Premature Ejaculation Treatment Chennai

Ejaculatory Problems (Premature Ejaculation) Treatment Chennai

EJACULATION

Ejaculation is the discharge of semen (normally containing sperm) from the male reproductory tract, usually accompanied by orgasm. It is the final stage and natural objective of male sexual stimulation, and an essential component of natural conception.

Physiology of ejaculation

Mediated by autonomic nervous system
Controlled by various neurotransmitters – serotonin, oxytocin, adrenaline, acetylcholine, NO
  • Emission Phase – semen is ejaculated into prostatic urethra under the effect of sympathetic nervous sytem
  • Ejaculation Phase – Ejaculation of semen outside the penis. Both voluntary and involuntary control

Premature Ejaculation Definition

<30 seconds, or not satisfying enough or not sufficient to deposit semen in vagina
Causes
Investigations
Treatments
  • Behavioural therapy – squeeze technique, start- stop technique
  • SSRI  – Dapoxetine, Clomipramine, Fluoxetine
  • PDE – 5 inhibitors
  • Topical Anesthetics

What do you know about Premature Ejaculation

Premature ejaculation is one of the sexual complaints. The other name for premature ejaculation is rapid ejaculation or premature climax. This problem is not only biological but also psychological. In America, a fifth of men aged 18 – 59 suffer from this problem.

It is assumed that this problem is associated with men who cannot control over ejaculation. Many ejaculate as soon as they have sexual intercourse with their partners. It is important to know that this problem is not in accordance with the expectation of the man. In most cases, this problem not only harms relationships, but also affects sexual partners’ quality of life. When premature ejaculation becomes frequent, there is a need that a man should seek for medical advice.

Causes for Premature Ejaculation

Research has proven that Serotonin can cause premature ejaculation. Nerves produce Serotonin. When the amount of serotonin is high in the brain, the ejaculation time will be slowed. On the contrary, there is a possibility that premature ejaculation can be caused when there is a low amount of serotonin in the brain.

There are also psychological factors that contribute to premature climax. Some of these factors include stress, sexual repression history and temporary depression. In addition, hurt feelings and misunderstanding between partners that interferes emotional intimacy can cause premature ejaculation.

Development of Premature Ejaculation

Age cannot be used to determine whether a man can be a victim of premature ejaculation or not. Nevertheless, when it comes to erectile function together with ejaculation can be affected with aging. Age men cannot maintain their erection for a long period. Moreover, the ejaculation feeling is always shorter, making it possible for the men to eject very fast.

Premature Ejaculation and Erectile Dysfunction

Erectile dysfunction occurs when a man is not in a position of maintaining an erection that will satisfy sexual performance. Men who suffer from erectile dysfunction can also be a victim of premature ejaculation. Erectile dysfunction takes place after ejaculation, hence, there is a possibility that some men will assume that they suffer from erectile dysfunction but in real sense they suffer from premature ejaculation.

If a man suffers from both erectile dysfunction and premature ejaculation, there is a need that erectile dysfunction should be treated first. This is simply because once erectile dysfunction is treated, the premature ejaculation can resolve without being treated.

Premature Ejaculation Treatments

Premature ejaculation has several treatments. They include psychological therapy, medical therapy as well as behavioral therapy. Psychological therapy is responsible for handling sexuality together with sexual relationship feelings. Medical therapy is all about medication, which treat depression. The patient can be given antidepressant drugs. It is highly recommended that the drugs should be taken before being involved in sex activity. The patient should be careful to strictly follow doctor’s prescription. Behavioral therapy offers a man assistance to delay ejaculation through exercises that encourage tolerance.

It is advisable that victims of premature ejaculation should share their problem with their partners, since this will not only encourage their partners to cope up with their feelings, but also encourage successful treatment. Moreover, the partners can come up with strategies that will prolong erection.