One of the most discussed topics in this men’s health blog is premature ejaculation, and in fact most of the questions from our readers have to do with this topic.
That is why we decided to summarize the information of the different articles that we publish on premature ejaculation and present the most frequently asked questions about it with their corresponding answers.
How could you define premature ejaculation? Is there a normal time of sexual intercourse or intercourse?
The best sexologist in Delhi, Dr. P K Gupta explains that it is necessary to consider the time elapsed from vaginal penetration to ejaculation, the inability to delay ejaculation and the resulting negative personal consequences of the problem. Consequently, sex doctor in Delhi defined lifelong or primary premature ejaculation as a male sexual dysfunction characterized by:
-Ejaculation that always or almost always occurs before or within approximately one minute of vaginal penetration.
-The inability to delay ejaculation in all or almost all vaginal penetrations.
-The negative personal consequences such as anguish, annoyance, frustration and / or the avoidance of sexual intimacy.
Is premature ejaculation frequent?
It is definitely much more prevalent than most people realize. However, we do not have unified figures, and in fact they vary considerably. The highest prevalence rate that has been documented to date is 31% (in men between 18 and 59 years old) and was found in the National Survey of Health and Social Life of the United States of America. However, the prevalence is unlikely to be that high considering the relatively low number of men presenting for consultation with sexologist in Delhi for this symptom.
Are there different degrees of premature ejaculation?
According to the sex specialist doctor in Delhi, three degrees are established:
Grade I or Mild . After penetration and a few coital movements.
Grade II or Moderate . Immediately after penetration, it is also called ante portas .
Grade III or Severe . Before penetration, also recognized as ultra early .
What are the causes of premature ejaculation?
Several causes of premature ejaculation have been established, both from a biological and psychological point of view: generalized anxiety, penile hypersensitivity, performance anxiety, genetic predisposition, poor general health and obesity, inflammation of the prostate, hormone disorders thyroid, diabetes, emotional problems and stress, bad masturbatory habits, traumatic sexual experiences, chronic prostatitis, among others.
Sex specialist in Delhi highlights the particular negative influence of rapid self-stimulation habits, when the man seeks a sexual discharge instead of trying to prolong the pleasure of arousal prior to orgasm. On the other hand, anxiety about sexual performance, understood as the marked (almost obsessive) concern about not ejaculating quickly, generates a physiological acceleration and the lack of awareness of the levels of arousal, perpetuating the problem.
Are there sexual positions that favor or complicate ejaculatory control?
In general, the posture that allows better control is the one in which the couple sits on top of the man, who is lying on his back. In this case, he is physically relaxed and can better perceive the signals of sexual arousal, a fundamental condition for ejaculatory control.
Lateral postures also make it easier to control ejaculation. This is possible because the penetration is not very deep, and the movements in general are not as fast as in other cases.
In general, the missionary position, that is, the man on top, is not favorable for the control of ejaculation since the body is tense, the penis enters the vagina more precisely and in general the position leads to an unstoppable race towards orgasm. In a few cases, men state that it is the best position for them because they better manage the speed and depth of coital movements.
What are the main compensation mechanisms used by men with problems to control ejaculation?
The folkloric methods are many, some really unusual and even counterintuitive. In the consultation during the sex treatment in Delhi we frequently hear the following: mental distraction –thinking of non-sexual or anti-erotic images, drinking alcohol, smoking marijuana, prior masturbation, causing pain by biting or pinching the skin, among others.
How are the treatments for premature ejaculation?
The recommendation of the current protocols is to coordinate medical and psychological treatment (focused on sexual symptoms). According to current scientific evidence, drug therapy is superior in reducing premature ejaculation symptoms compared to psychological treatment alone. However, the pertinent psychological problems and mechanisms should not be overlooked, and it is important to treat, for example, levels of performance anxiety and modify dysfunctional sexual habits for a definitive solution to the problem.
Behavior therapy methods include the stop-start technique and the squeeze technique. Another possible therapy, increasingly recommended by sexologist doctor in Delhi, is pelvic floor rehabilitation exercises. All of these behavioral therapy approaches have the potential to be beneficial when combined with drug treatment.
The topical methods are a simple local treatment modality, wherein the lidocaine-prilocaine cream studied most. The results of research on these types of therapies indicated that the duration of vaginal penetration increased 6.3 times.
We definitely have a lot of evidence and therapeutic tools to help our patients with a premature ejaculation diagnosis. Timely consultation is key to short and effective premature ejaculation treatment in Delhi.