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What You Have to Know about Premature Ejaculation

Despite premature ejaculation being a rather common problem (researchers estimate that the vast majority of men have experienced premature ejaculation at least once in their life),  public awareness of this male sexual health disorder and ways of dealing with it is rather low. We at My Canadian Pharmacy mycanadianpharmacymall.com are sure that whether you suffer from premature ejaculation yourself, are the sexual partner of a man that is affected by this condition, or simply want to find out how to minimize your chances of having premature ejaculation disorder later in life, the article below will give you answers to just about every question you could have about premature ejaculation.

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What Is Premature Ejaculation?

When it comes to male sexual problems, erectile dysfunction is the first (and maybe even the only) thing that comes to mind for many people. However, there is another major male sexual health issue which can make sexual activities stressful and joyless for both partners – premature ejaculation. My Canadian Pharmacy healthcare experts have taken a closer look at premature ejaculation as a medical condition and rounded up their findings in this article so that you can find out what premature ejaculation is, why does it happen to some men, and how to get rid of this unpleasant sexual problem.

Premature ejaculation happens when a man has orgasm and ejaculates (expels semen) after a very brief penetrative sexual intercourse. Premature ejaculation is involuntary, so there is no way a man or his sexual partner can have control over it. The fact that there is only little sexual stimulation to the penis required to make men experience orgasm and thus end sexual intercourse often leads to unsatisfactory sex life both for men and their partners. When this dissatisfaction becomes a source of relationship issues, there is a high chance that premature ejaculation will cause anxiety in men and resentment in their sexual partners, which can further decrease the quality of a couple’s sexual activities.

My Canadian Pharmacy team also recommends for reading this articles about Premature Ejaculation:

  1. Premature ejaculation or Hypersensibility? Let’s look into it together
  2. Premature ejaculation nature, numbers and treatment: an interview with an expert by My Canadian Pharmacy

What Are the Main Premature Ejaculation Causes?

Unfortunately, scientists and researchers have not been able to figure out the exact causes of premature ejaculation yet. However, we do have a working understanding of what factors contribute to suffering from premature ejaculation and how they affect a man’s sexual life. Back when there was little research on premature ejaculation available and being conducted, scientists used to believe that the reasons behind the condition were purely psychological. Today healthcare experts all over the world agree that while psychological issues do play a major role in contributing to premature ejaculation, there is also a number of physiological causes which could lead to premature ejaculation, and this domain is being further researched. In the paragraphs below you will find a brief summary of what is known about premature ejaculation risk factors now.

Psychological causes of premature ejaculation are various by nature and can be difficult to diagnose and address even when a patient is actively seeking professional medical help. The most prominent psychological risk factors for premature ejaculation include depression and anxiety. Depression has a complex impact on sexual performance both for men and women, but its manifestations are best visible for male patients because it causes premature ejaculation and erectile dysfunction.

Sexual performance anxiety is also a powerful contributor to premature ejaculation problems. It may come from a number of reasons, ranging from poor body image and low self-esteem to worrying about having premature ejaculation and how it affects sexual intercourse. In addition, a lot of men who suffer from premature ejaculation tend to have strong feelings of guilt about ruining the sexual experience for their partners, so they want to be done with sexual intercourse as soon as possible. As a result, premature ejaculation becomes almost a desirable effect, and of course, the chances of it not happening are getting slimmer.

Another group of psychological premature ejaculation risk factors includes everything that is somehow connected to early sexual experiences. First sexual encounters can be traumatizing for men in many ways, ranging from wrong choice of partner to the inability to perform up to his own (or his partner’s) expectations. Such experiences and emotions connected with them become deeply rooted in the conscience, and can often lead to sexual disorders in adult life. Being sexually abused as a child is also a major risk factor for premature ejaculation issues later in life for virtually the same reason: traumatizing memories that are associated with sexual activities have a huge (possibly lifelong) impact on one’s sexual behaviors and performance.

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According to recent research data, erectile dysfunction could also be a contributing factor for premature ejaculation. Men who suffer from ED are always afraid that they are going to “lose” the erection at some point of the intercourse, so the rushing of ejaculation becomes natural for them. This behavioral pattern easily translates into premature ejaculation with time, and it does not go away even after erectile problems have been addressed with ED drugs or other treatment forms.

