Premature ejaculation

What is premature ejaculation?There were over time various definitions of the disorder and the male in terms of duration or number of movements during intercourse, it was considered that a condition can speak as long as ejaculation occurs at 1 min 30 sec- intromisiune or if the maximum of 10 movements occurring after vaginal. In simple terms, premature ejaculation or PE as we call in short, can be defined as male sexual dysfunction that the man has the tendency to ejaculate regularly before her like this.He is currently the most common problem encountered in sex therapy, one third of Western men suffering from premature ejaculation. Although phylogenetic aspects believe the man has a natural tendency to ejaculate quickly, with sexual initiation and cultivation ocidentului female sexual pleasure, men feel increasingly compelled to acquire abilitatatea and thus able to control ejaculation can control during intercourse.In most cases the causes are multiple and interrelated EP.Kaplan (1974) considered as the mechanism of premature ejaculation is anxiety, which decreases erection and ejaculation by accelerating the sympathetic nervous system stimulation. Installing anxiety gradually lead to inhibition of sexual activity as a result of the mechanism that triggers the phobic.
To be able to treat and formulate an appropriate treatment plan as it is important to better understand how to discover the causes and mechanisms that cause:
1. EP of neurologicalIt is that form of EP is the main cause penis predisposition to be easily excitable and very fast to ejaculate. It is present in men who have a hipersenzitivitate sympathetic nervous system. This kind of EP is native, the patient having no personal history of experiences to be had and other sexual experiences. Appears with any partner in any situation and is present during masturbation. A person can not choose ejaculation control is almost absent.It is the most difficult to treat and treatment they require more patience and consistency.
2. EP-type organicCertain diseases can cause PE. We speak here of an acquired problem, the patient was not always so at first, but occurs regardless of partner or situation.Among the common diseases that can cause urinary tract infections and EP are inflammation of the prostate. Some rare diseases are: diabetes, atherosclerosis, kidney or prostate surgery on the pelvic area and in general, multiple sclerosis, SD Peyronne, etc.
3. EP-type drugOccurs due to termination of certain drugs administered in the range of tranquillizers (trifluoperazinelor) and consumption of opiates or drugs known to cause PE, which contain ephedrine or pseudoephedrine.
4. EP due to complex psychological problemsIt can occur in some chronic psychic disorders such as bipolar disorder - manic depressive psychosis, chronic depression, generalized anxiety disorder, obsessive behavior, schizophrenia, various personality disorders as a result of post traumatic stress syndrome or ADHD, alcoholism or drugs.
5. EP psychologicalStressful life situations can trigger EP. Prolonged states of anxiety, depression or emotional shock can cause a PE. Dealfel literature considers that most cases of EP is due to stress and anxiety and are closely related to lower self esteem, the occurrence of negative emotions: frustration, anger, sadness or negative feelings towards their bodies or from sexual organ.Also various restrictive religious beliefs about sexuality or unrealistic expectations about sexual performance can trigger EP.Internal conflicts that arise as a result of involvement in new roles as that of father, husband, grandfather, etc. in turn may influence sexual activity. In this case EP is acquired, occurs selectively in certain circumstances, and possibly with a partner.
6. EP torque due to relational problemsProblems in the relationship can cause EP, or may be the result of PE.A couple relationship can be very stressful and complicated causes EP. In this kind of relationship is remarkable lack of communication, strong emotional conflicts, grievances, resentment, fear of intimacy, living an acute feeling that the partner does not get along, fights or a state of disbelief due to partner infidelity.You can meet both situations the man is very sensitive to the remarks and reactions to partner and that he fears he will disappoint and having strong feelings of guilt, but also situations in which she is very shy or too subdued. There are variant dark man, selfish, concerned only the person of, uninterested in their partner's emotional needs.Sometimes a sexual problem that EP may mask other problems of the couple, but a problem outside, a lightning rod on which the reverse anxiety and dissatisfaction partners so as to restore relations to remain as functional. There are cases when a man EP coexist with female sexual problems such as lack of sexual awakening of the woman or her negative attitude toward sex, pain during intercourse or lack of orgasm, all having the effect of maintaining symptom EP.In this case the EP is acquired and occurs selectively with a particular partner.
7. EP due to lack of sexual skillsIn this case the man has difficulty focusing on their feelings or too preoccupied with the thought that will fail and therefore fails to be sufficiently relaxed during intercourse, which leads to outbreak stimulaea funny and ejaculation. I mention here and unrealistic expectations about sexual performance, knowing its own mechanisms and sensations that precede orgasm and ejaculation, lack of skills related to communication with your partner flirting., Changing the pace or intensity of sex.In young, lack experience and low frequency of intercourse can cause PE. And this type of EP occurs in early sexual activity but may not occur during masturbation.
Depending on the mechanism underlying its appearance, there are different therapeutic approaches. For cases in which the psychological component is involved, sex therapy is the solution of choice. Until the emergence of this form of therapy, most men suffering from premature ejaculation had no specific solution to solve their problem. Currently, sex therapy has considerably improved the prognosis of the disease, currently 90% of cases can significantly improve or resolve after about 14 weekly sessions of treatment.