The issue of premature ejaculation (PE) is one which is often confused with erectile dysfunction (ED). These are two separate issues in Men’s Health.
Erectile Dysfunction is defined as the inability to achieve or sustain an erection for satisfactory sexual activity.
ED can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. The cause of ED basically comes down to blood flow into the penis. This blood flow can be restricted by physical causes such as diabetes or by psychological causes such as stress or anxiety.
Premature Ejaculation is not a blood flow issue but rather an issue with ejaculatory control. There is a lack of a universally agreed definition of what exactly premature ejaculation is, a factor which has hampered its treatment.
Definitions of premature ejaculation have ranged from "coming within six thrusts" to "coming within two minutes" and even "coming before your partner". A simpler definition is that if you come before you want to and you feel you're not able to control it, then you're suffering from premature ejaculation.
Most men will come sooner than they'd like on some occasions, particularly if under stress or in situations of very high excitement. However, if you are unable to control when you come more than 50 per cent of the time, then it becomes a problem.
PE can be caused by medical and medicational problems but generally it is down to a man not knowing when the signals come through that he's going to climax.
The standard sexual therapy technique for curing premature ejaculation is called sensate focus or ‘the stop start technique’, where you are training him first by helping himself, then by introducing a partner, to recognise those signals and to be relaxed enough to notice them.
It involves the practice of stimulating yourself to the point just before ejaculation, then stop and start again when the sensations have subsided. It's a straightforward not all that long procedure but it has to be introduced and monitored by a therapist.
By the way, a direct and gentle stimulation of male organ almost always causes erection. This is borne out of a relax action and may occur in sleep. Erection may be caused without any rubbing just by erotic thoughts even. In the early morning it may be aroused because of the urge to urinate. Most such erections terminate without any discharge.
Ejaculation is the culmination of sexual stimulation in man. Having entered the vagina, the most sensitive nerve endings of which the penis is made up, become tense and excited on account of the friction against the walls of vagina, it may experience further fanned by the secretion of fluids in the vagina.
To and fro movements add on the arousal. The tension gets higher and higher till it reaches the climax to explode and get released. This process of the climax and the release of the seminal fluids is known as ejaculation.
At the time of climatic height and orgasm the seminal discharge takes place. Just as the first menses indicates the onset of puberty in a girl, in a boy the first ejaculation marks the entrance into adolescence.
Suffering From Weak Erection?
There are many reasons for weak erection. One may be venus leakage, a physiological condition in which there is leakage of blood flow (which creates an erection) out of the penis resulting in a wilting erection.
Other reasons include tiredness and fatigue which cause focus problems during sex. Excessive drinking and even overeating have also been linked with a man's inability to maintain an erection. Anxieties, whether related to business or money can rob a man of his good sexual feelings and keep him distracted.
we can divide it to become 2 main causes, such as:
PHYSICAL CAUSES
Erection problems can occur because of disorders in the nervous system sending impulses to the genital area, problems with the blood supply to the penis and anatomical problems in the penis or genital area. Specific causes can be:
- Accidents, stroke, surgery or tumours hurting brain areas or areas in the spinal cord responsible for erection impulses.
- Multiple sclerosis, a disease hurting the isolating sheets around the neural fibres in the brain and spinal cord, can give erection problems.
- Accidents or diseases hurting nerves from the spinal cord to the genital region.
- Atherosclerosis caused by age or an unhealthy lifestyle, giving narrowing and hardening of blood vessels to the genital region.
- Injury to the erectile bodies caused by inflammation, accidents or diseases.
- Congenital malformations in the penis or genital region, for example hypospadias and epispadias.
- Peyronie's disease, a common inflammatory disease causing abnormal bending or twisting of the penis, and sometimes also hinder the filling of blood into the erectile bodies, sometimes gives problems for the erections.
- Circumcision causing the penile skin to be too tight, or causing extensive inelastic scars.
- Side effects of medicines, such as medications taken for high blood pressure or depression.
- Zinc deficiency.
- Heart disease.
- Diabetes causing injury to the nerves and blood vessels to the penis.
- High blood pressure (hypertension).
- Liver or kidney disease.
- Alcohol or drug abuse impairing psychological and neural functions.
and
PSYCHOLOGICAL CAUSES
Psychological causes can interfere with the erection process by distracting a man from stimuli that normally would give him sexual arousal. Psychological issues account for about 40% of erection problems. Erection problems in men under age 50 are most likely to be caused by psychological factors. Psychological causes of erection problems include:
- Anxiety for not being able to perform sexually as well as the partner demands.
- Prolonged emotional upset, such as worrying, anxiety or anger due to a man's economical, professional or social situation.
- Relationship problems, for example when the woman has different preferences of sexual practice than the man.
- A man who looses sexual desire for his partner may develop erection problems.
- Recently widowed men can get erection problems.
- Some men have difficulty having sexual intercourse with their partner after she has given birth because he does not like the changes that the birth process has caused to the woman's body.
Low self esteem can affect sexual performance, as can relationship problems between couples. If two partners don’t discuss things or talk about their sex life without an argument erupting, then of course sexual performance will be dampened. For a successful love making, an emotional connection must first be established and maintained.
Occasional erection loss is nothing to be worried about. No man has a lifetime of perfect erections, and if he is enduring a particularly stressful week, then his penis might be just as tired and fatigued as he is.
During these times it is important for him not take the episode too seriously; knowing that even when he lacks an erection, he can still bring pleasure to his partner. Communication is vital here, so that both partners can understand what is happening and work together as a supportive team to restore good health and an active sex life.
Many men suffer from weak or soft erection. This affects their sex life in several ways. There are some powerful herbal male enhancement pills that not only boost male performance but also improve overall sexual health. As they are made of potent herbs, vitamins and other nutrients, they do not require any prescription.
There are many herbs for men that help in increasing libido like Yohimbe, Horny Goat Weed, Tongkat Ali and Tribulus Terrestris. There are some other herbs including Muira Puama, Mucuna Pruriens, Maca, and a few others that are less effective.
However, if you notice that erection-loss is becoming a consistent problem then professional assistance may be required. Sexual therapy can help in these matters.
How are they treated?
There are numerous number of treatments for erection problems. Doctors typically start with lifestyle changes and medicines. They infact don't advise surgery or other treatments unless those first steps don't help.
Treatment can include:
Making lifestyle changes those such as avoiding tobacco, drugs, and alcohol. And the most important thing is do some physical activities such as sport regulary.
It may further also help to talk about the issue with your partner then do sensual exercises although and get counseling.
Taking medically prescription medicine (if you do not prefer the natural herb) that can help you get erections. These treatment include pills such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).
Check with your doctor to see if it is totaly safe for you to take one of these medicines with your other medicines. These can be even dangerous if you have heart disease that further requires you to take nitroglycerin or other medicines that contain nitrates.
So, there are some alternatives for you as below:
* Taking medicines and getting counseling for treatment depression or anxiety.
* Using vacuum devices or getting shots of medicine right into the penis.
* Having surgery to place an implant in the penis.
So, please choose which treatment that will give you the best result...!.
(Iman - FromThe Best Solution Provider).
