Premature Ejaculation: Ayurveda Solution
Premature ejaculation is the most common of ejaculatory disorders; approximately 20% to 30% of men will have premature ejaculation. Ejaculation problems involve the improper discharge of sperm, prostatic, and seminal vesicle fluid through the urethra.
There are three different types of premature ejaculation:
- Premature ejaculation is ejaculation after minimal or no physical stimulation.
- Retarded ejaculation is ejaculation after a long delay of physical stimulation.
- Retrograde ejaculation is orgasm without ejaculation, also called "dry" ejaculation.
What are the symptoms of premature ejaculation?
Classically, premature ejaculation includes:
- Brief ejaculatory latency
- Loss of control
- Psychological distress in the patient and/or partner
Generally, premature ejaculators will only have about a minute or less of intravaginal time before they ejaculate.
Retarded ejaculation will present as a long delay of intravaginal time to the point where the patient will not be satisfied with the sexual relation.
Anejaculation or retrograde ejaculation is the experience of a dry orgasm. The semen doesn't go out of the urethra. It can either flow to the bladder instead or not be produced at all. Following the sexual act in the latter case, patients will notice the presence of semen in their first urine.
What causes premature ejaculation?
There are many potential causes of premature ejaculation. These include neurological causes that affect the following areas:
- Central control of ejaculation
- Innervations to the seminal tract
- Sensory innervation to the genitalia/prostate
Premature ejaculation may be caused by negative conditioning and penile hypersensitivity. Retarded ejaculation may be an early sign of diabetes or may develop following surgery for benign prostatic hyperplasia (BPH). Anejaculation (retrograde ejaculation) may be caused by radical prostatectomy, cystoprostatectomy (removal of the bladder and the rectum), or the use of certain medications such as alpha-blockers (tamsulosin) and antidepressants (SSRIs).
What is the treatment for premature ejaculation?
The treatment will vary according to the cause of premature ejaculation. Couples sexual therapy or psychological therapy can be useful when psychological causes are involved. Other nonpharmacological therapies include actively trying to "hold it in." Drug therapy has also proven to be successful. The medications used to treat premature ejaculation are selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs).
What is disordered orgasm?
Disordered orgasm is the inability to reach an orgasm after adequate stimulation. Orgasm is still a phenomenon that is poorly understood.
What is the treatment for disordered orgasm?
Anorgasmia will be treated with psychiatric help or by treating the underlying cause.
What are other kinds of sexual dysfunction in men?
Another category of the sexual problem is sexual pain. A penile lesion, injury, or skin disease can be the cause among others. Men's sexual pain occurs less frequently than women's.
At what age do men experience sexual dysfunction?
There are normal changes in sexual function in the elderly. Older men can have the following symptoms of sexual dysfunction:
- The longer delay between stimulation and erection
- Erection is less turgid
- Ejaculation is less strong
- Ejaculatory volume is smaller
- The time between erections is longer
- Less sensitivity to tactile stimuli
- Lower testosterone
- Orgasm is attained more slowly
These phenomena can be experienced as patients grow old. Nevertheless, it can be addressed so that those affected can still have a very satisfactory sexual life.
Can sexual problems in men be prevented?
Lifestyle changes can be useful to help treat or improve sexual dysfunction, but more importantly, they can have an impact before the development of the disease itself. You can prevent the incidence of sexual troubles by having a healthy lifestyle; exercise regularly, eats well, limit alcohol consumption, and quit smoking, if you are a smoker. Lifestyle changes take time and effort, but the results are worthwhile.
What is the prognosis for sexual problems in men? Can they be cured?
Prognosis varies according to the method of treatment and the underlying disease. Nowadays, many innovations have changed the face of male sexual dysfunction giving men multiple options regarding treatment. Not only do men have choices but the developing technologies and medications have also given men a voice to share their experience.
It's very important that you speak to your doctor about any concern regarding your sexual function or that of your partner.
Which types of doctors or specialists treat sexual problems in men?
Psychiatrists, psychologists, and sexologists can be involved in the management of sexual dysfunction. Psychiatrists or psychologists can especially help when the cause of the dysfunction is psychogenic. Therapies targeting cognition and behavior usually have good success rates. Sexologists can also contribute to these therapies.
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