishes it. There have been a number of psychological approaches to treatment, though we could not find any papers that defined the effectiveness of these approaches.
Premature ejaculation is usually an unmistakable experience to a man or his partner, but through the years it has been difficult for professionals to agree on a precise definition of this common sexual concern. As Helen Kaplan, M.D. and other professionals point out, this phenomenon may occur because the man is unable to recognize that he is about to ejaculate. And even when he does recognize he is approaching ejaculation, he feels he is unable to control or delay the process.
The number 1 cause of premature ejaculation is an uncontrollable and overwhelming urge to ejaculate, produced from over-stimulation by your lover. This urge seems impossible to fight, or so people think! Your body reacts like this to ensure impregnation and the survival of our species. So basically it's a natural reaction. A natural reaction that you can alter. You know it can be altered because some men don't suffer from premature ejaculation and if it's a natural reaction it can't be a physical problem. So there is nothing medically wrong with you.
Premature ejaculation occurs when a man reaches orgasm and ejaculates too quickly and without control. In other words, ejaculation occurs before a man wants it to happen. It may occur before or after beginning foreplay or intercourse. Some men experience a lot of personal distress because of this condition. (read more on increase ejaculation)
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According to several medical texts, premature ejaculation is not typically caused or exacerbated by any physical illness or abnormality. It is not the fault of the woman, regardless of how exciting her mate finds her. It is a curable, emotionally caused problem that some believe is related to general performance anxiety.
Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner, only in certain sexual situations, or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can cause premature ejaculation. Since alcohol can delay orgasm, stopping the regular use of alcohol before sex may also play a role in this problem. In some cases, premature ejaculation may be related to an underlying medical cause such as hormonal problems, injury, or a side effect of certain medications.
"The penis can be trained without the hassle of starting and stopping or pressing your fingers anywhere," says sex therapist and former sex surrogate Anita Banker-Riskin, coauthor (with her husband, Michael Riskin) of Simultaneous Orgasm & Other Joys of Sexual Intimacy (Hunter House, 1997). "But first you must make the effort to develop your pubococcygeus (PC) muscle, which you’re now sitting on. The PC muscle involuntarily contracts as you ejaculate, causing semen to fly. But if you purposely contract it during the peak of sex, the PC muscle, says Banker-Riskin, acts like the brakes on a car and can bring an ejaculation to a halt. "Like any other muscle, you need to exercise the PC," says Banker-Riskin.
When nerve endings in the penis are stimulated signals are sent to the brain which trigger ejaculation. Our topicals help to prevent premature ejaculation by alternating neurological sensation to the penis. These altered sensations are new to the brain and will not register as a signal to ejaculate prematurely. Thus allowing the male total control over Premature Ejaculation.
increase ejaculation
However, the primary treatment of ejaculatory control is helping a man, by various techniques, to repeatedly focus his attention on the increasing erotic sensations in his body as he approaches orgasm. By increasing his awareness of the buildup of these pleasurable sensations he is better able to judge where he is along the path of reaching an orgasm and ejaculating. (Note: orgasm and ejaculation are separate events, caused by separate systems in the male's body, though they usually occur at the same time. The term orgasm is commonly used when speaking of a male's ejaculation. Technically, however, orgasm is just the peak of the intense pleasurable feeling that usually follows a man being highly sexually excited.
Premature ejaculation should never be a problem for a considerate lover. A man is usually satisfied after he reaches a climax. If he reaches it before she does and doesn't help her to reach one also, he's inconsiderate whether he climaxes in 2 seconds or 5 hours. Most women take more than 20 minutes to climax with conventional penile-vaginal contact and only 4 minutes when they stimulate themselves because women know more about women than men do.
The stop-start method involves the partner stimulating the man's penis, except that when the man instructs, the partner stops stimulating the man's penis before ejaculation becomes inevitable. Then as he feels he regains control, he instructs the partner to begin stimulating his penis again. This procedure is repeated three times before allowing the man to ejaculate on the fourth time. The couple repeats this exercise three times a week, until the man has good control, then they progress to stop-start with lubrication, and then intercourse with the woman on top and the man not moving. He again instructs her to stop moving when he senses he is losing control. The couple progresses over subsequent times to the having the man move, then side by side intercourse. Instead of stopping and starting, the couple may progress to merely slowing down to enable the man to regain control of his urge to ejaculate. The therapists counseling patients using this stop-start technique report a 90 percent success rate in delaying ejaculation.
A common side effect of one class of antidepressants is "sexual dysfunction." These Selective Serotonin Reuptake Inhibitors (SSRI) medications such as Prozac, Zoloft, Paxil, Celexa, and others, actually can inhibit the ability to ejaculate. Because of this, they have been used by some clinicians in the treatment of premature ejaculation. Your doctor or therapist can give you more information on this treatment. (read more on increase ejaculation)
increase ejaculation - Tips
The man-on-top (missionary) position can be fun, but it's harder for most men to control their ejaculatory timing, because they have to hold themselves up. Try making love with the woman on top. This position is more relaxing for men, and it often helps ejaculatory control.
The program we recommend for learning ejaculatory control is very likely to provide your lover with greater sexual enjoyment, but not just because you last longer. Women generally prefer leisurely, playful, whole-body, massage-oriented sensuality that includes the genitals but is not limited to them. Women's main complaints about men's sexual style are that it's too rushed, too mechanical, too eager for intercourse, and that it focuses only on the breasts and genitals. Women generally feel that the whole body is a sensual playground, and can't understand why so many men explore only a few corners of it. Like women, penises generally prefer leisurely, playful, whole-body, massage-oriented lovemaking. The rushed, penis-centered, intercourse-fixated sex style puts a lot of pressure on the penis, and leads to premature ejaculation. But when men make love the way women prefer, whole-body arousal takes the pressure off your penis and you last longer. Basically, if men would make love the way women prefer, women would have fewer complaints, and men would have fewer sex problems.
Breathe deeply. One very easy way to stay relaxed while making love is to breathe deeply. The body has a natural tendency to breathe deeply during sex. But many men fight it. They think they should stay in control by not breathing deeply and making the little love-moan sounds that go along with it. But when men work to control their breathing, they often sacrifice ejaculatory control. Try breathing deeply. Let your breath go. Many men are amazed how much this one little change improves their ejaculatory control.
