Premature Ejaculation Isn’t a Verdict — It’s a Pattern

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Premature Ejaculation Isn’t a Verdict — It’s a Pattern

Premature ejaculation gets framed in two equally bad ways. Either like a humiliating personal flaw, or like some mysterious sexual defect men are supposed to silently carry around. We don’t buy either version. From our perspective, PE is usually less a verdict on your masculinity than a pattern in your arousal, your habits, and your nervous system. That matters, because once you stop treating it like proof that something is “wrong” with you, you can finally work on the real issue: control…. 

Video list for complete training

There are several aspects of training that you’ll need to put together for a full, complementary routine. The following list below will address specific aspects of training:

Length gains: By far the most popular male enhancement goal is added length (with girth and hardness close seconds). The newer extender models are great at allowing for intense training- so it can be used for all stages of work.

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Girth gains: Girth is where the majority of penile VOLUME comes from. A slight gain in girth measure will exceed by more than 2x a similar length measure.

Pumping is a great way to add girth. As a matter of fact, pumping is good for length and EQ (Erection Quality- a combined measure of stamina and hardness) improvement as well.

Related video: I Tested 20 Penis Pumps – Here’s The Best One

Stamina development: If you’re after maximum SIZE gains, the best thing you can do is to get your EQ to as high a level as you can- even beyond what you feel you may need for optimal sexual function. This will do more to make your enlargement training more productive than just about anything else.

Exercises like Erect Kegels are great for this, and are very complementary to enlargement work.

Related video: Fix Premature Ejaculation By Playing Games? – kGoal Boost

Maintaining your gains: This is for after you achieve your goals or are taking a long break. You’ll want to cement your progress by tapering off on the volume of your work over the course of 4-6 weeks. You’ll also want to ensure you maintain a high level of EQ thereafter to keep the tissues of the penis flexible.

Related video: Will I Lose My Gains If I Stop? Penis Enlargement Replies

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What causes premature ejaculation?

Factor beyond hormone: What impacts male sexual health and why it is related to mental wellbeing

Sexual problems in men can occur on and off and at any age and most of them can be easily dealt with

Dr Lalitha Palle June 19, 2023 16:57:15 IST

This article is a repost which originally appeared on Firstpost.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Testosterone and sperm level decline, hormonal imbalances, and male pattern baldness are becoming a more common occurrence in younger men.

‧ It’s believed various contributing factors are the cause.

‧ Negative relationship dynamics and emotional concerns can contribute to worsening sexual health.

The topic of male sexual health has gained importance recently as an alarming number of reports reveal reduced male hormones i.e Testosterone levels, in younger men, reduced sperm counts, and increasing incidence of erectile dysfunction, premature ejaculation, male Infertility or impotence and early onset of male pattern baldness among younger men, becomes a common occurrence.

There are also reports that state that with the alarming rate of male hormone imbalance, India is set to become the Impotency capital of the world! It is thus high time that we take note of this silent yet fast-spreading condition and start by understanding its causes and impact and how we can at least start by destigmatizing conversations around male sexual health.

Male sexual health is influenced by a variety of factors, including physical, psychological, and emotional well-being. While physical factors such as hormonal balance, cardiovascular health, and neurological function play important roles, mental well-being can significantly impact male sexual health for several reasons:

Psychological Factors: Sexual desire, arousal, and performance can be influenced by psychological factors such as stress, anxiety, depression, and self-esteem. Negative emotions and mental health conditions can affect libido, sexual confidence, and overall sexual satisfaction.

Relationship Dynamics: The quality of relationships and emotional connection with a partner can have a significant impact on male sexual health. Relationship issues, unresolved conflicts, or lack of intimacy can contribute to sexual difficulties and dissatisfaction.

Performance Anxiety: Many men experience performance anxiety, which is the fear of not being able to perform sexually to their or their partner’s satisfaction. This anxiety can stem from various sources, such as societal expectations, personal insecurities, or previous negative sexual experiences. Performance anxiety which is very common, especially in younger men, can interfere with sexual arousal, leading to erectile dysfunction or premature ejaculation.

Body Image and Self-esteem: Body image concerns and self-esteem can affect sexual health. Men who have negative perceptions of their bodies may feel self-conscious and anxious during sexual encounters, impacting their ability to fully engage in the experience.

