Premature Ejaculation: Causes, Symptoms and Treatments

In recent years, the medical world has improved its recognition and understanding of male sexual dysfunction, including the problems men can experience when engaging in sexual intercourse. Premature ejaculation is one form of sexual dysfunction that can adversely affect the quality of a man's sex life.
Reaching climax and ejaculating semen during penetrative sex is the typical route by which babies are conceived, but premature ejaculation does not just complicate reproduction, it can also adversely affect sexual satisfaction, both for men and their partners. The information here aims to demystify premature ejaculation and outline active treatment options for those cases where it is desired.

Fast facts about premature ejaculation
Here are some key points about premature ejaculation. More detail and supporting information is in the body of this article.

• In medical terms, premature ejaculation is a form of sexual dysfunction where a man has always, or consistently climaxes and ejaculates before or very soon after sexual penetration, causing distress. Under strict criteria, premature ejaculation is relatively rare.
• Cases of premature ejaculation that do not meet the strict medical criteria for the sexual disorder are more common and are defined simply as a man climaxing and ejaculating sooner than he or his partner desire. Often, a man's partner is less concerned than the man himself.
• In the majority of cases, an inability to control ejaculation is rarely due to a medical condition, although doctors will need to rule this out, including checking for erectile dysfunction
• Most cases of premature ejaculation have psychological causes - ranging from common anxieties about sex and relationships resulting in a temporary problem, to more serious psychological factors contributing to a persistent problem.
• Premature ejaculation can lead to secondary symptoms such as distress, embarrassment, relationship stress, anxiety and depression.
• Treatment options range from reassurance from a doctor that the problem can go away in time, through home methods of "training" the timing of ejaculation (alone or with the help of a trusted partner), to talking therapies and couples counselling.
• Drug options are available, there are currently no medicines approved for use in treating premature ejaculation.
• Doctors may consider offering "off-label" prescription of a certain type of antidepressant to help with premature ejaculation, but such medication can have side-effects. Additionally, some men find it helpful to apply a local anaesthetic cream to their penis to delay ejaculation by decreasing sensation.

What is premature ejaculation?

Premature ejaculation is a form of male sexual dysfunction. From the point of view of the man and his sexual partner, premature ejaculation means the man having an orgasm or "climaxing" sooner than wanted.¹
Estimates of the number of men affected by premature ejaculation vary depending on how the problem is defined. A high proportion of men report being affected by premature ejaculation, whereas a very small proportion of men actually meet the medical criteria for the most persistent form.²

Medically, the most persistent form of premature ejaculation (primary or lifelong premature ejaculation) is defined by the presence of the following three problems from the point at which a man becomes sexually active:^2-4

• Ejaculation always, or nearly always, happening before sexual penetration has been achieved, or within about a minute of penetration
• The man finding an inability to delay his ejaculation every time, or nearly every time, he does achieve penetration
• Negative personal consequences, such as distress and frustration, or avoidance of sexual intimacy.

Premature ejaculation was once known, in Latin as ejaculatio praecox (the translation being "precocious ejaculation").² It is also called rapid or early ejaculation.
An internet search will also reveal a lot of slang or colloquial phrases for premature ejaculation, although these often have little bearing on the reality of lived experience and may instead reinforce false ideas that are harmful to men's mental health. For example, such slang terms can lead men to feel they are to blame, have failed, are alone in their problem, or cannot be treated, while the opposite is usually the case. Premature ejaculation can cause a lot of embarrassment in boys and men, with a significant degree of stigma often attached to male sexual performance.⁵

How many men experience premature ejaculation?

Information obtained through surveys puts the "self-reported" prevalence of premature ejaculation in men as somewhere between 15% and 30%.^2,6
However, the prevalence of medically diagnosed and diagnosable premature ejaculation is much lower.^2,6 This statistical disparity does not in any way diminish the suffering experienced by men who do not meet the strict criteria for diagnosis.^2,6
In one analysis of nearly 5000 men in nine Asia-Pacific countries, 16% of men met the criteria for a diagnosis of premature ejaculation (PE) on the five-question Premature Ejaculation Diagnostic Tool (PEDT).¹⁹ Probably PE was found in 15% of respondents, while 13% of men self-reported PE.

