Premature

Ejaculation

The EXACT Steps to Treat What Affects

Table Of Contents

Introduction

I want to thank you and congratulate you for downloading the book, “Premature
Ejaculation: The EXACT Steps to Treat What Affects 33% of All Men” .

This book contains proven steps and strategies on how to identify whether you
suffer from premature ejaculation and then how to treat your condition.

PE is a private topic for most men because it is inherently embarrassing – most
men strive to be powerful and masculine in bed; PE prevents men from
accomplishing these goals. Similarly, most people do not want to tell their
friends about their sexual issues so strategies and tips on how to improve and
properly treat PE are generally not discussed.

This book is the perfect opportunity to receive real, data-driven information
about how to move beyond premature ejaculation all while reading in the
comfort and privacy of a Kindle.

Thanks again for downloading this book, I know you’ll enjoy it!

Definition



What is Premature Ejaculation? PE is a state where the male ejaculates sooner
than he or his partner would want to. In premature ejaculation occurs
infrequently, there’s nothing to be concerned with.

But if PE becomes a regular incident and ejaculation takes place much sooner
than expected, such as even before the intercourse starts or shortly after that,
then this is a medical condition and is termed to be Premature Ejaculation.

The phenomenon of premature ejaculation is a very common sexual issue.
Although statistics vary at different times, at an average 1 out of every 3 men
suffer from this sexual problem. There are many reasons as to why this happens.
There are both biological and psychological factors responsible for premature
ejaculation.

Most of the men feel very embarrassed to even raise this issue considering it as a
blow to their manliness. The good news is that premature ejaculation is a very
common thing and is very much treatable!

For improving the sex between you and your partner, there are many
medications, sexual techniques and even psychological counseling that can cause
a reasonable delay in ejaculation. In most men, premature ejaculation can be
solved with a combination of treatments.







The Symptoms



The primary sign that you’re suffering from premature ejaculation can be
detected when your ejaculation takes place before you and partner wish for it to
happen and thus causes stress and concern. This problem might happen in
practically any sexual interaction, and that includes masturbation too.

The doctors have classified premature ejaculation into two categories: •
Lifelong (Primary) Premature Ejaculation • Acquired (Secondary)
Premature Ejaculation As the International Society for Sexual Medicine states,
Lifelong Premature Ejaculation has following characteristics: • Always or
nearly always, ejaculation occurs within a minute after vaginal
penetration.

• Unable to delay ejaculation during vaginal penetrations.

• Development of negative personal attributes including frustration, stress
and a tendency to avoid sexual intimacy.

In case of Secondary Premature Ejaculation , there’s just one key difference:
• Secondary Premature Ejaculation develops after you’ve had
successful and satisfying sexual intercourses in the past with no
ejaculatory dysfunctions.



Seeing A Doctor



When premature ejaculation becomes a regular problem, it’s time that you see a
doctor. Proper treatment is essential to ensure that you have a satisfactory sex
life.

Sometimes, when you meet a doctor, the conversation might be very reassuring.
Often it happens that your premature ejaculation is perfectly normal and might
not even be a premature case. The average ejaculation time for a normal healthy
person from the beginning of the intercourse is approximately 5 minutes.

If you ejaculate after this time period, it cannot be put into the ‘premature’
criteria. Whatever is the case; a doctor can really help and solve your problem.
So it’s the best to consult a doctor at your earliest convenience.

The Causes



The exact specific reason as to why premature ejaculation occurs is still not
known. At one point, it was thought that premature ejaculation was a completely
psychological phenomenon. Now doctors have discovered that the problem is a
lot more complicated. Premature ejaculation is said to involve a complex
combination of some psychological and biological factors of influence.

Psychological Factors

Most of medical research on premature ejaculation concludes that an ejaculation
pattern might have been established in the early parts of a person’s sexual life
and later in life -- this can turn out to be very difficult to change. The
psychological factors include:

• Situations where a person tries to hurry reaching climax because he wants to
avoid being discovered.

• A sort of guilty feeling which boosts your tendency to speed up sexual
intercourse.

Some other factors playing vital roles in premature ejaculation are:

Erectile Dysfunction:


Some people are always very worried and anxious whether they would be able to
maintain erection throughout intercourse. This might result in a quick ejaculation
pattern and be very difficult to control.

