The Kinky Sex
One of the most pleasurable things that anyone can engage in as a human being is having sex. Making love with your partner and both of you exploding in the climax of world-shattering orgasms is the closest thing to heaven on earth. However, there is a sad twist to this tale, and that is because millions of men across the globe cannot enjoy this pleasure. This is because they are faced with one of the most common types of sexual dysfunction – which is none other than premature ejaculation. In this piece, we are going to discuss everything about premature ejaculation in the most resourceful way possible.
What is Premature Ejaculation?
Premature ejaculation is a medical condition in which a man gets to orgasm and ejaculation (the release of semen) shortly after the commencement of sexual activity and with very little arousal of the genital. Apart from being called premature ejaculation (PE), the condition is also referred to as quick climax, early ejaculation, rapid ejaculation, and premature climax. There is really no exact and precise duration that can be used to gauge the period of premature ejaculation.
However, medical practitioners of the International Society for Sexual Medicine have reached the agreement that a condition can be classified as premature ejaculation if the man achieves orgasms and releases semen after an estimated sixty seconds after penetration. On the other hand, the International Classification of Diseases considers premature ejaculation to have occurred if a man reaches orgasm and ejaculates just after a mere 15 seconds from the commencement of the sexual activity.
When interviewed, men who have to battle this condition have stated that they feel helpless when it comes to ejaculating even though that has not been scientifically established. What is apparent, however, is the fact that most of those in this condition do not want to be ejaculating after seconds or minutes, they typically want their sexual performance to last much longer.
In a world where masculinity is directly connected to the level of virility in bed, this is understandable. An interesting opposite of this condition is the one called delayed ejaculation. As the name implies, the man finds it difficult to reach orgasm even with the right level of libido and sexual performance. However, that is the opposite of premature ejaculation, which is the focus of our discussion on this topic.
One thing with premature ejaculation is that it affects men all over the world irrespective of the tribe, ethnic group, race or social status. It is one of the biggest challenges that men have to confront worldwide. Men who have premature ejaculation regularly complain of the negative effects that premature ejaculation has on their psychological wellbeing and the implications on their relationships and marriages. In fact, it is so debilitating for some men that they have chosen to stay away from any form of sexual intercourse as they are afraid of the shame and embarrassment that the condition can cause.
What Causes Premature Ejaculation?
Having given an overview of what premature ejaculation is, the next logical step is to discuss the causes of this condition that has left millions of men in misery and emotional distress. The really curious thing about this case is that even though it is a very prevalent condition, science has not been able to tell us the precise and exact causes of premature ejaculation.
However, there are some theories that have been propounded and put forward to explain what the possible causes of premature ejaculation might be. These include masturbation during teenage years when the boy tries to ejaculate swiftly to avoid repercussions (it is believed the brain gets used to the rapid cycle of ejaculation) and performance anxiety (where the individual who is to carry out an activity becomes gripped with fear all the time whenever the time comes for the action to be carried out, with the action here being the sexual performance).
Other factors believed to be causes of premature ejaculation include not having enough sex, genetic factors, nervous system disorders, and disorders with sensitivity of the genitals. The latest research seems to suggest strongly that there is a genetic basis for premature ejaculation but there is nothing conclusive about that yet.
How Does Ejaculation Itself Occur?
Ejaculation (called the release of semen by laymen) is one of the many physiological processes in the body. Ejaculation as a process can be described as having two stages or phases. These are the emission and expulsion stages. The first stage is the placement of fluid from the prostate gland, seminal vesicles (also called seminal glands or vesicular glands) and the vas deferens into the urethra. The urethra is actually the tube that also connects with the urinary bladder and transports both urine and semen. Hence, the first phase involves the collection of liquid from three different organs to form what is semen and then deposited inside the urethra.
The second stage is called the expulsion and it here that the semen that has been produced gets to have a release. This is done with the closure of the neck of the urinary bladder, then there are regular contractions of the urethra by surrounding muscles and also periodic relaxation of the external urethral sphincters. It is a combination of these acts that lead to the expulsion of the semen from the body via the urethra.
Even though ejaculation is a reflex that is controlled by the body’s nervous system, the two phases are controlled by different parts of the nervous system. For example, the first phase of emission is influenced by the sympathetic nervous system while the expulsion stage is under the influence of the somatic and autonomic nervous system.
How is the Condition of Premature Ejaculation Diagnosed?
As hinted in the sections earlier, premature ejaculation has been classified as a medical problem hence the diagnosis is also done in line with the existing medical guidelines. The International Society for Sexual Medicine has defined the condition stating that the person ejaculates around sixty seconds after penetration and this should have been occurring for a period of more than half a year and is with virtually every sexual session, leading to a remarkable psychological problem for the person.
