0 Premature Ejaculation (Before Time)

DEFINITIONS
Time Before Ejaculation (premature ejaculation) is the ejaculation happens too early, that is usually before, during or immediately after penetration (entry of the penis into the vagina).

Premature ejaculation can cause problems in married couples.
If the husband has ejaculated before she reaches orgasm, then the wife will feel discontent and become irritated.

CAUSE
This disorder often occurs in adolescent males and will get stronger if accompanied by a feeling that sex is a sinful thing.
Another factor that supports the emergence of this disorder are:
- Fear of discovery
- Fear of pregnant girlfriend
- Fear of suffering from sexually transmitted diseases
- Anxiety about appearance.
These things can remain there until the patient reaches adulthood and heightened by the existence of problems in relationships.

Physical factors may be involved in the occurrence of this disorder is an inflammation of the prostate gland or nervous system disorders.

SYMPTOMS
Ejaculation happens before the patients and their partners want it (occurs before or shortly after penetration).

DIAGNOSIS
Diagnosis based on symptoms.

TREATMENT
In general, needs to be done to overcome this disorder is exercise and relaxation.

With the technique of stop and start, patients were trained to tolerate high levels of satisfaction, without experiencing ejaculation.
The penis is stimulated, either manually or through sexual intercourse, until the patient feels that he will ejaculate. Stimulation was discontinued, and then started again 20-30 seconds later.
At first, the sexual partner of patients practicing this technique with manual stimulation and then at the time of the act of intercourse.
By doing this exercise, more than 95% of patients successfully menngendalikan ejakulasinya for 50-10 minutes or even longer.

These techniques also help reduce anxiety, which often become the causes of premature ejaculation.

Use of condoms in some patients, may help delay ejaculation.

Sometimes, premature ejaculation is caused by more serious psychological problems, so patients need to undergo psychotherapy.

If behavioral therapy (eg stop and start technique) did not managed to overcome the problem or the patient was reluctant to do it, then it can be reuptake inhibitors to delay ejaculation. This drug works by increasing the amount of serotonin in the body.
Examples are fluoksetin, paroksetin or sertraline; drunk every day or one hour before sexual intercourse.

PREVENTION
In some cases, premature ejaculation can be caused by poor communication between partners or a lack of understanding about the differences in sexual function between men and women. Women typically require more stimulus-time than men to achieve orgasm, and this difference can cause sexual resentment between partners and add pressure to sexual relations. For many men, feeling pressure during sexual intercourse increases the risk of premature ejaculation.

Open communication between sexual partners, as well as a willingness to try different approaches to help both partners achieve satisfaction, can help reduce conflict and anxiety. If you are not satisfied with your sexual relationship, talk to your partner about your concerns. Try to approach the topic with lots of love and to avoid blaming your partner for your dissatisfaction.

If you are unable to resolve sexual problems on your own, talk with your doctor. He may merekomendasikanmenemui a therapist who can help you and your partner achieve a satisfactory sexual relationship.