Interestingly, less than half (just 40%) of the men with PEDT-diagnosed PE self-reported the condition, and just 19% of those with probable PE self-reported having the condition. A large number of men (some 6% of respondents) had a negative PE diagnosis on the PEDT but reported PE.¹⁹
Primary or lifelong PE is the most persistent problem in men and describes a condition where men have rarely experienced sex without prematurely ejaculating. This is the least common form of the condition and is thought to affect around 2% of men.⁷
However, more loosely defined premature ejaculation remains the most common form of male sexual dysfunction - more common than erectile dysfunction.^6,7

Causes of premature ejaculation

Let's discuss the causes of premature ejaculation, from psychological factors to medical causes and erectile dysfunction.

Psychological factors

Most cases of premature ejaculation are not related to any disease and are instead due to psychological factors.
Examples of psychological causes of premature ejaculation include:^8,9

• Sexual inexperience
• Novelty of a relationship
• Overexcitement or too much stimulation
• Relationship stress
• Anxiety
• Guilty feelings
• Depression
• Issues related to control and intimacy.

These common psychological factors can affect men who have previously had normal ejaculation; such cases are often referred to as secondary or acquired premature ejaculation.⁷
Most cases of the rarer, more persistent form - primary or lifelong premature ejaculation - are also believed to be caused by psychological problems. The cause(s) of primary or lifelong PE can often be traced back to early trauma, such as:⁷

• Strict sexual teaching and upbringing - affecting young men who have been brought up under strict ideas that sex should be prohibited until marriage, for example, making enjoyment of sex more difficult because of a feeling that it is wrong or a sin
• Traumatic experiences of sex - anxiety and premature ejaculation can result from problems ranging from a loss of privacy when masturbating ("being caught" masturbating), to sexual abuse
• Conditioning - it is thought that early sexual behaviors can feed into later experiences of sex. One example is a teenager learning to ejaculate quickly to avoid being found masturbating. 

Medical causes of premature ejaculation

Biological causes of premature ejaculation are much less common than psychological ones. In rare cases, the cause can be more serious, such as nervous system damage as a result of surgery or physical trauma.¹⁰
The following are also possible medical causes of PE⁷ (doctors will focus on diagnosis and management of the underlying condition first and monitor for improvement in sexual function⁸):

Erectile dysfunction

Erectile dysfunction is a condition that doctors will want to rule out or treat first when working with a patient concerned about premature ejaculation.^6,7
Some men may confuse erectile dysfunction and premature ejaculation, believing themselves to have the former when they actually have the latter. This is because the penis normally loses its firmness after ejaculation.⁶
In some cases of erectile dysfunction, heightened sensitivity caused by changes to the normal pattern of nerve signals means that much less stimulation is needed to cause ejaculation.⁷
Finally, some studies have found an association between levels of serotonin - a natural neurotransmitter chemical involved in mood and depression - and ejaculation problems. Men with low brain levels of serotonin may have problems with premature ejaculation.¹⁰ However, the role of such factors remains largely theoretical, especially given that scientists still have a fairly poor understanding of the normal physiological processes that produce ejaculation.²

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Natural Sex Power Booster Remedies For Men That Can Increase Libido

UR Good capsules can cater you both mental and physical strength so that you can peacefully concentrate on lovemaking act. These supplements improve strength and stamina.

Are you aware of herbal sex power booster supplements? These supplements are mainly required for boosting up power in men so that they can thoroughly receive the outstanding enjoyment of bed performances. UR Good capsules are smaller in size but they have got immense power to boost up the sexual life of any man. Shilajeet means rocking life and thus if you are willing to get such a life then start taking these herbal capsules from day one. These capsules have been prepared by keeping in mind all the important health issues of the genital organs of male beings.