Anxiety:

People who suffer from premature ejaculation have anxiety problems too. This
anxiousness might be concerning the sexual performance or any other related or
non-related issue.

Complicated Relationships:

Sometimes it so happens that you’ve had successful and satisfying sexual
encounters with your previous partners, but with the current one, the problem
has taken a new dimension. This might be due to interpersonal relationship
complications between you and your current partner. In such cases, counseling
might be a fruitful solution to the problem.

Biological Factors

A good number of biological factors might be responsible for causing premature
ejaculation. These factors include:

•
Abnormal level of hormones

•
Abnormal neurotransmitter (brain chemical) levels


•
Abnormal ejaculatory system reflex function

•
Any sort of problem in the thyroid gland

•
Infected urethra or prostrate

•
Hereditary characters

Risk Factors



There are a number of factors that can increase the chances of your premature
ejaculation. Although these might not be the factors responsible for your
particular case of premature ejaculation, it’s good to keep them in mind.

Erectile Dysfunction:

Do you occasionally or frequently find it difficult to grow or maintain an
erection? This is a common problem and is known as erectile dysfunction.
Sometimes when a person suffers from erectile dysfunction, he is scared and
fears losing an erection during an intercourse. This causes you to hurry through
the intercourse. This might even be in a sub-conscious state of mind and difficult
to control voluntarily.

Health Issues:

Sometimes a medical concern such as a heart problem might cause you to
become anxious during sex. This anxiety will eventually lead towards an
unknowingly tendency to rush for ejaculation.

Stress:

Over-stress is a dangerous thing and mental strain in any part of life can limit
your relaxing ability and distract you from focus during a sexual intercourse.
This will also lead to premature ejaculation.

Certain Drugs:

Although this is very rare, sometimes certain drugs can influence the function of
chemical messengers in human brain, known as psychotropics, which might
cause premature ejaculation in some people.

Complications

Premature ejaculation is a very common problem and although there is a little
chance for it to put your health under a serious risk, it can cause personal life
problems which need to be addressed as well.

Relationship Strains:

This is one of the consequences of premature ejaculation that doctors have to
deal with on a regular basis. If you think that your case of premature ejaculation
is straining your relation with your partner, it’s important to discuss the issue
with your doctor and include a couples therapy program as a part of your
treatment.

Fertility Problems:

Although this is not a very regular incident, but premature ejaculation can
sometimes cause difficulties in fertilization and it might be hard to initiate
pregnancy. When premature ejaculation is not treated properly, it’s a good idea
for you and your partner to go for infertility treatment. According to experts, this
has turned out to be an effective way to deal with fertilization problems in many
couples.



Preparing For Appointment

When you’re going to talk to a doctor regarding premature ejaculation, you will
likely speak with a family doctor. Sometimes you might also be referred to a
urologist. It’s best not to hesitate while discussing your problems with your
doctor. There is nothing to be ashamed of when you’re at your doctor’s chamber.
A doctor knows very well how important a healthy sex life is for any person.
And before you get the chance to talk about your sex life, there is a big chance
that your doctor will be the one to bring it up!

Everyone feels embarrassed while discussing sexual problems. But you’ve got to
know that your doctor is experienced in discussing these things with many other
patients. So this is nothing new or weird to him. Premature ejaculation is
common, many people have this problem and it is very much treatable. So just
relax and tell him/her freely about your premature ejaculation case.

When you’re ready to talk about your problem, it will be easier to treat and get
you back on a perfect and satisfying sex life. Let’s check out some information
on how you can proceed with your appointment with the doctor!

Things To Note Down Before Appointment

Pre-Appointment Restrictions:


When you’re making your appointment, make sure if you need to follow any
restrictions before you visit your doctor.

Symptoms:

Note down how often your face premature ejaculation and how long can you
continue having intercourse before ejaculating.

Sexual History:

Go back to the memory lane and try to remember your previous sexual
encounters. Is this something new? Have you suffered from premature
ejaculation before? Who was the partner and how was the situation back then?

Medical History:

Put on paper any sort of medical conditions that you’ve even been diagnosed
with and this includes mental health issues. Note all the medications and drugs
you’re taken at the moment or have been taking before, along with the
prescriptions.

