Rapid ejaculation

Premature ejaculation is a condition that many men suffer from. Let's look at the main causes of premature ejaculation, treatment methods, and prevention methods.

According to scientific statistics, today a third of all men on the planet suffer from premature ejaculation. But the statistics are conditional, since many men hide this pathology. Premature ejaculation is a real problem for absolutely healthy men, since it has a negative impact on sexual intercourse and relationships in general.

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Causes of premature ejaculation

The causes of premature ejaculation are divided into two groups - psychological and physiological, that is, those that are associated with health problems, functioning and structure of organs. In order to find out the problems of premature ejaculation, you need to contact a specialist, this may be a psychologist, urologist or sexologist. The doctor will conduct an examination and diagnosis of the body to determine the cause of the disease. Let's consider the main physiological and psychological causes of premature ejaculation.

Physiological causes of premature ejaculation:

1. Increased sensitivity of the glans penis is the most common cause that occurs in men of all ages. This pathology can be acquired (phimosis, balanoposthitis) or congenital. Features of rapid ejaculation with increased sensitivity of the glans penis:

When having sex with a condom, the duration of ejaculation is longer. The duration also increases when using artificial lubricant. Therefore, it is recommended to use special condoms with anesthetics and lubricants.

• As a rule, ejaculation does not occur before sexual intercourse, and if it does, it is only due to friction of the penis against underwear or during the process of putting on a condom.

To reliably determine the connection between rapid ejaculation and increased sensitivity, it is recommended to buy a lubricant with an anesthetic (prolongator) and apply it to the head of the penis 10-15 minutes before sex. In addition to lubricant, you can use Lidocaine aerosol, which is sold in pharmacies. If the use of lubricant increased the duration of sexual intercourse, even by a couple of minutes, then premature ejaculation is associated with increased sensitivity.

To treat rapid ejaculation caused by sensitivity, circumcision is used, as it is the most effective treatment. During circumcision, the foreskin is removed, which increases the duration of sexual intercourse by 2-3 times. By the way, circumcision increases ejaculation in any man, even without problems with ejaculation.

If the increased sensitivity is caused by phimosis or balanoposthitis, then circumcision is the only solution to the problem. In the case when a man is afraid to undergo circumcision or refuses this procedure, doctors recommend using lubricants with anesthetics or aerosol with Lidocaine.

2. Chronic vesiculitis – rapid ejaculation is caused by inflammation of the seminal vesicles. The components of sperm – spermatozoa – accumulate in them. The walls of the vesicles become thinner and very sensitive. That is why mild sexual arousal leads to ejaculation. Chronic vesiculitis always develops simultaneously with prostatitis, which is an inflammation of the prostate gland. Treatment of this problem should be comprehensive. The main symptoms of vesiculitis, which provokes rapid ejaculation:
   • Ejaculation has a wave-like character, sometimes sexual intercourse is prolonged, but in some cases ejaculation occurs very quickly. The disease developed gradually, before that the man had no problems with ejaculation.
   • Ejaculation occurs before sexual intercourse due to arousal. The first sexual intercourse is quick, and subsequent ones are longer.
   • Drinking alcohol before sex does not improve the situation, but on the contrary, aggravates the process. Using condoms, lubricants with anesthetics do not affect ejaculation.
   • Sexual intercourse does not bring pleasure, causes painful sensations, and the feeling of orgasm is blurred.

3. Damage to internal organs and their dysfunction - this cause can be diagnosed only after a series of examinations and tests. Disorders of the cortical and subcortical structures (acquired and congenital) negatively affect the reproductive system and sexual functions. Damage to the lumbosacral spinal cord, bone injuries, inflammatory diseases of the urological nature and internal pelvic organs also cause rapid ejaculation.
4. Hormonal disorders – cause hormonal imbalance, which provokes rapid ejaculation. The pathology occurs due to a lack of testosterone, increased production of prolactin and endocrine disorders.
5. Poisoning – chronic poisoning with alcohol, nicotine and other toxins leads to incomplete sexual intercourse and the fact that the man finishes quickly. Sometimes rapid ejaculation occurs due to taking antibiotics and medications.

