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Reproductive Male Diseases Premature Ejaculation PharmaPedia PharmaGates

Reproductive Male Diseases Premature Ejaculation PharmaPedia PharmaGates

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Published by Islam Fawzy

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


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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.
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
 Relationship strains.
this material is free to be used in any educational procedure, downloaded , copied or shared once used without any content modification
 Fertility problems
There usually are no abnormal findings with the condition.
Physician may order blood tests to check the male hormone (testosterone) levels.
A) Behavioral methods:
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
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.
A) Antidepressants
selective serotonin reuptake inhibitors (SSRIs) / tricyclicantidepressant)
selective serotonin reuptake inhibitors (SSRIs)
tricyclic antidepressant- antimuscarinic effect
Selective serotonin reuptake inhibitors (SSRIs)
this material is free to be used in any educational procedure, downloaded , copied or shared once used without any content modification
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)
Depreban Durazac FluoxetineFlutin Octozac Philozac

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