According to research data found by My Canadian Pharmacy, psychological premature ejaculation can even be partner-specific. If a man experiences premature ejaculation with one partner but is able to have satisfactory sexual intercourse with other partners, the reason behind his premature ejaculation could be relationship issues with one particular partner. Anxiety and negative emotions that build up as a result of poor relationship quality gradually become a powerful trigger for premature ejaculation that is situation-specific: it happens only during sexual intercourse with the person who is part of the dysfunctional relationship.

As mentioned above, psychological causes are not the only factors that can contribute to premature ejaculation. Healthcare experts now believe that there is a complex interaction of psychological and biological factors that is required to cause premature ejaculation, but there is little information on the biological risk factors available as of now. Inherited traits seem to play a major role in determining the chances of suffering from premature ejaculation.

Abnormal levels of neurotransmitters (chemicals used by the brain) and/or particular hormones were found in a significant part of premature ejaculation patients, which suggests a certain connection between the amount of these chemicals in the body and the premature ejaculation disorder. Finally, having an inflamed or infected urethra can cause ejaculation to become completely uncontrollable, and in this particular case there might not even be any additional psychological factors involved.

Premature Ejaculation Symptoms and Diagnosis

The most prominent symptom of premature ejaculation is the inability to control (and delay) ejaculation for longer than 60 seconds after penetration. Sometimes premature ejaculation happens even in other sexual contexts, such as masturbation or even foreplay.

Premature ejaculation can be primary and secondary. Men who are diagnosed with primary premature ejaculation have ejaculation problems throughout their whole life, possibly starting with their first sexual encounter. Secondary premature ejaculation is an acquired condition, which may develop at any point of a man’s life after he has already had years of sexual experience without ejaculation disorders.

A lot of men feel like they have symptoms that are associated with premature ejaculation diagnosis, but they do not meet the standard diagnostic criteria for this condition. This is often due to the phenomenon of variable premature ejaculation, which is a natural trait and causes men to have interchangeable periods of normal and premature ejaculation.

It is advisable that you consult your healthcare provider about possibly having premature ejaculation if you find that you frequently ejaculate earlier than you would prefer to and/or than you used to. It is common for men to feel embarrassed and uncomfortable about discussing their sexual problems with a doctor, but if you do have premature ejaculation, it can be treated and the quality of your sexual relationships will improve greatly.

That said, you do not necessarily suffer from premature ejaculation if you think that you ejaculate too soon. Men often set themselves sexual performance standards that are simply too high and unrealistic and struggle with anxiety and possibly even depression when they fail to meet those standards. In such cases, it might be helpful and reassuring to hear from a qualified healthcare professional that rapid ejaculation occasionally happens to most men and the average length of sexual intercourse for a man from penetration to orgasm is around 5 minutes.

Alternatively, your healthcare provider could find that you may indeed have premature ejaculation, in which case he/she would need to perform a physical exam and discuss some aspects of your sexual life, as well as your general medical history with you. Your sexual partner could be helpful in providing additional information for diagnosis, so some doctors ask for their patients’ sexual partners to come along for the next appointment. You might also have to undergo additional tests and examinations to rule out some potentially dangerous premature ejaculation causes such as an inflamed urethra.

Premature Ejaculation Treatment

Premature ejaculation can be treated in a number of ways. Your healthcare provider will help you find a way that works best for you and your sexual partner. You might have to try out several treatment methods before you understand which one is the most effective for you. In this section of the article you will find a brief overview of the most popular and effective premature ejaculation treatment methods and techniques.

Some healthcare providers recommend to begin premature ejaculation treatment with behavioral techniques, as they are the simplest and the least obtrusive way to address rapid ejaculation. It might be helpful for you to masturbate an hour or two prior to having intercourse, as that will help increase the time between penetration and ejaculation. It is also a good idea to refrain from having intercourse at all for a certain period of time. During that time, other sexual activities can be explored and the man does not experience so much pressure and stress regarding the premature ejaculation.