Psychological reasons for premature ejaculation:

1. Fears - an unsuccessful first sexual experience, fear of not giving pleasure to a partner, being ridiculed, rejected and other fears cause psychological problems that negatively affect sexual life and the duration of sexual intercourse. Only a psychologist can cure such a disorder.
2. Regular stressful situations. Men who are completely dedicated to work, suffer from lack of sleep, constant stressful situations and depression – have problems in the sexual sphere that are associated with premature ejaculation.
3. Overstimulation is the most common cause of premature ejaculation. It is typical for young guys who have just started having sex. But sometimes premature ejaculation also occurs in older, experienced men. Overstimulation causes tension to build up in one of the areas of the cerebral cortex, which leads to ejaculation and orgasm.
4. Lack of trust between partners. This psychogenic factor causes early ejaculation due to dissatisfaction with life together, fear of romantic relationships and betrayal. Problems with ejaculation can also happen to those men who are pursuing only the goal of having sex.
5. External irritants – rapid ejaculation can occur due to sex in an unfavorable environment. In this case, the man subconsciously wants to finish the sexual act faster and accelerates ejaculation. Most often, this happens to young guys, and in this case it is difficult to determine the true cause of rapid ejaculation.

The main symptoms of premature ejaculation caused by psychological reasons:

• Irregular sexual life or first sexual experience.
• Premature ejaculation causes problems with erection, so it is not always possible to have a second sexual intercourse.
• Thoughts on abstract topics often lead to the disappearance of an erection. Drinking alcohol also has a negative effect on erections and the ability to ejaculate.

Psychological problems that cause rapid ejaculation go away with a man's age or experience in sex. But if they get worse, they require treatment. A psychologist or sexologist can help with the treatment of such problems. As for the physiological causes of early ejaculation, they can be solved after undergoing diagnostics and examinations. You can't ignore problems with rapid ejaculation, as this has a destructive effect on a man's self-esteem, relationships with his partner and can lead to disastrous consequences.

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Why does ejaculation occur quickly?

Why does ejaculation happen quickly and how to deal with this problem? To determine the cause of premature ejaculation, it is necessary to undergo diagnostics. It is very difficult to determine the true cause of rapid ejaculation. To do this, the doctor must determine the sex quality index, since very often problems with premature ejaculation are disguised as andrological diseases (diseases of the male genital organs that pathologically affect the reproductive system).

Diagnostics consists of an external examination, ultrasound examination of the genitals and rectal examination. In some cases, a man must undergo a series of tests to determine hormones and infectious and inflammatory diseases. An assessment of the blood supply to the penis (excluding erectile dysfunction) and other diagnostic methods are mandatory.

Let's look at a diagnostic table that will help determine the symptoms of premature ejaculation (Premature ejaculation symptoms score PESS).

	It's not difficult		It's a bit difficult			Quite difficult		It's very difficult		Extremely difficult
How difficult is it for you to delay ejaculation?	0		1			2		3		4
	Almost never		Less than 25% of cases			In about half of the cases		More than 75% of cases		Almost always
Do you ejaculate before you want to?	0		1			2		3		4
Do you ejaculate even after minimal stimulation?	0		1			2		3		4
	Not really		Slightly			Strongly		Very		Extremely
Do you feel frustrated because you ejaculate before you want to?	0		1			2		3		4
How dissatisfied do you think your partner is with your sexual problem?	0		1			2		3		4
How many out of 10 sexual acts ended in premature ejaculation?	1	2	3	4	5		6	7	8	9	10
	More than 5 minutes		2-5 minutes			Less than 2 minutes		Less than a minute		Before the introduction
How long does your sexual intercourse last?	0		1			2		3		4
	Fine		Fine			Not good		Badly		Very bad
How would you feel if you had to live with this problem for the rest of your life?	0		1			2		3		4

After completing the test, you need to evaluate the results; to do this, add up the answers.

• < 10 points – there is no premature ejaculation;
• 10-18 points – mild degree of premature ejaculation;
• 18-25 points – average degree of rapid ejaculation;
• > 25 points – severe premature ejaculation.

Only after diagnosis, passing a series of tests and examination by a doctor can one find out why ejaculation occurs quickly and treat it.

Rapid ejaculation during intercourse

Rapid ejaculation during intercourse may occur due to illnesses or psychological reasons. In any case, this problem has a negative impact on the relationship between partners, as the woman remains unsatisfied due to such a rapid sexual intercourse, and for the man it is a blow to self-esteem. But early ejaculation during sex cannot always be considered pathological. Everything depends on the frequency and extent of this problem.

Previously, there was an opinion that sexual intercourse that lasts less than 20 seconds is pathological due to rapid ejaculation. But this statement is completely destroyed, since the duration of sex is affected by many factors. Ejaculation that occurs due to slight stimulation is considered problematic and requires medical attention. In this case, ejaculation occurs even before sexual intercourse.

