1. Emission:- when sperms moves from the testicles to the prostate and mixes with seminal fluid to make semen .
2. Expulsion :- occur when muscles at the base of the penis contract ,this forces semen out of the penis.
Premature ejaculation and erectile dysfunction
- Serotonin:- serotonin is a natural substance in our body made by nerves. High amount of serotonin in the brain increase the time to ejaculation low amount can shorter the time to ejaculation.
- Psychological causes:- There are some other causes such as -:
- Lack of confidence.
- Relationship problem
- Unrealistic expectation about sexual performance.
Ageing cause changes in erection. For older men. erection may not be as firm or as large erection may not last as long before ejaculation occurs . The feeling that ejaculation is about to happen may be shorter . these changes can lead to an older man ejaculation earlier.
It a man does not feel that he has control of when ejaculation occur and if there is worry by the man, PE may be present . talk to your health care provider . he may ask you
“how often PE happen?
“ How long have you had this problem?”
“does this happen with just one partner or all partner?”
“does PE happen with each attempt at sex?”
“how are your personal relationship?”
“is there anything that make PE worse or better (i.e drugs, alcohol etc)
Treatment:-psychological therapy , behavioral therapy and drug are the main treatment for PE.
Psychological therapy :- counselling of the patient as well as both the partners is done in this therapy . purpose is to work through felling and emotion which helps in greater sexual confidence and understanding to help your partners satisfaction. Psychological therapy is done along with behavioral and drug treatment .
Behavioral therapy :-
it the exercise to help build tolerance to delay ejaculation .
the sneeze method :-
in this you or your partner stimulates your penis until you are close to ejaculation . then formly squeeze your penis so that erection partialy goes away . the squeeze method may help you better control and delay climax.
The stop –start method :-in this method penis in stimulated until just before ejaculation . then stops until the urge to climax lets up. As you regain control again repeat it this is repeated 3 times than you ejaculation . this method will help to have control on your own self.
Medical therapy :-
doctor noticed that men and women or antidepression have delayed orgams .drug such as fluoxetine, paroxetine, sertraline , clomipramine and tramadol affect serotonin levels.
According to Ayurveda “ shukra stamban “ drugs are advised such as akarkara kaunchbeej , swetmushli , vang bhasma , chandraprabhavati etc are given or treatment from yogis ayurveda .
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