Elimination of premature ejaculation. How to cure premature ejaculation using folk remedies

Why does a man cum quickly? This issue is discussed not only by women on forums, but also by doctors in their offices, carefully studying patient charts. Such a concept as premature ejaculation means the onset of impotence and can be a sign of severe pathology of both a mental and physical nature.

Normal time of intercourse

“I’m finishing quickly, what should I do?” - this question can be addressed to 3 specialists at once. But before you consult a doctor, you should understand what can be considered normal and what is pathology? And also who falls under the notorious concept of “rapid fire”?

Sex can last from a few seconds to several hours. It all depends on the characteristics of the body and mental state men.

The average duration of sexual intercourse should not be less than 6 minutes. But the following factors can affect the indicators:

  1. Long-term absence of sexual intercourse (abstinence, if it is long-term, will not bring benefit, but will only harm the man).
  2. Overexcitement (waiting for intimacy with a woman, you can simply “burn out”).
  3. Drinking alcohol (alcohol dilates blood vessels and can cause orgasm to occur extremely quickly).
  4. Age (the older the man, the less chance he has of giving his partner a “marathon”).

Excessive sensitivity of the genital organ may be due to for various reasons. Often it's a matter of anatomy. Thus, a narrow frenulum often leads to premature ejaculation.

The first signs of an anomaly:

  • the time of intercourse is gradually reduced;
  • having problems conceiving;
  • sexual intercourse with a condom lasts much longer than without it;
  • the use of medications does not bring the desired result.

Potency may be normal, a man may not have any abnormalities or problems, but ejaculation occurs quickly. Seeing a doctor will help correct the situation.

  1. neurologist;
  2. psychologist;
  3. urologist;
  4. sex therapist.

The first step is to contact a urologist. This doctor will prescribe a series diagnostic procedures(examinations and tests) and will help find the cause of problems with ejaculation.


Causes of the problem

The causes of premature ejaculation are varied:

  • diseases of the spine (osteochondrosis);
  • traumatic injuries of the spinal column;
  • neuroses or other diseases of a similar nature;
  • systematic overwork;
  • diseases of the pelvic organs;
  • infectious or inflammatory processes, occurring in the body;
  • endocrine diseases;

The reasons why a man cums quickly can be varied. But there is a risk group, it includes people:

  1. Alcohol abusers.
  2. Having diseases of the spine.
  3. Suffering from frequent stress.
  4. Taking certain medications on an ongoing basis.

The problem may arise unexpectedly, for no apparent reason. In this case, you should consult a doctor as soon as possible and undergo a series of diagnostic procedures.

But if the question arises: “why does a guy cum quickly”? The answer to this may be simple - due to hormonal imbalance.

In adolescents under the age of 18, hormonal levels are unstable. The body is actively various processes, the level either sharply decreases or increases. In such a situation, premature ejaculation occurs against the background of overstimulation, the cause of which is considered to be an unstable level of hormones in the blood.

Often, premature ejaculation is only a sign of an underlying disease, a kind of unpleasant symptom that is worth paying attention to. But in such a situation, it is important to establish the root cause of the problem, and only then begin treatment of the disease.

Conventionally, the causes of the problem can be divided into:

  • physical (structural features of the body, excessive sensitivity of the penis, narrow frenulum, etc.);
  • psychological (mental characteristics, strong desire, excitement, overexcitation, etc.).

If the problem arose due to the characteristics of the body, then there is no pathology in this. But if premature ejaculation appeared against the background of a mental condition or was a consequence of a disease, then you will have to look for the root cause of the condition.

How to prolong sexual intercourse for a man

The answer to the question of how quickly not to cum may “lie” on the surface. For this it is enough:

  1. normalize your diet, give up unhealthy foods;
  2. do not drink alcohol or limit its consumption;
  3. normalize your mental state with the help of medications, meditation, and sessions with a psychologist;
  4. devote sufficient quantity time to rest;
  5. avoid long-term abstinence.

In essence, the advice is simple: it is worth putting the body in order and optimizing its functioning. Get rid of fixation on the problem and normalize relationships with women!

You can do yoga and meditation at home. This will help normalize the condition nervous system, cope with the problem and avoid consequences.


Treatment for premature ejaculation

Early ejaculation is treated different ways. The therapy has its own characteristics and takes place in several stages. Methods for treating premature ejaculation:

  • Medication. The doctor selects the patient necessary medications and monitors the dynamics, adjusting therapy if necessary.
  • Psychological. It is aimed at correcting the patient’s condition and involves performing exercises that will help prolong sexual intercourse. Both partners will have to perform the exercises, otherwise the treatment will not have any effectiveness.

Following a moderate diet will help correct the condition. physical exercise and giving up alcohol. This method of treatment can be considered restorative.

Drug treatment

Prolongators are creams, sprays and tablets to prevent you from cumming quickly. In other words, drugs that can prolong sexual intercourse. They are used immediately before the act.

Creams, gels and sprays, as well as other topical agents, contain anesthetics. They reduce the sensitivity of the glans penis, thereby increasing the duration of PA.

To purchase detailed products you do not need a prescription; they are sold in pharmacy chains and in specialized stores.

But there are also drugs for rapid ejaculation, these include:

  1. Dapoxetine - helps get rid of overexcitation. This drug is used to stabilize the patient’s psycho-emotional state. The product contains components that capture serotonin; they affect the functioning of the cerebral cortex, thus helping to “delay” ejaculation.
  2. Super P-Force is a drug from India that helps delay the onset of ejaculation, normalize and increase the duration of PA. It is used for problems with potency and helps improve the quality of intimate life. The tablets do not contain anesthetics; they contain other components that affect the cerebral cortex. They affect only a number of receptors, without disrupting the functioning of the brain as a whole.

Surgery

You can take medications to avoid cum for a long time for decades, but some men prefer surgery.