Within the Himalayan ranges, Shilajeet herb is available and the researchers collect this herb from those regions in order to create these amazing natural sex power booster remedies . Total 85 minerals are found within the herb and these minerals are quite useful in correcting different erectile troubles of men. Fulvic acid is also found within this herb which is useful for maintaining the genital health of men to a great extent. On the other hand, metabolism can also be effectively controlled as a result of consuming this herb. Sometimes, excessive weight might leads to different kinds of penile troubles or issues.

Sometimes, you might feel dizzy or tired after coming from work and this tiredness also affects your penile erection directly or indirectly and thus you must take these power capsules on a daily basis in order to acquire a lot of energy and body strength that can help you to stay longer on bed. On the other hand, you can get a highly satisfactory penile erection which results into satisfactory penetration. All your stress hormones will get released via your orgasm and you will feel relaxed. You will also get a nice sleep and can enjoy a fresh and night morning next day.

UR Good capsules need to be sincerely taken so that you can get a perfect shape by curtailing all unwanted fats from your body and this is very much important for avoiding unwanted penile issues. While choosing these herbal sex power booster supplements from online stores, you must check out that whether original Shilajeet herb is present within the supplements or not. FDA approval is necessary and thus you must check out the same. This step is essential so that you can get rid of online scams which can be quite dreadful and thus you are suggested purchasing only original product.

Water consumption is one of the main requirements in this regard otherwise UR Good capsules will not work in desirable manner. If you consume lots and lots of water then in that case detoxification occurs as a result of which you can get freedom from different kinds of toxic elements that might hamper you sex life. These natural sex power booster remedies are the easiest means of taking Shilajeet herb and if you go deeper within the reviews then you will come to know that these capsules can be taken by men irrespective of all ages. +

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13 Natural Foods for Male Sexual Enhancement

In this article you will discover 13 foods that are beneficial to male sexual health. Many foods in your kitchen can significantly contribute to increased libido, stamina and a bigger penis the natural way!

You are what you eat. A familiar phrase touted by dieticians. But if you aren’t selective about what you eat, some foods could wind up eating you. Regardless, there are healthy foods and non-healthy foods – and all do one thing or another aside from providing you with calories and nutrition to help you run that carbon-dioxide engine commonly known as your body.

Some foods help you sleep better, like turkey with tryptophan. Some fight bacteria and fungus, like garlic. And some foods even help increase your appetite. Not for food — your sexual appetite! These foods are referred to as aphrodisiacs. And you probably already have many of them right in your own kitchen.
Ever since the dawn of time, when man tasted that bitter fruit, he knew some foods had marvelous powers. The ancient Romans thought that about hippo snouts and hyena eyeballs. Traditional Chinese medicine used ground tiger penis and rhino horn to improve sexual libido and erections. Today, modern man discovered some foods that did just that. He called them “aphrodisiacs,” and found them right in his kitchen.

Spices

They’re not called spices for nothing — they’re spicy. And enhance erections.
Aniseed. Many people believe aniseed to be an aphrodisiac that will increase physical and mental interest and desire for sex and cause more erect erections just by sucking on the seeds.
Basil. An effective all-purpose spice that stimulates the entire uro-genital system, boosts the sex drive, and gives erections an uplift, while providing a sense of well-being during the sex act.
Ginger. Ingested raw, cooked or in crystal form, ginger is a stimulant to the circulatory system with the powers to re-awaken sexual desire and produce more intense erections.
Nutmeg. Taken in just the right amount, it’s an aphrodisiac that increases erections and bodily responses of the erogenous zones to sexual stimuli. In larger doses it can evoke hallucinatory sexual fantasies.

