subject: When the Relationship Ends Too Soon (Premature Ejaculation) [print this page] When the Relationship Ends Too Soon (Premature Ejaculation)
Premature ejaculation is probably the most common sexual problem that afflicts humans, affecting about 20% of the adult male population. If it is true that, in clinical daily, requests for andrological consultation for erectile dysfunction or fertility problems predominate, an accurate anamnestic investigation by the appearance of andrology medical ejaculation leads to the emergence of problems in the patient is often not explicit, and to cultural factors, for shame or anything.
The definition of premature ejaculation is not simple and unambiguous in the sense that you can use a time criterion (just before - the so-called ejaculation ante portas - or immediately after the introduction of the penis or vagina after 30-60 seconds of penetration), or a criterion based on the number of pelvic thrusts coital (ejaculation within the first 10-15 thrust).
Alternatively, it can be considered as premature ejaculation if it takes place before the boy you like (regardless of time or the number of pelvic thrusts coital) or if it occurs before the partner is satisfied. The problem is very complex and can not be separated from the interaction of couples, at least for the decision to undertake diagnostic and therapeutic procedures.
Treatment of premature ejaculation
1. The "Sexual Counseling" is still in any case, the main therapeutic tool, regardless of cause. Correct, neutral information sexology is always very helpful, both because it provides the patient with clear, scientifically validated information about how the ejaculatory system, both because it redefines the experience of the problem (usually less dramatic in terms of how the patient is accustomed to consider them).
2. The so-called "sex therapy" is based on a series of exercises derived from cognitive-behavioral techniques, such as Kegel exercises (training-recognition pubo-coccygeal muscle, a sort of pelvic exercises) or the technique of "squeeze" or the "stop and start", and in particular it aims to focus sensory perception of the ejaculatory reflex and, consequently, the training for its control.
3. The pharmacological approach to this is based mainly on so-called selective serotonin reuptake inhibitors (SSRIs). It is specifically for a class of drugs used to order antidepressant, which among others, an inhibitory effect on the ejaculatory reflex. Their use is currently limited to affect a "buffer" of sexual symptoms, allowing the medical sexology the choice of appropriate treatment. They are currently being tested drugs of this type, short duration of action, which could be used as symptomatic in critical situations.
4. The eventual identification of organic causes (uro-genital tract infections or other) must eventually be subject to appropriate treatment.
5. The use of anesthetic creams applied to the penis before sex, the suggestion to bring order to the glans uncovered desensitization or even practicing circumcision for the same purpose did not reveal any conclusive effects in our experience.
