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Premature Ejaculation

"With a man who ejaculates quickly, women can in no way manage to experience pleasure" - from "Kama Sutra"

Since ancient times there are men who experience the unpleasant occurrence of premature ejaculation. This article focuses on the following aspects and presents the herbal treatment as the most efficient way to prevent premature ejaculation:

  • Indicate the definition of premature ejaculation
  • Provide a brief overview of male ejaculatory response
  • Specify important dimensions of premature ejaculation
  • Declare potential advantages of herbal treatment

Defining premature ejaculation

Premature ejaculation has been known by a variety of names. The classic terminology, ejaculatio praecox (literally Latin for precocious ejaculation), was later replaced with "premature ejaculation", a term that was entrenched within the clinical community for decades. However, with new cultural awareness and attempts to destigmatize sexual problems, alternative nomenclatures such as "rapid" ejaculation and "early" ejaculation gained ephemeral popularity, as the term "premature" had pejorative overtones. However, neither of these alternatives successfully conveyed an important aspect of premature ejaculation, namely that ejaculation occurs prior to some anticipated time (sooner than desired). As a result, the terminology premature ejaculation has once again become the nomenclature of choice by researchers and clinicians, although some still prefer to use rapid ejaculation, probably the second most common terminology in use.

Overview of male ejaculatory response

Ejaculation represents the sequencing of two reflexes under cerebral control that typically coincide with the high point of sexual arousal. Unlike erection, which may occur in response to psychosexual stimulation (visual images, smells, words, sounds, nongenital touch), ejaculatory response rarely occurs in the absence of direct penile stimulation. The first reflex - emission - is a sympathetic response that closes the bladder neck (preventing urination and retrograde ejaculation) and stimulates excretion of seminal fluid (which mixes with sperm) from the prostate into the urethral tract. This first stage of ejaculation is associated with "ejaculatory inevitability" that men experience prior to actual expulsion of the seminal fluid, and serves as a partial though probably incomplete trigger for the second reflex. The second reflex - putatively involving the parasympathetic system or the somatic motor system, or both - involves the expulsion of the seminal fluid from the urethra (the outward manifestation of ejaculation), achieved through the rhythmic contractions of the bulbocavernosal and ischiocavernosal muscles (associated with anal sphincter muscle contraction). The subjective perception of these contractions, mediated through sensory neurons in the region, gives rise to the experience of orgasm.

Dimensions of premature ejaculation

Defining premature ejaculation and diagnosing men with this condition have been the source of debate within research, medical, and clinical circles. The DSM-IV-TR definition of premature ejaculation is probably the most commonly used reference for clinical and research investigations. This definition presents a multidimensional approach to the diagnosis of premature ejaculation that includes three principal components:

  • Short ejaculatory latency response to minimal stimulation
  • A perceived lack of control over ejaculation
  • Negative impact of the condition on the person or relationship

Men with premature ejaculation reliably take less time to reach ejaculation than men without such condition, who need 10 minutes. A second characteristic of premature ejaculation is the man's perceived lack of control or ability to delay ejaculation. This measure of "self-efficacy" reliably differentiates men with premature ejaculation as they typically report little to no ability to control the timing of their ejaculation. Recent studies have shown that 90% of the men with premature ejaculation report some type of negative impact on their lives or relationships. Such consequences typically drive men and their partners to seek treatment.

How to prevent premature ejaculation

Oral medications and other biomedical treatments, bibliotherapy, individual sex therapy and counseling, couples marital and sex therapy represent a range of options that may eventually constitute an effective treatment plan. Currently the most efficient way to stop and cure premature ejaculation is a herbal treatment with DuraMale premature ejaculation pills.

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