Premature ejaculation is a sexual dysfunction that often occurs in men, especially young, inexperienced sexually. The article provides information that the following features of this disorder should be used when defining premature ejaculation:
- Inability to control ejaculation or to delay ejaculation
- the resulting stress and fear of sexual intercourse.
We distinguish between premature primary ejaculation (lifelong), premature secondary ejaculation (acquired) and periodic ejaculation and ejaculation disorders similar to the problem of premature ejaculation.
Causes of Premature ejaculation
The causes of premature ejaculation are not fully understood. The most common factors causing premature ejaculation are:
- Neurobiological causes – related to the activity of central nervous system neurotransmitters, mainly with serotonin,
- Psychogenic factors – stress, anxiety, mood disorders, partner relations disorders, neurotic disorders, longer interruption in intercourse,
- Somatic factors – inflammation or enlargement of the prostate, erectile dysfunction, diabetes, stroke.
It has also been shown that premature ejaculation may be associated with hyperthyroidism. Neurobiological disorders play a major role in the underlying cause of primary premature ejaculation disorder, while in secondary premature ejaculation, attention is paid to psychogenic causes.
Premature ejaculation – treatment
How To Treat Premature Ejaculation? Choosing a treatment method and undertaking any intervention should be preceded by an appropriate interview and conversation with a sexologist or urologist.
Thanks to modern medicine, market offers various very effective drugs to treat premature ejaculation. Most of them are based on active compound Dapoxetine. Officially approved medicine for premature ejaculation, Dapoxetine can postpone ejaculation and make sexual intercourse long-lasting. Dapoxetine inhibits the serotonin transporter and increases serotonin’s action at the postsynaptic cleft, resulting in ejaculatory delay. Super Kamagra is a unique drug developed to treat both most severe man sexual problems (premature ejaculation and erectile dysfunction) at the same time.
Premature ejaculation – oral drug therapy
Selective serotonin reuptake inhibitors (SSRIs) are used to treat premature ejaculation. These are antidepressants and are also used in sexology. The literature provides information on studies on the effects of drugs from this group on delaying ejaculation. The drugs from this group used in the treatment of premature ejaculation include: paroxetine, sertraline, fluoxetine.
When erectile dysfunction is the cause of premature ejaculation, or when these disorders occur concurrently with premature ejaculation, phosphodiesterase 5 inhibitors (Sildenafil Citrate) work best.
A good example is Super Kamagra, a specially designed sexual enhancer for men. Super Kamagra contains Dapoxetine (to delay ejaculation) and Sildenafil Citrate (for solid erection).
Super Kamagra is produced by Indian pharmaceutical company Ajanta pharmacy and is available online. However, always buy Kamagra only from reputable online pharmacy with plenty users comments. The price of Super Kamagra starts from 20 Eur for one pack.
In case of problems with premature ejaculation, you can also try to apply techniques that delay ejaculation – the so-called start-stop method, thanks to which you can learn to control ejaculation.
Dapoxetine shouldn’t be used in patient with moderate to severe hepatic impairment and it also cannot be used in patients with heart failure, permanent pacemaker, or other significant ischemic heart disease.
Premature ejaculation and psychotherapy prevention
In the treatment of premature ejaculation, it is worth paying attention to the influence of many different factors on the duration of intercourse. Psychotherapy is one of the methods of treating premature ejaculation, this method of therapy is especially recommended for people whose problem is caused by psychogenic factors, e.g. anxiety disorders. In addition to individual psychotherapy, there is also psychotherapy for couples. It is aimed at people who suffer from partner relationship disorders, which may be the source of problems related to premature ejaculation. Psychotherapeutic treatment may also be needed to possibly reduce the dose of medications taken and improve the effectiveness of the treatment.
Premature Ejaculation – Effects
The effects of premature ejaculation are:
- lack of satisfaction with intercourse,
- lowered self-esteem,
- low libido,
- secondary erectile dysfunction,
- relationship problems (avoiding intercourse),
- feeling out of control over ejaculation.
Research shows that the more severe for partners is not the problem of premature ejaculation and disappointment in intercourse, but the lack of emotional closeness after the onset of premature ejaculation in a man. Men struggling with this problem experience nervousness and haste during intercourse, while after ejaculating, they avoid intimacy in order to hide their shame. This translates into the fact that partners may feel rejected.