Operations are carried out in 2 ways:

  • Method 1: excision of nerve columns. The intervention is carried out under general anesthesia its main purpose: to reduce the sensitivity of the head of the penis by excision and suturing of the nerve columns. Result of the operation: due to excision, the sensitivity of the organ is impaired, it becomes possible to extend the PA time and repeat it several times.
  • Method 2: . It is carried out to reduce the sensitivity of the head of the organ. After circumcision, the skin in the area of ​​the upper part of the penis becomes rougher, it becomes less sensitive, due to which the duration of sexual intercourse increases.

Exercises

At home, exercises will help you cope with the problem; you should start with the simplest:

  1. When you reach maximum arousal, you should think about something distant. This will help delay orgasm. Such exercises should be carried out as often as possible during each contact. Gradually their effect will increase.
  2. The next exercise will be a little more difficult. When maximum arousal is achieved, it is worth giving a command to your partner (choose a gesture, word or signal in advance). After giving the “signal”, stop all frictional movements and resume them when the excitement subsides.
  3. The next exercise requires some skill. As soon as you feel an orgasm approaching, you should take a short break of 30 seconds. After which the movements are resumed, this break helps to increase the duration of contact.
  4. Kegel exercises are activities aimed at increasing the duration of PA. Classes are aimed at training the pelvic muscles. As a result of stretching of the coccygeus muscle, the sensitivity of the penis decreases.

Kegel exercises

How to perform a set of Kegel exercises:

  • You should lie on your back, squeeze your pelvic floor muscles and hold the tension for at least 10 seconds;
  • then relax the pelvic floor muscles and keep them in this state for another 10 seconds;
  • The exercises are repeated 3 times a day, the duration of classes is from 3 minutes.

Enhance traditional therapy Various herbs and plants will help. Their use will not replace taking medications, but will help significantly increase their effectiveness.

How to prolong sexual intercourse folk remedies:

  1. Tea with raspberry and currant leaves. The recipe is simple: you need to brew tea with raspberry or currant leaves. Pre-dry the leaves, chop them and mix them with the tea leaves. Add oregano to the resulting mixture and regularly make tea from it.
  2. Oak bark decoction. The decoction is consumed regularly for 7 days. Oak bark contains tannins and thiamine. It’s easy to prepare the decoction: just pour 10–15 grams. dry raw materials with one glass of boiling water and let it stand for 30 minutes.
  3. Peppermint juice will also help increase the duration of PA; the juice is rubbed directly onto the penis itself in order to reduce its sensitivity.
  4. Wheat oil. It is carried in a bottle and inhaled immediately before intimacy. Substances contained in the oil affect the pituitary gland and testosterone production.

Early ejaculation is not a pathology, but only a sign of possible disorders. If problems with premature ejaculation are regular, then it makes sense to see a doctor. Otherwise, you should not pay much attention to the problem, focus on it, perhaps the cause is overwork or stress.

Rapid ejaculation is the premature release of seminal fluid. It occurs within a short time, which is not enough for the psychological satisfaction of both partners. Usually, rapid ejaculation characterized by ejaculation before or at the very beginning of sexual intercourse.

Short intercourse is a problem for many men

The concept of rapid ejaculation has changed over time. For example, a few decades ago official medicine recognized the following: if a man is unable to perform sexual intercourse lasting more than two minutes, then he has certain problems in the sexual sphere. Today, the approach to this concept is not so critical.

IN modern medicine there are two concepts:

  1. Short intercourse. If sexual intercourse occurs, but has a short duration, then this is more likely to be considered a characteristic of the body rather than a deviation.
  2. Fast ejaculation in men. We are talking about those situations when the release of seminal fluid occurs even before the start of sexual intercourse or in the first seconds of intercourse. In such cases, we can say with confidence that full sexual intercourse did not take place, and the reason for this was premature ejaculation.

In modern medicine, there are two types of this deviation:

  1. Primary. We are talking about a congenital feature when the cause of early ejaculation is a disruption in the functioning of the nerve centers of the brain. Such cases are quite rare. Premature ejaculation is also possible due to birth injuries or intrauterine development disorders. Deviations in in this case appear already during the first sexual experience.
  2. Secondary. Rapid ejaculation occurs due to exposure to any pathogenic factors. These include infections, injuries, and the effects of certain medications. In this case, the patient most often already has experience of normal intimacy, and the impaired ejaculatory reflex can be restored during therapy.

Reasons for rapid ejaculation

Why does rapid ejaculation occur? To get rid of this problem once and for all, the patient undergoes modern diagnostics, the purpose of which is to identify the reasons that caused the development of the deviation. Such factors are divided into two groups:

  • physiological;
  • psychological.

To understand the mechanism of development of the disease, it is necessary to consider them in more detail.

Review of Physiological Causes

The physiological factors of rapid ejaculation include:

  1. High sensitivity of the glans penis. This is the most common cause of rapid ejaculation, and can be either congenital or acquired. In the latter case, increased sensitivity may be a consequence of balanoposthitis or phimosis.
  2. Impaired functioning internal organs. It is for this reason that it is so important to carry out comprehensive diagnostics before treating premature ejaculation. The functioning of the reproductive system can be affected by disturbances in the cortical and subcortical structures. Rapid ejaculation is possible with damage to the lumbosacral spinal cord, bone injuries, urological inflammation, and damage to the pelvic organs.
  3. Chronic vesiculitis. The disease is characterized by inflammation of the seminal vesicles, in which sperm and sperm components accumulate. Against the background of increased sensitivity of the walls of the vesicles, any sexual arousal can cause ejaculation. Development of this disease occurs in parallel with prostatitis, and therefore it should be treated comprehensively.
  4. Violations hormonal levels. This imbalance can be caused not only by testosterone deficiency, but also by various endocrine disorders, due to which there is overproduction prolactin.
  5. Poisoning harmful substances. Most often, malfunctions in the reproductive system occur against the background chronic poisoning body with nicotine, alcohol and other toxins. Premature ejaculation is a side effect of taking a number of medications.

