Premature Ejaculation In Nagpur- Dr Akash Bande

Premature Ejaculation In Nagpur

Premature ejaculation in nagpur occurs when a man ejaculates sooner than desired during sexual activity. This is a common issue, with as many as 1 in 3 men experiencing it at some point.

Premature ejaculation typically isn’t a cause for concern if it happens infrequently. However, you may be diagnosed with premature ejaculation if you:

Almost always ejaculate within 1 to 3 minutes of penetration.
Are unable to delay ejaculation during sex most or all of the time.
Feel distressed and frustrated, leading to the avoidance of sexual intimacy.

Premature ejaculation is a treatable condition. Medications, counseling, and techniques to delay ejaculation can help improve sexual experiences for you and your partner.

How Does Ejaculation Work?

Ejaculation is the sudden, pleasurable release of semen through the penis, controlled by the central nervous system. During sexual stimulation, signals travel from the spinal cord to the brain. Once a certain level of excitement is reached, the brain sends signals to the reproductive organs to initiate ejaculation, resulting in semen being ejected through the penis.

Ejaculation consists of two phases: emission and expulsion.

Phase 1: Emission

During emission, sperm moves from the testicles to the prostate, where it mixes with seminal fluid to form semen. The vasa deferentia (singular: vas deferens) are the tubes that transport sperm from the testicles through the prostate to the base of the penis.

Phase 2: Expulsion

In the expulsion phase, the muscles at the base of the penis contract, forcing semen out of the penis. Ejaculation and orgasm (climax) typically occur simultaneously, although some men may climax without ejaculating. Erections usually subside after this phase.

Diagnosis

It is common for men to have some control over when they ejaculate during partnered sex and masturbation. However, if a man feels he lacks control over ejaculation timing and this causes concern for him or his sexual partner(s), premature ejaculation (PE) may be present. If PE interferes with your sexual pleasure, it is important to consult a healthcare provider. The diagnosis is based on whether ejaculation occurs too early, too late, or not at all. Typically, your healthcare provider will diagnose PE through a physical exam and a detailed discussion with you. They may ask questions such as:

How often does PE occur?
Has PE been present your entire life, or did it start recently?
Does this happen with just one partner, or with all partners?
Does PE happen with every sexual attempt?
What types of sexual activity do you engage in (e.g., foreplay, masturbation, intercourse, use of visual cues), and how often?
How has PE affected your sexual activity?
How are your personal relationships impacted?
Are there any factors that make PE worse or better (e.g., drugs, alcohol)?

Lab testing is only necessary if your healthcare provider identifies something unusual during the physical exam.

Treatment

Drugs:

Certain antidepressants such as clomipramine, fluoxetine, paroxetine, sertraline, and tramadol are observed to delay orgasms in both men and women by affecting serotonin levels. These drugs are sometimes prescribed off-label for PE. If one medication proves ineffective, your doctor may recommend trying a different one.
α1-Adrenoceptor antagonists are another option for drug therapy. These medications may affect ejaculation and could lead to ejaculatory dysfunctions like retrograde ejaculation or failure of emission.
Drugs for PE may be taken daily or on an as-needed basis before sexual activity. Your healthcare provider will advise on the timing based on your individual needs. The optimal timing of drug intake is not well-defined, but most doctors recommend taking them 2 to 6 hours before sex. PE symptoms may return if these medications are stopped, so many men require ongoing treatment.

Numbing Creams or Sprays:

Numbing creams and sprays are applied to the head of the penis 20 to 30 minutes before intercourse to desensitize the area and delay ejaculation. It’s important to follow the recommended application time closely to avoid side effects such as loss of erection. The cream or spray should be washed off the penis 5 to 10 minutes before intercourse to prevent vaginal numbness if engaging in vaginal sex. Using a condom can help mitigate sensations and also provide protection against sexually transmitted infections and pregnancy.

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