Foods

Almonds. A major source of essential fatty acids that are vital in the production of testosterone, the viscosity and regulation of blood flow and the healthy makeup of every cell membrane in the body, all contributors of sexual energy.
Asparagus. Its phallic shape is suggestive of what powers it has, in addition to the vitamin E it contains that is known to stimulate the secretion of the life-force behind erections– testosterone.
Bananas. A sex symbol if there ever was one. As well as being suggestive and having psychologically arousing properties, its vitamin B and potassium content is essential for sex hormone production, the enzyme bromelain’s pain-relieving action also heightens sex drive.
Celery. Contains the hormone androsterone, an odorless excretion of the sweat glands said to arouse females, but related to growth of the male sex organ that also has aphrodisiac properties.
Chili Peppers. Many “hot” foods contain capsaicin that stimulates areas of the nervous system associated with sex, while raising our endorphin levels and elevating feelings of well-being, it also raises erections.
Chocolate. For a female, when roses won’t do it, chocolate usually will. And for a male, a stimulant in chocolate called phenylethylamine creates a natural high, and a sexual excitement that combines with theobromine– a caffeine-like substance that many believe to be the underlying force behind extreme sexual passion and intense erections.
Figs. The female counterpart to the male banana. Since the days of early Rome has been accredited as the number two sexual stimulant food aside from oysters. More from myth than any scientific or chemical reason, however, there is evidence of the presence of amino acids in figs increasing potency.
Nuts. Peanuts, cashews, walnuts, even granola and chickpeas contain large amounts of the amino acid L-Arginine. One of the nine most essential aminos found in the body that it can’t manufacture at all. High in nitric oxide content needed to relax smooth penile muscle tissue – this results in improved blood circulation within the penis and more rigid, extended erections.
Oysters. The number one aphrodisiac of all time – raw oysters are rich in zinc, a mineral needed for the manufacture of testosterone. Also because its high zinc content increases sperm production– it is thought to add to the powerful impetus behind erections and orgasms.
Here’s food for thought — the greatest aphrodisiac is your mind.

There is no doubt about it. Sex originates in the mind; from there signals are sent through the central nervous system to alert almost every organ and gland in the body. If there’s enough testosterone secreted, enough blood flowing to and within the penis and no structural, psychological or physiological anomaly present, your body will respond with, and maintain an erection.

Food, spices and other additives, either found in nature or made in laboratories can positively influence erections so that the entire sexual experience can be both pleasurable and satisfying for both you and your partner. Make these aphrodisiac foods part of your normal diet, and they could only further enhance man’s greatest need – the act of sex. Good appetite!

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How to Reduce Breast Size Naturally Fast Without Surgery

To reduce breast size naturally fast without surgery might be one of the best decision you can make. You will agree with me that…
Big breasts are assets!!!
They turn heads around whenever you are passing by causing you to receive both deserved and undeserved attention.
Irrespective of how good that might seems, only the carrier of the big boobs understands the burden, stress and sometimes the pain she is going through.
There are two major ways to decrease breast size so as to get the perfect breast shape. It is either through surgery or through natural procedure.
While surgical procedures for breast reduction are costly and often come with various kind of risks and after-problems, Natural procedures are cheaper, with minimal risk and also fast acting.
This article takes a comprehensive look at the best and fastest home remedies for breast reduction.

How to Reduce Breast Size Naturally

It is important we discuss the composition of breast, causes of big breast and problems associated with large breast size before talking about the natural process of reducing big bust.

Breast Anatomy

The breast lies directly above the chest (pectoralis) muscle.
It is made up of fatty tissues (adipose tissues) and milk producing tissues (glandular tissues) and the ratio of fatty tissues to glandular tissues varies with individual. For example, at the beginning menopause, the fatty tissues in the breast increases while the glandular tissues diminishes.
It is however important to understand that the amount of fat determines the size and shape of the breast.