These are the conditions that form the parameters that are considered before a diagnosis is made. In addition to this, based on the guidelines rolled out by the ICD, premature ejaculation is said to be ejaculating with loss of control and within an approximate period of 15 seconds. These are the sets of guidelines that doctors use to reach a conclusion whether a man has premature ejaculation or not.
What Are the Solutions to Premature Ejaculation?
Well, the fact that a man has premature ejaculation does not mean that it is the end of his life or a total cessation in sexual activity or bedroom performance in any way. This is because there are steps that can be taken to treat this condition. Before proceeding with this section, it is important to note that numerous measures are in place to handle this condition.
However, it has also been observed that not one treatment method was successful for premature ejaculation, it is always best to apply a combination of several methods so as to get the desired results. The following are some of the methods of treatment employed in handling premature ejaculation:
Medications
There are some drugs and other pharmaceutical agents that have been specially formulated to help men with premature ejaculation. These include drugs that work on the serotonin pathway in the body, these drugs send signals to the brain so that it can reduce the speed of ejaculation. Such drugs have been used with a lot of men confirming the efficacy and a good example of such drugs is dapoxetine which is marketed as Priligy or Westoxetin.
These drugs are classified as the selective serotonin reuptake inhibitors (SSRIs) and it is good for treating the condition of men who are in the 18 and 64 years age bracket. It functions by stopping the transporter of serotonin thus maximizing the effect of serotonin in the system and it is this effect that ensures that ejaculation is delayed.
It must, however, be pointed out that these drugs do not start working immediately. For example, in the case of the one used as an example above, the man will have to wait for some days after using the drug before he can start noticing the positive changes. In many of the men who have to take the SSRI class of drugs, they have reported positive changes and can even stop using them in less than 12 months. Like other drugs, the SSRIs also have their side effects and should only be used with professional advice and not based on self-medication.
Apart from the SSRIs, other drugs that are good for treating premature ejaculation include tramadol and others like lidocaine that actually have to be rubbed on the penis minutes before the man is to penetrate. So, for men who want quicker actions, they may decide to use topical preparations like lidocaine.
But, irrespective of the type of medication that a man wants to use for premature ejaculation, he should ensure that he is doing so with professional advice and recommendation of his medical doctor. Embarking on self-medication to treat premature ejaculation is not a good thing as the drugs can lead to even worse conditions for the man. For this and other reasons, it is always best to get recommendations from a doctor who has been professionally trained to handle cases of men with this medical condition.
Surgery
Apart from the medications that have been mentioned above, another way of treating numerous cases of premature ejaculation is actually via surgery. There are specific surgical procedures that are for this condition. As a matter of fact, there is a couple of surgical procedures that can give permanent relief to men who are living with premature ejaculation. These surgical procedures are glans penis augmentation and selective dorsal neurectomy (or also referred to as SDN) and as expected, are only carried out by highly-trained and experienced urological surgeons.
Due to the fact that there is still a lot of observations going on for these two surgical procedures, they have not been fully approved globally as treatment options for men in this condition but studies in the Far East suggest that these surgical procedures actually work. You should also consult with your medical doctor if you are considering going for the surgical approach.
Self-Control Strategies
One other way by which a man can treat the condition is to be in control or try to influence the factors surrounding the act of sex itself. Some men try to diminish the effect of sexual stimulation by thinking of another thing during intercourse so they can last longer. Some others decide to control the rate or depth of thrust when penetrating. Different men devise different self-control strategies.
Sex Therapy
Although this can come as somewhat surprising to some, several sex therapies are actually used in the treatment of premature ejaculation. Sex therapists have come up with a number of strategies that have been useful in the treatment of premature ejaculation. These include Kegel exercises which help in making the muscles in the pelvis much stronger. These exercises assist the man by triggering desensitization to his responses and also by decreasing sexual arousal levels. These are techniques that can only be taught by experts who have the needed experience and skills in treating such men.
Interesting Things about Premature Ejaculation
- This condition is actually quite common in men and it is one of the most reported sexual dysfunction issues.
- For thousands of years, premature ejaculation has been well documented as a condition that affects the quality of the sexual lives of men.
- In some other animals, premature ejaculation is actually natural and normal.
- In some of the sexual therapies used in treating premature ejaculation, the man has to actually train his mind to take over control of his own body and a very good example of this is the squeeze technique. The man has to take time to master the techniques before he can start noticing the positive effects.
