Pre mature ejaculation and male enlargement are the two most common sexual problems encountered in males. While medical professionals have tried to define both these terms, a consensus has not yet been reached. Therefore when you consult a medical health care professional about a pre mature ejaculation or small penis size problem, he/she will have to manage your condition on what your expectations are what is normal for the general population. Generally pre mature ejaculation is the name given to the term where the male orgasms sooner than both sexual partners would like. While this may not be a problem if it is a rare occurrence, pre mature ejaculation on a regular basis will cause frustration for both partners and may even result in relationship problems. Furthermore, the pressure of trying not to ejaculate prematurely may actually lead to pre mature ejaculation. It is therefore essential that the condition is discussed with the partner and appropriate management strategies are considered. It is estimated than one out of every 3 men suffer from pre mature ejaculation worldwide.
What are the symptoms of pre mature ejaculation? A discussed earlier, there is no set definition of pre mature ejaculation and therefore symptoms that may be applicable to some individuals may not necessarily apply to others. Pre mature ejaculation can be classified as lifelong (primary) or acquired (secondary)- the characteristic feature of each type as described by the International Society of Sexual Medicine are listed below:
Primary pre mature ejaculation:
• Ejaculation that occurs before vaginal penetration in all cases or sexual intercourse
• Stress frustration and avoidance of sexual intimacy due to early ejaculation
Secondary pre mature ejaculation has similar symptoms as primary pre mature ejaculation. However the main difference is that secondary pre mature ejaculation occurs in patients that do not have a pervious history of ejaculatory. Furthermore the individual has in the past had satisfying sexual relationships without ejaculatory problems.
Before managing the condition appropriately, it is important to identify the cause of premature ejaculation. The causes of pre mature ejaculation can be divided into two types: biological and withdrawal of certain antidepressants, inflammatory and infectious disorders affecting the reproductive system and genetics. Psychological problems include stress, anxiety and over excitement. Furthermore, the patient’s sexual history and a background of past sexual experiences can provide a psychological insight to the root cause of premature ejaculation.
Medications to treat pre mature ejaculation, exercises to train males and avoid pre mature ejaculation as well as counseling therapy for both individuals and partners have all been identified as ways of managing pre mature ejaculation. The best therapy for each individual varies on the cause of the problem and the expectations from therapy. The partner should be a part of all decisions made so that the therapy does not worsen the tension between the partners. The therapy chosen will also be more effective if the partner is part of the intervention.
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