Psychological factors


Fears of intimacy can cause rapid ejaculation

In addition to physiological, there are also psychological factors. If during the diagnosis it turns out that the patient is completely healthy, then the doctor refers him to a psychologist, whose goal is to identify one of the following problems:

  1. Fears. Often the failures of the first sexual experience leave a negative imprint on the subsequent one. sex life. For example, a person was afraid of being noticed by someone (parents, roommates in a student dormitory, etc.). There may also be a fear of not being able to satisfy a partner and being rejected. Only a psychologist can help a person overcome such feelings.
  2. Lack of trust among partners. It's pretty common reason rapid ejaculation. If there is no understanding and trust between a man and a woman, and there is dissatisfaction with personal life, then rapid ejaculation is quite possible. Similar violations often manifest themselves in those men who consider sex an end in itself.
  3. Chronic stress. If a man is a workaholic, his sleep often suffers from this, depression and chronic stress conditions arise. As a result, all this can cause rapid ejaculation.

Premature ejaculation can occur in people of all ages. But most often such problems are identified in young people who are just starting to have sex. And as a rule, with the acquisition of certain sexual experience, such shortcomings go away on their own. But this is only possible with proper support from the partner.

If rapid ejaculation is observed in adulthood, then it requires immediate treatment. In this case, the help of a specialist is simply necessary, since this condition does not go away on its own.

Diagnosis of the problem

Before you get rid of rapid ejaculation, you need to determine its cause. Because the reasons similar condition There may be several, then the diagnosis must be comprehensive. The first step is to check physiological factors which can cause rapid ejaculation. If the patient is healthy, then he receives a referral to a psychologist who will help him solve this problem.

Very often, it is possible to determine the specific cause of the disease during the patient’s first visit to a specialist. Experienced doctor knows what to look for during the initial examination. If the patient has a regular sexual partner, then his participation in the examination is mandatory. As a result, treatment is selected depending on the cause of the disease.

Modern treatment for rapid ejaculation

Medicine suggests several approaches to treating this pathology:

  1. Drug therapy. If the problem arose for physiological reasons, then it should be eliminated with medications.
  2. Physiotherapeutic treatment. It is a good addition to the main treatment, making it more effective.
  3. Psychotherapy. If the disease is psychological character, that is the only way fight him.
  4. Microsurgical correction. Used when none of the previous options helped.

Very rapid ejaculation of the secondary type most often requires treatment conservative methods. If we talk about secondary symptomatic early ejaculation, then its elimination occurs in the process of treating the true nature of the disease. For example, if the cause of the pathology is urethritis or prostatitis, then correct treatment of these diseases can significantly increase the duration of sexual intercourse.

At the moment, rapid ejaculation is effectively treated using the following techniques:

  1. Performing sexual, behavioral and psychotherapy aimed at controlling the duration of ejaculation.
  2. The use of physiotherapeutic techniques, reflexology and acupuncture.
  3. Conservative treatment methods. To effectively combat hypersensitivity, you can use condoms with prolongators and special anesthetic ointments. They are applied topically 20 minutes before sexual intercourse.
  4. Treatment of rapid ejaculation often involves fighting inflammation and infections of the genitourinary tract.
  5. If there are psychological causes of the disease, pharmacotherapeutic methods should be used in treatment. To do this, you should use anxiolytics, antidepressants and other drugs that can increase the duration of sexual intercourse.
  6. Surgical methods of treatment simple version suggest circumcision foreskin. This approach allows you to increase the time of sexual intercourse by 2-3 times. Denervation of the glans penis can also be used using the latest microsurgery techniques and frenuloplasty.
  7. Surgical treatment may also include transection of those nerves that provide sensitivity to the head. This operation must be performed by qualified specialist, because if the procedure is carried out incorrectly, a complete loss of sensitivity of the organ is possible.

Treatment of rapid ejaculation with drugs


The drug helps prolong sexual intercourse

How to treat rapid ejaculation? Early ejaculation is often treated through the use of special medications. The most popular of them are:

  1. Dapoxetine. Is a selective inhibitor short acting and is able to prolong sexual intercourse by 3 and even 5 times. This effect is achieved due to the ability of the drug to block brain receptors by absorbing serotonin. Effective tablets from rapid ejaculation in men.
  2. Erectile. The drug effectively combats erectile dysfunction and helps prevent rapid ejaculation in men.
  3. Conegra. Operating principle and composition this tool similar to the above.
  4. Sealex. The drug for plant based. This is a dietary supplement that includes ginseng root, which helps increase libido. Improves erection and prolongs sexual intercourse.
  5. Lidocaine. Reduces sensitivity when applied topically. Works as an anesthetic for 40-50 minutes.
  6. Viagra, Cialis and Levitra. Effective medicines from rapid ejaculation. These drugs allow you to restore potency and prolong sexual intercourse.

These are the main drugs for rapid ejaculation, the effectiveness of which has been proven both in clinical trials and by the patients themselves.

Folk remedies

Widely known among the people various means from rapid ejaculation. Let's look at the recipes for the most popular of them:

  1. Decoction of rose hips. An effective remedy from rapid ejaculation. You need to mix 50 grams dried fruits rose hips, herbs bifolia and colza, as well as medicinal angelica root. The resulting mixture is poured with a liter of boiling water and infused for half an hour. The product must be taken a quarter glass twice a day.
  2. Mix 2 tablespoons each of motherwort, oregano, yarrow and peppermint. Pour the resulting mixture with 500 ml of boiling water and leave for about half an hour. Take half a glass before meals.
  3. In equal proportions (2 tablespoons each), take motherwort herb, rose hips, dried calendula flowers and trifoliate leaves. Brew like tea in a liter of water. Drink a quarter glass twice a day.

Prevention of rapid ejaculation


A healthy lifestyle is an essential condition for prevention

Experts identify several rules, adhering to which, you can forget about this problem once and for all. To do this you need:

  • eat right, use rich in magnesium and zinc food;
  • play sports (running, doing exercises, taking walks in the fresh air);
  • establish trusting relationships between partners;
  • Avoid stress if possible.

Ejaculating too quickly can have an extremely negative impact on a person’s life. Therefore, this problem should be dealt with by contacting a specialist. Since there can be many reasons for this condition, it is necessary to conduct a thorough diagnosis in order to establish the real reason disorders.

