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60 Mins Control Stop Premature Ejaculation Lear...

Abu el-hamd M. Effectiveness and tolerability of lidocaine 5% spray in the treatment of lifelong premature ejaculation patients: a randomized single-blind placebo-controlled clinical trial. Int J Impot Res. 2020. doi:10.1038/s41443-019-0225-9

60 Mins Control Stop Premature Ejaculation Lear...

Well, if men and their partner don't mind how long it takes them to ejaculate, then it really doesn't matter. For example, Ian Kerner, PhD, a sex therapist and author of She Comes First, advises men to bring their partners to the brink of orgasm before having intercourse. Then, if he's prone to premature ejaculation, it doesn't matter since both of them come away satisfied.

So what about the much more common problem of premature ejaculation? In this case, masturbation can be just the ticket. Having repeated orgasms will bring on delayed ejaculation in almost any guy. Some believe that the best premature ejaculation tip is to double the number of orgasms a man has per week. And if that doesn't work, to double it again.

"Young men with a short refractory period may often experience a second and more controlled ejaculation during an episode of lovemaking," says Chris G. McMahon, MD, in a 2004 study published in the Journal of Sexual Medicine.

One time-honored technique for premature ejaculation is to distract yourself -- to think about something boring or even disgusting to delay your orgasm. While this may work for some, it has the unfortunate side effect of distancing men from their partners and the sexual experience.

For men who aren't helped by any of these techniques, there's a pharmaceutical option. Since some antidepressants -- selective serotonin reuptake inhibitors, or SSRIs -- are known to cause delayed ejaculation, researchers tried them as a way to treat premature ejaculation. It typically takes 2-3 weeks to get the full effects from SSRIs. If you stop treatment, symptoms will return.

A short-acting SSRI called dapoxetine has been developed specifically for premature ejaculation. According to a 2006 study published in The Lancet, when taken one to three hours before sex, the drug increased the time from penetration to ejaculation from 1.75 minutes to 2.78 minutes for men treated with 30 milligrams of the drug. Men who got 60 milligrams lasted 3.32 minutes.

Premature ejaculation (PE) occurs when a man expels semen (and most likely experiences orgasm) soon after beginning sexual activity, and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax and (historically) ejaculatio praecox. There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition of around one minute after penetration.[1] The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse.[1]

The causes of premature ejaculation are unclear. Many theories have been suggested, including that PE was the result of masturbating quickly during adolescence to avoid being caught, performance anxiety, passive-aggressiveness or having too little sex; but there is little evidence to support any of these theories.[2]

Several physiological mechanisms have been hypothesized to contribute to causing premature ejaculation, including serotonin receptors, a genetic predisposition, elevated penile sensitivity and nerve conduction atypicalities.[8] Scientists have long suspected a genetic link to certain forms of premature ejaculation. However, studies have been inconclusive in isolating the gene responsible for lifelong PE.

The nucleus paragigantocellularis of the brain has been identified as having involvement in ejaculatory control.[9] Other researchers have noted that men who have premature ejaculation have a faster neurological response in the pelvic muscles.[citation needed]

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.[14][15]

Current evidence supports an average intravaginal ejaculation latency time (IELT) of six and a half minutes in 18- to 30-year-olds.[17][18] 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 two minutes.[19] Nevertheless, it is possible that men with abnormally low IELTs could be satisfied with their performance and do not report a lack of control. Likewise, those with higher IELTs may consider themselves premature ejaculators, have detrimental side effects normally associated with premature ejaculation, and even benefit from treatment.[citation needed]

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) defines premature ejaculation as "A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the person wishes it," with the additional requirements that the condition occurs for a duration longer than 6 months, causes clinically significant distress, and cannot be better explained by relationship distress, another mental disorder, or the use of medications.[1] These factors are identified by talking with the person, not through any diagnostic test.[1] The DSM-5 allows for specifiers whether the condition is lifelong or acquired, applying in general or only to certain situations, and severity based on the time under one minute, however these subtypes have been criticised as lacking validity due to insufficient evidence.[20]

Many men attempt to treat themselves for premature ejaculation by trying to distract themselves, such as by trying to focus their attention away from the sexual stimulation. There is little evidence to indicate that it is effective and it tends to detract from the sexual fulfilment of both partners. Other self-treatments include thrusting more slowly, withdrawing the penis altogether, purposefully ejaculating before sexual intercourse, and using more than one condom. Using more than one condom is not recommended as the friction will often lead to breakage. Some men report these to have been helpful.[2]

To treat premature ejaculation, Masters and Johnson developed the "squeeze technique", based on the Semans technique developed by James Semans in 1956.[23] Men were instructed to pay close attention to their arousal pattern and learn to recognize how they felt shortly before their "point of no return", the moment ejaculation felt imminent and inevitable. Sensing it, they were to signal their partner, who squeezed the head of the penis between thumb and index finger, suppressing the ejaculatory reflex and allowing the man to last longer.[24][25][26]

Two different surgeries, both developed in South Korea, are available to permanently treat premature ejaculation: selective dorsal neurectomy (SDN)[37] and glans penis augmentation using a hyaluronan gel.[38][39] Circumcision has shown no effect on PE.[40] The International Society for Sexual Medicine guidelines do not recommend either surgical treatment due to the risk of permanent loss of sexual function and insufficient reliable data[40][41][20] and on the basis of violating the medical principle of non-maleficence as the surgery can lead to complications, of which some might not yet be known.[40] The most common complication of surgery is the recurrence of PE, reported to occur in about 10% of surgeries.[40] Other sources consider SDN as a safe and efficient treatment[42] and these surgeries are popular in Asian countries.[20][41]

There is a common misconception that younger men are more likely to develop premature ejaculation and that its frequency decreases with age.[citation needed] Prevalence studies have indicated, however, that rates of PE are constant across age groups.[8]

Ejaculatory control issues have been documented for more than 1,500 years. The Kamasutra, the 4th century BCE Indian marriage handbook, declares: "Women love the man whose sexual energy lasts a long time, but they resent a man whose energy ends quickly because he stops before they reach a climax."[52][non-primary source needed] Waldinger summarizes professional perspectives from early in the twentieth century.[53]

Freudian theory postulated that rapid ejaculation was a symptom of underlying neurosis. It stated that the man has unconscious hostility toward women, so he ejaculates rapidly, which satisfies him but frustrates his lover, who is unlikely to experience orgasm that quickly.[56] Freudians claimed that premature ejaculation could be cured using psychoanalysis. But even years of psychoanalysis accomplished little, if anything, in curing premature ejaculation.[56]

A conversation with a care provider might help lessen concerns. For example, it might be reassuring to hear that it's typical to experience premature ejaculation from time to time. It may also help to know that the average time from the beginning of intercourse to ejaculation is about five minutes.

The exact cause of premature ejaculation isn't known. It was once thought to be only psychological. But health care providers now know that premature ejaculation involves a complex interaction of psychological and biological factors.

Lasting long in bed and super sexual stamina is a question of doing the right training performed daily. And you know what else? When you start believing that it's possible (which it is) - you will start to dissolve the descending spiral and instead create an ascending spiral. Positive results lead to more self-confidence which again leads to better results. Premature Ejaculation: The Complete Guide to Better Sex, and Controlling PE teaches you what science has unveiled about premature ejaculation. 041b061a72

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