Premature ejaculation (PE) is a common sexual disorder in which a man ejaculates sooner than he or his partner desires during sexual activity. It is characterized by a lack of voluntary control over ejaculation, causing distress and dissatisfaction for both partners.
Causes Of Premature Ejaculation:
Premature ejaculation (PE) can have various causes, and it's often a combination of factors that contribute to the condition. Here are some common causes of premature ejaculation:
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Psychological factors: Performance anxiety, stress, depression, guilt, relationship issues, and past sexual experiences can all play a role in premature ejaculation.
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Biological factors: Certain medical conditions such as hormonal imbalances, abnormal levels of neurotransmitters in the brain, thyroid problems, or inflammation of the prostate can contribute to PE.
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Erectile dysfunction: Premature ejaculation can sometimes occur as a result of an underlying erectile dysfunction issue. When a man is unable to maintain an erection, he may experience anxiety about losing it, leading to premature ejaculation.
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Behavioral patterns: Habits developed during early sexual experiences can also contribute to premature ejaculation. For example, rushing through sexual encounters or frequently masturbating to achieve quick ejaculation can train the body to ejaculate rapidly.
While hormonal imbalances, including low testosterone levels, can have an impact on sexual health, it's important to note that they are not commonly recognized as primary causes of premature ejaculation (PE). Testosterone is an important hormone for male sexual function, but its direct link to PE is not well-established.
Premature ejaculation is considered to be a multifactorial condition influenced by a combination of psychological, physiological, and neurological factors. These factors can include heightened penile sensitivity, abnormal levels of neurotransmitters (such as serotonin), genetic predisposition, and potential prostate issues.
Psychological factors can play a significant role in contributing to premature ejaculation. Here are some common psychological factors that can impact ejaculation control:
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Performance Anxiety: Anxiety and fear of not satisfying one's partner or performing poorly in bed can lead to heightened arousal and a loss of control over ejaculation.
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Stress and Psychological Distress: High levels of stress, work pressure, or emotional turmoil can interfere with sexual functioning and contribute to premature ejaculation.
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Relationship Issues: Difficulties within a relationship, such as poor communication, unresolved conflicts, or lack of emotional intimacy, can create tension and anxiety during sexual encounters, leading to premature ejaculation.
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Sexual Insecurity: Negative self-perception, body image issues, or lack of confidence in one's sexual abilities can contribute to heightened anxiety and premature ejaculation.
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Traumatic Sexual Experiences: Previous traumatic sexual experiences, such as abuse or assault, can result in psychological distress that affects sexual functioning, including premature ejaculation.
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Cultural and Religious Beliefs: Cultural or religious upbringing that emphasizes guilt, shame, or strict sexual norms can create psychological barriers and contribute to sexual anxiety, potentially leading to premature ejaculation.
Addressing psychological factors often involves therapeutic interventions, such as cognitive-behavioral therapy (CBT), sex therapy, or couples counseling. These approaches aim to help individuals identify and address underlying psychological issues, develop coping strategies, improve communication, and enhance overall sexual confidence. It's important to consult with a qualified healthcare professional or a sex therapist who can provide guidance and support tailored to your specific needs.
Symptoms:
The primary indication of premature ejaculation is the inability to prolong the climax and ejaculation beyond one minute after penetration during heterosexual intercourse. This problem can also manifest during self-stimulation, specifically when manually stimulating the penis to elicit pleasure.
Line of treatment:
Treatment for Premature Ejaculation or Early Discharge can be outlined as follows:
a. Hypersensitivity (Zakawat-e-Hiss): Administration of anaesthetic and sedative drugs, both orally and locally.
b. Debility in Retentive Power (Zof-e-Quwwat-e-Masika): Oral use of semen retentive drugs and measures.
c. Acuteness of Semen (Hiddat-e-Mani): Administration of Tabreed either orally or locally with cooling agents.
d. Excessive Semen Volume (Kasrat-e-Mani): Oral use of semen reducing drugs and measures.
e. Predominance of Sanguine Humor (Ghalba-e-Khilt-e-Dam): Application of Fasd (bleeding) along with dietary control and other measures.
f. Thin Consistency of Semen (Riqqat-e-Mani): Oral use of drugs to thicken the consistency of semen.
g. Vital Organs' Debility (Zof-e-Aza-e-Raisa): Oral use of tonics to strengthen vital organs, as well as the overall body.
h. Dilated Penile Vessels (Ittisa-e-Majari-e-Qazeeb): Oral and local use of astringents.
A number of natural agents were identified to treat differently Causative factors involved in the disease. Unani scholars classified these natural drugs on the basis of their mode of action. Different class of drugs are indicated in different pathological conditions and sometimes two or more classes of Drugs are used simultaneously. A large number of drugs, either single or in compound formulations, have been mentioned in the context of the treatment of Sur`at-e-Inzāl [2, 40]. Most commonly used drugs are given as under:
- Mukhaddirat wa Musakkinat (Anaesthatics &Sedatives): These are the agents used to decrease theirritation and burning of nerves, prostrate and vas deferensetc. owing to their febrifuge, anaesthetic and nervinesedative actions.
- Mufradat (Single drugs) Afyun /Koknar/ Tukhm-e-Khashkhash (Papaver somniferumLinn.), Ajwain Khurasani (Hyoscyamus niger Linn.), Asrol(Rauvolfia serpentina Benth. ex. kurz.), Barg-e-Qinnab(Cannabis sativa Linn.), Bazr ul Banj (Hyocyamus albusLinn.), Isapghol (Plantago ovata Forsk.), Kafoor(Cinnamomum camphora Linn.), Kishneez (Coriandrumsativum Linn.), Raughan-e- Khar-e-Khasak (Tribulusterrestris Linn.), Sandal safaid (Santalum album Linn.),Tukhm-e-Kahu (Lactuca scariola Linn.), Tukhm-e-Dhatura(Datura stamonium Linn.), Shibb-e-Yamani (AluminiumHydroxide).
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