Premature ejaculation: what would your partner want?

Premature Ejaculation Problems and Solutions

Ejaculation is a necessary process that happens with men, during either sexual intercourse or masturbation. In both cases, the moment of ejaculation defines a lot of the pleasure experience, since it is deeply connected with male orgasm, and the sensitivity of the penis to stimulation is entirely dependent on how close, or how far, it is from the ejaculatory moment. Although it does not happen on the female body, during sexual experiences most women will have their pleasure influenced by when or how the man ejaculates. And, last but not least, of course, ejaculation is what makes it possible for the sexual intercourse, if allowed to follow it’s a natural course, to cause insemination, which is essential to, later on, lead to pregnancy.

What is premature ejaculation

When this process is happening naturally, researchers report that it will usually take anywhere from 4 to 8 minutes. However, even in natural circumstances, that time period can vary extremely, from less to much, much more, and any isolated case in either direction is not a cause for alarm. What can bring about a problem is when a man starts ejaculating before the 4 minutes mark too often, and in some cases can even find himself never been able to even reach it. In other cases, a man feels his ejaculation is premature when the time he is able to keep his erection before ejaculation is not enough to satisfy his partner. In either of those cases, regardless of the reason, there’s a person who is dissatisfied with their ejaculatory behavior, and they could change that, sometimes quite easily, by seeking professional help.

Diagnosis

Official diagnostic of premature ejaculation defines the problem to be present when an individual climaxes 15 seconds after the beginning of the intercourse. That should not stop any person feeling like their ejaculation happens too soon from seeking solutions since those can be found – but also should help to give perspective and help with not feeling too worried if this extreme case is not happening with you. It’s quite often for a person to be unable to control their ejaculation because they are not very aware of all the sensations and body mechanisms that lead to ejaculation happening. One thing that can be extremely helpful in those cases is to squeeze firmly one’s penis when feeling that ejaculation is unavoidable. That will often stop ejaculation from happening, and allow the person to focus on their sensations in order to learn the mechanism better, which leads to controlling it better. Stopping stimulation momentarily when the premature ejaculation is about to take place, and suspend any touches until those sensations are released, before restarting the stimulation, can also be helpful.

What can you do

Usually, it involved repeating this cycle 3 or 4 times and only then letting ejaculation happen. This is known to, in many cases, reeducate the body in a way that, after a few attempts, the patient becomes much more in control of how and when they ejaculate. Beyond that, in order to really gain stronger control and tranquility with the ejaculatory process, the ultimate solution while still dealing with one’s body is the so-called Kegel Exercises. They can involve a great number of different exercises in the pelvic region, aiming at making all the muscles involved with the ejaculation process stronger, which then can impact ejaculation delay even extremely. The simplest of those, and already helpful in many cases, consists on simply making the muscles of the prostate as tense as possible, and then subsequently relaxing them as much as possible. This is repeated as many times as it’s comfortable and should be done with a certain frequency. There’s no other physical solution that is more able to delay human ejaculation than the Kegel Exercises.

The root of the problem

However, in many cases, the root of the problem lies in psychological, not physical complications. Although even in those cases the improvement of the physical conditions could prove helpful if a person is experiencing psychological reactions along with their premature ejaculation, the help of a psychologist will absolutely be needed. If none of those procedures prove useful, in some cases doctors have found success with prescribing anti-depressants to patients with premature ejaculation. Even if those drugs were designed for something entirely different, they tend to cause delayed ejaculation as a secondary effect. Of course, it’s not recommended to resort to the use of medication without having tried all the other possible solutions, but that last resort option is also there to help someone who is not responding well to different approaches.

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Viagra… will it be the end-solution to your love-life problems

Did you know that Viagra discover was a happy accident?

Sildenafil (Viagra active substance) was synthesized by Pfizer, an american pharmaceutical corporation, to treat hypertension and Angina pectoris. The problem was that the new drug was not successful in treat the target diseases, but trial volunteers reported an unusual side effect of the treatment: many erections. After investigating this unexpected outcome Pfizer launched Viagra in 1998. At the time was the first oral treatment to erectile dysfunction and even today sildenafil is the most used treatment to ED, even here in Australia.

Therefore Viagra and its generic version (Sildenafil citrate) is the most commonly used treatment for impotence in Australia and the market is really vast:

About one million of Australians are affected by an Erection Dysfunction of some sort.

It’s important to understand that Viagra itself doesn’t solve the problem but help relieve the symptoms of this disabling condition. Although Viagra patent will expire in 2020 Pfizer has released its generic version from 2012. A reason for this is the development of similar molecules: tadalafil, vardenafil and avanafil. Cialis (tadalafil) was patented by Glaxo and launched in US in 2003 while Levitra (vardenafil), a branded drug from Bayer, was launched in american market in 2005. In 2012 Menarini launched Spedra (avanafil), another Viagra-like drug. The four active substances are approved to use in Australia, and are available in pharmacies after a GP prescription: that’s implies that Viagra is not available over the counter in Australian pharmacies.

It’s clear that Pfizer’s leading position in ED drugs market is facing a tough competition and from 2020 a myriad of generics will adjudicate a large share of the market

Another interesting fact about the ED drugs market that surely will change the way erectile dysfunctions will be treated in every part of the world, Australia included, is the recent development of a new ED drug: Eroxon. Futura, the UK pharmaceutical company that is still trialling Eroxon, promise that the new drug will work more quickly than Viagra and will have fewer side effects. That’s because glyceryl trinitrate (Eroxon) will be available as a cream to be applied in the penis and not a systemic drug available as an oral tablet like Viagra and other similar drugs.

Like Eroxon it’s likely that new treatments will be researched and developed in an area, Erectile dysfunction treatment, that de facto hasn’t seen real innovation since the launch of Viagra. In respect to this is interesting to note that a high percentage of Viagra users stop using it within a year, and it’s remarkable that effectiveness of Viagra is limited to 70% of patients. Furthermore a substantial number of people cannot use it because of health risk factors, such as patients with infarction and other heart or blood vessel problems, people with severe liver conditions or blood pressure dysfunctions. All this numbers suggest that a new ED treatment would get easily a large market share in the future. An example of new approaches to ED in a post Viagra treatment era is the interest of research on sound waves and their ability to regenerate erectile tissues.

A research conducted in South Africa in PD (Peyronie disease) erectile dysfunction affected men has shown that low intensity extracorporeal shock wave therapy (LiESWT) can be a valuable treatment for these difficult-to-treat disabling ED conditions. Even gene therapy could be a viable solution: it’s already successfully used in different disease treatments. However these therapies are highly experimental and twill be not available for all patients in the immediate future.

As a matter of fact Viagra will remain the main ED therapy for ED affected Australians for a long time yet

The problems to be solved are numerous like the lesser effectiveness of Viagra in longtime users and the social stigma associated with the use of Viagra because of which most patients will not speak with their doctor or seek advice on their ED condition with medic personnel. This is a major cause of improper use of Viagra and ED drugs not only in Australia but everywhere, and often customers that purchase Viagra online receive generic products, with serious safety issues.

Australian government recommends to buy Viagra from reputable online pharmacies that require prescription

In many countries of the world, like New Zealand and UK prescription it’s not more required to buy Viagra and other ED drugs, easing the availability of good quality and safe drugs for patients that don’t feels psychologically ready to speak about their ED problems with a doctor. In the near future this could happen even in Australia, if legislators change their approach to ED drugs availability.

2020 will mark the end of Era of Viagra, but one can be certain that innovations in ED treatment are on the way

For now we’ll wait and look forward to the changes that are coming from market, research and legislation in Australia and in the rest of the world.

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