It’s a good idea to prepare a set of questions for your doctor and make the most
of your appointment. These are some of the basic questions that you should ask
your doctor. You can of course add more to these and should not hesitate to ask
anything you have on your mind:

•
Why am I having premature ejaculation?


•
What should be my treatment approach?

•
How long will it take to improve my condition?

•
How much improvement should I logically expect?

•
Is this going to be a recurring problem?

•
Is there any alternative to the drugs you’re prescribing?

•
Do you recommend that I visit any particular website?

And here’s a set of questions that you might expect from your doctor. They
might be very personal, but you should answer each of them without any
hesitation.

•
Do you frequently have premature ejaculation?

•
Did this problem appear suddenly or gradually?

•
Does this problem occur only with a particular partner?


•
Does it happen when you’re masturbating?

•
Does your premature ejaculation occur during every sexual intercourse?

•
How often do you have an intercourse?

•
How much are you concerned by this problem?

•
Do you have a satisfying relationship?

•
Tell me about your first sexual experience.

•
Are you suffering from erectile dysfunction?

•
What medications are you taking or used to take before?

•
Have you ever tried recreational drugs?

What to Do Before the Appointment

Since you’ll have to wait till the appointment, try to enjoy and connect with your
partner in other ways. Try something else that can bring you and your partner
pleasure. You’ve already decided to talk to your doctor and that’s a very brave
step. All you have to do now is wait with patience and treat your condition
without the slightest stress or anxiety!

Treatments & Drugs

The treatment process for premature ejaculation can be classified in three areas:
sexual therapy, medications and psychotherapy. In most patients, a combination
of these three has turned out to be most effective.

Sexual Therapy

Sexual therapy is the physical exercises that can help improve your ejaculation
time. Sometimes masturbating one or two hours prior to sex can really help
delaying ejaculation. Sometimes doctors suggest taking a break from intercourse
for extended periods of time in order to remove the stress from encounters and in
the meantime, focus on other sexual activities.

The Squeeze Technique

This is a very common therapy often suggested by doctors. Here is how The
Squeeze Technique works:

Step 1. Start your sexual activity just like any other day and enjoy stimulation of
your penis to the level just before you think you’re going to ejaculate.

Step 2. Ask your partner to squeeze the head of your penis for several seconds
until your tendency to ejaculate reduces and diminishes.


Step 3. After releasing the squeeze, take a break for around 30 seconds and
engage in some foreplay. During the squeezing, your penis will become less
erect, but will return to full erection as soon as the sexual stimulation resumes.

Step 4. When you feel the urge to ejaculate again, ask your partner to repeat the
process.

Repeat this process as many times as you need and at one point, you’ll be able to
penetrate your partner without feeling that sudden urge to ejaculate. With a few
practice sessions, ejaculation can be delayed and you’ll be habituated to having
satisfying sex without needing the squeeze technique any more.

Medications

There are different medications available in the market for dealing with
premature ejaculation. It can be treated using certain anti-depressants.
Sometimes topical anesthetic creams can help in the treatment. Although none of
these medications are FDA approved for treating premature ejaculation, they are
still used and in some cases, very effective. You can try out different
combinations of medications before you and your doctor come to a treatment
that solves your issue.

Antidepressants

Modern anti-depressants have a side effect: delayed orgasm. To take advantage
of this side effect, sometimes doctors suggest using them for delaying
ejaculation. However, these anti-depressants can also cause dry mouth,
drowsiness, decrease in libido, and nausea.

There are a good number of SSRIs (Selective Serotonin Reuptake Inhibitors)
which can delay ejaculation. Some of the most popular SSRIs are sertraline,
fluoxetine, and paroxetine. However, these drugs won’t take effect within the
first ten days of use.

Even after using these drugs, if you find no improvement in timing your
ejaculation, the doctor may recommend tricyclic clomipramine, which has also
been found to be effective in many people suffering from premature ejaculation.

It’s not like you have to take these medications on a regular basis. Taking a
small dose a few hours before intercourse can drastically improve your
premature ejaculation.

Since anti-depressants are not approved for treating this particular disorder, it’s
the best to discuss with your doctor about the pros and cons of using them in
your case. Despite them being harmless in most cases, you should never risk
your health for treating premature ejaculation.