If premature ejaculation behavioral treatment turns out ineffective, you could try Kegel exercises to improve your pelvic floor muscles strength and use them effectively to delay ejaculation. First, you have to locate those muscles in your body and learn to tighten them voluntarily. Pelvic floor muscles are the ones that help you stop urinating in the middle of the process, so you can try doing that to identify them in your body. Once that is done, you can go on to actually try doing the exercises. Most men find it easier to start with the exercises while lying down, but you could start in any other position that’s comfortable for you.

Tighten your pelvic floor muscles, hold them contracted for three seconds, then relax them for 3 seconds. It might be challenging at first, but you will get the hang of it soon enough. You should aim at doing at least 3 sets of Kegel exercises with 10-15 repetitions each on a daily basis to see some progress. Make sure that you are only contracting your pelvic floor muscles, not the muscles in your abdomen or thighs. Once your pelvic floor muscles get stronger, you can proceed to do the Kegel exercises in standing, sitting, and even walking positions.

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Another relatively simple method to combat rapid ejaculation is using the pause-squeeze technique. You will need the cooperation of your sexual partner for this method, as it involves interrupting sexual activity at the point where you feel like you are about ejaculate and having your partner squeeze the tip of your penis for several seconds. This is almost guaranteed to curb your desire to ejaculate, so you can resume the intercourse. The pause-squeeze technique can be used as often as needed, and some men eventually learn to control their ejaculation even without having to resort to the squeezing. If squeezing feels painful or uncomfortable, you can simply stop your sexual activities to wait until the level of arousal naturally declines, and then go on.

Some patients find it helpful to use condoms to reduce the sensitivity of the penis to arousal and thus prolong the time needed to reach orgasm and ejaculate. Some condoms are even designed specifically to prolong sexual pleasure by applying some numbing agents to the penis and making it less responsive. Using such condoms might be a good addition to the effect of  behavioral techniques and Kegel exercises.

Should all of the methods above turn out ineffective (or maybe you just want a quick and guaranteed effect), your healthcare provider can prescribe you some medications to help address premature ejaculation. Topical anesthetics are a very common solution to rapid ejaculation problems because they are well-tolerated and highly effective. On the downside, many patients notice that they do not seem to find sexual intercourse as enjoyable when using anesthetics. In some cases, the numbing effect from the medication might even affect the patient’s sexual partner. You can go further by using oral medications, such as antidepressants, analgesics, or ED medications, to treat premature ejaculation, but that is a serious step which should only be taken after discussing the matter with your healthcare provider.

Counseling is often used in conjunction with drug therapy, but you could try it even without a complementing medication treatment. Working out the emotional problems in the relationship with your sexual partner might turn out helpful in reducing anxiety, stress, and increasing your libido. Premature ejaculation is a lot easier to deal with when you feel optimistic and have the support of your partner, so if this is something that you feel you are missing out on, you might find counseling sessions with your sexual partner quite helpful.

Premature ejaculation or Hypersensibility? Let’s look into it together

Premature ejaculation is an inability to control emission of seminal fluid. In this case sexual interrelations do not last long enough – a few seconds or 1-2 minutes. In this situation at least one of the partners is not fully satisfied. Premature ejaculation is a common condition, affecting 30-40% of men at any age. This medical problem is rooted in adolescence and psychologically connected with the very first genital experience: a fear of being caught while masturbating or coupling, over excitement or hormone fluctuations. Men, suffering from this sexual disorder, are sure that they are seriously ill or something of this kind without knowing that in the majority of cases premature ejaculation is caused by hypersensibility of penis balanus.

Hypersensibility as a common reason of premature ejaculation

Hypersensibility as a common reason of premature ejaculation

Hypersensibility of balanus is an acquired (rare inborn) condition which can badly affect the quality of a man’s sexual life. Acquired super sensibility is a complication after some diseases like balanitis or phimosis. Hypersensibility is typical for teenagers as well, when they stand on the cusp of beginning of sexual relationships. The very first sexual experience is characterized by higher excitement resulting in a quick ejaculation. During sexual over-arousal there is hypertension in a certain part of a brain cortex which leads to an unwanted semen emission. Evidently, hypersensibility has a physiological underground and with age this condition is supposed to reduce but often it does not.

