Premature ejaculation - causes and treatment. Ejaculation Control Training

Premature ejaculation is one of the most common sexual disorders. This happens before both partners experience sexual satisfaction. Sometimes ejaculation occurs immediately after the insertion of the penis into the vagina, or even before. This is a serious problem, especially for a man who feels like a bad partner and his self-esteem drops. Sometimes premature ejaculation becomes the reason for the breakdown of established relationships. Therefore, proper treatment is very important.

1. What is premature ejaculation

Premature ejaculation this happens when semen ejaculates very quickly, either before or just after the onset of intercourse.

Premature ejaculation is a serious problem because it occurs without the man's control (he ejaculates earlier than he would like) and impairs sex life.

2. What is the difference between premature ejaculation and orgasm

Orgasm and ejaculation are, contrary to popular belief, two completely different concepts.

Ejaculation is the ejaculation of semen (spermatozoa) as a result of sexual arousal. In turn, orgasm is the climax of arousal, the moment at which the maximum sexual pleasure is felt for a given person.

Usually, ejaculation and orgasm occur at the same time, but a man can experience an orgasm without ejaculation, i.e. without ejaculation. without ejaculation. Sperm can flow back into the bladder - this is called retrograde ejaculation. Lack of ejaculation can also be the result of insufficient sperm production in a man.

A man can ejaculate in his sleep - these are the so-called night spots. This occurs as a result of erotic stimulation and light friction. Younger men are more likely to develop nighttime rashes, but this is not the rule.

Waking ejaculation requires intense physical stimulation. Although activation requires a stimulus from the nervous system, the process is much more complex.

3. Causes of premature ejaculation

3.1. Mental Causes

• hypersensitivity to sexual stimuli

Premature ejaculation can be normal at a young age, just before the onset of sexual activity. This is mainly due to the mental sphere and sensitivity to sexual stimuli.

For a man who does not have much sexual experience, the arousal can be so strong that he ejaculates during the caress phase or immediately after the onset of intercourse. This is due to the high sensitivity to sexual cues and the novelty of sexual intercourse with a woman.

As a man gains experience, he learns to control the moment of ejaculation and premature ejaculation ceases to be a problem. This helps regular sex life in a permanent relationship with one partner.

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The cause of this condition may be the stress caused by the very rapprochement with a partner.

• rare sexual intercourse

The absence of a permanent partner and infrequent sexual intercourse can lead to premature ejaculation during intercourse. Long intervals between sexual intercourse and change of partners cause an increase in sexual tension and strong arousal. However, as long-term relationships are built, this problem may decrease.

• sexual hyperactivity

In addition, premature ejaculation is affected by sexual hyperactivity, high levels of arousal, and the ability to have multiple sexual intercourses in a short time.

• incorrectly coded persistent reflex responses

Sexually active men at a young age (eg, one-time contact with a partner, long breaks between sexual contacts, no long-term relationships that help control ejaculation)

• lack of understanding of the problem

It happens that a man does not suspect that he has a sexual dysfunction and that his partner does not correct him.

3.2. organic causes

In addition to mental causes of ejaculation disorders, there are also organic causes. They are associated with the functioning of the body, diseases, malformations, addictions. However, organic causes are rare. Most men have a mental problem.

Organic issues include:

• prostatitis
• urinary tract infections
• diabetes
• addictions (alcoholism, drug addiction)
• hypersensitivity of the glans penis - this feature can be congenital or acquired (for example, after infection)
• head frenulum too short
• weak muscle tone of the urethral sphincters - this problem can be congenital or acquired
• aging

Premature ejaculation can also be the result of a physical injury (most often the spinal cord).

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4. Impact of premature ejaculation on relationships

The sex life of two people is successful when they both get satisfaction from it. Premature ejaculation becomes a problem when partners are not satisfied with their intercourse and this affects their relationship. In this case, it is worth taking actions that can improve the quality of sexual activity. With this type of disorder, it is recommended to visit a sexologist.

5. Treatment of premature ejaculation

Men who have problems with premature ejaculation often use various methods to slow down ejaculation, such as:

• masturbation before planned sex
• drink some alcohol
• shortening of the prelude
• repeated sexual intercourse shortly after the previous one

Some men use special pain-relieving ointments and gels to delay ejaculation. Remember that you should only use such ointments with a condom, otherwise your partner may also be under anesthesia.

It happens that exercises and training methods performed alone or with the participation of a partner are effective. If this does not help, the doctor may prescribe medication to the patient.

Other treatments for premature ejaculation so that:

• injections of prostaglandin into the cavernous bodies of the penis - a man can perform them himself, immediately before the planned sexual intercourse. Sexual intercourse can be continued after ejaculation, as the erection persists for a long time. Over time, the moment of ejaculation is delayed
• taking a drug for erectile dysfunction - after ejaculation, the erection decreases or disappears, but then returns and you can continue sexual intercourse
• sphincter muscle training using electrotherapy, physical kinesiotherapy and biofeedback - the effectiveness of this method is 49-56%.
• a neurotomy is a procedure for cutting one branch of a nerve
• combined methods - a combination of several of the above methods

Sometimes it can be difficult to determine the cause of premature ejaculation, and then the treatment becomes much more difficult. However, it is important not to become hysterical and calmly look for a solution to the problem with a partner.

5.1. Ejaculation Control Training

Remember that sexual arousal has four parts. In the excitation phase, breathing quickens and an erection begins. In the plateau phase, he has a full erection, and the man is very aroused. The next stage is an orgasm (most often with ejaculation). In the last part, breathing returns to normal and the erection weakens. The key to controlling ejaculation is to prolong the plateau phase. To make this happen, follow the instructions below.

• Do not use stimulants such as alcohol and drugs. They negatively affect the mind, which is the key to controlling ejaculation.
• Appreciate the sensuality of the whole body, not just the penis. Learn to relax and enjoy sex instead of focusing on ejaculation.
• To prevent sexual intercourse from ending prematurely, take a relaxing bath or shower before sex.
• Breathe deeply, focusing on the loud sound. Don't be afraid to be loud during sex.
• Practice masturbation. Start with a dry hand. By changing the type of petting, you will learn how to keep arousal for longer periods of time without reaching a climax. Retreat at the last moment. Repeat this exercise several times until you feel in control of your body. Then try masturbating with your oiled hand. Massage your penis until you feel like you're about to have an orgasm. Repeat this several times. For most men, learning to control ejaculation on their own is a matter of a few exercises.
• Once you learn how to control ejaculation during masturbation, move on to training in couples. Use the stop-start technique. Determine the stop and start signals with your partner. It can be a light pinch or a tug behind the ear. Then ask your partner to massage your genitals. When you feel like you're about to reach orgasm, give her a "stop" signal. At this point, she must stop. When you feel that the need for ejaculation has disappeared, give her a “start” signal. Let your partner repeat the caresses. How many such attempts are enough? For most couples, this number is 6 over a 15-minute exercise period. However, these are general assumptions. Each pair is unique, so don't be discouraged if you have to do a few more reps.
• The stop-start technique focuses on you, the man, but don't forget your partner's needs. It's a good idea to have her show you after each session where and how she would like to be touched.
• When you gain control by caressing your partner's hand, switch to oral sex. Start lying still.
• Having learned to control during oral sex, it's time for a test - a full-fledged sexual intercourse. Everything should go smoothly this time because you have something you didn't have before - control over your ejaculation.

Premature ejaculation is a problem for many men. However, do not give up and wait until everything returns to normal. You have to take matters into your own hands and gradually learn to control your body.

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