Stress and Lifestyle Factors: High levels of stress, unhealthy lifestyle habits, and poor self-care can contribute to sexual health problems. Stress can disrupt hormone production, reduce libido, and impair sexual performance. Lifestyle factors such as smoking, excessive alcohol consumption, and lack of exercise can also negatively impact sexual function.

It is essential to address both the physical and mental aspects of male sexual health. Seeking support from healthcare professionals, therapists, or counsellors can help individuals navigate and address the underlying psychological factors that may be affecting their sexual well-being. Open communication with partners, healthy lifestyles, and stress management can also contribute to overall sexual health and satisfaction. Sexual problems in men can occur on and off and at any age and most of them can be easily dealt with. Not speaking or discussing them will only lead to a vicious cycle of negative mental health and poor performance. Men should break free from the so-called ‘taboos’ and ‘stigmas’ to improve their lives’ quality.

How Men Can Take Care of Their Sexual Health

What Men Can Do to Ensure Their Sexual Health Is Strong

Mental and physical care are both critical to a man’s libido and reproductive well-being.

Author: Helen Massy
Published: March 06, 2023

This article is a repost which originally appeared on Giddy

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Maintaining good sexual health is important for men.

‧ Mental health will have a large impact on sexual well-being.

‧ 20-30% of men in their 20s and 30s experience some form of ED.

Sexual health is an essential part of every man’s life. As well as protecting yourself from sexually transmitted infections (STIs) and diseases (STDs) or preventing unwanted pregnancies, sexual health is about having safer, satisfying sex and a positive and respectful approach to sexuality and relationships.

Understanding how to look after your sexual health benefits both you and your partner.

The best place to start is by getting to know your body and your reproductive system, and what’s normal and what’s not normal. This way, you can quickly identify any problems and seek medical support to address them.

There are multiple aspects to men’s sexual health, including physical health and mental health. Lifestyle factors influence all of these elements, either in a positive or negative way.

Men’s health and sexual health

A few of the essential aspects of a male’s sexual health are desire, erections and endurance, explained James J. Elist, M.D., a urologist in Beverly Hills, California, who specializes in impotence and male sexual dysfunction.

Being sexually healthy enables a man to fully participate in and enjoy sexual activity.

The body can’t just rely on physical health to create desire, erections and endurance, though. Physiology, mental health and emotional health can affect both libido and sexual function.

Male sexual health isn’t just about the ability to enjoy sex. It’s also about preventing STIs/STDs and identifying any problems with fertility. It’s about understanding how to prevent unwanted pregnancies and ensuring sex is consensual, respectful and safe for both partners.

Mental health and men’s sexual health

Mental health can directly impact sexual health and vice versa.

“Low libido, erectile dysfunction [ED] and premature ejaculation can all be exacerbated by negative mental health experiences, whether that’s traumatic experiences, relationship or professional workplace stress, depression or anxiety,” Elist said.

He explained that those negative mental health experiences can lead to worsened sexual performance, which in turn leads to more strains on mental health, driven by decreased self-confidence and self-worth as a result of poor performance in bed.

This leads to a negative cycle in which one feeds into the other.

“As such, it’s important to seek solutions early on to prevent any issues from worsening. Taking care of one’s mental health through therapy, meditation, etcetera can often improve sexual health issues as well,” Elist said.

If you find your mental health is affecting your sexual health, or problems with sex or sexuality are affecting your mental health, you can explore a number of options with your healthcare provider to address either issue.

Physical health and men’s sexual health

“It all begins with male libido,” Elist said of the connection between physical health and sexual health. “A man must have the desire to engage in sexual activity in the first place.”

Unfortunately, he said, as guys get older, libido tends to decrease as testosterone decreases. Obviously, for a man to be able to perform sexually, he must be able to achieve and maintain an erection. You can take steps to address this issue.

“As with testosterone and libido, erectile function also relies on staying healthy, particularly maintaining cardiovascular health, avoiding cigarettes and exercising frequently to get the blood pumping,” Elist said.

Once a man achieves an erection, he must maintain the erection and be able to last long enough to enjoy a sexually satisfying experience for both himself and his partner.

“Often, premature ejaculation can get in the way, which is why it’s important to limit stress and practice pelvic floor exercises if that’s an issue an individual deals with,” he said.

