Sexual dysfunction in men, expressed in many different forms: loss of desire, no erection or maintain the harness; Premature ejaculation, semen does not flow; not achieve orgasm...rnA partner is considered to be fully achieved when extreme male orgasm and ejaculation, but must also be just enough time to get the woman's ultimate pleasure. This depends greatly on the time of male ejaculation. This is delicate in the couple relationship and the tragedy was far from that, but so far the disease has not been adequate attention.rnClassificationrnFor men, ejaculation is the end of intercourse, time is calculated starting from intercourse until ejaculation. There are many ways to define such Premature ejaculation:
- Based on the time of intercourse: in every race and people in each country, this time there is a difference. For example in America the average time is 10 minutes; in Germany is 5-6 minutes, the average time is 4-7 minutes.
- Based on the number of "put": average 8-12 times less than this figure was considered as premature ejaculation.
- Based on time and reached the level of sexual pleasure: time to reach orgasm in normal women who are different according to Fisher, but only about 27% of women reach orgasm during intercourse lasted 1 minute, 60% achieve orgasm intercourse as time lasts 12 minutes. The average woman needs 6-8 minutes to achieve orgasm.rnFactors involved in the process of ejaculation There are many agencies involved in ejaculation, including the following agencies:
+ The role of the brain: central nervous system control is automatically hypothalamus.
+ The role of nerves, including the sympathetic nervous system and the sympathetic response dominates the activities of the glands and smooth muscles, nervous system may dominate the activity of skeletal muscle and bone.
+ The role of neurotransmitters: a lot of neurotransmitters involved in ejaculation.rnCauses of Premature Ejaculationrn1/ Psychological Causes: The cause of this was mentioned by many authors, mainly the balance between excitement and inhibition, the excitement can lead to premature ejaculation. This group includes: - The emotion that can not curb himself well, due to several factors: + Due to objective circumstances other traditions, beliefs, conflicts in marriage and family... + Due to obsess over the failure of previous intercourse made men lose confidence in the next intercourse. + Some other causes: in older people have with certain chronic diseases, have decreased sex drive, or another cause is that due to masturbation...rnIn this patient group, if early advice on marriage and education of patients will eventually stabilize and more confident, if not fully, the consultant Premature ejaculation will become a problem of disability, intractable.rn2/ The reason is the increased feeling the penis: experience as the increased sympathetic nervous glands around the body ejaculation or other diseases by increasing the body feel almost like ejaculation prostatitis, hemorrhoids, anal probe... spinal cord injury, nerve damage caused by alcohol, sexual disabilities... In conclusion to diagnose Premature ejaculation is not difficult, often manifest in different degrees, such as stimulating new stage prelude to look, touch, hearing... ejaculate or have only touched the penis into the woman who ejaculate or in the form put the penis into the vagina but only a few beats were ejaculation; of the time under 10 minutes is considered as Premature Ejaculation.rnTreatment issuesrnThe diagnosis of Premature ejaculation is not difficult, but the treatment should be patient and examination in the specialty of the school year, one can summarize the main methods of treatment are as follows:rn1/ Group given: there are three main groups include:
+ Dopamine resistance Group: This group blocking reception center Dopamine as Sulpiride (dogmatyl), haloperidol, pimozide....
+ Analgesics: to prevent the breakdown of serotonin and anti-cholinergic. Some authors suggest that serotonin may increase the effect of preventing ejaculation. These drugs include sertraline, paroxetine, fluoxetine, Clomipramin...
+ Group Benzodiapin have sedative, anti-anxiety, panic may also inhibit ejaculation although not as much as the other treatment groups. This group of drugs can be told: Lorazepum, Alprazolam...rn2/ Measures in place to reduce the arousal of the penis. Because of the increased feeling of excessive penis plays an important role in premature ejaculation, so one can use a cream or spray lidocaine Prilicain... on the penis 30 minutes before intercourse has effects extending ejaculation time.rnWearing a condom reduces sensitivity caused by exposure of the penis should also be considered as a treatment for premature ejaculation. Can also be treated with acupuncture.rn3/ Psychotherapy treatment: one of the causes of Premature ejaculation is caused by anxiety, depression, obsessive self-deprecating..., So should be better adjusted psychologically.rn4/ Surgical:
+ Surgical removal of dorsal penile nerve reduces the sensitivity of the penis..rnTo understand more how you can have 35 minutes last longer in bed and How to have a great sex life and never have to worry about premature ejaculation again, right now Click to find out
http://treatmentofprematureejaculation.com/