Ejaculation – is a complex physiological process that combines two processes – emission and ejaculation proper. Phase issue – the result of a reflex response in the nervous system.
What Is It?
Immediately after the expulsion phase of emissions should be as a result of the unconditional, i.e., not giving volitional control, reflex. In this phase the internal sphincter of the bladder closes so that there is no reverse casting seed. After that, it opens the external sphincter, and the semen is thrown out due to the reduction of the pelvic floor muscles. Thus, the participants in the process: norepinephrine, serotonin, gamma-amino-butyric acid, nitrogen oxide.
Elevated levels of estrogen hormones (also called “female”, although a certain amount of estrogen must be in men) or reduced levels of testosterone – the main male hormone – can cause ejaculation disorders. If a man is wrong with the thyroid gland, it usually leads to problems in the sexual sphere. If the amount of thyroid hormone is increased, it may be premature ejaculation (PE). You can find several different definitions of what is “premature ejaculation” in the medical literature.
Symptoms
For example, in 1943 Schapiro B. offered to share PE on the primary and secondary (acquired). Primary – this is when PE occurs within the first 30 seconds – 2 minutes for each, or almost each act of intercourse, and from the beginning of sexual activity. Recycled PE occurs after several years of normal sexual activity, and usually may be due to the following reasons:
- Psychological problems;
- Erectile dysfunction;
- Diseases of the thyroid gland, accompanied by an increase in its function;
- Testosterone deficiency;
- Prostatitis;
- Receiving drugs or psychoactive substances that violate the ejaculation process (such as marijuana).
A positive feature of premature ejaculation is that it can pass by itself, which is caused by the acquisition of some experience in sex.
Diagnosis
Diagnosis of premature ejaculation is a constructive dialogue with the appropriate specialist, in which he will try to determine what the causes of the problem are. In the absence of specific reasons for selection, diagnosis, most likely, will be the implementation of the next phase of her. This stage requires the presence of the patient’s sexual partner, in particular that required conducting test lidocaine.
With lidocaine processing is carried out in the skin of the penis frenulum, and then it is needed to go to the sexual act, which should aim to fix the results of ongoing research. If the positive dynamics in this case was not gotten, he test is conducted comprehensive, which requires a full treatment of the penis glans with lidocaine, then re-invited to go to have sex. As other methods of diagnosis is possible to identify tissues of the penis detection of sensitivity with the concomitant of reflexes test. This requires the use of special equipment.
Prevention
These recommendations will help you in order to stop premature ejaculation:
- Try to use a condom or 2-3 at a time, to minimize the sensitivity of the glans penis.
- Learn how to delay urination and resume at will.
- Do not try to affect the urethra. In this case the sperm stays in the back of it, and returns back to the channel and the bladder. This practice can be the reason of occurred chronic prostatitis, as well as disrupting the sphincter apparatus of the prostate gland, which can lead to retrograde ejaculation.
Treatment
Treatment of premature ejaculation at the moment includes four types of solutions, such as this:
- local treatment;
- pharmacotherapy;
- sex therapy;
- surgical treatment.
Note also that the local treatment, as well as pharmacotherapy, is solutions to this problem at the time, moreover, they require constant use of drugs. The safest of these options is sex therapy, although it also has drawbacks, the main one is the lack of long-term effectiveness, and the need to participate in this therapy male partner. Finally, it is surgical treatment. It can rightly be called the most effective and quick; result after such treatment eventually does not disappears.
When To Call a Professional?
There is also a method of surgical exposure as microsurgical denervation of the glans, which is provided by way intersection with further surgical repair of nerve trunks, with increased sensitivity. In this case, the duration of intercourse could be increased to 5 times. The operation allows achieving almost complete anesthesia of the penis, which is why the sexual act can last about 30-40 minutes. The duration of exposure at that anesthesia is about half a year, during this period, are showing regular and frequent sex.
Prognosis
Premature ejaculation can be a component of lobules syndrome, based on the innate or early acquired lowering of the threshold excitability of nerve structures, ensuring the ejaculation and orgasm.