There is no need to suffer in silence if you have any problems with your libido, erection, ejaculation or performance. Seek help from your healthcare provider if you are experiencing problems, as many treatment options are available to help you feel comfortable and satisfied when having sex.

What’s a ‘normal’ sex drive?

Sex drive varies depending on a man’s age. Elist explained what happens to libido across the stages of life:

‧ In his early 20s, an individual can desire sex almost daily.

‧ Starting in his mid-30s, an individual’s testosterone levels begin to decrease by approximately 1 percent per year.

‧ Upon reaching his 60s, sexual desire may lessen even further for many men.

While there’s no “normal” level of sex drive for men, Elist stressed it is normal for levels to decrease over time.

“However, that trend can be partially mitigated and offset through regular exercise, eating healthy and maintaining a consistent sleep schedule,” he said.

Sexual health and reproductive health

“There are various issues that can impact an individual’s reproductive health and fertility, from stress to smoking to excessive testosterone use,” Elist explained.

To look after reproductive health, men should undertake a testicular self-exam routinely to ensure that there are no signs of lumps or tumors. Cancer is obviously a concern here, but fertility comes into the picture, too.

Testicular self-exams and examinations by a physician can help men identify the presence of a varicocele, a dilated vein inside the scrotum that can increase the temperature of the testicles and negatively affect sperm development, according to Elist.

Sperm counts decrease by an estimated 40 percent for every degree the testicles rise in temperature.

Elist also highlighted that the excessive use of testosterone or androgens could damage the testicles. Tobacco and frequent marijuana use can also decrease sperm count. All of these factors should be considered if a man is experiencing fertility issues.

Your healthcare provider can use various tests to help establish fertility problems, including the following:

‧ STI/STD testing
‧ Semen analysis
‧ Urinalysis
‧ Hormone testing
‧ Ultrasound scans
‧ Testicular biopsies

Complications and related conditions

The most common male sexual dysfunctions men should be aware of, according to Elist, include:

‧ Low testosterone
‧ Low libido
‧ Erectile dysfunction
‧ Premature ejaculation

ED is an issue that impacts more than half of all men at some point in their lives.

“While many think erectile dysfunction is an issue that only affects older men, it can actually impact 20 percent to 30 percent of men in their 20s and 30s,” Elist said.

Premature ejaculation is an issue that impacts nearly 40 percent of all men.

“It is characterized by sexual activity that often lasts one minute or less and sexual experiences which cause stress and frustration,” Elist explained.

You can address premature ejaculation issues with a combination of solutions that could include meditation, pelvic floor exercises, supplements, lidocaine sprays or prescription SSRIs, or selective serotonin reuptake inhibitors.

“Other issues, such as delayed ejaculation, retrograde ejaculation and Peyronie’s disease, are less common, but if an individual is experiencing any of those issues, then it’s important to discuss them with a urologist,” he added.

 

Sexual Stamina: 10 Tips to Last Longer

Kristopher Bunting, MD

Updated on October 17, 2022

This article is a repost which originally appeared on healthnews.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Whether you have problems with premature ejaculation or you simply want sex to last longer, there are many ways to last longer in bed. Making sex last longer can involve maintaining an erection for longer, delaying ejaculation, and reducing the time to achieve another erection after ejaculating. There are a variety of ways to improve your sexual stamina and make sex more satisfying for both you and your partner.

Key takeaways:

‧ There are many ways to improve male sexual stamina, including medications and sexual techniques. Increased foreplay and emotional intimacy may also improve sexual performance.

‧ Medications for erectile dysfunction and premature ejaculation can improve stamina and sexual performance.

‧ Controlling sexual stimulation by using numbing sprays or gels, certain sexual positions, and other techniques can help men control when they orgasm.

How long should sex last?

Ideally, sex should last for as long as you want it to. Many people think of sex as penetration, but it can (and should) involve much more. Research shows that the average time until ejaculation during penetrative sex is between 5 and 6 minutes. For most people, achieving orgasm is the goal of sex. While 5 minutes of penetration (or less) will get many men where they want to get to, it takes longer for women to climax from penetration alone. So, how can you make sex last longer?

Foreplay

There is more to sex than just penetration and orgasm. Foreplay is important for mutual arousal; it gives you and your partner time to stimulate yourselves and each other. Take time to use all of your senses to get excited and prepare for the main event.

