The sexually normal male has voluntary control over his ejaculatory reflex. Normal voluntary control does not mean being able to bang away at full speed for hours until his partner comes. No man can do that unless he suffers from the opposite problem, retarded ejaculation. Adequate ejaculatory control refers to a reasonable degree of voluntary control which allows a man to continue to thrust while he is at a high level of pleasure and arousal, until he chooses to “let go” and come. Sometimes he may want an exciting “quickie” and will enjoy reaching his climax in a minute or two. Other times he may decide to make the pleasure last for five, 10, even 15 minutes. Sometimes men may wish to wait until their partners reach orgasm, and other times they may feel like following their own rhythm, perhaps stimulating their lovers to climax before or after intercourse.

The Destructive Effects of Premature Ejaculation

Ejaculating rapidly is not a problem for all men nor for all partners. Some men don’t mind coming quickly once they have entered vagina and some women are not bothered by their partner’s lack of staying power. A number of men simply accept their lack of control. They do not let this spoil their sexual pleasure and as matter of fact many such PE have active sex lives. Likewise, some women accept control, especially if they are unsure of themselves in other ways, may end up with a general sense of inadequacy and failure, and may develop additional sexual difficulties.

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Surprisingly, many men with ejaculatory problems lack sexual confidence, and they tend to be anxious about their ability to perform. This is unfortunate because performance anxiety is very disruptive to sexual functioning and often leads to chronic psychological impotence

Premature ejaculation (PE)

means ‘coming too quickly’. It’s one of the commonest of all sexual problems. Approximately 10 per cent of total men face this problem ‘always’ or ‘often’ or ’sometimes’ It’s more common in younger men – which is not surprising, as there’s a distinct tendency for it to improve with age.

Men generally get better control as they grow older. This problem is curable. Though not considered fatal, this problem makes people unhappy and frustrated and in severe cases PE can threaten or even ruin a marriage – simply because it spoils the sex lives of both partners. Sometimes, the condition is so bad that the man cannot even manage to have intercourse because he invariably ejaculates before he can get into the vagina. This can be devastating for a man’s self-confidence. And it can be hugely frustrating and annoying for his partner, too. However, most men merely find PE a considerable irritation – a condition that makes them ‘come’ very soon after they enter their partners (say, after only one to two minutes), so that neither party gets a lot of satisfaction.

For many years, sex experts have tended to say that premature ejaculation is caused by early ‘conditioning’. In other words, the man’s early, rushed (and perhaps furtive) sexual experiences had to be quick – so as to avoid detection! The idea is that all this hectic rush ‘conditions’ him to climax as quickly as possible.

Erectile dysfunction (ED)

or male impotence is defined as the inability of a man to achieve and maintain an erection sufficient for mutually satisfactory intercourse with his partner.Sexual health and function are important determinants of quality of life. As Americans age, disorders such as erectile dysfunction (ED) or impotence are becoming increasingly more important. Because this subject is discussed widely in the media, men and women of all ages are seeking guidance in an effort to improve their relationships and experience satisfying sex lives.

Sexual dysfunction is often associated with disorders such as diabetes, high blood pressure, heart disease, nervous system disorders, and depression. Erectile dysfunction may also be an unwanted side effect from medication. In some men, sexual dysfunction may be the symptom of such disorders that brings them to the doctor’s office.

The successful treatment of impotence has been demonstrated to improve intimacy and satisfaction, improve sexual aspects of quality of life as well as overall quality of life, and relieve symptoms of depression.

Premature ejaculation is often confused with erectile dysfunction. Premature ejaculation is a condition in which the entire process of arousal, erection, ejaculation, and climax occur very rapidly, often in just a few minutes or even seconds, leaving the partner unsatisfied. Premature ejaculation may accompany an erection problem such as ED but is generally treated differently.

Although this information focuses primarily on male ED, remember that the partner plays an integral role. If successful and effective management is to occur, any discussion of treatment should include the couple.

For a man to have an erection, a complex process takes place within the body. Erection involves the central nervous system, peripheral nervous system, psychological and stress-related factors, local problems with the erection bodies or penis itself as well as hormonal and vascular (blood flow or circulation) factors. The penile portion of the process leading to erections represents only a single component of a very complicated and complex process.

Erections occur in response to touch, smell, and visual stimuli that trigger pathways in the brain. Information travels from the brain to the nerve centers at the base of the spine, where primary nerve fibers connect to the penis and regulate blood flow during erection and afterward.

Sexual stimulation causes the release of chemicals from the nerve endings in the penis that trigger a series of events that ultimately cause muscle relaxation in the erection bodies of the penis. The smooth muscle in the erection bodies controls the flow of blood into the penis. When the smooth muscle relaxes, the blood flow dramatically increases, and the erection bodies become full and rigid, resulting in an erection. Venous drainage channels are compressed and close off as the erection bodies enlarge.

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