Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
Reproductive Male Diseases Premature Ejaculation PharmaPedia PharmaGates

Reproductive Male Diseases Premature Ejaculation PharmaPedia PharmaGates

Ratings: (0)|Views: 110 |Likes:
Published by Islam Fawzy

More info:

Published by: Islam Fawzy on Oct 09, 2012
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOCX, PDF, TXT or read online from Scribd
See more
See less

05/13/2014

pdf

text

original

 
1
*
this material is free to be used in any educational procedure, downloaded , copied or shared once used without any content modification
.
*
 
Premature ejaculation
Definition & Symptoms:
Premature ejaculation occurs
when a man ejaculates sooner during sexual intercourse than they or theirpartner would like.
As long as it happens infrequently, it's not cause for concern. However, if you regularlyejaculate sooner than you and your partner wish
such as before intercourse begins or shortly afterward itcan be considered premature ejaculation.
Causes :
1. Psychological causes
 
Erectile dysfunction.
Men who are anxious about obtaining or maintaining their erection during sexualintercourse may form a pattern of rushing to ejaculate, which can be difficult to change.
 
 
Anxiety.
Many men with premature ejaculation also have problems with anxiety
either specifically aboutsexual performance or related to other issues.
 
 
Relationship problems.
If you have had satisfying sexual relationships with other partners in whichpremature ejaculation happened infrequently or not at all, it's likely that interpersonal issues between youand your current partner are contributing to the problem.
 
2. Biological causes:
Abnormal hormone levels
Abnormal levels of brain chemicals called neurotransmitters
 
Abnormal reflex activity of the ejaculatory system
Certain thyroid problems
Inflammation and infection of the prostate or urethra
Inherited traitsRarely, premature ejaculation is caused by:
Nervous system damage resulting from surgery or trauma
Withdrawal from certain medications used to treat mental health problems
Complications
 Relationship strains.
 
 
2
*
this material is free to be used in any educational procedure, downloaded , copied or shared once used without any content modification
.
*
 
 Fertility problems
Diagnosis
There usually are no abnormal findings with the condition.
 
Physician may order blood tests to check the male hormone (testosterone) levels.
 
Treatments
A) Behavioral methods:
1.
 
the start-and-stop method
you or your partner will stimulate your penis until you feel like you are about to have an orgasm. Then thestimulation stops for about 30 seconds. Once you regain control of your response, stimulation begins again.This process is repeated 3 or 4 times before you allow yourself to have an orgasm
2.
 
The squeeze method
 
 
Step 1.
Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready toejaculate.
 
 
Step 2.
Have your partner squeeze the end of your penis, at the point where the head (glans) joins theshaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
 
 
Step 3.
After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may noticethat squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soonregains full erection.
 
 
Step 4.
If you again feel you're about to ejaculate, have your partner repeat the squeeze process.
 
By repeating this as many times as necessary, you can reach the point of entering your partner withoutejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habitthat no longer requires the squeeze technique.
B)
 
Medications
 
A) Antidepressants
 
(
selective serotonin reuptake inhibitors (SSRIs) / tricyclicantidepressant)
 
selective serotonin reuptake inhibitors (SSRIs)
 
tricyclic antidepressant- antimuscarinic effect
 
Selective serotonin reuptake inhibitors (SSRIs)
 
3
*
this material is free to be used in any educational procedure, downloaded , copied or shared once used without any content modification
.
*
 
M.O.A:
SSRIs block the reabsorption (reuptake) of the neurotransmitter serotonin in the brain. Changing the balanceof serotonin seems to help brain cells send and receive chemical messages, which in turn boosts mood. SSRIsare called selective because they seem to primarily affect serotonin, not other neurotransmitters
 Reduced sexual desire or difficulty reaching orgasm
 Inability to maintain an erection (erectile dysfunction)
Fluoxetine
Depreban Durazac FluoxetineFlutin Octozac Philozac

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->