Everything you need to know about premature ejaculation

premature ejaculation causesPremature Ejaculation is the most common sexual dysfunction, and unfortunately, among the least treated for a simple reason: “embarrassment”. Those who suffer or have suffered from this condition are able to admit this fact. Some men suffer from this condition at the age of 25, while others at 30, or even later on in life. The sad part is that premature ejaculation is a sexual disorder that can be prevented and treated easily, with the right information.

What exactly is Premature Ejaculation?

Premature Ejaculation (PE) is a masculine sexual dysfunction where a man isn’t capable of identifying nor controlling the phases of sexual arousal, and always or almost always ejaculates involuntarily, during or immediately after the first five minutes of penetration. This incapacity to delay ejaculation in all or almost all occurrences of penetration has negative personal consequences, some of which include signs of uneasiness, discomfort, anxiety, frustration, and/or sexual avoidance.

The sexual arousal phases for men affected by Premature Ejaculation

Normal ejaculation process
Premature ejaculator process

In an ordinary sexual relationship, the arousal level increases progressively, until the “plateau” phase has been reached (in which one enjoys sexual pleasure while the arousal level fluctuates). This occurs until the moment in which, on a voluntary basis (often when a woman is about to have an orgasm), the climax or orgasm is reached. Basically, those affected by premature ejaculation can’t remain in the “plateau” phase for long since they tend to experience a rapid and involuntary arousal.

Types of Premature Ejaculation

There are two types of premature ejaculation: primary and secondary.
Men affected by Primary premature ejaculation have suffered from this condition since adolescence, and have never been able to experience satisfactory relationships with their partners. The main cause of this type of premature ejaculation is poor masturbation habits; the adolescent rushes to ejaculate due to the anxiety to reach an orgasm or because of lack of privacy.
Men affected by Secondary PE, on the other hand, were once able to control themselves for a period of time but had lost that control at some point in their lives. Its main causes often include stress, emotional shock, or a long period without sexual activity.

What are the grades of Premature Ejaculation?

There are four grades of premature ejaculation. The danger of this sexual dysfunction is that it develops rapidly, moving from one grade to another in a matter of months.

Grade 1.

Grade 2.

Grade 3.

Grade 4.

This is the mildest degree of premature ejaculation. It occurs in men that used to have ejaculatory control but have now lost it. It is often caused by stress and personal or work-related problems. This degree is associated with poor masturbation habits, and is very common among adolescents. In this case, the reversal of symptoms and re-education about the ejaculatory process is necessary. Those who do not overcome premature ejaculation in Grade 2 will move into Grade 3. This grade particularly affects those with Primary PE. The reversal of symptoms and re-education about the ejaculatory process is necessary. This is the most severe grade – when premature ejaculation transforms into a serious disorder. The reversal of symptoms, re-education about the ejaculatory process and complete re-education regarding sex and its procedures is necessary.
“In this grade, premature ejaculation occurs occasionally, particularly during moments of emotional tension” “In this grade, premature ejaculation occurs regularly, and the average length of time before ejaculation is usually between 1 and 5 minutes “In this grade, premature ejaculation is now chronic, and the person tends to ejaculate right after penetrating his partner” “In this grade, premature ejaculation turns into a serious disorder and those who suffer from it tend to ejaculate before even penetrating their partner.”

Premature Ejaculation. Physiology and Psychology

Sexual energy from brainIn most cases, premature ejaculation is linked to a mental, rather than physical, cause. After all, the brain is in charge of perceiving and managing sexual impulses and is associated with the physical and mental arousal during sexual activities. Unlike sexual activities carried out with a partner, masturbation requires the creation of a fantasy in the mind in order to become self-aroused and get an erection. In some cases, self-arousal cannot be controlled since adolescence and as a result, one becomes over-aroused and aims to ejaculate as soon as possible. This is the main cause of Primary PE.

Hypersensitivity in the Glans

Hypersensitivity in the glansA psychological problem is evident when hypersensitivity in the glans is experienced. In fact, the issue is purely mental – although it may not seem like it. When a man becomes sexually stimulated, the brain sends sensory signals to the penis through the spinal cord, causing an erection. Following the erection, the brain transmits the sexual arousal throughout the rest of the body. However, premature ejaculators aren’t capable to control this arousal; as a result, the arousal accumulates in the penis and leads to hypersensitivity in the glans.

What exactly is that pre-ejaculatory fluid?

Pre-seminal fluid is a secretion from the Cowper’s gland, and its role is to lubricate and clean the urethra before ejaculating. When there is a lack of control over sexual arousal, those affected by premature ejaculation experience this secretion much earlier than those without PE, leading to an imminent ejaculation.

“It’s extremely important to channel sexual energy so that it doesn’t accumulate in the penis. Our treatment program will help you identify and control this sexual energy so that it works with you rather than against you.”

Erectile Dysfunction and Premature Ejaculation.

Particular cases of erectile dysfunction may also cause premature ejaculation; especially in the case of mild erectile dysfunction, in which one is able to get a partial erection. In this situation, one tries to become over-aroused in order to achieve a full erection, and this eventually leads to the development of premature ejaculation.

The PC muscle and its location, function and exercises

PC muscle diagram

The PC muscle (pubococcygeus) has a hammock-like shape and stretches from the base of the spine (coccyx) all the way to the pubic bone (see chart). The PC muscle contracts, thereby causing an interruption in the urine flow. This occurs involuntarily (muscle spasms) during both the male and female orgasm.

Exercising the PC muscle not only helps in getting strong and stable erections, but it also increases arousal level during the orgasm.

This muscle, like all others, begins to weaken with age, leading to early symptoms of erectile dysfunction: as it becomes weaker, the dysfunction worsens.

Exercises for the PC muscle

There are two types of exercises for the PC muscle: one type focuses on simply strengthening the muscle while the other type intends to help delay or even stop the ejaculation process altogether during intercourse.

Strengthening exercises are quite easy to perform once they have been mastered. These exercises must be done with care, since the PC muscle – like all other muscles – can tear or even rupture. Thus, it is extremely important to perform these exercises accurately.

The exercises performed during sexual intercourse are controlled contractions of the PC muscle that are meant to decrease the arousal level by lowering the tension in the genital area, in turn reversing the ejaculation process. With regular practice, they are quite effective and easy to perform.

“Erectile dysfunction and premature ejaculation won’t occur if the PC muscle is exercised periodically.”

Injaculation. Orgasms without losing your erection

Injaculation is a technique widely used by those that have a trained PC muscle and know how to control it. An injaculator is capable of stopping the ejaculation process by tightening his PC muscle, in turn, blocking the flow of semen to the urethra.  Although the ejaculation process does not occur, the injaculator is able to experience an orgasm. This is more commonly known as a “dry orgasm”. In this case, the brain doesn’t detect the sensory signals coming from the glans of the penis (even though an orgasm has occurred), and doesn’t have an effect on the arousal that would normally be lost after ejaculation. This technique was once practiced as a contraceptive method by ancient Taoist civilizations.

“This is an easy-to-use technique after the PC muscle has been trained enough; once it’s mastered, the benefits can be reaped”