Any man is able to determine on his own whether his premature ejaculation is caused by hypersensibility. For this he needs to perform a sexual intercourse using a special lubricant with an anesthetic agent (prolongator) or lidocaine aerosol. These products are sold in drug stores or sex shops at affordable prices and are applied on a penis head several minutes before sex. If positive results are obvious after such a treatment, uncontrollable ejaculation is for sure caused with hypersensibility.

Features of hypersensibility:

  • Duration of sexual intercourse does not vary much;
  • Premature ejaculation is observed during whole sensual life,
  • The repeated sexual actions are not longer than the previous,
  • Sex with a condom or a lubricant turns to be much longer,
  • Semen emission does not come before penetration,
  • Alcohol admission prolongs sexual contact.

How to decrease hypersensibility?

Considering the prevalence rate of hypersensibility as a basic cause of premature ejaculation, the modern medicine found out several effective approaches to prolonging of sexual performance:

  • penile over sensibility is noticeably reduced if a man wears 1-3 condoms at the same time during sex or uses condoms with spermicidal lubricants. Such condoms prevent a total contact with a vagina due to what ejaculation is postponed;
  • a man should learn to delay and recover urination in his own will;
  • regular masturbation is known to decrease hypersensibility and postpone uncontrollable semen emission;
  • genital mutilation (penile micro surgery) reduces hypersensibility of balanus and prolongs sexual contact twofold. Typically, one of four men has a hypersensitive penis head. In order to reduce this sensibility, a part of nerve fibers leading to the head are cut. After this treatment, a penile head starts contacting with undergarment, gets used to it and becomes less sensitive;
  • the pharmaceutical market offers a great deal of sedating medications which cure hypersensibility. Also tranquilizers and antidepressants combat a fear before sex and inferiority complex provided hypersensibility has a psychological ground;
  • if you are not afraid of experiments, you can try one famous folk remedy to reduce hypersensibility: apply some juice of mint leaves on a frenulum of prepuce of penis. Herbal teas with mint, motherwort or marjoram can reduce hypersensibility for a short time.

As a rule, premature ejaculation is provoked with hypersensibility – a medical condition which is successfully treated with special aerosols, gels, drugs or surgery. Often choosing condoms of proper thickness is enough to reduce hypersensibility before sex.

Premature ejaculation nature, numbers and treatment: an interview with an expert by My Canadian Pharmacy

Premature ejaculation nature, numbers and treatment: an interview with an expert by My Canadian PharmacyAccording to the statistics of American Society for Men’s Health, 20-35% of men suffer from premature ejaculation. However, few of them come with a complaint to the doctor, living in stress and referring to friends and searching the web for the answers. So is premature ejaculation a disease? If so, is it treatable? Is it possible to deal with the problem on your own, without devoting anyone to intimate secrets?

We have asked Dr. Terry Brougham, an andrologist with 15 years of experience at Toronto Central Hospital, to share his vision of the problem and answer the questions so many men fear to ask openly.


Dr. Brougham, how does modern medicine classify the phenomenon of premature ejaculation?

If ejaculation occurs before the start of sexual intercourse, then we deal with nothing but premature ejaculation. As for the clear criteria indicating the exact duration of friction – it doesn’t exist.

The concept of the norm itself is a subjective term. According to the classification of diseases ICD-10, premature ejaculation is considered to be the inability to control ejaculation sufficient to obtain satisfaction from sexual intercourse by both partners. But such a definition is very vague, especially given that many women never get orgasm during vaginal sex.

Currently, the terminology is still not well established. In practice, we are talking about premature ejaculation when ejaculation occurs either before or immediately after the introduction of the penis.

– Do you mean we deal with a purely psychological disorder?

Not exactly. Let’s have a closer look at the phenomenon. First of all, it is quite common for young men in the beginning of sexual activity, and in this case, the roots of the problem have mainly psychological reasons. Young men are greatly excited and at the same time, very nervous. The tension in the cerebral cortex increases rapidly and reaches the threshold very quickly… and ejaculation follows.

– So what is the reason for premature ejaculation in more experienced men?

It is oftentimes interconnected with physiological reasons as well. In some men, the penis glans is particularly sensitive from birth or as a result of an urological disease. In this case, even a slight stimulation may leads to ejaculation, and speaking of fully enjoyment is hardly possible.

