What to do if we experience premature ejaculation?

Although many men feel embarrassed to talk about it, premature ejaculation is a common and treatable condition. Medicines, psychological counseling and sexual techniques to delay ejaculation can help you in this regard. Continued lack of control over ejaculation may cause one or both partners to feel sexually dissatisfied, and this may lead to sexual tension. or lead to other problems. Primary premature ejaculation, which is often caused by anxiety and excessive stimulation and is related to guilt and other psychological factors, usually improves without treatment.

Premature ejaculation is when a man reaches orgasm earlier than his partner during intercourse. Premature ejaculation is a common sexual complaint and 1 in 3 men may have this problem. Two psychological factors such as (early sexual experience) and biological factors such as (thyroid problems, abnormal levels of hormones, abnormal levels of brain chemicals called neurotransmitters, abnormal reflex activities of the ejaculation system, inflammation and infection of the prostate and urethra) , inherited traits, damage to the nervous system caused by surgery, some drugs used in the treatment of psychological problems) play a role in causing premature ejaculation.

Techniques such as stopping and starting (stopping before reaching the peak of sexual pleasure for 30 seconds and then starting again and repeating until the man wants to ejaculate), pressure technique (on the glans penis before reaching the peak of sexual pleasure) for 30 seconds, then start again and repeat until the man wants to ejaculate (in most cases, a man is able to learn how to control ejaculation through training and practicing simple techniques). Chronic premature ejaculation may be a sign of anxiety. or depression that can be cured by treatment. So far, no medication has been specifically approved by the US Food and Drug Administration (FDA) for the treatment of premature ejaculation. However, several studies have shown that SSRIs such as sertraline (ZOLOFT), paroxetine (Paxil), or fluoxetine (Prozac) And drugs with side effects such as SSRIs are safe and effective for treating this disease, and many doctors use these agents for this purpose.
Creams containing local anesthetic agents can also be helpful in some men with premature ejaculation. If the patient has premature ejaculation, erectile dysfunction, and depression, an antidepressant such as an SSRI is helpful. The side effects of long-term use of SSRIs should be considered by the doctor and the patient. These side effects include psychological and neurological effects, skin reactions, anticholinergic effects, changes in body weight, cognitive impairment, and by reducing the dose or stopping the drug, symptoms may occur. Dizziness, nausea and vomiting, headache, instability in walking, weakness and lethargy, restlessness, anxiety and insomnia.
Some studies have shown that the combination of phosphodiesterase 5 (PDE5) inhibitors with SSRIs provides better results in the treatment of premature ejaculation than the use of SSRIs alone. The reason is unknown. PDE5 inhibitor inhibits ejaculation by inhibiting receptors involved in somatosensory latency.
To date, no study has demonstrated the superiority of a PDE5 inhibitor over a placebo in the treatment of premature ejaculation. The use of PDE5 inhibitors for the treatment of premature ejaculation has not been approved by the FDA. PSD502 has recently been approved in the European Union and its effect has shown in clinical trials.
Tramadol may be effective in the treatment of premature ejaculation, especially when other treatments have failed, but it is important to know that this drug is addictive. Lidocaine creams are useful in the treatment of premature ejaculation if they do not cause allergies. Clomipramine has been used in the treatment of premature ejaculation for decades. Use a condom. Some condoms have a small numbing coating on the inside. This can help treat premature ejaculation without numbing your partner. In severe cases, your doctor may inject a vasodilator directly into the penis before intercourse.
If your doctor considers the cause of premature ejaculation psychological or emotional, the treatment should be done with a psychological consultant. There is no magic bullet to cure premature ejaculation (PE) Consult your doctor or sex therapist (psychiatrist or psychiatrist) to have a healthy sex life.

Source-online food regime

23 December 1392 08:23

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