PREMATURE EJACULATION: DIAGNOSIS

Premise

Although it represents a much more widespread discomfort than one might think, premature ejaculation can be overcome: it is a problem that, in the eyes of many men, could appear apparently unsolvable, but the remedy is there, so it must not frighten excessively.
In this article, the diagnostic strategies useful for identifying this felt sexual distress will be explored.

Diagnosis

In the diagnosis of premature ejaculation, the specialist must take into consideration several factors: in this regard, the multidisciplinary approach is often indispensable, necessary to study the psychological, organic, physical and sexual factors that interpose the "one to all" other, causing an evident lack of ejaculatory control. It must be remembered that by "premature ejaculation" we mean the anticipated sperm emission: therefore, the affected male ends the sexual act just before or immediately after the penetration, denying the female partner the possibility of achieving pleasure.
The time between the moment of actual penetration and the release of sperm represents an important diagnostic method, known as Intravaginal Ejaculatory Latency Time: this alternative method can also be taken into consideration for self-diagnosis. In this regard, some statistical surveys have been carried out, from which it emerged that the average duration of a complete sexual intercourse (whose starting point must coincide with the moment of penetration vaginal) is between 5.5 and 6.5 minutes, shocking data, considering that 90% of males with premature ejaculation consumed intercourse in less than a minute.
The diagnosis must be aimed at the type of premature ejaculation: in the previous articles we have distinguished the various forms of ejaculatory precocity. specialist instruct the affected man to have a greater mastery of his own body, delaying as much as possible the infamous "ejaculatory point of no return", in addition to which the emission of sperm is inevitable.
Secondary premature ejaculation, on the other hand, is more complex, since it requires a "careful psychological analysis of the affected subject: in this second case, the multidisciplinary approach is essential, since the patient will be required to perform a seminal fluid culture test, the" urological and andrological and, lastly, the post-prostate massage urethral swab. These clinical trials are useful to recognize the nature of the disorder: from the analysis of the above tests it is possible to understand, for example, when the patient suffers from premature ejaculation due to genital inflammation.
But premature ejaculation could conceal erectile deficits, both in terms of erection acquisition and maintenance: the meticulous diagnosis helps to clarify the causes that determined it.
After studying the patient from a physical point of view, the psychological approach is useful: ejaculatory precocity often arises in the psyche, regardless of the presence or absence of physical disorders. Among all, performance anxiety plays a decisive role in "sexual act; not to forget the anhedonia, the absence of pleasure, and the anorgasmia, the impossibility of reaching orgasm." Let us remember once again: ejaculation does not coincide with orgasm for all men. Stress and depression, as well as the excessive use of drugs - in particular pharmaceutical specialties against Parkinson's disease - are also factors that contribute to ejaculatory precocity.

Differential diagnosis

The specialist must not stop at the "superficial and apparent" diagnosis of the subject complaining of premature ejaculation: it is in fact essential to combine it with a "psychological investigation, which helps the doctor to find the most suitable therapy for the patient.
Depending on the diagnosis, patients with ejaculatory precocity can be divided into two categories: men hypoaggressive fusional they aggressive drives.

The first category includes all those who complain of a peculiar character fragility and an evident progressive decrease of desire; the term "fusional" is linked to the presumed almost morbid bond with the mother - a typical characteristic of these patients - while the term "hypoaggressive" refers to the psychological profile of these men, unconsciously frightened by their presumed physical aggression towards the woman.

The interpretative key of those "aggressive drive" men suffering from premature ejaculation is different: they represent the exact opposite of the previous category, being energetic and sexually eager to satisfy their woman. In similar circumstances, premature ejaculation is due to a phase of sexual stasis, in which the man loses the ability to control himself and, when the possibility of having intercourse reappears, premature ejaculation also occurs.

Comparing the two types of patients, fusional hypoaggressive undoubtedly present the category with the greatest difficulty in regaining complete control of their body: in any case, this does not mean that these patients can recover completely from "premature ejaculation, later, obviously, to a targeted diagnostic and therapeutic approach.