Definition

Premature ejaculation (PE) that refers to the persistent or recurrent discharge of the semen with the minimal sexual stimulation before, on, or just shortly after the penetration, before the person wishes it, and then earlier than he expects it. In making the diagnosis of PE, the clinician must take into account factors that basically affect the length of time that the man feels sexually excited. These factors include the age of the patient and then age of his partner, the newness of the sexual partner, and the location and recent occurrence of sexual activity.
Causes

Premature ejaculation (PE) is a much common complaint. The available evidence supports that the notion that control and modulation of sexual excitement is then learned behavior. If someone has learned it at incorrectly or inadequately, they can relearn it.

Symptoms

In PE, ejaculation occurs earlier than the patient and/or the couple would like to , thus preventing full satisfaction from the intercourse, especially on the part of the sexual partner, who often fails to attain orgasm. PE is almost always accompanied by marked emotional upset and interpersonal difficulties that may add frustration to an already being tense situation, which makes the loss of sexual fulfillment even at worsesa

Diagnosis

The physical examination of a patient who is having problems with problemof PE usually results in normal findings. Abnormal findings are at unusual. The best source of information for diagnosing the nature of the problem is the patient’s sexual history. On taking the patient’s history, the clinician should get concentrate on the sexual history, making sure that both partners have adequate and to accurate sexual information. idyllically, the sexual partner should participate in the history and is often able to contribute the valuable information that the patient himself may be unaware of or unwilling to relate.

The female partner should also be examined by a gynecologist in order to ascertain that her sexual capabilities and to eliminate the possibility that the size or structure of her genitals is then part of the reason for the male’s premature ejaculation.

Treatment

Preferably, therE should apy for Palso be conducted under the supervision of a health professional trained in sexual dysfunction. Both partners must also participate responsibly in the therapeutic program. Treatment of PE basically requires patience, dedication and commitment by both partners, and the therapist must also convey this message to both. The first part of therapy requires both partners to avoid sex intercourse for a period of several weeks. This period of abstinence is helpful in relieving that any troublesome performance anxiety on the part of the man that may interfere with the therapy.

Behavioral techniques, taught either individually, or conjointly, or in groups, are effective in the therapy of PE. A preliminary stage of all treatment is then termed “sensate focus” and involves the man’s concentration on the process of the sexual arousal and orgasm. He should learn each step in the process, then most particularly the moment prior to the “point of no return.” The sexual partner also participates in the process, maintaining an awareness of the patient’s sensations and then how close he is to ejaculating.

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