What could caused an early ejaculation? -
SEX
Sex, like other great things in life, is perfect only with practice. So, work more, get familiar with each others- bodies and you will start enjoying Sex!
And remember, dont think of ejaculation as the most important thing in sex. Concentrate more on foreplay and after!
Your over enthusiastic jhonny!!!! what else?
Your too excited? You too horny or your member is too sensitive? Try thinking of something else to distract your self.
not jacking off before sex?!?!
if -early- means before you get it in, its premature and theres treatments for it. If it means before she gets off, its normal and needs practice and patience by both of you...try three and four times a day.
Premature ejaculation (PE), also known as rapid ejaculation, early ejaculation, or by the Latin term ejaculatio praecox, is the most common sexual problem in men affecting 20%-30% of men. It is characterized by a lack of voluntary control over ejaculation. Masters and Johnson stated that a man suffers from premature ejaculation if he ejaculates before his partner achieves orgasm in more than fifty percent of his sexual encounters. Other sex researchers have defined premature ejaculation as occurring if the man ejaculates within two minutes of penetration; however, a survey by Alfred Kinsey in the 1950s demonstrated that three quarters of men ejaculated within two minutes of penetration in over half of their sexual encounters. Today, most sex therapists understand premature ejaculation as occurring when a lack of ejaculatory control interferes with sexual or emotional well-being in one or both partners.
Premature ejaculation: Inability to constantly control the ejaculatory reflex is a common sexual disorder affecting all age groups. Definition criteria vary, e.g., inability to maintain an erection of sufficient duration to satisfy a partner, or ejaculation that occurs before individual wants it to.
Diagnosis and Causes
Most men experience premature ejaculation at least once in their lives. Often adolescents and young men experience premature ejaculation during their first sexual encounters, but eventually learn ejaculatory control. Because there is great variability in both how long it takes men to ejaculate and how long both partners want sex to last, researchers have begun to form a quantitative definition of premature ejaculation. Current evidence supports an average ejaculation latency time (IELT) of seven to ten minutes. If the disorder is defined as an IELT percentile below 2.5, then premature ejaculation could be suggested by an IELT of less than about one and a half minutes. Nevertheless, it is well accepted that men with IELTs below 1.5 minutes could be -happy- with their performance and do not report a lack of control and therefore do not suffer from PE. On the other hand, a man with 2 minutes IELT could present with perception of poor control over his ejaculation, distressed about his condition, has interpersonal difficulties and therfore be diagnosed with PE.
Scientists have long suspected a genetic link to premature ejaculation. In one study, ninety-one percent of men who suffered from lifelong premature ejaculation also had a first-relative with lifelong premature ejaculation. Other researchers have noted that men who suffer from premature ejaculation have a faster neurological response in the pelvic muscles. Simple exercises commonly suggested by sex therapists can significantly improve ejaculatory control for men with premature ejaculation caused by neurological factors. Often, these men may benefit from anti-anxiety medication or selective serotonin reuptake inhibitors, such as sertraline or paroxetine. Some men prefer using anaesthetic creams; however, these creams may also deaden sensations in the man-s partner, and are not generally recommended by sex therapists.
Psychological factors also commonly contribute to premature ejaculation. While men sometimes underestimate the relationship between sexual performance and emotional well-being, premature ejaculation can be caused by temporary depression, stress over financial matters, unrealistic expectations about performance, a history of sexual repression, or an overall lack of confidence. Interpersonal dynamics strongly contribute to sexual function, and premature ejaculation can be caused by a lack of communication between partners, hurt feelings, or unresolved conflicts that interfere with the ability to achieve emotional intimacy. Neurological premature ejaculation can also lead to other forms of sexual dysfunction, or intensify the existing problem, by creating performance anxiety. In a less pathological context, premature ejaculation could also be simply caused by extreme arousal.
Some physical illnesses, such as a prostate infection, are also known to induce premature ejaculation. In other instances, premature ejaculation is caused by a physical injury that affects the nervous system. Certain medications, such as cold medications containing pseudoephedrine, also cause premature ejaculation. Sexual dysfunction is a common symptom of psychiatric afflictions ranging from bipolar disorder to post-traumatic stress disorder. In these cases, it is best to discuss the issues openly with a physician.
Today it is believed that the neurotransmitor Serotonin (5HT) has a central role in modulating ejaculation. Several animal studies have demostrated its inhibitory effect on ejaculation modulated through the PGI system in the brain. Therfore, it is perceived that low level of serotonin in the synaptic cleft in these specific areas in the brain could cause premature ejaculation. This theory is further supported by the proven effectiveness of SSRIs (serotonin selective reuptake inhibitors), drugs that increase serotonin level in the synapse, in treating PE.