At first glance, ejaculation is quite primitive, but in fact it is a very complex process. The central nervous system, as well as emotional and reflex mechanisms, are involved in this process. Most often, the cause of failures are psychological factors. There is no pattern between a man's age and premature ejaculation. Both 20-year-old boys and mature men can face this problem. So, if the problem occurs at an early age, then, as a rule, due to overexcitation and perception of sexual intercourse. But in mature men, rapid sexual intercourse and ejaculation can be caused by prostatitis or another disease. In any case, this problem requires medical attention.

Rapid ejaculation during masturbation

Rapid ejaculation during masturbation usually occurs due to increased sensitivity of the head of the penis. But masturbation can also be the cause of early ejaculation. Of course, the fact of masturbation itself does not affect the duration of sexual intercourse, but the technique is of great importance. Masturbation, that is, self-satisfaction or onanism, is sex with oneself. As a rule, guys begin masturbating at 12-17 years old.

Most often, arousal and subsequent masturbation occur due to watching porn or any other erotic material. In this case, stimulation of the penis leads to an erection. But, in some cases, the guy goes to the toilet and tries to quickly cope with the arousal, which also leads to ejaculation. If this happens very often, then at a subconscious level a habit is developed that arousal and short-term stimulation of the penis is ejaculation.

Ejaculation is a reflex or response to a mental, mechanical or visual stimulus. For example, if a young man begins masturbating at age 13 and does it 3 times a week, then he will cum 150-170 times a year. Moreover, if the orgasm happens very quickly, then the body and penis get used to it and a reflex is formed, due to which ejaculation occurs very quickly during sexual intercourse. That is, during masturbation, ejaculation should not occur earlier than after 10-30 minutes.

Lack of masturbation is considered pathological, that is, a man should indulge in self-satisfaction in any case. This is due to the fact that as soon as there is sexual intercourse with a partner, the body will try to get rid of sperm as quickly as possible. That is, lack of masturbation, as well as its excess, lead to rapid ejaculation. In some cases, a man cums even before inserting the penis into the vagina, due to the fact that the body reacted and quickly got rid of sperm.

What to do if you have premature ejaculation?

What to do with rapid ejaculation and whether this pathology can be cured is the most common question among men who have encountered the problem of premature ejaculation more than once. In order to cure the problem, it is necessary to find its cause, that is, undergo diagnostics and a series of examinations. The causes of rapid ejaculation can be physiological and psychological. Let's consider several recommendations that can help with rapid ejaculation.

• Use condoms with special lubricant that prolongs the duration of sexual intercourse.
• Learn to resume and delay urination. Similar exercises with the sphincter apparatus of the bladder will help prevent rapid ejaculation.
• You can masturbate shortly before sex. According to statistics, the second sexual act will be long.
• Get circumcised – this procedure will increase the duration of sexual intercourse by 2-3 times or more.

The above recommendations can help solve the problem of premature ejaculation. But some methods are strictly prohibited to use to restore full sexual functions. You cannot clamp the urethra with your hands, because this causes sperm to return to the seminal vesicles and bladder. As a result, stagnation begins in the prostate gland, which can lead to chronic prostatitis, disrupt the functions of the sphincter apparatus in the prostate gland and cause retrograde ejaculation (ejaculation disorder, in which the ejaculation of seminal fluid occurs in the opposite direction). If none of the above recommendations help, you should seek medical help from a urologist or sexologist.

Treatment for premature ejaculation

Treatment of premature ejaculation begins with diagnosis of the disease. Diagnosis is carried out to determine the cause of the pathology. If a man who suffers from premature ejaculation has a regular sexual partner, then he also takes part in the examination and diagnosis. Depending on the established cause of premature ejaculation, the doctor selects a treatment option. This may be:

• Drug therapy.
• Microsurgical correction of ejaculation.
• Physiotherapy treatment.

Secondary rapid ejaculation is treated conservatively. As for secondary symptomatic premature ejaculation, it is eliminated in the process of treating the true cause of the disease. If problems with sexual intercourse are caused by urethritis or prostatitis, then during the treatment the duration of sex increases. But the course of treatment can be prescribed only after examination by a specialist who diagnoses and treats sexual dysfunctions in men. The main treatment methods are:

1. Conducting psychological, behavioral and sexual therapy to develop clear recognition of the onset of orgasm and control over the duration of ejaculation.
2. Treatment of inflammatory and infectious diseases that cause premature ejaculation.
3. Conservative methods of treating hypersensitivity using condoms with lubricants and anesthetic ointments. Medicines are applied to the head of the penis and to the frenulum area, 10-20 minutes before intercourse.
4. In case of psychological causes of rapid ejaculation, pharmacotherapeutic methods of treatment are used. For this purpose, antidepressants, anxiolytics and other means are used to increase the duration of sexual intercourse.
5. Use of acupuncture, physiotherapy and reflexology.
6. Use of surgical treatment methods. The patient undergoes circumcision of the foreskin, frenuloplasty and denervation of the glans penis using microsurgical methods.
7. Surgical treatment with partial transection of the nerves that provide sensation to the penis. The operation must be performed by a qualified specialist, as there is a high risk of permanent loss of sensation to the penis and weakening of orgasm.