There are other possible causes of premature ejaculation, for example, inflammatory diseases: prostatitis, vesicles (inflammation of the seminal vesicles) colliculitis (verumontanitis). During the inflammation the the walls of seminal vesicles, storing sperm, become very sensitive and easily reduced – ejaculation occurs even at low sexual arousal.

– How can a person figure out the reasons of premature ejaculation?

First of all, there’s a good number of characteristic features, allowing the doctor to significantly narrow the circle of possible problems. Thus, mental causes are characteristic of men who have little sexual experience. The timeframe until ejaculation can vary greatly depending on a bunch of factors. The situation is different in case of hypersensitivity of the penis glans: the length of sexual intercourse is constant and does not increase the accumulation of sexual experiences. Tellingly, ejaculation does not occur until the introduction of the penis, but after touching the vascular body. In inflammatory diseases premature ejaculation occurs in men that previously did not have problems in the sexual sphere. Ejaculation may be accompanied by pain and pleasure of sex can be lost.

As you can see, there are plenty of things that can be figured out after a conversation with the patient. For this reason we, even with the entire arsenal of modern methods of examination, do our best to avoid costly and nerve-wrecking researches. But in some cases, for example in inflammatory urological diseases, the diagnosis is required.

– What are the ways out? How can a person get back to normality?

If there is an organic disease, obviously, it must be treated. If that is the hypersensitivity of the penis glans, using a condom and gel with lidocaine – a means of reducing the sensitivity of the skin, could be a panacea. Premature ejaculation caused by psychological reasons for the accumulation of sexual experiences is cured by a therapist (with the use of medicines, if needed). Psychological assistance allows a man to go through a difficult period in the sexual life with minimal losses, in many cases that’s a highly underestimated weapon in fight against erectile dysfunction and premature ejaculation in particular.

However, the selection of treatment methods is truly impressive: drugs, physical therapy, and, finally, surgical treatment.

– You’re talking about psychological help… where should a person go?

First of all, a person needs to visit a urologists or, ideally, andrologist. Seeking for psychological help or passing various tests from the very beginning may not be an optimal decision.

– Dr. Brougham, as many men find it extremely difficult to pull the trigger and book an appointment, perhaps, you can recommend some alternative direction that doesn’t involve healthcare professionals?

Well, of course you can take advantage of piles of information on the web. The resources dedicated to the issue are numerous and there’s plenty of valuable info you can get from the internet. However, you are going to plunge into self-treatment, which is not the best case scenario. Perhaps, the only option to escape a personal contact is online consultation – for example, a person can drop in at My Canadian Pharmacy – MyCanadianPharmacyMall.Com, as these guys provide free of charge professional consultations. Even though they provide you with decent pills options, this is where you deal with online pharmacy, so you are not likely to get psychological-focused assistance.

– So it seems that consulting a specialist is absolutely required…

Of course, after all, delaying the problem could mean more disastrous consequences. Seeking professional assistance is something you should never be afraid of – every man should take care of his health, even if the problem is not that obvious. The doctor has so many instruments to determine the cause of the disorder – so essential to indicate the optimal treatment strategy, otherwise you risk to waste your time, money and efforts.

– Thanks, Dr. Brougham, I’m sure our readers would be glad to learn the answers to the acute questions.

You are always welcome. I wish all the people having problems with erectile dysfunction muster up the courage and pay a visit to the doctor – that’s the only proven and, believe me, the safest way to get rid of the problem effectively.

The methods of sex prolongation and how to prolong the sexual intercourse

In the complex of male diseases the premature ejaculation takes the second place after the erectile dysfunction (the problem of potency), that alloys the sexual life of a man and his partner as well. The problem may emerge in any man of any age quite unexpectedly, although it is not unsolvable – the most importantly is not to defer and avoid the problem, but start doing something about it. There are various ways of cure of premature ejaculation (PE), as the methods of treatment.

The methods of sex prolongation and how to prolong the sexual intercourse

There is no single opinion of experts concerning the length of the sexual intercourse, as for some people the norm may be either 1 minute or half an hour. However, the short sexual intercourse lasts less than three minutes, as during this time any woman will hardly get any pleasure. And the premature ejaculation is the uncontrollable ejaculation, that takes place immediately before the sexual intercourse or right after its beginning separately from the man’s wish, with minimal stimulation, and regularly.