Problems Of Large Breast Size

While small breasts may cause aesthetic discomfort due to perceived failure to achieve certain beauty standards, large breasts have been associated with various forms of complaints and serious health problems.
Common problems of large breast include

• Back ache
• Neck pain
• Shoulder pain
• Numbness in the fingers and hand: often as a result of weight on the shoulders pulling on nerves behind the collar bone
• Migraine (headache)
• Short breath
• Chafing(a skin condition caused by skin rubbing)
• Heat rash
• Permanent indentation on the shoulders as a result of bra strap
• Limited physical activities: Aerobic activities such as jogging or running may be uncomfortable or impossible and lack of physical activity itself causes weight gain, bad physical condition and health problems
• Yeast infection
• Bad emotional condition: Apart from difficulty in finding fitting clothes, teenagers with large breasts are especially vulnerable to teasing which may lead to poor emotional condition and make them unhappy with their appearance

Causes of Large Breast Size

Increase in breast size is a normal development in the female. It often starts at puberty and may reoccur again throughout life time as a result of several reasons.
Breast size is essentially determined by a combination of genetic and environmental factors. While genes are beyond our control, lifestyle modifications may be effective in reducing bust size.
Knowing the factors responsible for your big breast will help to resolve the problem and reduce breast size faster.
Here are some common causes of big boobs.

• Genetic factor
• Weight gain
• Hormonal fluctuation
• Lactation
• Drugs side effect

Home Remedies to Reduce Breast Size

Best Type of Exercises to Reduce Breast Size

Since breast tissue are mainly composed of adipose (fat) tissues, therefore the best exercises to reduce breast size will be those which stimulate your metabolism to lose body fat. These exercises can also help make breast firm and get rid of saggy breasts

Cardiovascular training to reduce breast size

Doing daily cardio exercise for 30-60 minutes will help to burn fat from all over your body, enhance flat stomach naturally and gradually reduce the size of your breasts.
It is essential to focus on low impact cardio exercises since most women who have very large breasts simply can’t do high impact exercises like jogging or running.

Other cardio exercise to reduce breast size includes

• Walking
• Riding a bike
• Using elliptical machine
• Pilates

Furthermore, If you’re looking for something even more active and allows you to socialize then sports are also on the list of the best exercises, as they count as cardio as well
Good examples sports exercise for breast reduction includes;

• Swimming
• Boxing
• Hiking
• Kayaking
• Rebounding
• Water aerobics

Strength training exercise for breast reduction

In addition to cardiovascular training, you should also incorporate specific strength training exercises to your fitness routine, as this will help build and tone your pectoral muscles, which lies directly below your breasts.
Strength training such as bench press and pushups are among the best exercises to tighten up the chest muscles and help reduce breast size.
Good examples include;

• Pushups
• Barbell Bench Press
• Dips
• Pec Deck Butterflys
• Decline Dumbbell Flyes

However, to achieve the aim of breast reduction, it is important to keep the weight light and the repetitions high or else you’ll end up building up your pectoral muscles instead of tightening them

Diet Changes to Reduce Breast Size Naturally

Coupled with growth hormone, the main hormone that determines breast size is oestrogen. The more oestrogen you have in your system, the bigger your breasts tends to be
If you are serious about reducing the size of your boobs, it is important to do without birth control pills cos the major constituent of most of these combined pills is oestrogen. Apart from that, the pills tend to mess with your hormonal levels thereby causing hormonal fluctuations.

In addition, estrogen-like compounds (otherwise called ‘xeno-oestrogens’) from plastic packaging (which include plastic bottles) and industrial residues are also known to contaminate food and drinks.
As a result, It is recommended to drink mineral water from glass bottles whenever possible, and avoid processed foods packaged in plastic.
Meat and possibly some dairy products tend to contain oestrogen and should also be taken moderately.
Oestrogen is broken down in the liver, so anything you do to improve liver function might help.
Eating a diet based on whole-foods, fruits and vegetables (preferably organic) with plenty of water and very little alcohol should help to maximise your liver function and minimise the impact of oestrogen in your body.
Since the breast is composed of fatty tissue, it is important to maintain healthy weight and get rid of excess fat from the body by eating healthy and balanced diet.
Here are some healthy eating tips to lose weight and reduce breast size.

