Problems with premature ejaculation? -
i-ve had problems for a while and i-ve tried those PC or kegal exercises, which seem like the only option, to no avail. Can anyone give me specific directions for those exercises that has worked for them and tell me how long it should take to work?
Hi
Include more foreplay in your sex and then when you are relaxed and fully aroused then take your time and have penetrative sex. It is mostly a psychological issue so learn to relax and have plenty of foreplay first.
Regards
Andy
Have you heard of male multiple orgasms? I consider this the cure to premature ejaculation..
There-s a way to have orgasms without ejaculating. When you don-t ejaculate, you can still have an orgasm, keep your erection and keep going as long as you want.
http://www.mistermanpower.net
has a guide on how to do this properly (the first place I-ve seen that really taught me how to do it).
Its great cause you can have as many orgasms as you want, and you keep your erection the whole time; it just takes some practice. There are also some other premature ejaculation tips and techniques on there.
Regardless to what others are saying, PC exercises work.
Let me explain. Continue to use kegel clamps. As you
already know, this exercise targets the PC muscle
(Pubococcygeus muscle) Pronounced: (pyoo-bo-cock-see-gee-us)
Having a strong PC muscle not only allows you to control your
ejaculations, but also makes it so that your penis is rock hard.
A rock hard penis gives you endurance.
And so even if you happen to ejaculate you will have the
staying power to experience another. This is known as a
male multiple orgasm. Alright here are the steps.
Steps
1. First, locate your PC muscle by taking your finger and
putting it behind your testicles.
2. Now flex the PC muscle. Do what you would do when
trying to stop yourself from urinating. You should feel the
muscle flexing.
3. Flex the muscles 15 to 20 times as fast as you can.
4. On your last flex hold it for 10 seconds. If you cannot hold
it that long that is okay. Most can’t get past 5 seconds.
But eventually you’ll be able to hold it for as long as you
want.
5. When you are done, repeat the process. This exercise
is quick and simple. All it takes is 5 minutes a day.
stuff the exercise, its all about self control,just withdraw for a while during sex, and return to foreplay, then back to penetration, try changing positions and have a grope in doing so.anyway its all in the mind. also , being a self centred bastard, i dont think theres any such thing.
Talk to a doctor.
Cheers!
Premature ejaculation (PE), also known as, rapid ejaculation, rapid climax, premature climax or early ejaculation, is the most common sexual problem in men, affecting 25%-40% 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 sex partner achieves orgasm in more than fifty percent of their 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 ejaculate 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.
The term -premature ejaculation- is not well defined in medical circles and is sometimes considered to be more of a marketing tool than a medical condition. By widely advertising PE/ED as a problem, an industry has been created to solve what was in the past not a great concern. This process is analagous to the -invention- of halitosis for the purpose of Listerine sales. The psychological effects of PE/ED have also been considered similar to the effects on young women of the thin model paradigm.
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 intravaginal ejaculation latency time (IELT) of six and a half minutes in 18-30 year olds.[1][2] 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.[3] 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 therefore be diagnosed with PE.
1 Possible psychological and environmental factors
2 Possible physical factors
2.1 Science of mechanism of ejaculation
3 Diagnosis
3.1 Differential diagnosis
3.2 Ejaculation disorder types
4 Treatment
Medications
Possible psychological and environmental factors
Psychological factors commonly contribute to premature ejaculation. While men sometimes underestimate the relationship between sexual performance and emotional well-being[who?], 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.
Recent research has also investigated the role of factors involving the female partner. One study of young married couples (Tullberg, 1999) reported that the husband-s IELT seems to be affected by the phases of the wife-s menstrual cycle, the IELT tending to be shortest during the fertile phase. Other studies suggest that young men with older female partners reach the ejaculatory threshold sooner, on average, than those whose partners are their own age or younger
Possible physical factors
Science of mechanism of ejaculation
The physical process of ejaculation requires two sequential actions: emission and expulsion
Mechanism of EjaculationThe emission phase is the first one to happen and it involves deposition of seminal fluid from ampullary vasa deferens, seminal vesicles - prostate gland into posterior urethra.[4] Second phase is the expulsion of semen which involves closure of bladder neck followed by the rhythmic contractions of urethra by pelvic-perineal and bulbospongiosus muscle and intermittent relaxation of external Sphincter urethrae.[5] Today it is believed that the neurotransmitor serotonin (5HT) has a central role in modulating ejaculation. Several animal studies have demonstrated its inhibitory effect on ejaculation modulated through the PGI system in the brain. Therefore, 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, which increase serotonin level in the synapse, in treating PE
Sympathetic motor neurons control the emission phase of ejaculation reflex and expulsion phase is executed by somatic and autonomic motor neurons. These motor neurons are located in the thoracolumbar and lumbosacral spinal cord and are activated in a coordinated manner when sufficient sensory input to reach the ejaculatory threshold has entered the central nervous system.[
Several areas in the brain, and especially the nucleus paragigantocellularis, have been identified to be involved in ejaculatory control.[8] Scientists have long suspected a genetic link to certain forms of 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[citation needed]. Often, these men may benefit from anti-anxiety medication or selective serotonin reuptake inhibitors (SSRIs), such as sertraline or paroxetine, as these slow down ejaculation times[1]. 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.
Diagnosis
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.
Ejaculation disorder types
Premature ejaculation -Ejaculation occurs very early
Retarded ejaculation -Ejaculation takes a long time
Retrograde ejaculation -Semen flows from the prostate gland into the bladder rather than spurting out of the penis
Inhibited orgasm in males[9]
Treatment
In mundane cases, treatments are focused on gradually training and improving mental habituation to sex and physical development of stimulation control. In clinical cases, various medications are being tested to help slow down the speed of the arousal response.
Masters and Johnson recommended a start and stop technique to increase the time till ejaculation. This requires a great deal of couple cooperation and communication and may be difficult for some.
Medications
Serotonergic medications, such as SSRIs can delay ejaculation.[10][11] SSRIs are commonly used as anti-depressants. Examples include Prozac, Zoloft, Celexa, Effexor, and Lexapro.
GOOD LUCK !!!!!!!!!!!!!!!! TAKE CARE !!!!