Definition
Among the most felt male sexual dysfunctions, premature ejaculation ranks in the very first places: in medical-scientific terms, it is rather complex to objectively define this phenomenon, since every organism responds subjectively to sexual stimuli. In general, premature ejaculation occurs when a man, unable to control his ejaculatory reflex, reaches orgasm after a brief sexual arousal.
Causes
The underlying causes of premature ejaculation can have a psychological or physical / organic origin: performance anxiety, erectile dysfunction, stress and male pre-orgasmic perceptions are among the psychological causal aspects that heavily affect the Ejaculatory precocity Among the physical-organic causes, we remember: abuse of some drugs / drugs, alcoholism, short frenulum, degenerative disorders, hypersensitivity to the glans, prostatitis, urethritis and vesiculitis.
Symptoms
The main symptom of this sexual disorder is the precocity of the man's ejaculatory reflex, always uncontrolled: in addition to this evident sign, the man with premature ejaculation complains of anxiety, worry and stress. Some authors believe that premature ejaculation, to be defined as such, must occur within 15 seconds / 2 minutes of penetration.
Natural Cures
The information on Premature Ejaculation - Premature Ejaculation Treatment Medications is not intended to replace the direct relationship between health care professional and patient. Always consult your doctor and / or specialist before taking Premature Ejaculation - Treatment Medication Premature Ejaculation.
Medicines
The administration of drugs for the treatment of premature ejaculation is a topic that is as much felt as it is controversial: some authors believe that drugs are not necessary for the treatment of the disorder, being convinced that the precocity of ejaculation is the result of an intertwining of anxieties and fears that precede sexual intercourse. The supporters of this line of thought are convinced that the use of drugs for the treatment of the disorder is useless, because the side effects outweigh the therapeutic benefits; other doctors, however, support the opposite theory, convinced that some specific drugs can not only to remove the anxiety and worry that afflicts the man at that moment, but also and above all to control the ejaculatory reflex.
In any case, it would be incorrect and unintelligent to generalize: each organism responds in its own and unique way to stimuli, of any nature, so if one man can overcome the problem with a simple consultation with a specialist, another may instead need effective drugs. "Immediate" to treat this unpleasant, however understandable, sexual disorder.
Before proceeding with a drug treatment, the doctor may propose to the patient to undergo circumcision: this practice seems particularly useful to solve the problem in patients suffering from premature ejaculation dependent on glans hypersensitivity. The circumcision associated with glandular neurotomy seems to be very effective for postponing the ejaculatory reflex of the man, decreasing the hypersensitivity to the glans, not to forget also that, according to the thought of some, circumcision can even enhance the sexual pleasure in the man.
The following are the classes of drugs most used in the therapy against premature ejaculation, and some examples of pharmacological specialties; it is up to the doctor to choose the most suitable active ingredient and dosage for the patient, based on the severity of the disease, the state health of the patient and his response to treatment:
Antidepressants: some antidepressant drugs seem to solve, at least in part, the problem of premature ejaculation. In the light of in-depth scientific studies, it has been observed that ejaculatory precocity is heavily influenced by neurotransmitter deficits, such as serotonin; the administration of drugs able to correct the action of these mechanisms can prolong the duration of intercourse, postponing ejaculation. Not surprisingly, a side effect (here exploited for therapeutic use) of antidepressants is precisely the ejaculatory delay.
The administration of these drugs can cause side effects, such as nausea, dry mouth, drowsiness and decreased sexual desire.
- Fluoxetine (eg Azur, Prozac, Fluoxerene): generally, the action of this drug, as well as that of other SSRIs, for the treatment of premature ejaculation is observable after more than 10 days of therapy. Consult your doctor.
- Paroxetine (eg. Sereupin, Serestill, Eutimil, Daparox): the drug is a selective serotonin reuptake inhibitor (SSRI), particularly indicated for the treatment of generalized anxiety. The drug is indicated for the treatment of premature ejaculation. to calm anxiety and to prolong the duration of sexual intercourse. The dosage and duration of therapy must be established by the doctor.
- Sertraline (eg. Zoloft, Sertraline, Tralisen): this drug, like the previous one, belongs to the class of SSRIs, and is used as an alternative to paroxetine to treat the symptoms of premature ejaculation. Also in this case, the dosage and duration aspects of therapy are exclusively medical aspects.In general, therapy should be continued for at least 6 months, and the first therapeutic effects are noticeable at least after 10 days.
- Clomipramine (eg. Anafrinil): the administration of this drug is still under discussion. The drug is a tricyclic antidepressant, to be used for the treatment of premature ejaculation only after testing an SSRI drug: if the latter does not bring benefit to the patient after at least a couple of weeks of therapy, it is possible to proceed with cyclopramine, a drug more powerful. Generally, the dosage of the drug, which must be established by the doctor, is quite low: it is recommended to take the active ingredient 3-4 hours before sexual intercourse.
Topical anesthetics: the administration of ointments, creams or gels with anesthetic action directly on the penis can somehow help the man to delay the ejaculatory reflex.
- Lidocaine (eg Lidoc C FN cream, Xylonor spray, Elidoxil cream, Ortodermina ointment): apply the product, in the form of a spray or cream, directly on the penis to create the analgesia necessary to delay ejaculation. Consult your doctor.
- Prilocaine: often the analgesic drug is available in combination with lidocaine (eg Emla). It is recommended to apply the product locally, 15-20 minutes before starting intercourse.
The administration of anesthetic creams on the penis is not without side effects: among all, the decrease in genital sensitivity and female sexual pleasure; in some cases, even if rarely, the application of these ointments can trigger an allergic reaction. In such situations we recommend the use of condoms, just to avoid the possibility of creating unpleasant side effects for the woman.
Vasoactive substances: therapy with these drugs is generally reserved for patients suffering from severe premature ejaculation, in which the administration of SSRIs and / or the topical application of analgesic substances have not reported satisfactory therapeutic effects. More precisely, it is advisable to follow a similar therapy when premature ejaculation is associated with erectile dysfunction.
- Sildenafil (eg. Sildenafil Teva, Viagra, Revatio, Vizarsin, Sildenafil Actavis, Sildenafil Ratiopharm): the drug is a type 5 phosphodiesterase inhibitor, therefore useful for promoting smooth muscle relaxation. The drug is available in the form of tablets to be taken orally, about one hour before intercourse. Consult your doctor for any clarification.
For further information: see the article on drugs for the treatment of erectile dysfunction
In-depth study: phytotherapy and premature ejaculation
When premature ejaculation is considered a minor disorder, herbal medicine can prove to be a very useful natural therapy option; the drugs and extracts indicated aim to relax the man and to remove the anxiety that often accompanies the discomfort:
- Valerian (Valeriana officinalis)
- Passionflower (Passiflora Incarnata)
- Linden (Tilia cordata)
Even foods rich in bioflavonoids, such as grapefruit, lemon and grapes, seem to be a very valuable aid to prolong the time of sexual intercourse, since they seem to favor the control of ejaculatory impulses.
Aromatherapy, homeopathy and ayurveda (alternative medicines) can also somehow help the man to overcome the premature ejaculation disorder.
Other articles on "Premature Ejaculation - Medicines to Treat" Premature Ejaculation "
- Premature Ejaculation: Natural Remedies
- Premature Ejaculation: Causes
- Premature Ejaculation: Diagnosis
- Premature Ejaculation: Therapies
- Premature ejaculation in short
