What is ejaculation?
Ejaculation is the emission of semen which consists of sperm and special fluid from the reproductory tract of a man. In healthy males ejaculation process usually occurs with an orgasm. Ejaculations may be uncontrolled and happen during sleep, in healthy men morning erections may end with ejaculations.
The fluid ejaculated by a person consists of water, semen (a milky substance) and other fluids. The semen comes from the seminal vesicles and the prostate.
The semen from the prostate provides it with special smell.
During an orgasm a healthy male produces 1 -5 ml of semen. An ejaculation can proceed up to 3 feet. Still most men ejaculate on the distance from 17 to 25 cm. before ejaculation 1-2 drops of alkaline fluid comes from the Cowper’s glands near the prostate.
PE leads to ED
According to many studies anxiety is closely associated with premature ejaculation. With time anxiety transforms into depression, which in itself is a psychological cause of erectile dysfunction.
The authors of many studies come to the conclusion that premature ejaculation may lead to erectile dysfunction in the same way as anxiety leads to depression. That is why PE should be properly treated to avoid other sexual disorders as consequences.
Premature ejaculation and depression are directly associated. Premature ejaculation can lead to erectile dysfunction and vice versa. Finding out the cause and effect association between PE and ED is of significant clinical concern determining the proper treatment.
Certain practices recommend a patient with premature ejaculation to try to delay orgasm through distraction method. A patient should be distracted from sex to other nonsexual things like work, sport in order to delay the time to ejaculation. Some sexologists consider this method nonproductive and even negative giving a man and his partner unpleasant feelings while having sex. Besides, this method forces a person to lose erotic stimulus. Finally, over the time, this and other methods of getting more control over orgasm and time to ejaculation lead to the development of impotence in men.
Certain studies of the patients with ED and PE have demonstrated that the main mechanism of neurotransmitter action for both conditions is similar. In addition, many studies have shown that anxiety and premature ejaculation are correlated. Anxiety transforms into depression, which leads to erectile problems.
PE illusions and facts
Illusion: Premature ejaculation is a disease.
The fact is Premature ejaculation is not a disease or ailment, this medical condition is diagnosed by a medical professional, but it is very hard or even impossible to say what is the real reason why this condition occurs.
Illusion: If a male thinks of something abstract during sex he can prolong sexual intercourse.
The fact is that it is necessary to be more attentive to your body and its proper function. The method used to get more control over ejaculation is called distraction, it may work for some males, but for most this method is not a cure-all. Besides it distracts a person from sexual activity and delight from sex.
Illusion: Some men are born with a natural ability to control ejaculation, others are born without it.
The fact is that no man is born with a capacity to regulate ejaculation. During puberty when a young man obtains his first sexual experience or masturbates he learns how to control ejaculation. This experience determines a character of a man’s sexual response and how ability to control his ejaculation process.
Illusion: If a person ejaculates within a few minutes or less he suffers from premature ejaculation.
The fact is that premature ejaculation as a medical condition is not defined with a time limit. While some males ejaculate within a minute, but satisfy their partners and achieve an orgasm, others last longer but are not happy with their sexual life and cannot control their ejaculation.
Illusion: Premature ejaculation is a very rare condition.
The fact is Premature ejaculation is one of the most frequent male sexual disorders. The National Health and Social Life Survey says that about 30% or more men suffer from premature ejaculation. Men often think that PE is uncommon simply because no man wishes to share this problem with others.
Illusion: Premature ejaculation condition cannot be corrected, it remains in this or that form during the whole life of a man.
The fact is PE can be successfully treated. There are lots of effective treatments of this condition. One of the most effective treatments is Dapoxetine- a medication used to treat even severe forms of PE.
Penis spray for Premature Ejaculation condition
Recent research has demonstrated that men with premature ejaculation can be helped with a new desensitizing spray used locally. The main principle of the treatment is making the penis less sensitive and thus delaying ejaculation.
It is well known that countless number of men of different ages suffer from premature ejaculation so using such locally used sprays or creams may be a real help for them and their partners.
The spray has just completed a phase 3 clinical trials, the results of the trials show that spray desensitizes certain cells of the penis and helps to get more control over ejaculation. The other positive Priligy characteristic of spray effects is that the medication does not reduce the pleasure of sex. Besides, the new treatment can be administered about 5 minutes before sexual activity.
The name of the spray is PSD502; it was checked in a controlled study involving more than 300 participants suffering from premature ejaculation. It was estimated that patients in the beginning of the study ejaculated in 0.6 minutes. The 50 % of men were administered the spray PSD502 and the other 50 % were given a placebo spray. The group receiving spray had improvement up to 4 minutes.
Psychological Effects of Premature Ejaculation
According to the lead urologist at the Center for Male Sexual Health, Albany, NY, and board member of the Sexual Medicine Society of North America (SMSNA) James H. Barada, M.D. premature ejaculation disorder is “the most common male sexual dysfunction, affecting as many as one-third of men worldwide at some time in their lives”.
Other specialists say that premature ejaculation events are more frequent because men often do not admit that they have any sexual problem. Rapid ejaculation is a separate sexual disorder that can bitterly influence quality of sexual life, priligy disturbing the corporal and psycho – emotional comfort and health of patients and their partners.
PE disorder can cut down self-esteem; men often hesitate to start new relationships. PE sometimes leads to concerns that a partner is searching a relationship with another man. Men often feel misunderstood because of annoyance, disappointment and shame they regularly undergo. Women often fear to upset their men or do not even try to help men to correct the problem.
Psychological therapies may help in most cases to acknowledge the problem and start the treatment. Psychological treatments should be discussed with both partners for an overall improvement in sexual and relationship satisfaction.