Topical Anesthetic Creams

The main function of a topical anesthetic cream is to use prolocaine or lidocaine
to numb the sensation on your penis and thereby delaying the ejaculation
process. When you feel that your penis has lost sufficient sensation, the creams
are wiped away. A spray with a combination of lidocaine/prilocaine are now
being studied for developing an effective treatment for premature ejaculation.

People who have tried topical anesthetic creams have complained about reduced
sexual pleasure since the cream has lessened the sensitivity of the penis. Besides,
even after wiping off the cream, many female partners have reported that the
creams have reduced the sexual pleasure of their genitalia and sex is no longer
satisfactory. In some rare cases, people have also been found to develop allergic
reactions upon application of these creams.

Cognitive Behavioral Therapy

This approach to treating premature ejaculation is also known as counseling. It
involves speaking with a mental health expert and sharing your sexual
experiences or other personal problems. This is an effective method in the sense
that it reduces the anxiety about your performance and finds the best way to deal
with your stress and problems. Counseling is extremely helpful when used along
with medications for treating premature ejaculation.

Alternative Treatments

If you Google around for solving premature ejaculation, you’ll find lots of
solutions and a large part of them deal with physical exercises that strengthens
your ability to control the ejaculation. One of the most popular methods is the
Kegel Exercise.

In the Kegel Exercise, you have to practice contracting your pubococcygeus or
PC muscles. It’s the muscle that you feel contracting when you stop urination.
It’s a very easy way to exercise this muscle. You can practice contracting PC
muscles for 10 seconds at once, working up to sets of 50, and kegels can be
performed under nearly all circumstances.

Sometimes using condoms during intercourse can reduce your penis sensation
and delay ejaculation. The condoms that offer lubricants impart a higher
sensation to your penis and ejaculation becomes more premature with a higher
simulation.

You can also try out various sexual positions as they can prolong your
ejaculation period. A survey has revealed that premature ejaculation is much
lesser when the female partner is on the top and takes the worst condition in
missionary position. Trying out different sex positions can be fun as well as
fruitful.

Many people try yoga for treating premature ejaculation. Although the
effectiveness of yoga as a treatment for PE has not been extensively studied, it is
still worth a try for those who are desperately seeking a solution to their
problem.

It’s important to stay as free as possible from all your anxiety and stress in order
to live a sexually happy life. Take a break for a while and try some other forms
of sexual activities. Connecting with your partner on a different level can
enhance your sexual relationship and strengthen the bond between the two.

For a while, deemphasize intercourse and give up all your worries about an early
ejaculation. This will really help to build the foundation to a more satisfying
sexual relation.

Prevention

While treating premature ejaculation patients, doctors have often discovered that
the early ejaculation has been caused by a communication gap between the
partners or sometimes due to not understanding how male and female sexual
organs function. Usually a woman needs a comparatively longer stimulation to
reach orgasm than men. This difference might cause resentment between the
male and female partner and put stress over sexual intercourse. As the pressure
during intercourse increases, the chance of premature ejaculation increases too.

The best way to deal with premature ejaculation is to be patient. Open
communication between partners and a determination to try out different
methods to treat this issue can really help reduce the tension and anxiety about
sexual performance. The issue should be approached with love and care and the
partners should avoid blaming each other for any sexual dissatisfaction.

Throughout the ages, premature ejaculation has produced a lot of broken
relations and unhappy sex lives between partners. When it becomes difficult to
solve sexual problems by a mutual discussion, a doctor can come to the rescue.
It’s not wise to leave your sex life to fate and keep wishing that your premature
ejaculation will miraculously get cured. Stay determined and work harder.
You’ll definitely see light at the end of the tunnel. Stay relaxed and have a happy
sex life!


Conclusion



Thank you again for downloading this book!

I hope this book was able to help you to learn how you can treat premature
ejaculation.

The next step is to practice the techniques that you were taught! The biggest key
to success and overcoming PE is actively working to overcome it. You will not
get results if you do not put effort into achieving them.

With that said, you most likely want to have sex for the rest of your life. The
small investment of working to treat PE offers a lifetime of reward -- do not
hesitate.

Finally, if you enjoyed this book, please take the time to share your thoughts and
post a review on Amazon. It’d be greatly appreciated!

Thank you and good luck!