Kegel exercises

Kegel exercises can help both men and women strengthen pelvic floor muscles, improving continence and sexual function. A strong pelvic floor can help you control when you ejaculate.

Work on your relationship

Sex is both physical and mental. Both the body and the mind need to be stimulated and aroused to enjoy sex. Emotional intimacy plays a role in sexual arousal, especially in long-term relationships. Research has shown that emotional intimacy is linked to sexual desire. Furthermore, good communication in a relationship is linked to improved sexual satisfaction and decreased sexual dysfunction. Communicating sexual needs with your partner can improve sex and may help you last longer.

Medication

Medications used to treat erectile dysfunction (ED) and premature ejaculation (PE) can also improve sexual stamina. Commonly used antidepressants such as Prozac (fluoxetine), Paxil (paroxetine), Celexa (citalopram), and other drugs that raise serotonin levels in the brain can help delay ejaculation. While this can be an unwanted side effect for some, it can help people with PE have more control over when they orgasm.

ED medications can help some men recover more quickly after ejaculating and may improve sexual performance in men without erectile dysfunction. Viagra (sildenafil), Cialis (tadalafil), and other erectile dysfunction medications improve blood flow to the penis. This allows men with mild to moderate ED to have firmer, longer-lasting erections. Remember, these are prescription medications; you should not take them without first being evaluated by a doctor. They can have extremely dangerous interactions with other medications, including nitrates taken for chest pain or amyl nitrate and amyl nitrite (poppers) taken recreationally.

Reduce stimulation

Topical anesthetics are used to treat PE and can help men delay orgasms. A variety of topical numbing creams, sprays, and personal lubricants are available that reduce stimulation of the penis, including condoms with numbing lubricant. However, these can cause skin irritation and discomfort in some people, so check with your partner before using a topical anesthetic.

Other ways to reduce penile stimulation and delay orgasm include wearing a condom and using more lubrication. Wearing a condom not only helps prevent sexually transmitted diseases and unwanted pregnancy, but it can also decrease stimulation of the penis, especially thicker condoms. Using lubrication during sex can reduce friction and stimulation.

Techniques to delay orgasm

There are a variety of techniques that can be employed to help delay orgasm and ejaculation. Techniques recommended for people with PE include the squeeze technique (gently squeezing the head of the penis for several seconds) and the start and stop technique (stop penile stimulation for 30 seconds). Other techniques include pausing and taking a deep breath or shifting your focus away from sexual sensations during sex. In other words, slow down and take a moment to rest before you reach orgasm.

Masturbating before sex can help delay ejaculation, but timing is important. Practicing edging, bringing yourself to the brink of orgasm while masturbating, can help you learn how to recognize when you are about to orgasm and allow you to practice techniques to delay orgasm.

Try something different

There are many Tantric and Taoist sexual practices that can help control ejaculation and improve sexual pleasure for men and their partners. The “sets of nines” technique is an easy way to control mutual stimulation. It involves performing 9 sets of 9 controlled thrusts, beginning with 9 shallow thrusts, followed by 8 shallow thrusts and 1 deep thrust, then 7 shallow thrusts and 2 deep thrusts, and so on, ending with 9 deep thrusts. It is a simple technique, but it is very effective for controlling ejaculation and building up sexual excitement.

Certain sexual positions can help control ejaculation, especially positions that allow for grinding, as opposed to thrusting. Partner on top positions, the lotus position, and the Coital Alignment Technique can maintain constant stimulation for your partner while limiting stimulation to the penis from thrusting. Explore the Kama Sutra and other books for tips on which positions can help you control when you orgasm.

Get healthy

Overall health affects sexual function; eating a proper diet and getting enough exercise can improve your sexual health. Obesity, type 2 diabetes, high blood pressure, heart disease—all of these conditions can affect sexual function and they can all be improved or prevented through diet and exercise.

You can improve your sexual stamina

There are many ways for men to improve their sexual stamina. Foreplay, communication, and emotional intimacy can improve sex. Medications, condoms, and lubricants can delay orgasm and reduce stimulation. A variety of techniques can help men control when they orgasm, including techniques used for premature ejaculation and certain sexual positions. Give some of these a try and find out what works best for you.

