Factors associated with premature ejaculation
Francois Carufel in Premature Ejaculation, 2017
Definitions of premature ejaculation Premature ejaculation has been defined in a great variety of ways by the many researchers who have studied the subject. For further clarity, these definitions have been grouped together into eight categories. Nevertheless, it is important to remember that the expression “premature ejaculation” embraces the same reality as the expression “difficulty with prolonging intercourse” but tends to convey a different understanding of this reality.
Male Methods
Sujoy K. Guba in Bioengineering in Reproductive Medicine, 2020
Disorders of semen ejaculation is one of the causes of male infertility. The problems fall into four major groups: retrograde ejaculation; premature ejaculation; ejaculatory duct obstruction and ejaculatory failure. 1 In retrograde ejaculation the seminal fluid travels to the bladder instead of being voided anteriorly via the urethra. Premature ejaculation involves seminal evacuation prior to vaginal intromission. Obstruction of the seminal flow pathways may be congenital or acquired and may result in reduced total spermatozoa count in the ejaculate or aspermia. Ejaculatory failure is on account of some abnormality in the activation and effectiveness of the propulsion mechanism. The first three types of problems are dealt with by drug therapy, surgery and psychiatric counselling. Technology has a role in the management of the fourth category, i.e., ejaculatory failure. Physical modalities to induce ejaculation have been developed.
The sexual excitement management programme for difficulty with prolonging intercourse
Francois Carufel in Premature Ejaculation, 2017
Introduction The third part of this book is devoted to presenting the sexual excitement management programme (or functional sex therapy treatment) for difficulty with prolonging intercourse, also referred to as premature ejaculation. The therapist will find a complete and structured sexological programme that in many cases can be used on patients as written. He will also have the flexibility to adapt this programme whenever the need arises. He may at that point modify the programme, add psychological or relational interventions to it or insert it into a more comprehensive therapeutic approach.
Enuresis in childhood and premature ejaculation in adult life: An enigmatic similarity
Published in International Journal of Psychiatry in Clinical Practice, 2010
Halil Ciftci, Abdurrahman Altindag, Murat Savas, Ercan Yeni, Ayhan Verit
Objective. To investigate a possible association between enuresis in childhood and premature ejaculation in adult life. Methods. The authors conducted a retrospective study, with two cohorts, consisting of 60 men with premature ejaculation, and 60 comparison subjects who were asked to assess their enuresis in childhood, a history of psychological problems. Results. While 20 (33.3%) subjects with premature ejaculation reported a history of enuresis in childhood, only seven (11.6%) subjects without premature ejaculation had this problem in childhood. Enuresis in childhood was significantly more common in men with a premature ejaculation than controls. While 35 (58.3%) patients with premature ejaculation reported a history of psychological problems, only four (6.6%) controls reported this kind of problems. There was a significant difference between these groups regarding psychological problems. Conclusion. The results of this study suggest that the history of enuresis in childhood seems to increase the risk of having premature ejaculation and psychological problems in adult life. These results lead to a premise that these disorders may share a common etiology and/or neurological pathophysiology.
Is Sexual Function in Female Partners of Men With Premature Ejaculation Compromised?
Published in Journal of Sex & Marital Therapy, 2015
Cevdet Kaya, Mustafa Gunes, Ali Murat Gokce, Senad Kalkan
The authors enrolled 32 female partners of sexually active men with premature ejaculation to investigate their sexual functions. An age-matched sample of the same number women whose partners had no sexual dysfunction was also included. Premature ejaculation was defined for all participants as ejaculation that nearly always occurs before or within 2 min of vaginal penetration. An invitation letter was given to men with premature ejaculation to ask whether their female partners could be contacted about completing a questionnaire to measure female sexual status. On the basis of the Female Sexual Function Index, the average sexual function score was significantly lower in partners of men with premature ejaculation (21.8 ± 7.6) compared with that in healthy controls (25.9 ± 6.6). Female sexual dysfunction was diagnosed in 78% of women who has a male partner with premature ejaculation, while 40% of female partner of healthy men. All of the domain scores of Female Sexual Function Index, except the desire and pain levels, were significantly lower in female partners of men with premature ejaculation group than those of healthy subjects.
Premature ejaculation: Some thoughts about its pathogenesis
Published in Journal of Sex & Marital Therapy, 1975
Premature ejaculation has always been assumed to be a male sexual dysfunction whose pathogenesis involved either male physiologic or psychologic considerations. A small series of unselected cases is presented that suggests that premature ejaculation may also result from hidden female arousal difficulties. The clinical material illustrates that the newer penile stimulation therapies for premature ejaculation are not required for every couple with this complaint.
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