Folk remedies for premature ejaculation

Folk remedies for rapid ejaculation allow you to cure the problem of premature ejaculation. The peculiarity of folk remedies is that they can be used at home. Let's look at some folk recipes that will help in the treatment of rapid sexual intercourse.

• Prepare a medicinal decoction from rose hips, angelica root, two-leaved orchis and rape grass. Take the herbs in equal parts, pour boiling water over them and leave for 15-30 minutes. Take 1/4 cup twice a day for 1-2 months with a week break.
• Mix oregano, motherwort, yarrow and peppermint in equal proportions. Pour boiling water over the herbs and leave for 10-20 minutes. It is recommended to take the decoction 1/2 cup before meals. The course of treatment takes from 2 to 4 months.
• Take equal parts of rose hips, motherwort, calendula and bogbean leaves. For ease of use, the herb can be crushed and brewed in special bags or a strainer. The decoction should be drunk 1/4 cup for 3-4 months.

If rapid ejaculation is caused by psychological disorders, then for their treatment it is recommended to undergo a preventive course with a sexologist or psychologist. Daily auto-training sessions, which should be conducted in the morning and evening, concentrating on the problem of the disease, will not be superfluous. As a rule, problems with rapid ejaculation for psychological reasons are accompanied by sleep disorders, irritability. To treat premature ejaculation, plants with sedative properties are used. Let's consider several folk remedies for rapid ejaculation.

• Pour boiling water over a tablespoon of hop cones and a tablespoon of motherwort. Infuse the herbs for six hours, then strain. It is recommended to drink the decoction three times a day, 1/2 cup for a month.
• Pour cold water over a tablespoon of periwinkle and keep it in a steam bath for 30-40 minutes. After that, strain the decoction and take 10 drops in the morning and evening for five days. Then take a three-day break and repeat the treatment course.
• Pour boiling water over 25 g of lovage root and simmer for 30 minutes. Once the decoction has cooled, strain it and take 1/3 cup three times a day.
• Pour 10 g of asarum root with a glass of boiling water and keep in a water bath for 30-40 minutes. Take one spoon of the decoction six times a day, before each meal.

Please note that folk remedies for the treatment of premature ejaculation must be taken for a year for a lasting therapeutic effect.

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Premature Ejaculation Medications

Premature ejaculation medications are used as a drug therapy for premature ejaculation. Let's look at the most effective medications that are prescribed to patients for the treatment of premature ejaculation.

• Dapoxetine

This is a selective inhibitor of short action. The drug is used to treat rapid ejaculation in men aged 18 years and older. The drug prolongs sexual intercourse by 3-5 times. The action of the drug is based on blocking the receptors of the brain and the absorption of serotonin. The drug begins to act 15-30 minutes after taking, and the duration of its effect on the body is from 2 to 3 hours. The optimal effect from using the drug occurs within 30 minutes to 2 hours.

The main indications for the use of the drug are the treatment of rapid ejaculation. Dapoxetine is contraindicated for patients with allergic reactions to lactose, liver disease and cardiovascular disease. The drug is prohibited to take with drugs that are used to treat depression and some antibiotics. Details of the interaction of Dapoxetine with other drugs can be found in the instructions for the drug or asked your doctor. As for side effects, the drug can cause nausea.

Dapoxetine is available in tablet form, it is recommended to take the drug once a day and only after consultation with the attending physician. Before taking the drug, it is recommended to check blood pressure. If the indicators are low, then taking Dapoxetine is prohibited.

• Erectile

A drug used to treat erectile dysfunction and rapid ejaculation. The peculiarity of this drug is that it restores the body's ability to have long-term sexual intercourse and improves erection. The drug is recommended to be taken at 50 mg, an hour before sexual intercourse. If the dosage is not followed, Erectil causes a number of side effects. The drug may cause headache, dizziness, diarrhea, nausea, muscle and joint pain. To treat side effects, you must stop taking the drug and seek medical help.