Resources:

1. Urology Care Foundation. Premature Ejaculation.

2. The Journal of Sexual Medicine. Original Research—Ejaculation Disorders: A Multinational Population Survey of Intravaginal Ejaculation Latency Time.

3. International Society for Sexual Medicine. Women’s Orgasm Takes Longer During Partnered Sex.

4. Mayo Clinic. Kegel Exercises for Men: Understand the Benefits.

5. Journal of Social and Personal Relationships. The Associations of Intimacy and Sexuality in Daily Life.

6. The Journal of Sex Research. Couples’ Sexual Communication and Dimensions of Sexual Function: A Meta-Analysis.

7. Cleveland Clinic. Premature Ejaculation.

8. International Journal of Impotence Research. Sildenafil Does Not Improve Sexual Function in Men Without Erectile Dysfunction but Does Reduce the Postorgasmic Refractory Time.

9. Nature Reviews Urology. Sildenafil Improves Sexual Function in Men Without Erectile Dysfunction.

10. Mayo Clinic. Erectile Dysfunction: Viagra and Other Oral Medications.

11. Circulation. Drug Interactions With Phosphodiesterase-5 Inhibitors Used for the Treatment of Erectile Dysfunction or Pulmonary Hypertension.

12. Journal of Sex & Marital Therapy. The Coital Alignment Technique (CAT): An Overview of Studies.

 

Explained: Why men must not ignore sexual health problems

While as individuals, we are hardwired to share our issues with our near and dear ones, certain conversations still take place in hushed tones. Sexual wellness is one such topic. Since such issues are not spoken about and people refrain from seeking treatment due to a lack of awareness and right online platforms in the country.

IANS Updated Jul 24, 2022 | 06:43 AM IST

This article is a repost which originally appeared on TIMESNOW

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Our Takeaways:

· Men are usually hesitant to discuss sexual matters with others in a social setting.

· Professional consultations for sexual problems have more than doubled since 2020.

· Discussing sexual concerns can help to relieve stress and to discover potential solutions.

When was the last time you heard a man discussing his sexual wellness in a peer group or a social setting, or even with his loved ones? Chances are, you’ve never heard of such a thing. These conversations, while critical, just do not happen.
While as individuals, we are hardwired to share our issues with our near and dear ones, certain conversations still take place in hushed tones. Sexual wellness is one such topic. Since such issues are not spoken about and people refrain from seeking treatment due to a lack of awareness and right online platforms in the country.

Just like physical and mental well-being, men must take care of sexual wellness to lead a healthy and happy life. Thankfully, we’re on our way to speaking out loud about these issues as a society. Sexual wellness consultations increased by almost 139% in the year 2020 compared with the previous year.

1. Performance Pressure: Sexual health and effectiveness are taboo in society and specifically for men for various reasons. It is often assumed that sexual activity comes more naturally to men than women. While that is untrue, this notion gets even more troublesome when men aren’t able to perform in bed. Men suffer from performance anxiety a lot more than women, which is a leading cause of erectile dysfunction.

2. Erectile Dysfunction: The commonly used term for ED is impotence. The mere association of this word with men arouses discomfort in social circles and, more often than not, leads to a scarred image. But the problem is not as rare, just less talked about. As per the Massachusetts Male Aging Study, nearly half of the men in the age group of 40 to 70 face this issue due to reasons varying from arterial malfunction or other abnormalities that can be checked and treated. ED can be caused by endocrinological diseases such as prostate malfunction, hypogonadism or even diabetes. Trouble maintaining an erection could very well be caused by fibrosis or atrophy, which is a sufficiently organic process but could also be caused due to drugs or smoke. Another myth surrounding men’s sexual health is that ED is a psychological disorder. While the cause could be neurological, the issue definitely needs to be probed for clarity and subsequent treatment.

3. Low Libido: Libido comes naturally to all genders, given they’re in a suitable space in their head. Sexual pleasure is a recreational activity that does not need to be and ideally is not supposed to be imposed upon anyone. So, not being in the right mind space, like experiencing stress or anxiety, could lead to low libido. There could be very many reasons that need to get checked by an expert.