Premature ejaculation in men is a pathological condition that reduces the time of sexual intercourse. According to statistics, it affects about 30% of the male population, but the numbers are not accurate, since many patients do not inform the doctor about this problem. Rapid ejaculation poses a threat to men's health. It also negatively affects the relationship between partners.

Pledge successful treatment this pathology - timely detection and eliminating the cause of the disease.

  • Show all

    Description of pathology and classification

    Premature ejaculation (ejaculation) is a condition in which a man cannot exercise control over the duration of sexual intercourse (coitus) sufficient to achieve satisfaction for both partners.

    The standard duration of sexual intercourse is considered to be 2 minutes. Duration of coitus healthy men usually ranges from 7.3 to 10 minutes. Ejaculation that occurs earlier than 2 minutes is called premature.

    There are primary and secondary acceleratedejaculation:

    1. Primary accelerated ejaculation occurs from the very beginning of sexual relations. There are:

    • False primary accelerated ejaculation:
      • due to inconsistent sex life;
      • as a result of lack of experience and constant expectation of failure during sexual contact.
    • True primary accelerated ejaculation. Formed against the background of regular sexual contacts in the absence of symptoms of inflammatory diseases prostate gland. A predisposing factor is paracentral lobular syndrome. Its causes may be the influence of pathogens during the period of intrauterine development of a child, birth trauma, and, less commonly, brain damage in adults. Symptoms in boys include bedwetting (enuresis), frequent daytime and nighttime emissions (involuntary ejaculation), and masturbation before puberty. Often patients experience sensations similar to orgasm during tension of the perineal and abdominal muscles. With the debut of sexual life, the syndrome is characterized by rapid ejaculation. Important diagnostic criterion This condition is an insignificant change in the duration of subsequent sexual contact and an increased reaction to stress in the form of increased heart rate, sweating and weakness, the development of fears and neuroses.

    2. Secondary accelerated ejaculation represents a loss of a man’s ability to control the duration of coitus. It is divided into:

    • False secondary accelerated ejaculation:
      • situational (when changing place, time, sexual partner);
      • due to disruption of the rhythm of sexual life;
      • if you want to quickly complete sexual intercourse due to problems with erection or conflicts with your partner;
      • when there is a reaction to age-related or seasonal changes;
      • with difficulties in achieving sexual satisfaction with a partner.
    • True secondary accelerated ejaculation. It develops due to pathology of internal organs - changes in hormone levels (testosterone and thyroid hormones) and diseases of the nervous system.

    Causes

    There are two groups of reasons causing the development of premature ejaculation:

    • psychological;
    • physiological.

    Finding out the causes of development and diagnosing this pathological condition should be handled by a qualified specialist: psychologist, urologist or sex therapist.

    Among psychological factors note:

    1. 1. Fears. Very often, rapid ejaculation develops due to failure during the first sexual intercourse, with fear of not delivering pleasure to the partner, of being ridiculed, rejected. Phobias determine the development psychological disorders, negatively affecting intimate life and the duration of sexual acts. Psychologists treat such disorders.
    2. 2. Constant stress. Regular exercise can lead to the development of rapid ejaculation. stressful situations, lack of sleep, depressive states, hard work.
    3. 3. Overexcitement. It is the most common psychological reason leading to rapid ejaculation. More often this condition is observed in young men (under 30 years of age) who have just begun to have a sexual life, less often in adults. Due to overexcitation, tension increases in the cerebral cortex, leading to ejaculation and orgasm.
    4. 4. Lack of mutual understanding among sexual partners. Premature ejaculation may occur due to dissatisfaction life together, a feeling of fear of upcoming relationships and betrayals.
    5. 5. External factors. The reason may be poor conditions for sex.

    Physiological factors for rapid ejaculation:

    1. 1. Increased sensitivity of the glans penis. It is the most common cause of premature ejaculation in men of all ages. This pathological condition can be either congenital or acquired (phimosis, balanoposthitis).
    2. 2. Chronic vesiculitis. The reason for rapid ejaculation is inflammation in the seminal vesicles. Sperm accumulate in them; the walls of the formations gradually become thinner and very sensitive. As a result, even slight sexual arousal ends in ejaculation. Chronic vesiculitis almost always accompanies inflammation of the prostate gland - prostatitis.
    3. 3. Diseases of internal organs. This reason can only be identified after special examinations and tests. Premature ejaculation can be caused by congenital and acquired disorders of the cortical and subcortical structures, damage to the lumbosacral spinal cord, trauma bone tissue, inflammatory processes genitourinary system.
    4. 4. Hormonal imbalances. Rapid ejaculation develops as a result of testosterone deficiency, excessive prolactin secretion and other endocrinological pathologies.
    5. 5. Poisoning. Lead to inferior sexual intercourse chronic alcoholism, smoking and other intoxications. In some cases, the cause of rapid ejaculation is the use of antibiotics and other medications.

    Symptoms of premature ejaculation

    The main symptoms of early ejaculation:

    • difficulty controlling ejaculation;
    • ejaculation occurs at the slightest sexual arousal;
    • the duration of coitus decreases;
    • arise psychological problems, deterioration of self-esteem and satisfaction with sexual life.

    In some diseases, the signs of this pathological condition have their own characteristic features. The main symptoms of premature ejaculation due to psychological reasons are:

    • Lack of regular sexual intercourse or first sexual experience.
    • Premature ejaculation, leading to erectile dysfunction, which is why it is not always possible to carry out the next sexual intercourse.
    • Cessation of erection caused by thinking about various topics. Alcohol also has a similar effect.

