What you need to know about premature ejaculation in men

Male health directly depends on the quality of ejaculation. Why there is a problem with an erection, symptoms of pathology and the basic principles of treatment.

General information

What is ejaculation - a natural physiological process. Semen is released from the urethra. To start this process, it is necessary to receive a signal from the cerebral cortex. It is regulated by the nervous system and certain areas of the man's brain.

Ejaculation is usually divided into 2 phases. Emission begins after a visual or tactile stimulating act provoking the onset of an erection. Due to the stimulation, the vessels of the testicles, prostate, seminal duct and appendages contract. Then the secret is highlighted. The prostate and the vas deferens contract. The release of semen into the urethra begins. But the internal sphincter of the bladder closes, so semen cannot enter the bladder.

And the urine itself is retained when intercourse occurs. During this period, there is a feeling that an erection will now come, but it can still be delayed. But the expulsion phase is reflective, so it cannot be controlled. The seminal fluid compresses the posterior region of the urethra. Excitement is pronounced. It is no longer possible to stop an erection on your own.

During intercourse, a number of processes occur in the body.

An erection is accompanied by the following signs:

• Due to intense physical activity, blood pressure rises sharply.
• Breathing becomes more intermittent, shortness of breath is felt, and pulse quickens.
• The sensitivity of the penis is greatly increased, it becomes larger and hardens. The tip of the glans may be reddish and slightly swollen.
• The scrotum is sensitive to tactile touch.
• When ejaculating, a temporary loss of control over one's own body and mind is possible.

The ejaculation process should not cause discomfort or discomfort.

Ejaculation rates

Ejaculation can be considered normal if it meets 3 criteria:

Premature ejaculation

Male ejaculation is an uncontrolled physiological process. Due to too early ejaculation, both sexual partners do not receive the desired satisfaction. Subsequently, both men and women develop psychological problems. This pathology is most common among dysfunction in men. Ejaculation is divided into 2 types: absolute and relative. In the first case, intercourse lasts less than 2 minutes. The second type of intimacy lasts longer. But it is not long enough, so both sexual partners do not get the necessary pleasure.

An erection can occur both before the onset of intercourse, and during it. Diagnosis begins with taking an anamnesis. The specialist conducts a rectal examination and probes the gland. This is necessary in order to understand if there is inflammation.

Laboratory and instrumental diagnostic options:

• urological smear microscopy;
• a bacteriological culture of a urological smear is performed. Thus, one can understand how sensitive the microflora is to antibiotics;
• ultrasound examination;
• using a special apparatus, you can check the sensitivity of the glans penis;
• PCR diagnostics to detect infections that can be obtained during sex;
• A special drug is injected into the genital organ that dilates blood vessels to determine the quality of blood supply;
• Consultation of an endocrinologist, psychologist, andrologist and urologist.

Premature ejaculation can be primary or secondary. In the first case, the problem exists from the beginning of sexual relations. In the second case, the problem appears for specific reasons.

Types of early ejaculation:

• Prepenetration;
• Intracoital.

Reasons

Ejaculation in men can be either late or much ahead of time. It is difficult to identify any single cause of early ejaculation. This is often due to excessive fatigue or stressful situations.

Main reasons:

• Depression and stress;
• There is a significant deficiency of serotonin in the nerve cells of the brain;
• Psychological difficulties. For example, phobias or lack of fulfillment at work;
• The head of the penis is oversensitive;
• There are chronic diseases of the prostate gland;
• Overweight problems;
• Hypodynamia - decreased muscle activity of the body, which has arisen due to lack of physical activity;
• Thyrotoxicosis (excessive production of thyroid hormones);
• Alcohol abuse and smoking.

Another important factor is the lack of the main male hormone. In the process of diagnosis, it is imperative to check whether the amount of testosterone is normal. One of the main symptoms is uncontrolled sperm flow.

Treatment of delayed ejaculation

The entire treatment process begins with a visit to the andrologist. This helps to clarify the problem. Although pathology often arises due to psychological difficulties, therefore, it passes on its own. Therefore, the patient must undergo sessions with a psychologist or psychotherapist. Yoga and breathing exercises are also recommended. Often early ejaculation is the first step towards impotence. Therefore, it is necessary to start therapy in a timely manner.

Modern medicine is quite well developed. Therefore, pathologies of this nature are easily treated. First you need to do a spermogram and check the hormonal background. In most cases, only a conservative treatment system is needed. Therefore, antibacterial agents and drugs are prescribed to combat the inflammatory process. If the illness is provoked by psychological difficulties, then antidepressants are recommended.

Treatment can be as follows:

• Working with a psychotherapist or psychologist;
• Combating comorbidities and infections of the urogenital tract;
• Providing timely behavioral therapy;
• Application of cooling gels and creams to the genitals;
• Maintaining the nervous system in a normal state with sedatives;
• Introduction of hyaluronic acid into the frenum of the penis. This is necessary in order to normalize the sensitivity level;
• Surgical intervention. May include: circumcision, transection of the nerves, plastic surgery of the frenum. But this treatment option is used only in extreme cases;
• Consultation of doctors of various fields.

Home Treatment

With this disease, additional treatment with alternative methods is possible. The main focus is on strengthening the immune system. You also need to review your diet and exercise, which is aimed at improving blood circulation.

As for the diet, protein foods should prevail. And foods rich in zinc and selenium. It is necessary to exclude flour, fried and unhealthy foods. In most cases, weak immunity is due to improper nutrition. The body must rest sufficiently. Therefore, special attention should be paid to the quality of sleep. In most cases, psychological difficulties are fraught with sleep problems, which means this point is especially important.

To calm down, you need to take herbal infusions. For example, chamomile tea. You can find the options you want at any pharmacy. Drinking teas is enough once a day. The course of treatment also needs to be adjusted with a doctor. The first effect will be visible in a few days.

Special exercises help restore male strength. It can be gymnastics or yoga. Massage and a visit to the bath also helps (if there are no contraindications). Additionally, you need to take care of the organs of the gastrointestinal tract. If necessary, cleanse the body of parasites.

As a preventive measure, it is recommended to visit an andrologist several times a year. This will help get rid of infections early on. There should be one sexual partner, but even in this case, contraceptives are required. According to statistical studies, people who do not drink alcohol are less likely to experience premature erections. Taking multivitamins should be repeated several times a year.