4. Premature Ejaculation: Generally, one out of three men has been known to complain about premature orgasm. This creates a lot of pressure upon men as they feel they’re somehow incapable of pleasing their women. This further causes a loss of self-confidence, adversely impacting their mental health and even leading to severe problems. Those days are gone when there wasn’t any scientific explanation for biological processes. Society has advanced a great deal to know for sure that there are underlying causes for many of the activities affecting sexual health. All the community collectively needs to do now is talk openly about sexual diseases and discomfort like other diseases. The bubble needs to burst now more than ever when we are experiencing a time when multiple genders exist in society.

Sexual pleasure, like any other need in life, is an individual’s responsibility. But acceptance in relationships plays a significant role in bringing that sort of communication out loud. This helps improve relationships and emotional health and leads to enhanced confidence and perspective in all aspects of life. Again, acceptance is the key in the end.

(Nilay Mehrotra, Founder & CEO of Kindly)

 

 

 

 

 

Dealing with Premature Ejaculation & Causes of Premature Ejaculation (from The Ultimate Guide To Male Enhancement)

Dealing with Premature Ejaculation & Causes of Premature Ejaculation

The following are two chapters taken from the book: The Ultimate Guide To Male Enhancement.

Edited for content

Chapter 12: Dealing with Premature Ejaculation

What is Premature Ejaculation?

The definition of what constitutes premature ejaculation may vary depending on the source, but it’s commonly accepted as a scenario where the length of time for sexual performance on the part of the male is unsatisfactory, by either the man or his partner. That being said, what constitutes premature ejaculation can be arbitrary. There is no set time that if you orgasm before it then you have premature ejaculation.

Consider this – the average time between arousal and ejaculation is typically three minutes for a man. Considering the
average time for a woman to orgasm is typically 13 minutes after arousal it can be seen how many men may think they have premature ejaculation, but really they are simply normal. With this in mind, you can see why foreplay is so important to satisfying a woman.

Phases of Ejaculation

There are two phases of ejaculation.

● The Emission Phase and
● The Ejaculatory Phase

Emission Phase:

Here are the physical processes which occur during the emission phase of ejaculation:

● The vas deferens begins to contract to move sperm from the testes toward the urethra and prostate gland.
● The seminal vesicles secrete fluids into the urethra
● Chemical messages activate the sympathetic nervous system and begin what’s known as the ‘point of no return’
(PONR). Ejaculation is inevitable at this point.

Ejaculatory Phase:

During the ejaculatory phase, the posterior portion of the urethra senses the sperm and secretions and sends a signal
to the spinal cord. This then sends messages to the muscles at the base of your penis. This causes said muscles to contract, which results in ejaculation.

Chapter 13: Causes of Premature Ejaculation

Premature ejaculation can be caused by any number of factors. These can be separated into two categories:

● Physical (which can include chemical side effects) and
● Mental (or psychological) causes.

It’s not uncommon for both some mental component to be present in physical cases of premature ejaculation. Worry
about the experience of premature ejaculation often compounds any physical components.

Physical Premature Ejaculation

The most common form of premature ejaculation is due to physical causes. The most common among these is negative conditioning. This is usually because most men masturbate in a hurried and furtive manner. Doing this repeatedly trains the body into ejaculating quickly, so it shouldn’t be surprising to understand how this can lead to issues.

If added stimuli like porn is used, it can further skew what you can expect from real sexual encounters. This then adds to anxiety, which further increases the possibility of premature ejaculation. The easiest way to correct this is to train in a manner contrary to negative conditioning. This will be discussed in detail further in the section.

Hormonal Issues

If you have low testosterone or abnormal levels of catabolic hormones this can have a drastic effect on your ability to maintain an erection. This can turn into premature ejaculation if you have to strive to get erect. It can be further compounded if your hormone imbalances induce negative emotions like anxiety. Diet and exercise is often recommended as a treatment for issues related to hormone imbalances; however, if do-it-yourself treatments aren’t effective, then a full blood work up is necessary to determine the cause of these imbalances.

Chronic and/or acute stress can lower levels of dopamine in the system. This can create a scenario where you can find it difficult just to get aroused even in the absence of anxiety. Stress management is key to helping treat this issue. The amino acid L-Tyrosine has been shown to be effective at helping to restore natural dopamine levels.

Infections

It’s been shown infections of the prostate and urethra may contribute to premature ejaculation. Infections usually require medical attention and antibiotics for treatment.