    As a man ages or gains sexual experience, psychological problems usually disappear. If they persist or worsen, treatment is required. Psychologists or sex therapists treat such problems. If early ejaculation is due to physiological reasons, the symptoms also have their own characteristics and are determined by the main etiological factor:

    1. Increased sensitivity of the glans penis. Early ejaculation with this disease is characterized by:

    • Increasing the duration of ejaculation when using a condom and artificial lubricant. For this pathology, contraceptives with anesthetics are recommended. To identify the connection between rapid ejaculation and increased sensitivity of the penis, it is necessary to purchase a lubricant with an anesthetic and apply it to the head of the organ 10–15 minutes before the start of sexual intercourse. It is also possible to use Lidocaine in aerosol form (sold at the pharmacy). If after this the duration of coitus increases by several minutes, premature ejaculation is caused by hypersensitivity of the head.
    • Lack of erection before sexual intercourse. In some cases, it is possible by rubbing the organ on underwear or putting on a condom.

    2. Chronic vesiculitis. The main manifestations of this disease include the following:

    • Ejaculation has a wave-like character - sexual contact can be long, and in some cases short-lived.
    • The disease has a gradual onset.
    • Ejaculation begins before contact due to arousal. At the same time, the duration of the first sexual intercourse is short, the subsequent ones are much longer.
    • Use alcoholic drinks before sex makes the situation worse.
    • The use of condoms and lubricants with anesthetics do not affect the onset of ejaculation.
    • Sex does not bring pleasure, but causes discomfort and pain. The feeling of orgasm is blurred.

    3. Chronic prostatitis.Premature ejaculation with this pathology is characterized by:

    • Alternating periods of normal duration of coitus with rapid ejaculation.
    • Gradual appearance of the disease.
    • Ejaculation, which may occur before sexual intercourse.
    • Long duration of subsequent sexual contacts.
    • No effect of alcohol on the duration of sexual intercourse.
    • Blurred feeling of orgasm. Sexual intercourse does not bring satisfaction, and ejaculation may be accompanied by pain.
    • Lack of influence of condoms and lubricants with anesthetic.

    A man who has identified symptoms of premature ejaculation should focus on his feelings and his partner. If both have an orgasm (even with short sexual contact), there is no pathology.

    Diagnostics

    This problem is within the competence of andrologists and sexologists. If there are indications, a man with suspected premature ejaculation is prescribed consultations with other specialists: an endocrinologist, a psychologist or psychotherapist, a urologist, a therapist.

    The first stage of diagnosis consists of a detailed interview with the patient. The doctor also conducts rectal examination and palpation of the prostate gland to identify the inflammatory process.

    On next stage a number of laboratory and instrumental methods diagnostics:

    • microscopic examination of a urological smear;
    • bacteriological culture of a urological smear to determine the sensitivity of microflora to antibiotics;
    • Ultrasound of the scrotum, prostate and penis;
    • PCR test to detect infections;
    • determination of vibration sensitivity of the glans penis using a special apparatus;
    • study of the blood supply to the organ by introducing vasodilators into it;
    • urethroscopy and cystoscopy;
    • determination of the content of sex hormones in the blood.

    Treatment

    To get rid of premature ejaculation, you need to identify the causes of the development of this pathological condition in a man and eliminate them.

    Important terms successful therapy early ejaculation are contacting a specialist without prior self-medication and a qualitative examination.

    To avoid problems, doctors advise using at home following methods treatment:

    If rapid ejaculation is a concern and irregular and the cause of the pathological condition has not been identified, it is possible to use special techniques to increase the time of sexual intercourse.

    "Start-Stop" technique

    The essence of the technique is that during sexual contact at the beginning of early ejaculation, a man needs to remove the penis and squeeze it tightly with his fingers at the base of the head. When decreasing sexual arousal coitus can continue. When early ejaculation begins again, another break is taken.

    The number of such exercises is not limited. Gradually, the number and time of breaks are reduced, and sexual intercourse becomes longer.

    Kegel method

    This technique is based on the assertion that men suffering from early ejaculation have a pathology of innervation pelvic organs. To restore it, a complex is indicated special exercises. By performing them, a man learns to control the processes of tension and relaxation of certain muscles of the pelvis and coccyx, while simultaneously training the ability to control ejaculation. The method involves 4 main exercises:

    1. 1. Training to control the work of the pubococcygeus muscle. The exercise is to shorten it. In this case, you need to count to 5 and relax. You must repeat the exercise 10 times. Classes should be carried out several times a day, increasing the number of approaches.
    2. 2. Control of endurance. To perform the exercise, you need to contract the pubococcygeus muscle as much as possible. You need to stay in this situation maximum amount time. Exercises should be carried out constantly, increasing the duration each time. This helps to effectively control your endurance.
    3. 3. Exercise "Elevator". It allows you to effectively increase the area of ​​influence of the pubococcygeus muscle. To perform it you need to slightly strain it. In this position, you need to count to 5. Then the muscle needs to be tensed even more for the same amount of time. You should do 4 such approaches. It is necessary to relax the muscle gradually, counting to 5. The exercises must be performed 10 times for 20 minutes. You should first choose a comfortable position. The man’s breathing should be calm and even.
    4. 4. Exercises to help you achieve maximum speed tone. To do this, you need to quickly tense and relax pelvic muscles. The exercise must be performed 10 times.

    Drug treatment

    Highlight general provisions early ejaculation therapy:

    • the use of drugs that delay ejaculation;
    • use of drugs that have a sedative effect.

    Dapoxetine belongs to the antidepressant class of serotonin uptake inhibitors. The drug is prescribed for the treatment of premature ejaculation in men over 18 years of age. The effect of Dapoxetine is due to an increase in serotonin in the blood and a decrease in dopamine. Thanks to this balance of hormones, decreased anxiety and increased muscle tone, a man can control the onset of ejaculation. The product can prolong sexual intercourse several times. The effect of Dapoxetine begins 15–30 minutes after administration and lasts up to 3 hours. The product can be taken once or as a monthly course. The tablets must be taken orally, regardless of food intake, 1–2 hours before the intended sexual contact. Minimum daily dose is 30 mg, maximum - 60 mg. Increasing the dosage is allowed only if there is no effect from taking a smaller amount of the drug.

    The effectiveness of Dapoxetine is 97%. With primary premature ejaculation, the duration of sexual intercourse increases by 30%, with secondary premature ejaculation - up to 3-4 times.