The drug is contraindicated for people with hypersensitivity to the components of the drug. If overdose symptoms occur, which are similar to side effects, symptomatic therapy is carried out. The drug is prescribed with special caution to patients with cardiovascular diseases, penile deformity and leukemia. The drug can be taken only as prescribed by a doctor with the selection of an individual dosage.

• Conegra

A drug for the treatment of premature ejaculation and erectile dysfunction. In its principle of action, this drug is similar to the one described above. Conegra is taken one hour before sexual intercourse, 50 mg. Given the individual tolerance of the drug, the dosage can be increased to 100 mg or decreased to 25 mg. The drug practically does not cause side effects, except for headache, dizziness, visual impairment and nasal congestion.

The drug is contraindicated for patients with individual intolerance to the active components of the drug. Conegra is prohibited for patients under 18 years of age. If the dosage is not observed, the drug for the treatment of rapid ejaculation causes overdose symptoms. In case of overdose, symptomatic therapy must be carried out.

Cure for premature ejaculation

A medicine for premature ejaculation is an effective remedy in the fight against premature ejaculation, that is, short-term sexual intercourse. According to statistics, every man at least once in his life has faced the problem of rapid ejaculation. This problem not only causes failures in sexual life, but also affects the relationship between partners and the man's self-esteem. Medicines and a number of treatment methods can help in the treatment of rapid ejaculation. Let's take a closer look at what medicines exist for rapid ejaculation.

• Sealex

A herbal remedy for premature ejaculation. Sealex is a biologically active supplement. The drug contains ginseng root, which enhances libido, garlic extract to strengthen the immune system, and green tea extract to invigorate and tone the body. The drug not only helps prolong sexual intercourse, but also improves erection, i.e. it has a double effect on the male body.

• Lidocaine

A local anesthetic that is effective in cases of increased sensitivity of the head of the penis. The principle of the drug is that it lowers the sensitivity threshold and prevents premature ejaculation. Lidocaine is applied to the head of the penis before intercourse, and this reduces its sensitivity to touch. The duration of the anesthetic is 40-50 minutes. To treat rapid ejaculation, the drug is released in the form of an aerosol, which is convenient to spray on the genitals.

• Viagra, Levitra and Cialis

Medicines that increase potency and prolong sex. Medicines provide a man with several full-fledged long sexual acts. Despite the fact that the first act will be quick, the subsequent ones will be long, that is, early ejaculation will be prevented.

It is not recommended to buy drugs for the treatment of rapid ejaculation on your own. Therefore, before buying, you should consult a doctor and find out all the advantages and disadvantages of the drug. In addition, some drugs have a detrimental effect on the human body, cause side effects and are dispensed only on doctor's prescription.

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How to avoid premature ejaculation?

How to avoid rapid ejaculation and prolong sexual intercourse? First of all, it is necessary to determine the cause of rapid ejaculation, and for this, it is necessary to seek medical help. The doctor will conduct diagnostics and examinations to identify the cause of short sexual intercourse and prescribe effective treatment. But in addition to taking medications, prevention of such disorders is of great importance.

• Lead a healthy lifestyle and avoid stress – this is the first rule of preventing premature ejaculation.
• Eat natural foods and foods that are rich in zinc and magnesium.
• Regularly exercise, do physical exercises and spend time outdoors. This improves the functioning of all systems and organs of the body, and also helps to eliminate nervous tension, which is one of the causes of rapid ejaculation.

Compliance with all the above-described preventive methods gives a favorable prognosis for treatment. Please note that it is necessary to carry out preventive measures against rapid ejaculation only after the first episode. Since in some cases, the psychological mood before sexual intercourse (overexcitement, stress, alcohol intoxication, fear, etc.) contributes to erectile dysfunction and rapid ejaculation.

For prevention, only psychological methods are used, i.e. no medications. Prevention is carried out by a sexologist or psychologist. In some cases, for the treatment of rapid ejaculation, the patient is recommended to use the masturbation method. Medical interaction is very important. Thus, the duration of ejaculation can be affected by previous illnesses or medications taken.

Premature ejaculation is a problem for any man at any age. Premature ejaculation is considered a disease, the treatment of which is carried out by a psychologist, sexologist and urologist. Today, modern medicine has learned to treat rapid sexual intercourse, both medicinally and with psychological and physiotherapeutic methods. Regardless of the cause of the problem, premature ejaculation must be treated, since the disease itself is not eliminated, but on the contrary, progresses and takes a pathological form.