Pelvic Floor Issues

Pelvic floor spasms may contribute to premature ejaculation. If these symptoms are minor, rest and targeted stretching of the area should help to alleviate the issue. If the problem is more severe, this might require the services of a physical therapist for relief.

A strain in the pelvic floor may cause pain upon Kegeling and symptoms such as “hard flaccid”. Certain muscles like the ischiocavernosus can become perpetually strained. This leads to a difficult to resolve issue, as these muscles are involved in many different bodily functions. Due to this, it’s not easy to allow them to recover as you would if you immobilized an arm or even a leg. A strain may require targeted massage and heat. Specific yoga poses which specifically target the pelvic floor may help to speed healing as well.

A common cause of pelvic floor issues is due to abusing the Kegel. This includes the Reverse Kegel (contractile) exercise. It’s vital you start Kegeling by using only as much contractile force as is needed during any of the Kegel type movements. A limited number of reps should be performed as well and then slowly increased each session.

Prescription Medications

Some prescription drugs may cause premature ejaculation as one of their side effects. If this is the case, contact your physician or pharmacist to see if there are alternative medications.

Mental Premature Ejaculation

Premature ejaculation may be placed on the spectrum of erectile dysfunction, especially if the case is so severe that penetration becomes difficult or impossible. This is often the case if performance anxiety is involve. A common scenario will involve difficulty in obtaining an erection, with almost immediate ejaculation upon or even before penetration. This stage most commonly precedes impotence.

Anxiety, depression and stress are three of the leading mental causes of premature ejaculation. Sometimes, it’s a matter
of which came first though – the chicken or the egg – the premature ejaculation or the anxiety/depression/stress. It’s
not uncommon for men to suffer from these three common challenges without even realizing. It’s even more common for these challenges to surface, when there’s a concern about premature ejaculation.

The Ultimate Guide to Male Enhancement

Understanding male sexual health: More men now reporting low sex drive, Peyronie’s disease, finds study

Understanding male sexual health: More men now reporting low sex drive, Peyronie’s disease, finds study

Scientists found that earlier, more men were diagnosed with erectile dysfunction and premature ejaculation.

Myupchar July 20, 2020 22:17:59 IST

This article is a repost which originally appeared on Firstpost.

Edited for content

Male infertility is a topic that is rarely discussed. However, doctors have seen an increase in the number of male patients coming to sexual health clinics to seek help in recent years. Doctors have seen that different sexual health problems are being reported by men which were not prevalent before, also indicating more awareness and openness regarding male sexual health.

Different male sexual health problems

A study published in the journal International Journal of Impotence Research on 1 July 2020 stated that there has been a switch in the sexual problems which males complain about now.

The scientists accumulated complete data of 2,013 patients who were continuously evaluated by a sexual medicine expert between the years 2006 to 2019. The scientists found that 824 patients were assessed for erectile dysfunction, 369 patients were diagnosed with curvature of the penis (Peyronie’s disease), 322 patients had premature ejaculation, 204 suffered from low sex drive and the remaining 294 had other sexual dysfunctions.

In this study, the scientists found that earlier, more men were diagnosed with erectile dysfunction and premature ejaculation. However, more recently, men have been diagnosed with low sexual desire and Peyronie’s disease.

With the successful treatment options for erectile dysfunction such as Viagra and Cialis and awareness, men have been reporting more about other sexual dysfunctions as well.

Cap-Score: A test to find out sperm quality

Male infertility is one of the major reasons behind the increasing numbers of in-vitro fertilization (IVF) cases throughout the world. Earlier tests like semen analysis, also called seminogram, were done to find out the quality and ability of sperm to fertilize. However, due to the lack of an appropriate diagnostic test for evaluating the fertilizing ability of men, most of the infertility cases get classified as idiopathic or unexplained.

In a recent research article in the journal Reproductive BioMedicine Online, scientists from various universities in the US used Cap-Score to test the sperm capacitation of males.

Sperm capacitation is a natural process where the spermatozoa (motile male sex cell) changes its shape to be able to penetrate and fertilize the female egg. The Cap-Score is a test which determines the percentage of sperm that undergoes capacitation in a certain amount of time. Usually, 35 percent of sperms of a man with normal fertility would undergo capacitation.

In this study, the scientists took the sperm samples from 292 patients and tested their ability to reproduce with the help of traditional sperm analysis test and Cap-Score. Out of these patients, 128 couples became pregnant after three cycles of Intrauterine Insemination (placing sperm inside a woman’s uterus to facilitate fertilisation).

