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Premature Ejaculation

Premature Ejaculation (PE) Check Your Symptoms, Signs and Treatments

Premature Ejaculation is the Inability in males to hold on the secretion of semenduringsexual intercourse before or just after penetration, and thus he loses his firmnessand interest in libido this un-satisfaction leads to unhealthier psychological/physical behavior.

Around 60% of men suffer with this sexual dysfunction but they feel embarrassing to discuss it and this worsen the condition even more which ended as insufficient sperm count to implant fertility. Sometimes all this have to pass through unhappy married life along with family disputes or court trial situation for divorce.

Most premature ejaculation are temporary and can alter from time to time because it planted on the psychology of mind at the time of sexual intercourse but in some of the cases may be permanent, when semen get shit out at individual urinal time or when you are un-concuss at dreamy night, this is a critical case. You immediately have to consult a sexologist otherwise destination will be permanent impotence.

What brings premature ejaculation?

There is no such causes of Premature Ejaculations. It may be due to anxiety fear or unhealthier mental peace. In some of the cases it may be due to emotion towards the new partner or its long time since previous ejaculation.

About 75% of teenagers who have a premature ejaculation also have Some unusual habits such as masturbationwhich is the best way to sense sexual excitement, although masturbation is good for a healthy penis size and thickness but more than even of whatever always worsen the situation and extreme hand exercise may cause narrowing the penis vessels and tissues due to which the blood flow hinder and increase in pressure leads to impotence or premature ejaculation.

Sign & SYMPTOMS:

Common symptom is ejaculation before or amid or the intercourse, but some others are:

  • Weakness feeling.
  • Yellow urinal color.
  • Sense of stretching in penis shaft.
  • Man had done extreme masturbation in his teenage usually have small penis circumference and a bended penis shaft than average ones.
  • when to seek for a sexologist. seems a regular & usual problem, consult your doctor immediately. sometimes your doctor may asks to alleviate, enlighten him by bringing usual concern towards chronicle behavior of your ejaculation.

    Tests & Diagnosis:

    Decisive sign-

    Abdominal Exam. your doctor may ask you for tapping your abdomen to reveal liver size, abdomen fluid, and stethoscope to listen bowel sound

    Neurological Exam. Nerves, muscle strength, reflexes, balance, and mental state may be estimated.

    Blood pressure. for a healthy man, less than 120 over 80 is an average case but if having higher, than 140 over 90 is a very to worry about

    Respiration Rate. From 12 to 16 breath per minute is an average one but if higher than 20 it may be lungs or heart problems

    Heart Exam. listening the heart rate sound by stethoscope and values between 60 to 100 is normal for a healthy personality. some people have slower than 60 however.

    Body Temp. around 98.6 degree Fahrenheit accounts as normal but some healthy body may also have higher than that.

    Male physical assessment-

    Penis Test. check for sexual transmitted infection warts or ulcer in the scrotum.

    Hernia. weakness on the abdomen walls between intestine and scrotum, go for well-known test "turn your head & cough".

    Testis Examine. swollen testis or scrotum, lump or, tenderness.

    Other assessments-

    doctor recommends to have a regular check on diabetes, cholesterol, overweight, P.B, hypertension etc.

    Risk factors:

    over masturbation weakens the nerves & veins, mental disorder, over aged and chronicle premature ejaculation requires an immediate enquire for sexologist.

    TREATMENT:

    This can be treated by itself as the experience increases you learned some distractions and a hold on mentality works out a lot. Healthy food and free minded is really gone work.

    In some of the worsen cases we have to suggest for the drugs and some exercises to learn to control your breath.

