Treatment of premature ejaculation in men

Ejaculation in men begins in adolescence and continues until about 65 years of age. It happens that a man has problems with ejaculation associated with various sexual disorders. The most common is premature orgasm. How to treat early ejaculation and why should you do it?

How does ejaculation happen?

Ejaculation is a natural physiological process. Male semen is ejaculated during sexual intercourse or other stimulation of the penis. The process is divided into three stages:

• the testicle secretes male sex cells;
• spermatozoa pass into the prostate gland;
• semen is formed.

Sexual acts end when a man ejaculates. As soon as an orgasm occurs, the penis becomes soft and flexible. If the ejaculation is very strong, then the capillaries break, drops of blood come out with the sperm, but this is rare.

The following happens during a male orgasm:

• pressure rises;
• blood flow becomes faster, especially in the pelvic and genital area;
• heart rate increases;
• breathing is fast and intermittent;
• penis swells, becomes hard;
• lubrication is secreted into the urethra;
• testicles swell;
• the muscles of the penis experience great tension.

With premature ejaculation, discharge occurs very quickly. A man cannot satisfy his partner.

Reason for violations

Impaired ejaculation occurs for various reasons. Both psychological and physiological or due to disease. Psychological factors that provoke Premature ejaculation:

• Strong excitability. It is more common in men younger than 27 years old, due to increased testosterone in the blood. Or because of a strong desire to have a partner.
• The behavior of a woman. A narrowed vagina, activity during sex, overexcitation, feelings of anxiety and anger also contribute to an accelerated orgasm.
• Inexperience or long abstinence. Because of these sex hormones, there is a lot in the blood, the work of the nerve centers is disrupted, so the man ejaculates very quickly.
• Neurotic disorder
• Reflection. Appears after a long period of masturbation, with the danger that someone will see. Or with short intercourse. Accustoming to accelerated Sexual intercourse becomes a reflex that is difficult to wean.
• Stress and emotional burnout. If a man does not get enough sleep, is nervous a lot, experiences heavy physical exertion, then this affects the quality and duration of sexual intercourse. Serotonin in the blood falls, and the excitability of the nervous system, on the contrary. A constant state of anxiety triggers sympathetic processes. As a result, the level of arousal necessary for ejaculation falls.
• Frequent interruption of sexual intercourse. This method is sometimes used to prevent a partner from becoming pregnant. Constant tension, process control lead to early ejaculation.
• Age factor. After the age of 40, the duration of sexual contact and erection decreases.

Physiological and pathological factors that provoke disorders:

• the head of the penis is very sensitive;
• a shortened frenulum of the penis;
• problems with the lumbosacral region;
• prostatitis, vesiculitis, colliculitis;
• lack of serotonin in the blood;
• hyperthyroidism, thyroid pathology.

To determine the cause of early ejaculation, you need to consult an andrologist and undergo a full examination.

Premature

Premature ejaculation can be:

• Absolute - occurs immediately after a man inserts his penis into the vagina or slightly stimulates the sexual organ.
• Relative - when a man cums before the woman is satisfied. Sometimes rapid ejaculation is the result of a long absence of sex.

Premature ejaculation is possible for various reasons, sometimes it is a sign of pathology. Do not ignore this fact, it is better to contact a urologist.

Constant

There is permanent and secondary ejaculation. Constant - happens with almost every sexual contact, can be hereditary, congenital. Secondary - development occurs gradually, the problem happens every other time. It is easier to treat than the permanent form.

Retrograde

Retrograde ejaculation is a dysfunction in which seminal fluid passes into the bladder. During normal ejaculation, the bladder neck contracts, and the sperm goes into the posterior urethra, then out.

With Retrograde ejaculation, muscle contraction does not occur, and sperm enters the bladder cavity. Sometimes a part enters the bladder or goes into the urethra.Sometimes sperm does not erupt outward at all - this is a very rare pathology.

Painful

Pain during ejaculation is a pathological condition called dysorgasmia. Soreness can be mild or severe, occurring during or after orgasm. The pain may be in the penis, perineum, testicles, or the area between the scrotum and anus. Dysorgasmia occurs most often in inflammatory and infectious processes in the prostate gland.

Delayed

Delayed ejaculation is a process in which orgasm is achieved with difficulty or does not occur at all. Orgasm without ejaculation most often has physiological causes, for example, if seminal fluid does not go into the urethral canal, but into the bladder.

Delayed ejaculation is often psychosomatic in nature, is the result of emotional overstrain, stress.

If inflammation of the appendages or male testicles has begun, then the volume of ejaculate produced is less than normal. This brings a man psychological discomfort and provokes a delay in ejaculation. Sometimes pathology is formed if the nerves on the head or on the organ itself are injured. A man puts more effort to achieve relaxation.