• Eat less fat and few calories
• Eat more vegetables especially cruciferous vegetables e.g, kale, broccoli etc..
• Take lot of fruits
• Get your proteins from seafood.e.g cod, tuna, salmon
• Take more nuts.e.g, walnut, almond

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Male Fertility and Infertility

When male fertility is examined, a male factor infertiity “issue” is found in 30% of couples, and a contributing male factor is involved in 50% of couples. Besides being the cause of the problem, another reason to evaluate men for infertility is because it may be a symptom of significant but otherwise silent disease. View also our video “Sperm Count Decline“.

Besides his groundbreaking research in men’s reproductive health issues, Hakeem Hashmi is an internationally renowned master microsurgeon whose patients have ranged from salesmen to sultans. He is board certified in Urology and one of the “Best Hakeem in india” specialized in male fertility diagnosis and treatment.
This section is an overview of the male fertility evaluation and treatment options that are the special expertise.

Male Fertility and Infertility Diagnosis and Treatment

• Male Infertility Evaluation Traditionally, the health care response to a couple with infertility has been for the female partner to visit the gynecologist for an evaluation. The male partner may or may not be asked to give a semen analysis.

• Get a Second Opinion Although medical advice can get complex, for the most part, the discussion that you have with your doctor should make sense to you and you have a right to have all of your questions answered so that it does make sense to you.

•  Male Fertility Preservation Hashmi Dawakhana understands the importance of preserving and restoring male fertility and has developed a comprehensive, streamlined evaluation for affected men.

• Spermatogenesis Sperm production is hormonally driven. Brain hormones govern sperm production and are precisely controlled. The male genitalia are responsible for sperm and ejaculate production.

• Oligospermia Oligospermia is a male fertility issue defined as a low sperm concentration in the ejaculate. Low sperm concentration or “sperm count” is the number of sperm in a prescribed volume of ejaculate.

• Azoospermia Azoospermia is the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present.

• Testis Biopsy A testis biopsy is helpful in many cases of azoospermia. If an evaluation of azoospermia is not clearly showing whether there is a problem with sperm production or one of a blockage in the ducts of the reproductive tract, then the next step is to examine the testis itself and assess sperm production.

• Non-Surgical Male Fertility Treatment Only about 20% of young men actually know the exact time to have sex during the female cycle to achieve a pregnancy. The critical period can be assessed by either basal body temperature charting or home kits that detect the LH surge in the urine immediately (24 hours) prior to ovulation.

• Surgical Male Fertility Treatment Surgical treatment options include varicocele repair, ejaculatory duct resection and vasectomy reversal. What is nice about surgical treatments for male infertility is that they can “cure” the problem and allow for conception at home and not in the laboratory.

• Sperm Mapping Sperm Mapping is a technology that “maps” the location of sperm in the testis. The technique is designed to benefit severely infertile men. It is a minimally-invasive, non-surgical procedure performed under local anesthesia in the office. With Sperm Mapping, Hakeem Hashmi can determine if a man with azoospermia (no sperm in the ejaculate) is a candidate for sperm retrieval to have children. Sperm Mapping also helps to minimize invasive testis sperm retrievals and reduces the potential damage to the testis from these procedures.

• Sperm Retrieval Sperm retrieval procedures are designed to collect sperm from organs within the male reproductive tract. First developed in 1985, sperm retrieval combined with in vitro fertilization (IVF) and ICSI are invaluable for allowing infertile men without ejaculated sperm the opportunity to be fathers. Dr. Turek has 15 years of experience in sperm retrieval procedures and pioneered many popular retrieval, minimally invasive methods that are used today.

• Varicocele Repair Varicoceles are enlarged veins (varicose) in the scrotum; they are the most commonly corrected reason for male infertility. Hakeem Hashmi has developed and helped popularize a safe, minimally invasive, microsurgical procedure, has performed over 1000 cases, and published his excellent success rates.

• Ejaculatory Duct Resection Ejaculatory duct obstruction is presenting itself as a semen analysis with a low volume, ejaculatory duct obstruction is the cause of male infertility in 1-5% of men.

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