The scientists found that those with high Cap-Score were able to fertilize more efficiently and resulted in a higher number of pregnancies. The scientists also found that men who constantly questioned their fertility showed impaired or reduced capacitation ability.

Benefits of Cap-Score over traditional sperm analysis

Scientists found that traditional semen analysis is unable to identify impairments in fertilising ability, which typically leads to a diagnosis of idiopathic infertility. The scientists found that unlike the traditional semen analysis, capacitation is a better test which helps in determining whether or not there would be a successful generation of pregnancy.

Both these studies indicate that with better awareness of male sexual health issues, men choosing to report as well as get treatment for these diseases, and with the widespread adoption of better sperm analysis tests like the Cap-Score by the medical community, male sexual dysfunction and infertility can be better addressed globally.

For more information, read our article on Low Sperm Count.

Health articles in Firstpost are written by myUpchar.com, India’s first and biggest resource for verified medical information. At myUpchar, researchers and journalists work with doctors to bring you information on all things health.

To light a fire you need all elements of heat, oxygen and fuel

To light a fire you need all elements of heat, oxygen and fuel

Article courtesy of Anthony_gerio

Edited for content

Many have overcome the PreE by applying some of the techniques advised on various forums. However, there are many cases which say despite putting an effort for a long time, they have not been successful in developing stamina. Often when I look at the posts (the ones which give some information) I see missing links.

To light a fire you need to provide all the necessary elements and without one of them (triangle of heat, O2 and fuel) you cannot generate fire.

The same is for improving ejaculation time. As frustrating as it could be, during the years you have developed your body mechanism in a way that you are not able to prevent ejaculation and thus you have to address all those situations in parallel and if you fail at one, there is a chance that your efforts will not result in satisfactory output. The very main elements that need to be worked on all together are:

– PF elongation and expansion: you need to be able to release and keep your PF released during intercourse. The best way experienced by successful people is to trying RKs (Reverse Kegels) and keeping a very very light RK for as long as a period you can (hours). Now you have find what is a RK, maybe you have been doing it all along during these years. It is worth to mention as much as you progress into your routine, your requirement for RK hold decreases.

– Flexibility and openness of the core: you need to have an open core as they are all connected to your PF and in particular if you are in a dynamic position during sex, any tightness can trigger you PF to react badly and more PF needs space to expand and tight hip is a barrier for it. The core includes all the muscles and ligaments connected to your PF.

– Glutes (Maximus, medium and piriformis)
– hip flexors
– hip abductors
– hip adductors
– hamstring
– lower and upper abs
– Obliques
– lower back (lumbar spine)

– Power and activation of the core: a power core helps you to keep a neutral position and gives you stamina for your the movements in intercourse. Power full abs help to keep the PF down, power full glutes automatically increase the power of the PF and activated Multifidus helps glutes to do their jobs (preventing back PF to lock in) during the sex. Glute max power and activation is a must for PF development.

– Remember that PF is at the centre of your hip and imbalances between hip flexion, hip extension and hip adduction and hip abduction significantly disturb and gets it out of balance. Any weakness in these areas should be addressed by training the muscles responsible for them.

– Memory: you need to remember what you need to do during the sex. Some as soon as the first kiss (I was like this once) loose every thing and their anatomy gets back to the mixed up situation. You need to know:

– keep your PF relaxed and down at all times (keeping a light RK could help initially)
– you need to feel your Transverse abdominal layer within the sex and not letting your abs to be fully deactivated. It is your tool to play with your PF.
– you need to play with glutes as well and keep your back PF expanded.
– you need to remember to breath, not necessary belly breathing which needs a lot of concentration itself (as much as you hear, hey you need to make it your own default) and just breath relatively calm and do not keep your breath.
– you need to keep out all the bad sex memories from the past, it doesn’t matter, you have changed, you have trained and you have overcome the physical aspects which was not your fault. Be in the moment.

I hope this would be of help to some and guide them that in order to see improvement as fast as possible, you do not have the luxury of overlooking any of the above aspects. And remember it may take time to make all the transformations, maybe half a year or more. It is important to be consistent in training and development.

 

Original thread: To light a fire you need all elements of heat, oxygen and fuel