    Underlying may work for you-

  • Stop masturbation immediately.
  • Shift towards essential vitamins and minerals by having healthy food or drugs.
  • Move across to flush down the negative thoughts.
  • Indulge yourself in any activity, devotedly.
  • Never stuck to your past sick thoughts, just try to forget everything even you have an early ejaculation.
  • Start meditation, the best to control your mind and soul.
  • Go for the counseling advice.
  • Physical causes of erectile dysfunction

  • Suffering with diabetes, heart disease, hyper tension, B.P or another known health condition that might be linked to erectile dysfunction
  • Having any chronical symptoms related to sex or a chronical erectile dysfunction problem.
  • When problem leads to anxiety or threat on marriage get a advice towards your misinformation to keep it clear.
  • DIAGNOSIS:-

  • Testosterone testing is used to check for Delayed/early puberty, erectile dysfunction, impotency, testis tumor or infertility and some hormonal tests such as semen analysis or estrogen.
  • Physical exam. Careful examine of testicles, sensational nerves or penis shaft.
  • Blood and urine tests for examine of diabetics, heart disease, or to determine cholesterol level.
  • Blood flow rate to know about toughness of erection and for what time.
  • RISK FACTORS & COMPLICATIONS:-

  • Clotted blood vessels.
  • High cholesterol
  • Hypertension
  • Tobacco
  • Alcoholism
  • Our brain is the controller of almost all physical activities, starting with arousal feeling and getting an erection. These include:

  • Anxiety, Depression, or other mental health condition
  • Stress
  • Poor understanding or communication
  • In some of the cases E.D might also be a result of side-effect of using certain medicines.

    TESTS & DIOGNOSIS:-

    Mostly men have a physical problem for which we have to take some tests and the men having psychological problem they seek for the psychiatrist and recommend a treatment. If you have chronic health disease or your doctor suspects for a major intruder, then might recommend you for following tests.

    Tests for above conditions might include:

  • Physical exam. That includes over careful examine of your penis, testicles and looking your nerves for sensation.
  • Blood tests and urinalysis. To check for heart disease, diabetes, low testosterone levels or other health conditions.
  • Ultrasound. To let your doctor see if you have blood flow problems. By ultrasound image of the blood vessels that supply the penis.
  • This test is sometimes done in combination with an injection of medications into the penis to stimulate blood flow and produce an erection.
  • Overnight erection test. Usually men have erections during sleep, in this test we wrapping a special device around your penis before going to bed to determine the number and strength of erections and decide whether it is psychological or physical
  • Psychological exam. To screen for depression.
  • Injecting dye to screen blood flow in arteries of the penis.
  • RISK FACTORS:-

    Mostly risk factors can be concluded as:

  • Prolonged bicycling, which leads to temporary or permanent impotence by compressing nerves and decline in blood flow to the penis.
  • Tobacco, which alters the blood flow in veins or arteries.
  • Injuries, which may bring damage in nerves or arteries that provide erections
  • Medical conditions, such as diabetes or heart disease or being overweight.
  • Psychological conditions, such as stress, anxiety or depression
  • Drugs or alcohol, especially when you are a chronical drug user or drinker.
  • TREATMENTS:-

    Dysfunction or impotence can be treated by different medication hormonal injection and surgical method. We intact for surgical method when only others are paralyzed, we initially started with proper diagnosis of individual patients to know the prime cause of impotence, learn them some exercises to strengthen their penis veins and tissues along with some requisite hormonal injection such as morphine sulphate or the nitrate.

    There are some other physical treatments available in the market such as penis pump but beware to use them without having adequate consultancy to someone un-blemished.

    Oral medications

    Mostly men having impotence due to improper blood circulation in penis veins or arteries recommended for Oral medications. They include:

  • Sildenafil
  • Tadalafil
  • Vardenafil
  • Avanafil
  • Having liver disease
  • Hypotension or hypertension (high or low B.P)
  • Having kidney disease.
  • Other medications

    It has some negative impacts also which includes bleeding.

  • Testosterone replacement. If a patient secretes low level of hormone testosterone.
  • Psychological counseling

    If impotence is caused by anxiety stress or depression, then it might be treated by counselors and he may recommend to visit a psychologist or counselor.

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