Brief Knowledge on Premature Ejaculation The Premature Ejaculation is a condition where the man ejaculates the sexual fluid

soon after the intercourse or immediately after the penetration, even sometimes before penetration itself. Causes: The physical cause is very uncommon, whereas most of the time this problem arises due to the psychological disturbances and excessive sexual stimulation only. Incidence: Nowadays the incidence of this has become very common among the males regardless of age groups and race. Risk Factors: The main risk factors which may lead to Premature Ejaculation are masturbation, smoking, alcohol, drug addictions, over excitement and depression, loneliness, etc. Clinical Features: Mainly premature semen ejaculation Irritation within both partners Unsatisfied sexual life Psychological disturbances like depression, anxiety, mood swings, etc General health detoriation Loss of confidence Loss of appetite Tests and Diagnosis: Generally speaking there are no specific tests for the Premature Ejaculation. But we can do few tests like seminal fluid examination, sperm counts, hormonal tests, etc for differential diagnosis. Most of the time the cause for Premature Ejeculation is psychosomatic, hence tests regarding the mental health like psychotherapy, psychological counselling are more effective and can be tried. Complications:

 Early quitting of the marriage life due to sexual unsatisfaction between the partners Delaying in attaining pregnancy Continuous fights and conflicts between the partners Management: The management mainly depends on the cause of the problem, either it is due to any physical cause or purely psychological cause. Prognosis: In most of the cases the prognosis is good as there are many easy and excellent remedial measures for the Premature Ejaculation. Proper psychological counselling and perfect medication (if needed) can alleviate the problem easily.

How Premature Ejaculation Seeds The Premature Ejaculation is an abnormal condition or altered physiology in the male reproductive system or organs. The male reproductive system organs directly affected by Premature Ejaculation are penis, prostate gland, seminal vesicles, testicles and its parts. The central nervous system and peripheral nervous system controls the reproductive system or reproductive tract which may be stimulated to sufficiently achieve the orgasm. During the sexual intercourse if the males felt the penile erection is not enough then they will try to contact their prostrate muscles to assist extra erection. A long term practice of such contraction exercise leads the muscle to develop more testosterone, oxytocin receptors and DHT. In addition to the erection of the penis, clitoris, G-spot, etc these hormones and receptors helps the couples to achieve orgasm easily by getting trapped in the sex organs. This appears to be good news for the women, whereas for the males it is a bad news since theses hormonal trapping makes them highly prone to Premature Ejaculation. Hence to prevent this long term contraction and maintenance for long time of prostate and tail bone muscles should be avoided. Instead the contraction can be exerted intermittently which leads to a prolonged sexual desire and satisfaction.

There are certain other researches and theories postulated to confirm the possible causes of Premature Ejaculation. Few of them are,

Testosterone levels (both free and total) directly proportional with Premature Ejeculation The reduction in the acid phosphatase and alpha-glucosidase in the seminal fluid (which are the semen controllers) leads to Premature Ejaculation The prolactin level also directly proportional to the Premature Ejaculation, where its reduction may cause the problem with associated issues like anxiety, fear, nervousness, etc.

Why Premature Ejaculation Seeds Generally when we speak about premature ejaculation, it is an abnormal condition. But when it is coming practically nearly every male will experience Premature Ejaculation at certain stage in their lifetime. The causes for Premature Ejaculation is multiple in numbers and in mixed format. Hence there are various theories formulated for explaining the cause of premature ejaculation. Those etiological or causative theories are, Psycho-Sexual theory (behavioral, anxiety-related) Biological theory (hypersensitivity of the glans penis, pelvic floor alteration, accelerated conduction and cortical amplification of the genital stimuli) Diseases induced Premature Ejaculation (secondary to urological diseases or neurological diseases Iatrogenic theory

On the whole for easy understanding for the individuals the causes of Premature Ejaculation has been divided broadly into 2 main varieties.
1.

2.

Physical, and Psychological

Physical causes of premature ejaculation: Genetic cause Poor blood flow in the body parts mainly over the reproductive system

 Natural aging process Lack of sexual education or training Psychological causes of premature ejaculation: Stress and its complications Anxiety and Depression Idealistic expectations, knowledge and ideas Few repeated history of sexual suppression Lack of emotional intimacy or confidence mainly in sexual life with the opposite partners Misunderstanding and miscommunication within the partners The management or treatment for a Premature Ejeculation patient starts only after confirming the actual cause for the problem, either single or multiple. The treatment methods also depend on the severity of the problem, either mild or severe.

Is Premature Ejaculation Common Only Among Youngsters As per the International Society of Sexual Medicine premature ejaculation is an orgasm that occurs and ends within one minute of vaginal penetration in most of the encounters. It is not that premature ejaculation occurs only with the young age groups. It also prevails in older adults. Nowadays premature ejaculation is one of the common sexual dysfunction occurring in the men below 50 years. Most of the medical professionals who treat premature ejaculation define it as the occurrence of ejaculation prior to the satisfaction or wish of either sexes or partners. If the same problem continues without any improvement, it may indeed lead to dissatisfaction with a sense of lose and strained relations. The premature ejaculation affects 20 to 30 percent of the male population worldwide. A recent analysis and research data revealed that out of these many percentage levels of premature ejaculation male patients only 1 to 12 percent of the patients are reporting to the doctors regarding their problem and seeking for medicines and treatment. There are so many causes for the premature ejaculation like psychological, physical like insufficient neurotransmitter concentration, emotional factors, etc. When explaining in a broader sense the premature ejaculation is of 2 main type or classification. They are, Primary or Lifelong Secondary or Acquired

At the same time the premature ejaculation should be differentiated from its various forms like, Hyper Orgasmic Premature Ejaculation Hypo Orgasmic Premature Ejaculation Situational or global form Occurs during Vaginal penetration or Masturbation

The diagnosis of premature ejeculation mainly depends on the following data like, General medical history Physical examination Sexual history like intravaginal ejaculatory latency time, perceived control and distress, difficulty related to the ejaculatory dysfunction between the partners. Laboratory testings and findings (if necessary).