Definitions
Many definitions for Premature Ejaculation have been proposed by individual researches like Masters and Johnson and more recently Waldinger. In addition, several professional organizations like the American Psychiatric Association- DSM-IV-TR, American Urological Association, European Association of Urology World Health Organization- have proposed their own definition. These definitions include common concepts like short ejaculatory latency time with a proposed cutoff time of 1-2 minutes, lack of control over ejaculation or the inability to delay ejaculation, personal distress, interpersonal or relationship difficulties and dissatisfaction with sexual intercourse. The most commonly used definition is the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for PE include the following: 1) persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes; 2) causes marked distress or interpersonal difficulty; and 3) is not exclusively due to the direct effects of a substance
Treatment
Depending on severity, premature ejaculation symptoms can be significantly reduced.
SSRIantidepressants have been shown to delay ejaculation in men treated for different psychiatry disorders. SSRIs are considered the most effective treatment currently availble for PE. These include paroxetine, fluoxetine, sertraline and more. The use of these drugs, that require chronic therapy is limited by the neuropsychiatric side effects. A new SSRI, specifically developed for the treatment of PE (dapoxetine) can be taken on an as needed basis and have been recently shown positive results in large phase III studies. Nevertheless it is not yet approved by any regulatory authority around the world.
Local anesthetic creams (like lidocaine, prilocaine and combinations) have show to be very effective in clinical trials and are being used of the treatment of PE. Their use is limited by its own anesthetic effect that reduce sensation on the penis and female vagina.
Most sex therapists prescribe a series of exercises to enable the man to gain ejaculatory control. While the exercises are intended for men who suffer from premature ejaculation, other men can use the exercises to enhance their sex lives. By far the most common exercise is the so-called start-stop technique. While the technique varies, the purpose is to get the male accustomed to maintaining an erection for an extended period of time while gradually increasing sexual tolerance. In doing this exercise, the male obtains an erection through self-stimulation, or masturbation. After achieving an erection, he stops stimulating himself until he begins to lose his erection; at that point, he begins to stimulate himself again. Gradually, over a period of several weeks, he is able to stimulate himself for longer periods of time, eventually gaining ejaculatory control. In order for this technique to be successful, the male should avoid feeling discouraged if he ejaculates rapidly; instead, he should use his sexual responses to learn how to vary the technique in a way that most benefits him. The male can choose to integrate his partner into these exercises.
The male-s partner is usually integrated into the exercises. They can stimulate the partner using the stop-start technique. When the male has achieved some level of ejaculatory control, he can insert his penis into his partner without thrusting. After his penis becomes accustomed to being inside his partner, thrusting can be gradually included, according to the male-s abilities, using the stop-start technique. In less severe cases, the male might overcome his premature ejaculation early on, making exercises with his partner superfluous.
Many alternative therapies are availble for the treatment of PE. Some have shown promising effectiveness but none were properly studied.
The male-s partner plays an essential role in enabling him to overcome premature ejaculation. Without understanding and emotional support, the male is unlikely to obtain the level of relaxation required for sexual satisfaction. Both the male and his partner should communicate their feelings openly and with sensitivity. The male should learn to sexually satisfy his partner, orally or otherwise, while they work with him to overcome his premature ejaculation.
Hypnosis has also proven very effective in the treatment of Premature Ejaculation. It is believed that ejaculation is a subconcious habit and by giving the mind hypnotic suggestions to last longer, the problem can be greatly alleviated if not completely cured. Most men report dramatic improvement after only a few sessions of hypnosis.
Diagnosis
Diagnostic criteria for Premature Ejaculation DSM-IV-TR (American Psychiatric Association)
A. Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. The clinician must take into account factors that affect duration of the excitement phase, such as age, novelty of the sexual partner or situation, and recent frequency of sexual activity.
B. The disturbance causes marked distress or interpersonal difficulty.
C. The premature ejaculation is not due exclusively to the direct effects of a substance (e.g., withdrawal from opioids).
Differential Diagnosis
Premature Ejaculation should be distinguished from erectile dysfunction related to the development of a general medical condition. Some individuals with erectile dysfunction may omit their usual strategies for delaying orgasm. Others require prolonged noncoital stimulation to develop a degree of erection sufficient for intromission. In such individuals, sexual arousal may be so high that ejaculation occurs immediately. Occasional problems with premature ejaculation that are not persistent or recurrent or are not accompanied by marked distress or interpersonal difficulty do not qualify for the diagnosis of Premature Ejaculation. The clinician should also take into account the individual-s age, overall sexual experience, recent sexual activity, and the novelty of the partner. When problems with Premature Ejaculation are due exclusively to substance use (e.g., Opioid Withdrawal), a Substance-Induced Sexual Dysfunction can be diagnosed.
Associated conditions
Neurological disorders, e.g., multiple sclerosis
Prostatitis
Psychological disorders
Interpersonal disorders
Drug treatment
Although anti-anxiety medications such as benzodiazepines and selective serotonin reuptake inhibitors (SSRIs) are already used in the treatment of premature ejaculation, they are not drugs specifically targeted to treat premature ejaculation.
A serotonin transport inhibitor drug intended to specifically target premature ejaculation, with the generic name of dapoxetine, is currently undergoing Phase III clinical evaluation.
being young and easily aroused.
Do not worry about it. Just enjoy the early one rest a second and go for number two, three, or four. Each time will take longer.