End of Premature Ejaculation

Premature ejaculation or quick ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it’s not cause for concern. Continue...

 
However, you may meet the diagnostic criteria for premature ejaculation if you:

• Always or nearly always ejaculate within one minute of penetration
• Are unable to delay ejaculation during intercourse all or nearly all of the time
• Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed to talk about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.

Symptoms
The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem may occur in all sexual situations, even during masturbation.
Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you’ve had previous sexual experiences without ejaculatory problems.
Many men feel that they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria for premature ejaculation. Instead these may have natural variable premature ejaculation, which is characterized by periods of rapid ejaculation as well as periods of normal ejaculation.

Causes
The exact cause of premature ejaculation isn’t known. While it was once thought to be only psychological, doctors now know premature ejaculation is more complicated and involves a complex interaction of psychological and biological factors.
Psychological causes
Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life, such as:

• Situations in which you may have hurried to reach climax in order to avoid being discovered
• Guilty feelings that increase your tendency to rush through sexual encounters

Other factors that can play a role in causing premature ejaculation include:

• Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change.
• Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.
• Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it’s possible that interpersonal issues between you and your current partner are contributing to the problem.

Biological causes
A number of biological factors may contribute to premature ejaculation, including:

• Abnormal hormone levels
• Abnormal levels of brain chemicals called neurotransmitters
• Abnormal reflex activity of the ejaculatory system
• Certain thyroid problems
• Inflammation and infection of the prostate or urethra
• Inherited traits
• Nerve damage from surgery or trauma (rare)

http://www.wikihow.com/Stop-Premature-Ejaculation
Treatment
Quick fixes
1. Wear a condom. It sounds too simple to be true, but it works for a lot of men. Condoms reduce stimulation for most men, which should prolong the time before ejaculation.^[1]

• Steer clear of condoms that are marketed as extra thin. You can always upgrade to a brand that allows more stimulation later.
• Some condoms are coated with a slight numbing gel on the inside. This can help you put off ejaculation for longer without causing numbness to your partner. (Just make sure you know which side is where when you put it on.)

2. Use an analgesic cream or spray. There are two classes of these products. The first is the traditional “numbing” creams and sprays that have been on the market for some time. The upside is that you’ll feel less sensation, which will delay ejaculation. The downside is your partner may suffer a loss of sensation as well—and of course less sensitive intercourse is not always an appealing notion, even in these circumstances.
3. Apply strategic pressure. With a little anatomy knowledge, you can delay an oncoming ejaculation by applying pressure to one of two spots.

• Perineum pressure: Pressing on the perineum, a spot midway between your scrotum and your anus, will help to stop ejaculation because this spot reaches through to the prostate gland. It is the prostate that contracts and expands during orgasm and then expels the ejaculation fluid. Ask your partner to apply this loving pressure for you.
• Testes tug: When a man nears orgasm his scrotum rises up closer to his body. You can delay ejaculation by gently pulling your testes down and away from your body. Your partner can also do this for you.

4 Reduce anxiety. For many men anxiety and pressure to perform is a major contributor to premature ejaculation. Relax and remember that your partner probably cares about more than the timing of your orgasms, and that premature ejaculation doesn’t mean you can’t still be good in bed.
5. Think nonsexual thoughts. If you notice yourself getting too excited, turn your thoughts to something distant, abstract and unsexy, such as math, rush hour traffic or baseball. Only dwell on it long enough to give yourself a short break from arousal, maybe 5 to 10 seconds, then refocus your attention on your partner. Avoid thinking of a topic that is going to make you stressed or cause you to lose your arousal entirely.
6. Try edging. Edging, or orgasm control, is the practice of maintaining a high level of sexual arousal while delaying ejaculation. It takes practice, but it gets easier over time. Here are two methods recommended by the National Institutes of Health to stop premature ejaculation:^[2]

• Stop-and-start method: Have intercourse as usual until you feel yourself coming uncomfortably close to orgasm. Immediately and abruptly cease all stimulation for 30 seconds, then start again. Repeat this pattern until you’re ready to ejaculate.

7. Change positions. Some intercourse positions put less pressure on the glans (or the most sensitive part of the penis). Here’s what to do:

• Try “passive” positions. Lie beneath your female partner, or try a side-by-side (or spooning) position.
• Avoid “active” positions. Missionary and rear-entry positions place the most stimulation and friction on the glans, so consider taking them off the menu for now.

8. Take it slow. Depending on your personal sensitivity, slowing your movements and opting for gentler, more teasing intercourse can help you hold off orgasm longer. If you find yourself getting too close to orgasm, slow down for a bit, change to a new position, or take a break to stimulate your partner in other ways.
9. Focus on foreplay. Sometimes “premature” is a frame of mind. Even if your ejaculation comes quickly during intercourse, you can still give your partner a great sexual experience through more extended, intimate, attentive and generous foreplay. Stimulate your partner enough manually, orally or with toys, and they may not need or want a long bout of intercourse to finish happy.

10. Exercises and Training: (i) Do PC muscle exercises. Flexing and strengthening your pubococcygeus (PC) muscle can help you exert more control over ejaculation. (Note that these are also called Kegel exercises, which you might have heard about women doing. The muscle is the same in both sexes.)

(ii) Practice controlling your orgasm. When masturbating or with a patient partner, focus on improving your control over your climax. Stimulate yourself to the edge of climax and then stop. Do this several times before finishing. As you practice, learn to recognize the feeling of getting close to orgasm, and take note of how close you can get and still effectively stop, and when you’ve reached a “point of no return.” During intercourse, use that knowledge to slow down or adjust your movements if you get too close too early.
(iii) See a doctor. If you routinely ejaculate less than a minute and a half after beginning vaginal intercourse, and none of the above fixes have worked, it might be time to see a medical professional. You can visit a urologist, sex therapist, psychologist, or psychiatrist for help

Natural Intakes
Studies have shown that the foods which seem to help with premature ejaculation are those which are rich in certain vitamins and minerals. When there is increased blood flow to the penis due to sexual arousal, an erection occurs. Therefore the diet for premature ejaculation should incorporate those foods which help to improve blood flow in the body, especially to the genital region.

Foods such as oysters, chocolates and strawberries are considered to be common aphrodisiacs. These foods contain certain nutrients which are known to improve sexual arousal, but they are not the most effective in treating premature ejaculation. Eggs, blueberries and cereals are examples of helpful foods for premature ejaculation. Eggs contain the vitamins A, B, D and E and also the minerals calcium, selenium, zinc and iron. Eggs also contain cholesterol which plays an important role in the manufacture of the sex hormones. Blueberries are known to enhance the flow of blood to the genitals if consumed in proper amounts. However overconsumption of blueberries must be avoided as it could lead to some unpleasant side effects. Cereals contain folic acid which helps to regulate good blood flow and also prevents blockages in the arteries. This is helpful in boosting sexual performance. Foods such as lettuce and fish are also good additions to the daily diet. Vitamins for premature ejaculation include the B vitamins. In case one is unable to obtain adequate amounts of nutrients through the diet, it is a good idea to consult a doctor regarding the intake of dietary supplements.

In order to cure premature ejaculation and boost sexual performance, it is also important for the diet to promote good health of the heart. If the heart functions well, then blood flow throughout the body will be much better. Problems such as blocked arteries can not only hamper circulation in the genital area but can also put an individual at risk for heart disease.

Food Supplements
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