    Contraindications to the use of the drug are the presence allergic reactions for lactose, liver and circulatory system diseases, simultaneous use antidepressants and some antibiotics, low arterial pressure.

    Erectile is used to treat erectile dysfunction and rapid ejaculation. The drug restores the ability to have prolonged sexual intercourse and improves erection. Erectil is taken in a dosage of 50 mg 1 hour before upcoming sexual intercourse. If the specified amount is exceeded, side effects: headache, dizziness, nausea, muscle pain, arthralgia, diarrhea, etc. The use of the drug is contraindicated in case of hypersensitivity to components, heart and vascular diseases, deformation of the male organ, leukemia.


    Sealex provides the most quick effect, increasing potency and erection. The drug is a herbal medicine - it contains yohimbe bark, ginseng root, green tea, licorice root, palmetto, garlic and deer antlers (deer antlers). It is recommended to take the product during meals, 1 capsule, in the first half of the day, with water. The course of therapy is 7-14 days. The visible effect occurs on the 2nd day of administration. It is necessary to take a three-month break between courses.

    Lidocaine is a local anesthetic. Its use is effective for increased sensitivity of the glans penis. The mechanism of action of the drug is to reduce the threshold of sensitivity and prevent premature ejaculation. Lidocaine is recommended to be applied to the head of the male organ immediately before sexual intercourse. The effect of the aerosol lasts 40-50 minutes. To treat rapid ejaculation, the drug is produced in the form of a spray.


    Viagra, Cialis and Levitra - medicines, which also increase potency and prolong sexual intercourse. They provide several full and prolonged sexual acts. However, when using these medications, the first sexual intercourse will be short.

    Before use medications To treat early ejaculation, you should consult a doctor. If sexually transmitted infections are detected, antibacterial drugs. If the cause of premature ejaculation is a neurological disease, this pathology is treated.

    Traditional therapy

    Folk remedies help combat the problem of early ejaculation. Most popular recipes:

    1. 1. A decoction of rose hips, medicinal angelica root, bifolia and colza herb. The raw materials must be poured in equal parts with boiling water and left for 30 minutes. The medicine should be consumed 1/4 cup twice a day for 1–2 months with a 7-day break.
    2. 2. You need to mix oregano herb, motherwort, yarrow herb and peppermint and pour boiling water over it. Leave for 10–20 minutes. The decoction should be taken half a glass before meals. The duration of treatment is 2–4 months.
    3. 3. It is necessary to take equal quantities of rosehip berries, motherwort herb, calendula flowers and trifoliate leaves and brew them. Drink 1/4 cup for 3-4 months.

    Also, early ejaculation is treated with plants that have a sedative effect:

    1. 1. You need to pour 1 tbsp of boiling water. l. hop cones and motherwort and leave for 6 hours. Strain. Drink the decoction three times a day, half a glass, for 1 month.
    2. 2. 1 tbsp. l. periwinkle needs to be filled cold water and leave in a water bath for about half an hour. After this, the broth must be filtered and taken 10 drops twice a day for 5 days. Then you should take a three-day break and repeat the course of treatment.
    3. 3. Pour boiling water over 25 g of lovage root and cook over low heat for 30 minutes. The product should be cooled, strained and consumed 1/3 cup 3 times throughout the day.
    4. 4. 10 g of coffin root must be poured into 1 glass of boiling water and cooked in a water bath for 40 minutes. The composition is consumed 1 tbsp. l. 6 times a day before meals.

    To achieve a visible and sustainable effect, folk remedies must be taken in a course lasting at least 1 year.

    Fighting psychological problems

    In some cases, treatment of premature ejaculation is only possible with the help of a psychotherapist or psychologist.

    An experienced specialist will help eliminate disorders such as anxiety, emotionality, irritability, depression, a tendency to stress, self-doubt, and fear of failure. After this, early ejaculations will no longer bother the man.

    Unconventional methods of treatment

    IN complex treatment Various methods are widely used for premature ejaculation:

    • acupuncture;
    • massage;
    • baths;
    • mud treatment;
    • physiotherapy.

If during sex a man experiences orgasm much faster than he and his partner would like, it is customary to talk about premature ejaculation (premature ejaculation). Among the criteria that help diagnose this condition are usually the onset of ejaculation immediately after insertion of the penis into the partner and the inability of the man to delay ejaculation. On average, men ejaculate five minutes after the start of intercourse. Many men in the world are faced with the problem of premature ejaculation, and this makes them feel ashamed and irritated. Some men even begin to avoid sexual contact because of this. Do not despair! This problem can be solved by contacting a psychotherapist, starting to perform certain techniques to delay ejaculation, or resorting to drug treatment. You will overcome the problem and be able to enjoy sex with your partner again.

Steps

Application of behavioral techniques

    Try the "stop-squeeze" method. During foreplay, you and your partner can try the "stop-squeeze" method to learn to control yourself and delay the moment of ejaculation.

    Use self-help techniques. There are several methods you can practice on your own. This will give you the opportunity to learn to control the onset of ejaculation. Here are some of these techniques:

    • Masturbate before sex. If you plan to have sex this evening, try masturbating an hour or two before.
    • Use thicker condoms, which will reduce stimulation during sex. Try not to use condoms that are designed to increase stimulation for a man during intercourse.
    • Take a deep breath when you feel your ejaculation approaching. This may help stop reflex ejaculation. Also, try to switch your thoughts and think about something boring until you feel that the peak of excitement has passed.

  1. Try changing the position in which you have sex. If you usually prefer positions where you are on top, choose positions where your partner is on top. Try having sex in a position where she can easily stop and move away from you slightly when you feel her ejaculation approaching.

    • When you feel that the sexual tension has passed, you can continue sexual intercourse.