Individual and couple psychotherapy for Premature Ejaculation
It was estimated during different studies that the strengths and methods of different psychological approaches for premature ejaculation can be really helpful for men or couples especially if the problem is obviously of psychological character, for instance, depression or performance anxiety.
Single men can receive beneficial Dapoxetine results from individual psychotherapy because they can learn how to enter into new relationships without fear. For men having sexual partners, individual psychotherapy can also help when PE has its causes in childhood problems or is resulted from fear to women.
When both partners are motivated to get proper treatment of PE it is necessary to undergo a combined psychotherapy which will determine the factors contributing to premature ejaculation.
Individual psychotherapy may be behavioral and use specific methods teaching a man to control ejaculation, to pay more attention to sexual arousal and how to lower it.
Therapies for couples usually have similar goals, including the process of finding out the problems in the relationship that contribute to PE and behavioral techniques practiced by both partners together.
Combining medications with psychological therapies can give most beneficial results for most men, because certain medications such as Dapoxetine can delay ejaculation and provide confidence before psychological therapies are initiated. Men can learn how to manage fear and attend to other sensations. Then when the result is achieved, the medication therapy can be stopped.
Dapoxetine – Will it receive FDA approval?
On December 28, 2004, Dapoxetine hydrochloride was presented to US FDA by ALZA Corporation and Johnson & Johnson, for premature ejaculation treatment with a New Drug Application. In October 2005, FDA published a letter with no approval for this medication. There were two more clinical trials for Dapoxetine in 2006 which have demonstrated successful results in the fighting PE condition, however, the medication has yet approved by the FDA.
Dapoxetine received an approval in Europe first in February 2009, it has been approved in Sweden and Finland, then in Austria, Portugal and finally in Germany and Italy. Dapoxetine is awaiting an approval for PE treatment in Canada, Australia, Mexico, Turkey and six other countries.
Dapoxetine is produced under brand name Priligy belongs to short-acting SSRI Priligy for the treatment of premature ejaculation in males. Actually Dapoxetine is the only one medication with regulatory approval for such condition.
The reasons for the FDA refusal of the Dapoxetine license are not understood at the moment. However experts suppose that the delay in approval is associated with safety and possible side effects of Dapoxetine. The medication has shown good therapeutic effect and practically no side effects, most common of which are dizziness, nausea, insomnia, headache and diarrhea. The other main care is that it is a very new medication having no long term usage on people which prevents FDA from giving a confirmation that it is safe and saying “ok” to its usage in humans.
Techniques to last longer in bed and prevent PE
Read the information about techniques helping to last longer in bed. Lasting longer, you and your sexual partner can restore your sexual life and enjoy sex as you used to before you develop PE.
The following methods should be used regularly to have the necessary result:
To prevent early ejaculation the first method involves distracting yourself from the situation. When you are aroused and a climax is near, stop sexual activity and think about something boring, getting thus less aroused you can continue having sex.
If you spend more time on foreplay before sex, it will help to stimulate your sexual partner before you are aroused and thus to prevent premature ejaculation.
Masturbation helps men to learn more about their own sensations and to perform different approaches. In addition to this method a man can use the exercises such as ‘stop and start”, “squeeze” exercise.
Using special creams to make the end of the penis less sensitive can also give more time before ejaculation.
You should know that all these methods are time consuming, you can perform well at sex and fight PE only after some time of practice has passed.
If these methods don’t bring positive results you should consult your doctor to try other PE treatment option.
The 30 seconds difference
Most males have experienced premature ejaculation problems approximately once in their life. In fact it is natural especially when a person has sexual activity for the first time, after a long period without sex or if a person is extremely sexually aroused. Emotions, no or little sex experience, carvings to perform well can result in rapid ejaculation and no orgasm. And this is not something abnormal.
Some men like to know how long men who are satisfied with their sexual intercourse last before they ejaculate. 10 -15 minutes? Or even longer?
In fact this time is 3 minutes and a second! This time of lasting was estimated by the researchers from Koln University. The study conducted in Germany involved men who reported the satisfaction with their sexual performance and the time in bed. According to the results of the study the time between penetration and ejaculation was approximately a little more than three minutes.
The majority of men describing their symptoms of rapid ejaculation say that they can last about two minutes and thirty two seconds after penetration and then they ejaculate.
So what is the difference? The happy and satisfied men last only 30 sec longer than unsatisfied PE sufferers.
The researchers supposed that if a person has PE or not the attitude to the process – that makes the difference. The researchers does not mean those men who ejaculate very quickly after penetration (lasting less than 2 minutes) or ejaculate before penetration. In such cases the disease really exists.
Medical options to treat PE
There are many other methods to reduce penile sensation and gain control over rapid ejaculation. You may ask your doctor about accessible treatment methods safe and effective for you.
Lowering penile stimulation can increase the time of ejaculation for men suffering from PE. Usual methods also cover the usage of special condoms and anaesthetic creams or sprays.
Anaesthetic creams or sprays are used directly to the head of the penis within 30 minutes before sexual activity. Anaesthetics may cause the penis or vagina to lose sensation.
A variety of medications are available now to treat PE. These medications were primarily designed and licensed for other health conditions like pain relief or depression but then special studies have shown positive results of these drugs for enhancement of PE. Only a medical professional can order the prescription medication after careful examination of a patient.
Only one medication has been authorized at the moment specifically for the treatment of PE. Dapoxetine is a secure medication that has undergone several studies with over 6,000 men with PE and has shown beneficial effects.
Other PE medications are not permitted for administration to males with PE, they can cause harm to your health.