Pollutions

Sleep ejaculation is a common occurrence among teenagers. The first wet dreams occur in the region of 12-13 years old - this means that the boy has entered the period of maturation, becomes a man. The seminal vesicles are full, and the nerve endings are very excitable, they give a signal to the brain.

Teenagers experience ejaculation through sleep, an involuntary orgasm occurs.

But if it is almost every night or often, with pain, bleeding, then this is not the norm, you need to contact a urologist. In adult men, orgasm in a dream is much less common, if you have it all the time, then this is also a reason to go to the doctor.

Ejaculation treatment

If the end of sexual intercourse occurs earlier than you want, the problem can be solved. Treatment of premature ejaculation is carried out by urologists, androlags. To identify the causes of the disease, the doctor conducts a comprehensive diagnosis, then decides what to do with this problem.

Sometimes, a conversation with a competent urologist or sexologist is enough to treat early ejaculation. This is true if the disease is a psychological factor or premature ejaculation occurred by accident. If the causes are caused by physical pathologies, then medical or surgical treatment is carried out.

Drugs

In pharmacology, anesthetics and neuroblockers are used to combat early ejaculation. Drugs act on the process of transporting a nerve impulse. They suppress the work of local nerve endings or act directly on the center of the brain that regulates sexual arousal and the process of orgasm.

Dapoxetine

Dapoxetine is an antidepressant that helps with impotence and early ejaculation. It suppresses receptors sensitive to the hormone of pleasure - serotonin. In this case, the sensitivity of the head will remain the same. The speed of transmission of pleasant sensations to nerve impulses decreases. So, sexual intercourse will last for an hour or two, sometimes longer.

In addition, the drug normalizes the state of the nervous system, reducing the effects of stress hormones, which helps to tune in before sex. There are side effects - dizziness, migraines, nausea.

Lidocaine

Lidocaine - a local anesthetic reduces the sensitivity of the head of the penis. Sexual intercourse becomes longer. The drug does not affect other organs and systems. Only valid locally. Lidocaine also affects the sensitivity of a woman, since the head comes into contact with the vaginal mucosa. To prevent this, you need to use a condom. By the way, it also makes the head not so sensitive. Lidocaine is sold in the form of a spray or cream. You can use a cream with the addition of lidocaine and other sensitivity blockers. This will enhance its effect.

Anesthetics are recommended if the head of the penis is too sensitive to stimulation.

The constant use of these drugs does not allow a man to learn to control the process of ejaculation and can form a habit. In this case, the result of treatment by other means will significantly decrease. So don't get carried away with anesthetics.

Stimulants

For the treatment of rapid ejaculation, plant-based products with a general effect on the body are used:

• Sealex is a herbal preparation that urologists prescribe for erection problems. Herbs calm the nervous system, relax. It is easier for a man to follow the course of sexual intercourse and control the time of ejaculation. To achieve the result, the drug is taken in a course.
• Confido is a complex of herbs that stimulate sexual desire. Usually prescribed together with other means against premature ejaculation. Increases sexual desire, normalizes the condition and quality of seminal fluid.

Usually, doctors advise to combine herbal remedies and local anesthetics. Before using any remedy, it is necessary to undergo medical supervision. You cannot self-medicate.

Surgical methods

If the treatment of premature ejaculation by conservative methods did not bring results, then doctors resort to surgical intervention:

• Circumcision or circumcision - surgeons cut the skin near the groove of the head of the penis and move it to the base. The nerve endings are then connected. The sensitivity of the head decreases and sex becomes longer. This effect lasts for about 16 weeks. At this time, a man must learn to control the course of sexual intercourse and the onset of orgasm.
• Microsurgical denervation - doctors stop most of the nerve endings on the head of the penis. She loses sensation locally for about 6 weeks. Then everything returns to normal.
• Injection of hyaluronic acid - a portion of hyaluron is injected into the head area. An obstruction is formed between the skin and nerves. The head becomes less sensitive, sexual intercourse lasts longer.

Female ejaculation

Ejaculation in women happens much less frequently than in men. This is due to the fact that it is more difficult for them to achieve orgasm. When a woman is very aroused, a stream of ejaculate is released from the vaginal area. It is a mixture of vaginal lubrication and liquid secretions from the "G" zone.

Female ejaculation is the release of a small jet, which can not even be noticed, mistaken for a splash of urine. Although the structure of this liquid is more viscous.

Most often, female ejaculation occurs when a partner caresses the G-spot with their fingers. In addition, the longer the intercourse lasts, the more likely it is that the partner will be able to achieve a jet orgasm. For this, it is necessary that a man learns to delay his own ejaculation as much as possible.