  2. See a psychotherapist. It can help you how individual work with a psychotherapist, and couples psychotherapy, when you come to sessions with a specialist together with your partner. Psychotherapy can be effective when following problems:

  3. Try using a topical anesthetic. These medications are available without a prescription and you can buy them as a spray or cream. Apply a special product to the penis before having sex. This will help you reduce sensitivity and delay the onset of ejaculation. Some men (and sometimes their partners) have reported that the use of such drugs leads to temporary loss of sensation and decreased pleasure during sex. Most often, such drugs are produced on the basis of:

    • Ledocaine
    • Prilocaine

Seek medical help

  1. If you have used all the methods described above, but have not achieved the desired result, consult your doctor.

    • Sometimes premature ejaculation is a symptom of other, more serious health problems that require treatment. The following reasons are possible:
    • Different forms of diabetes
    • High blood pressure
    • Alcohol or drug addiction
    • Multiple sclerosis
    • Prostatitis
    • Depression
    • Hormonal imbalance
    • Problems related to neurotransmitters. Neurotransmitters (neurotransmitters) are chemical substances responsible for transmitting signals in the nervous system.
    • Pathological reflexes associated with the ejaculation process
    • Thyroid dysfunction
    • Infectious diseases of the prostate and genitourinary system Tissue damage caused by surgery
    • or injury (in rare cases).

  2. Hereditary disease. Ask your doctor about taking a drug that contains duloxetine (Cymbalta, Intriv).

    • This substance is similar in its action to antidepressants from the group of selective serotonin reuptake inhibitors (SSRIs), but this drug was developed specifically for the treatment of premature ejaculation. If your doctor prescribes this medication, you will need to take it one to three hours before having sex.
    • This drug is not suitable for men with heart, kidney or liver disease. This medicine may interact with other drugs, including antidepressants.
    • Alternative options include the SSRIs paroxetine, sertraline, fluoxetine, and citalopram.
    • Typical full effect SSRIs (which are taken every day, not just when needed like Dapoxetine) will only be noticeable about two weeks after you start taking them.

  3. Talk to your doctor about other medications that may help delay orgasm. There are drugs that are not on the officially approved list of drugs used to treat premature ejaculation, but there is evidence of their effectiveness in delaying the onset of orgasm. Your doctor may prescribe these medications for you to take as needed or daily.

    • Other antidepressants. You may be prescribed other serotonin reuptake inhibitor antidepressants, such as setralin (Zoloft), paroxetine (Paxil), fluoxetine (Prozac), or tricyclic clomipramine (Anafranil). Possible side effects of these drugs include nausea, dry mouth, dizziness, and decreased interest in sex.
    • Tramadol. This drug is used as a strong pain reliever. Among others side effects tramadol, including nausea, headache and impaired coordination, an increase in the duration of sexual intercourse and a delay in ejaculation were noted. In Russia, this drug is included in the list narcotic substances, and its circulation is strictly regulated by the State Drug Control Service. For this reason, your doctor may not be able to write you a prescription for this drug.
    • Phosphodiesterase type 5 inhibitors: These medications are commonly used to treat erectile dysfunction. These substances include sildenafil (Viagra and Revazio), tadalafil (Cialis) and vardenafil (Levitra). Side effects include headache, redness of the skin, blurred vision and nasal congestion.

Scientists say that a third of the male population of the planet suffers from rapid ejaculation. And, most likely, this is not final data - many representatives of the stronger sex are embarrassed to talk about such problems and do not voice them.

It is believed that rapid ejaculation occurs before a man makes 25 movements during sexual intercourse.

This takes approximately 1-2 minutes. However, these indicators are very conditional. According to studies conducted, in different countries average duration intercourse may differ. For example, in the USA this value is 13 minutes, and in Germany - 7. According to international classification diseases of the 10th revision (IBC-10), early ejaculation is the inability to keep ejaculation under control until the moment when both partners are able to receive emotional and physiological satisfaction.

Premature ejaculation can be:

  • Primary: this type of pathology is congenital and occurs due to problems in the functioning of the central nerve centers responsible for the ejaculation process. Moreover, the reason early ejaculation Often there is trauma during childbirth or intrauterine development disorders. In medicine this type anomalies are rare, and problems with it arise at the first sexual experience;
  • Secondary: the disorder develops under the influence negative factors environment. Often its appearance is provoked by previous infectious diseases, injuries, etc.

The reasons for rapid ejaculation are:

1. Increased sensitivity of the glans penis. The fact is that it was in this place that they were located nerve endings. If there are too many receptors there, then an incorrect reaction to external stimuli occurs. As a result, premature ejaculation begins.

Besides, increased sensitivity often appears due to pathologies of the penis: phimosis (narrowing of the openings of the foreskin) or inflammation of the glans and foreskin. With increased sensitivity, the duration of each act of intimacy is approximately the same, excluding those that take place under the influence of alcohol or using special means. In addition, there are a couple more distinctive features rapid ejaculation resulting from hypersensitivity of the glans penis. Firstly, a condom prolongs the duration of intercourse. Secondly, premature ejaculation occurs only after insertion of the penis.

2. Psychogenic causes of early ejaculation often include various fears: fear of ridicule or disappointment of a partner, failure in the first sexual experience, previous failures, sex in non-standard conditions, fear of being noticed. In most cases, the latter phobia is often developed in young people who are afraid that their parents may catch their partners playing intimate games.

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In adult men, the motive for early ejaculation can be a busy pace of life and frequent stressful situations. Difficulties at work, lack of sleep, traffic jams and other troubles can cause serious depression. Problems in the area of ​​intimate relationships will also add to it.

Here we can also note the tense relations between the partners. Problems in the family, frequent quarrels, everyday problems, infidelity - all this triggers the mechanism of early ejaculation. And, of course, the psychological causes of ejaculation disorders include early age, excessive arousal and irregular sex life

3. Organic causes are the most dangerous for men:

  • Disorders of the genitourinary system - urethritis, enuresis, colliculitis (inflammation of the seminal mound), prostate adenoma, vesiculitis accompanied by prostatitis.
  • Malfunctions of internal organs, injuries to the pelvic organs. Early ejaculation can be caused by problems with the lumbosacral spine: osteochondrosis or vertebral hernia.

