ejaculation pain: what is PE?
Premature ejaculation is one of the most common sexual problems. The condition is most often described as being an inability to delay ejaculation to a point when it is mutually desirable for both partners. The definition of when ejaculation is premature is subjective. While some men have trouble controlling their orgasm upon entry, others consider 5-10 minutes of copulation too little time. How long a man is able to last is not the important factor in diagnosing premature ejaculation. The crucial issue is if a man is satisfied with the length of coitus.
Premature ejaculation is usually an unmistakable experience to a man or his partner, but through the years it has been difficult for professionals to agree on a precise definition of this common sexual concern. As Helen Kaplan, M.D. and other professionals point out, this phenomenon may occur because the man is unable to recognize that he is about to ejaculate. And even when he does recognize he is approaching ejaculation, he feels he is unable to control or delay the process.
The number 1 cause of premature ejaculation is an uncontrollable and overwhelming urge to ejaculate, produced from over-stimulation by your lover. This urge seems impossible to fight, or so people think! Your body reacts like this to ensure impregnation and the survival of our species. So basically it's a natural reaction. A natural reaction that you can alter. You know it can be altered because some men don't suffer from premature ejaculation and if it's a natural reaction it can't be a physical problem. So there is nothing medically wrong with you.
Premature ejaculation has been defined as persistent or recurrent ejaculation with minimal sexual stimulation before, during, or after intromission and before the patient wishes it. There have been a number of psychological approaches to treatment, though we could not find any papers that defined the effectiveness of these approaches. (read more on ejaculation pain)
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Finally, there's no question that anxiety plays a part in many cases of premature ejaculation. If you're nervous, you're likely to come too quickly. That's why many males have discovered for themselves that a small amount of alcohol eases their nerves and makes them less likely to climax prematurely. But we wouldn't recommend alcohol as a treatment!
Although premature ejaculation is one of the most common male sexual disorders, it remains widely under-diagnosed and under-treated. Most physicians do not screen for premature ejaculation and patients are extremely reluctant to talk about the condition with their partners or health care professionals. premature ejaculation can have a significant impact on many aspects of a man's life. It can affect his and his partner's sexual satisfaction and their ability to build and maintain relationships - both sexual and non-sexual - and can impact a man's general sense of self-confidence.
Ejaculation is a reflex that, once a certain level of stimulation is reached, is automatic. Controlling the ejaculatory reflex requires that the man be able to recognize and regulate the amount of stimulation he is experiencing so that he does not reach the level that will trigger the ejaculatory reflex before he wants to.
For many years, sex experts have tended to say that premature ejaculation is caused by early 'conditioning'. In other words, the man's early, rushed (and perhaps furtive) sexual experiences had to be quick - so as to avoid detection! The idea is that all this hectic rush 'conditions' him to climax as quickly as possible.
ejaculation pain
Premature ejaculation should never be a problem for a considerate lover. A man is usually satisfied after he reaches a climax. If he reaches it before she does and doesn't help her to reach one also, he's inconsiderate whether he climaxes in 2 seconds or 5 hours. Most women take more than 20 minutes to climax with conventional penile-vaginal contact and only 4 minutes when they stimulate themselves because women know more about women than men do.
Your health professional may recommend that you and your partner practice specific techniques to help delay ejaculation. These techniques may involve identifying and controlling the sensations that lead up to ejaculation and communicating to slow or stop stimulation. Other options include using a condom to reduce sensation to the penis or trying a different position (such as lying on your back) during intercourse. Counseling or behavioral therapy may help reduce anxiety related to premature ejaculation.
"The impact premature ejaculation can have on men and their partners can be devastating for a relationship and, currently, there are no truly optimal therapies for premature ejaculation," says Jon L. Pryor, M.D., chairman and program director of the Department of Urologic Surgery at the University of Minnesota and lead investigator of the dapoxetine phase III clinical trials. "The results with dapoxetine are compelling. They demonstrate that, for the first time, a medicine can be taken by men on an on-demand basis and provide significant improvement in their premature ejaculation condition. The unique profile of dapoxetine translated into targeted treatment of premature ejaculation compared to existing therapies. There are meaningful improvements in this study across all primary and secondary endpoints, including a three-to-four fold increase in IELT."
However, the primary treatment of ejaculatory control is helping a man, by various techniques, to repeatedly focus his attention on the increasing erotic sensations in his body as he approaches orgasm. By increasing his awareness of the buildup of these pleasurable sensations he is better able to judge where he is along the path of reaching an orgasm and ejaculating. (Note: orgasm and ejaculation are separate events, caused by separate systems in the male's body, though they usually occur at the same time. The term orgasm is commonly used when speaking of a male's ejaculation. Technically, however, orgasm is just the peak of the intense pleasurable feeling that usually follows a man being highly sexually excited. (read more on ejaculation pain)
ejaculation pain - Tips
Don't use drugs or alcohol. They're distracting and they interfere with the self-awareness crucial to learning ejaculatory control.
Make some noise. Love moans help men (and women) relax, and they often help men last longer.
Once you have good control during masturbation, and appreciate whole-body sensuality, and feel comfortable breathing deeply during lovemaking, then you're ready for the couples program -- if you're in a couple. The couple approach is called the "Stop-Start Technique." First, arrange "stop" and "start" signals with your lover, for example, a light pinch or tap, or a tug on an ear.
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