Premature ejaculation is a condition where a man ejaculates before his sex partner achieves orgasm, where a man ejaculates earlier than he or his partner would like him to. It also known as rapid ejaculation, rapid climax, premature climax, or early ejaculation.
Premature ejaculation (PE) is the difficulty man to perceive the sensations prior to orgasm. There various concepts. While some define PE as the impossibility man to keep a relationship sex for more than a minute without ejaculating, others support the concept that PE is the orgasm and ejaculation which occur after a rapid stimulation sex before orgasm and satisfaction the partner. These concepts can be based on penetration, number of movements, satisfaction partner or same degree of voluntary control
(1). However, PE may be defined as a persistent condition and repeated, in which man is unable to control properly, your ejaculation reflex, reaching orgasm quickly, with small stimuli. Ejaculation may occur before, during or immediately after penetration and before his desire
(2). It has also been proposed that men with PE have a sensitivity male organ larger and the threshold for Bulbospongiosus reflex less
(3).This disorder can ejaculatory occur at any age, but is more frequent between 20 and 30 years. These patients usually do not present health problems, do not use any medication and have no history significant psychiatric.
(4). sexual dysfunction more common in male. It is believed that between 25 and 40% of men show some level of EP
Psychological causes: -Poor relationship with partner. - Fear of pregnancy. - Fear of STDs diseases. - Anxiety performance. - Lack of sexuality. - Religious or cultural conflicts. - Behavior subject to Fast masturbation and intercourse.
Organic causes : - Damage to the autonomic nervous system friendly due to retroperitoneal surgery. - pelvic fractures. - Pathology urologic hyperplasia prostate, prostatitis and urethritis. - Polycythemia. - Diabetes mellitus. - Polyneuritis. - Multiple sclerosis. - Cardiovascular disease. - Spinal cord injuries, traumatic or neoplastic. - Drugs
Complications - Depression. - Anxiety. - Disorders of personality. - Erectile Dysfunction. - Low self-esteem. - Damage to the marital relationship. - Aversion to sex. - Decreased libido.
Is Ejaculation permanent: * Ejaculation occurs very early in almost all sex * With almost all men * Since the first sexual encounters * In most cases (80%), premature ejaculation occurs between 30 to 60 seconds or 1 to 2 minutes (20%) and * Remains fast throughout life (70%), or it may worsen over the years (30%)
Ejaculation acquired: * Premature ejaculation occurs at some point in man's life * The man usually had normal ejaculation experiences before the onset of complaints * Has the sudden onset or gradual * The dysfunction may be due to: urological disorders, for example, erectile dysfunction or prostitutes, thyroid dysfunction, psychological problems or relationship * The ability to control ejaculation can be reduced or absent, but is not required for diagnosis.
Natural Ejaculation variable: * Premature ejaculation is inconsistent and occurs irregularly * The ability to control ejaculation, i.e. to control it in its time imminent, may be reduced or absent, but is not required for diagnosis * Experience of diminished control of ejaculation occurs when the time of ejaculation is normal or short, an ejaculation of plus or minus 1.5 minutes.
Early Ejaculatory dysfunction type: * Subjective perception of premature ejaculation consistent or inconsistent during sexual intercourse. * Preoccupation with imagined early ejaculation or lack of control of ejaculation. * The actual latency time of intra-vaginal ejaculation is part of what is considered normal or you can have a longer duration, an ejaculation which occurs between 5 and 25 minutes. * Ability to control ejaculation at the time of his imminent, may be reduced or absent, but this is not mandatory for diagnosis. * The concern is not better explained by any other mental disorder.
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