Alternate Treatment Approach for Premature Ejaculation According to the principles and philosophy of Ayurvedic medicine Premature Ejaculation is due to aggravated Vata. The vata aggravated prakriti would be having the character and quality of quick and high sensitivity to the tactile sensation. This is a predisposing factor in case of Vata aggravated personalities to have quicker and Premature Ejaculation. Apart from this the Vata aggravated persons also suffers from anxiety, fear, nervousness, lack of sphincters control, narrowing of blood vessels, inadequate blood supply to the body parts, etc. To prevent these issues the Vata has to be balanced. Some of the below mentioned remedies will help to treat Premature Ejaculation by balancing the Vata. Diet Reformation: Follow a low cholesterol diet, reduce the sugar intake, avoid consumption of stale foods, restrict spicier and hot foods, avoid fast foods and aerated drinks, etc. Almond: Make almond milk and drink it regularly. Almond is good in protein and is an excellent aphrodisiac. Additionally add saffron with the almond milk which is also one another aphrodisiac which together improves the sexual drive.

Regular Yogic practices like Dhanurasana (Bow Pose), Matsyasana (Fish Pose), Vajrasana (Thunder Bolt Pose), Ushtrasana (Camel Pose), Padmasana (Lotus Pose), Mool Bandha, Ashwini Mudra, etc are highly beneficial to increase the sexual vigour readily. Regular penile massage with mustard oil has heating and rejuvenating effect that helps to improve blood circulation and strengthens the penile muscles. The above mentioned remedial measures may seem to be very simple and short but they are highly effective and result proven practices in the treatment part of Premature Ejeculation.

Premature Ejaculation - Herbal Intervention There are so many treatment modalities available worldwide presently to treat the Premature Ejeculation. Some of the main treatment types for Premature Ejaculation are: Medication (tablets, sprays, gels, creams) Exercise Therapy Psychotherapy Among these above mentioned treatments the exercise and psychotherapy has very minimal side effects, whereas the medication or drug intervention has many side effects depends on the drug prescribed and its impact on individuals. Thereby a new medicine came into existence, which is nothing but the herbal medicine instead of tablets, cream and gels. In herbal medicine the herbs provided for Premature Ejeculation are a natural aphrodisiac that enriches the blood flow to the male sexual organs which strengthens the muscles and helps in with holding the sexual urge for a long time leading to higher level of sexual satisfaction. Below mentioned are some of the herbs helpful for Premature Ejaculation: Tribulus terristris - Improves endurance and vitality of the man. Cloves - Helps in reducing nervous tension, calming the nerves and improves the blood circulation.

 Withania somnifera (Indian Ginseng) - Provides horses strength without any side effects. Myristica fragrans (Nutmeg) - Has properties for promoting stamina and energy. Ginkgo biloba - Contains flavonoids that improves the blood circulation to brain and the bodys vascular system. It also aids relaxation and allows blood flow to the genital area. Mucuna pruriens: Contains dopamine producing chemicals. Dopamine is a natural aphrodisiac which aids in increasing the libido and acts as an antidepressant. Other minor herbs which are also useful in Premature Ejaculation are Asteracantha longifolia, Centaurea, Hygrophila, Anacyclus pyrethrum, etc. These herbs help in controlling the timing of the ejaculation and aids in improvement of the overall health. However they should be used with high care and under perfect guidance in the right quantity to achieve the desired results.

How to Decide Right Treatment for Premature Ejaculation Each Premature Ejaculation patient will be treated individually and dealt differently. There is no fixed or unique treatment for all Premature Ejaculation patients. The treatments will be planned for the individual persons appropriately according to the underlying reasons behind the problem and severity of the condition. Selection and prescription of treatment for Premature Ejaculation needs more attention with the patients history taking and treatment knowledge. Hence before choosing the treatment it is important to follow certain criteria. Below mentioned are one among the main criterias which helps both the patient and the physician in the decision making regarding the prescription of treatments for Premature Ejeculation. Is the prescribing treatment safe? Does the prescription contain any harmful and nasty chemicals? Are there any undesirable side effects associated with the prescribed treatment? Can I use this treatment/technique/procedure without informing my partner? How long does this treatment take to work? Will this treatment negatively influence the sexual pleasure during the time of intercourse? Can the company/website selling the product explain why and how the product works? If I am not satisfied or got any adverse effect with the treatment, do I get any money back guarantee or compensation for that?

 Who developed this treatment protocol? Have the treatment formulated by individuals of the sexual health department or industry? Did anyone prescribed with this treatment before? Has anyone got relieved or cured from the problem with the help of this treatment?

The 12 check list criteria mentioned above contains the most important questions that need to be answered before starting a particular treatment method. If you cannot find most appropriate answers to these questions, then try for any other suitable treatment with which you are getting maximum right answers.