How to prolong intercourse

Uncontrolled ejaculation is a problem for many men that develops due to psychogenic or organic causes. The tendency to uncontrolled discharge of semen is often not related to the age of the patients. An unpleasant consequence of premature ejaculation is a short duration of Sexual intercourse, dissatisfaction with sexual partners and lack of orgasm.

Symptoms of premature ejaculation

A physician detects premature ejaculation in a patient in the presence of the following typical manifestations:

• Difficulty, if desired, to control the release of semen
• a significant decrease in the duration of intimacy (less than 2 minutes)
• ejaculate ejection in the presence of minimal sexual arousal
• lack of satisfaction from intimate relationships
• decreased sexual self-esteem
• decreased libido

Forms of uncontrolled ejaculation

Depending on the total duration of intercourse, the stronger sex may experience:

• absolute premature ejaculation. With such a disorder, the length of intimacy does not exceed 1 minute;
• relative premature ejaculation. sexual intercourse lasts from 1 to 2 minutes, but this time is not enough for the partner to orgasm.

Due to the onset, doctors classify uncontrolled ejaculation into 2 types:

• primary. It develops in patients in adolescence, that is, from the very beginning of sexual relations;
• secondary. It occurs in sexually mature men who have had a full-fledged intimate life for a certain period.

Depending on the moment of isolation of seed materials, it is customary to subdivide pathology into:

• prepenetration. This variant of the course of sexual disorder involves the onset of ejaculation before the introduction of a member into the vagina;
• intracoital. Ejaculation occurs within the first minutes after penetration.

Reasons for a decrease in the duration of intercourse

Among the negative factors that lead to the onset of early ejaculation, doctors note:

• lack of a special substance (serotonin) in the nerve cells of the brain, that is, dysfunction of central serotonin receptors;
• excessive nervous excitability that occurs due to minimal emotional distress, conflicts at work or in the family, other daily stressful situations;
• psychological problems caused by a fear of intimate relationships, interpersonal conflicts and the fear of causing pain or discomfort to a sexual partner;
• congenital hypersensitivity of the head of the penis;
• a decrease in the emotional state due to the development of neurotic and depressive changes in the psyche;
• structural pathology in the form of a shortened frenum of the penis;
• overweight, inactive lifestyle;
• chronic inflammatory processes in the genitourinary system, for example, in the prostate gland (prostatitis);
• increased secretion of thyroid hormones (thyrotoxicosis);
• neurological no lesions, in particular, intervertebral hernias, diseases of the bones of the spine and pelvis;
• a tendency to hasty masturbation in adolescence, which causes the formation of a stable reflex;
• little experience of sexual self-control;
• a long interruption in the conduct of sexual activity;
• obsessive expectation syndrome, which has arisen after a series of sexual failures.

Treatment of premature ejaculation

The doctor prescribes treatment for the patient based on the results of the survey and examination. Before approving treatment tactics, a man undergoes the following types of diagnostics:

• rectal examination
• ultrasound of the penis, scrotum and prostate
• examination of vibration sensitivity of the head
• bacteriological culture
• microscopic examination of urological smear

The study of the results obtained helps the doctor to take the necessary measures to prolong the time of intercourse in the patient. First of all, patients are referred for a consultation with a psychotherapist. The physician teaches patients to cope with anxiety and eliminate unreasonable fears, quickly resolve interpersonal conflicts, excluding the negative impact of stress on the psyche. A course of behavioral therapy is carried out, during which the patient learns the principles of self-control during sexual intercourse. The doctor prescribes drug treatment with antibacterial, anti-inflammatory drugs and massage effects to eliminate concomitant pathologies of the reproductive system. To reduce the sensitivity of the head of the penis, anesthetic ointments and cooling gels are applied to this area. There is a treatment with substances that tone up the nervous system.In some cases, the patient is recommended to undergo a surgical operation (transection of the nerves of the head of the penis, plastic surgery of the frenum of the penis).