What are the most common causes of premature ejaculation?
In most cases, the cause of premature ejaculation are psychogenic factors. Specific sexual behaviors can be perpetuated and associated with disturbed physiological and metabolic processes. For example, a reduced threshold of ejaculatory reflex is mentioned, which is probably related to the metabolism of neurotransmitters in the brain.
An important cause of the disorder is permanently coded habits.
An example of this is the habit of rapid ejaculation, which results from masturbatory behaviors and the accompanying rush, the desire to hide masturbation, the feeling of shame and fear associated with masturbation. In addition, the reasons are caused by: "quick numbers in dealing with adventurous partners, rushing to ejaculate by a partner, rare sexual contacts.
Another group of causes that cause premature ejaculation is an abnormal ratio of a man to a partner.
The disorder may cause too high level of sexual arousal associated with the attractiveness of the partner, an attitude called task sex, that is, too much a woman's sexual attitude, a negative attitude towards women, fears of women, pregnancy, making a partner a partner, failing, disrupted partner relations , intermittent relationships, the simulation of orgasm by the partner leading to the coding of the quick reflex.
The reasons for premature ejaculation are important.
It should be mentioned such reasons as: hypersensitivity of the penis acorn, too short a member of the member's glans. In addition, they may cause premature ejaculation: inflammation of the urethra, prostate gland, diseases such as; diabetes, polyneuritis, infections, neurological; drugs with a sexually stimulating effect.
DIAGNOSTICS AND TREATMENT OF PRE-FRONT DIRECTION
What kind of procedure the patient can expect from a sexologist's doctor:
The doctor usually uses an interview that aims to reveal the psychogenic cause of the disorder. (The interview usually begins with questions: when is the disorder ?, or always ?, how frequent are relations? ...... etc.). In addition, the doctor may carry out a test of the corneal, bulbar-cavernous reflex. In justified cases, the study may be extended. The extended study also includes a neurological examination, a study of conduction in the pudendal nerve.
TREATMENT OF PRE-CHANGEAL DIRECTION
The currently proposed standard of treatment for premature ejaculation includes pharmacotherapy
On average, after 4-6 weeks of treatment with the appropriate drugs, the duration of the relationship is extended by 2-3 minutes for the majority of patients; and in 1/3 of patients up to 5 minutes and more. If beside the premature erection, the patient also eradicates the erectile dysfunction, the therapy can be combined with the use of 5-phosphodiesterase inhibitors (Viagra, Levitra, Cialis). Note: medicines are prescribed by a doctor and may be used only in the doses recommended by him and under his supervision.
In mild forms of premature ejaculation - e.g. in case of hypersensitivity of the member's glans
- anesthetics are used in the form of creams, ointments, gels, local anesthetics for the member's acorn and the use of a condom.
Training methods such as:
masturbation training, Masters-Johnson training, Kratochvila, tp. They consist in creating a new ejaculation reflex, adequate to the expectations of the partners. Information on this type of training can be found in sex treatment textbooks (Z. Lew-Starowicz, S. Kryzochvila), in love art guides (books, video cassettes, internet, albums).
The psychotherapy can be helpful in the treatment of premature ejaculation.
The indications for psychotherapy are disorders caused by traumatic factors, phobias, disturbed identification with gender roles, family pathologies.
Erectile dysfunction - causes and principles of treatment
Statement by prof. dr hab. med. Zbigniew Lew-Starowicz
Edward Ozga Michalski noted
