Sex problems | Sexual dysfunction in men – Premature ejaculation

Premature ejaculation is the most frequent sexual problem in men; however, very few confess it to the doctor. Big mistake, because with the help of a professional premature ejaculation has a solution. rnWhat is premature ejaculation?rnPremature ejaculation is sudden, uncontrollable expulsion of semen before the time desired by the man who is unable to control the ejaculatory reflex. It is accepted as premature ejaculation when ejaculation occurs before or immediately after penetration. rnThis sexual dysfunction is more common in men, affecting regularly almost 30% of men, and at least 70% have had an episode of premature ejaculation throughout his life. It can appear at any age. Usually, it is consulted less frequently than erectile dysfunction, though it is more prevalent than premature ejaculation. rnIt is not a serious problem for the health of a man, and is not usually caused by a physical complication. However, it should be treated to avoid psychological problems that may alter the emotional stability of the patient or his relationship. It can even be a cause of infertility in couples if the male partner fails to ejaculate inside the vagina everytime.rnClassification of ejaculationrnPremature ejaculation is classified into: • primary • secondary rnPrimary premature ejaculation: The dysfunction is maintained since adolescence and the male has never had a relationship with a partner in which he has been able to control the ejaculatory reflex. Primary premature ejaculation is associated with masturbation practiced improperly which could be attributed to the rush the teen has given by climaxing in many cases due to lack of privacy or feelings of guilt.rnSecondary premature ejaculation: It affects those men who had resisted sexual intercourse for a while but later lost it for some reason, usually related to emotional problems, stress, prolonged sexual inactivity, or a new partner that causes them anxiety or a high degree of sexual excitement.rnThere are also varying degrees depending on the severity of the case:rnGrade 1: This degree is the least severe and easier to correct. It is associated with anxiety and a very stressful lifestyle. These are men who previously had good control over their ejaculation.rnGrade 2: It develops whengrade 1 is exceeded, and premature ejaculation becomes chronic. It can be treated with the help of a professional through sexual therapy.rnGrade 3: It occurs when grade 2 is extended too in time. Ejaculation occurs before or at the beginning of penetration, and men who suffer from this degree are often severely affected psychologically.rnGrade 4: In this last step, premature ejaculation becomes a chronic disorder that affects all aspect of patient's life. Pharmacological treatment is necessary.rnSome more recent classifications distinguish into the following types:rnPermanent premature ejaculation: It happens in less than 1 minute of penetration, and is usually genetic.rnAcquired premature ejaculation: It is usually somatic or psychological cause.rnVariable natural premature ejaculation: It is not constant, but occurs in some specific situations, and is considered a normal variant.rnPremature ejaculatory dysfunction: are normal ejaculatory as to time, but person ejaculate earlier than desired time.