The causes of problem of premature ejaculation

Sexologists consider a number of factors while diagnosing a patient with “premature ejaculation”, such as age, the sexual experience, sexual activity (recent) and the newness of a partner. The evident suffering of a man or the difficulties in the interpersonal relationships are also significant. There are primary and secondary PE (developed on the basis of other diseases), than can be diagnosed only by a doctor. The main causes of the premature ejaculation are considered to be the following:

– The lack of experience of a man, the inability to control PE. With time and with experience the problem passes
– Excessive anxiety during the personal meeting with a partner
– Psychological factors: depression, the sense of guilt, anxiety, indecision
– Hormonal disorder, side effect of some medications, trauma
– Genetic predisposition (in some forms)
– Excessive excitability
– Prostatitis, urethritis, some genital infections
– Short frenum
– The lack of magnesium in the food ration
– The excessive consumption of alcohol, nicotine, banned products

Temperamental, indecisive men or those who do not know their partners well (the lack of emotional bond) or are too much in love with their partner often suffer from the premature ejaculation. The neglect of a problem leads to the quarrels with the partner, suffering that leads to betrayals and the break up. Besides, the unsolved problem aggravates the psychological condition of a man, increasing the nervousness, indecisiveness and preventing the emerging of new relations.

However, recently there is a positive tendency in the growing number of men who study the information about how to prolong the sexual intercourse and then turn to specialists for help.

The methods of sex prolongation (how to prolong the sexual intercourse)

Psychological, as well as physiological reasons of premature ejaculation do not always require the medicinal treatment – in a number of cases the problem passes by itself. Nowadays there is a great variety of methods of sex prolongation. For some men there is one method that helps to solve the problem of PE, and for others the complex treatment may be required. Only the qualified doctor can diagnose correctly and prescribe the treatment, so it is necessary to consult your doctor before you start self-treatment.

Sometimes the change of the position during the intercourse or the use of a condom to reduce the sensitivity of glans penis may be helpful.

The psychological imbalance often requires the control of ejaculation by the method of “start-stop” (Masters-Johnson) that is quite complex and requires the concord and understanding between the partners. Or the control of the moment of ejaculation (Kegel’s method, the training of tailbone-pubic muscle) that fully depends on the man;

It is useful not to focus on the process during the sexual intercourse and think about the abstract topics:

– Anesthetic creams reduce the sensitivity of a man, but they also suppress the woman’s senses as a side effect;
– Neurotic factors are removed by antidepressants, SSRIs antianxiety agents than suppress the orgasm (there are contraindications).
– An assistance – masturbation shortly before the date, especially if the meetings are rare;
– Genital mutilation helps to prolong the duration of sexual intercourse by two-three times;
– Biologically active supplements and pills for the sex prolongation;
– Laser and phisio-therapy;
– Frenuloplasty (of the short frenum);
– Massage.

Every man wants to find the correct solution of the problem as soon as possible. How to prolong sex? – this question emerges in the man’s head almost always after the short sexual intercourse. The partner remains unsatisfied and though you have experienced pleasure (which is quite questionable, too), feel upset and guilty. This happens from time to time, and the problem grows like a snowball that in one moment turns into a great gap between you and your partner in the sexual life.

How do the modern men prolong the duration of sex abroad

Priligy generic

During a number of years a lot of men from different countries of the European Union except for the traditional methods of the prolongation of sexual intercourse successfully use the newest remedy for sex prolongation – Priligy (Dapoxetine) pills.

Dapoxetine is an active agent of Priligy pills that unlike other remedies influences the processes in brain that are responsible for the process of ejaculation. One Priligy pill may increase the duration of sexual intercourse by 3-4 times.

The remedy passed the clinical tests, does not build up a tolerance and is administered as necessary – an hour before the supposed intimacy.

Priligy generic is affordable (cheaper than the original) and has the same action and effect as the original medicine. Dapoxetine has only positive recommendations that shows the successful use of Priligy by many Canadian men who want to solve such an unpleasant problem as the premature ejaculation as soon as possible.

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