Individual factors for the appearance of rapid ejaculation include hormonal imbalance in the body (lack of testosterone), Parkinson's disease, poisoning with nicotine, alcohol or other toxic substances. Periodically, the cause of early ejaculation is the use of certain medications.

Rapid ejaculation - causes and diagnosis

A symptom of rapid ejaculation, the causes of which were discussed above, is often the duration of intercourse - experts say that its duration should not be shorter than 2 minutes. Sexual intercourse should not fluctuate in time, becoming more or less, but each time take approximately the same period.

In this case, the period of intimacy may increase when using a condom or under the influence of alcohol. A similar effect occurs when using long-lasting lubricants. Also, ejaculation before insertion of the penis becomes a sign of pathology. If you have at least two of these signs of rapid ejaculation, the causes of which are very diverse, you should consult a doctor - the sooner you start getting rid of the problem, the more successfully it will end and the less psychological and other disorders it will bring.

The specialist must listen to the complaints of both the man and his partner regarding rapid ejaculation - the doctor often determines the causes of the disorder during such a conversation. This survey is very important, because disorders in the sexual sphere are often signs of other ailments. After the examination, the doctor will give a direction for tests that will determine the presence or absence of infections in the body.

In addition, ultrasound and rectal examinations may be necessary. A test with lidocaine or antidepressants is often used for diagnosis. In the first case, before intimacy, a substance that reduces sensitivity (anesthetic) is applied to the head of the penis. As they write on specialized forums on the Internet, it can be in any dosage form- gel, aerosol, etc.

Of course, in this case, you must use a condom during sexual contact. If the duration of sexual intercourse increases in this case, it means that the problem was hypersensitivity of the glans penis. To conduct a test with antidepressants before intercourse, take appropriate medications - this helps to identify the psychological causes of early ejaculation.

Rapid ejaculation - treatment and prevention

To treat rapid ejaculation, a doctor can use several methods:

  • behavioral therapy, in which a specialist prescribes both partners a special set of exercises that must be performed during sexual intercourse;
  • psychotherapy - in this case, a specialist conducts several treatment sessions that relieve complexes, fears and phobias;
  • drug therapy;
  • surgical intervention;
  • physiotherapy, acupuncture, reflexology;
  • folk methods.

Using conservative methods to get rid of the problem of rapid ejaculation are used various drugs and medicines.

This can be either the previously mentioned lidocaine or tablet drugs, most often prescribed by doctors to their patients:

  • Viagra - the recommended dose is 50 mg one hour before intimacy;
  • - begins to act 15-30 minutes after administration;
  • Conegra - 1 tablet (50 mg) taken 1 hour before sexual intercourse; based on individual indications, to improve erection the dose is increased to 100 mg or reduced to 25 mg;
  • Confido - for rapid ejaculation, take 1 tablet 2 times a day, the course lasts 14-28 days;
  • Levitra - the initial dose is 10 mg half an hour to an hour before sexual activity, maximum amount - 1 tablet per day;
  • Ogoplex - has an antibacterial and anti-inflammatory effect on the prostate gland;
  • Sealex is a dietary supplement based on herbal ingredients;
  • Cialis - take 20 mg 16 minutes before intercourse;
  • - 50 mg (1 tablet) is taken one hour before sexual intercourse.

It should be noted

Rapid ejaculation is unlikely to disappear with self-treatment - it is strictly not recommended to get rid of such disorders without the help of a qualified specialist.

Not only can the situation be aggravated by excessive use of drugs, but there is also a high probability of many side effects, ranging from allergic reactions to thrombosis and cardiac arrest.

Another important note: all drugs in this group are recommended for use by men over 18 years of age. In more early age These medications are not recommended for use unless otherwise stated in the instructions.

From surgical methods To treat rapid ejaculation, circumcision of the foreskin is practiced. However, not all men agree to such an operation. In such cases, your doctor may recommend administering a gel. hyaluronic acid into the skin of the head of the penis. Due to the ability of the gel to be absorbed, the maximum duration of this method is 1 year.

Microsurgical denervation has the most lasting effect - its results last a lifetime. In this case, the surgeon dissects part of the nerve trunks of the penis. At first, the sensitivity of the penis is very weak or completely absent, then gradually restored. To assist conservative therapy, you can use traditional methods getting rid of rapid ejaculation.

Here are some recipes:

  • Take equal parts of colza, rose hips, bifolia and medicinal angelica(root), pour boiling water over the collection and leave to steep for 20-30 minutes. Drink a quarter glass twice a day. The course of treatment is 30-60 days with a break of a week.
  • Take 3 parts of motherwort herb and 1 part of hop cones, brew 1 tbsp. collected in a glass of boiling water, drink 1/2 glass three times a day for a month.
  • 2 parts of oregano and 1 part of calendula are brewed in 200 ml (a glass) of boiling water and left to brew for 6 hours (can be overnight). Should be taken after meals, 100 g for no more than 1.5 months.
  • The herbs of peppermint, motherwort, oregano and yarrow are taken in equal proportions. The collection is poured with boiling water and left for 15-20 minutes. The resulting decoction is drunk half a glass before meals for 2-4 months.

Not all men know who to turn to with such a problem as rapid ejaculation. A urologist and sex therapist are responsible for the treatment of such ailments. If psychogenic causes of the disease are identified, then a qualified psychologist joins this company.

When getting rid of a delicate illness great importance has its further prevention. You should definitely change your diet - eliminate fatty and fried food, try to eat more foods rich in magnesium, zinc and protein. Doctors for such disorders recommend normalizing night sleep, reduce the possibility of stress to a minimum, perform simple physical exercise and spend more time in the fresh air. Many men, in order to put their emotional component in order, prefer visiting the bathhouse with friends, Gym, yoga classes or sawing wood - everyone chooses their own method of relaxation.

Don't be shy similar problem, you don’t need to keep it to yourself - this only makes it deeper and stronger. In addition, sometimes a delicate disorder is a sign of some kind of malfunction in the body and a serious illness - an examination by a doctor will help to identify this and begin the necessary treatment in time.