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Premature ejaculation

Recently, there has been a trend towards an increase in the number of sexual disorders in men. Stress, psycho-emotional overload, environmental degradation, harmful factors of production, a decrease in the overall tone of the body – all this affects the quality of sexual life.

Most often, sexual problems are associated with erectile dysfunction and ejaculation (premature ejaculation).

Premature ejaculation is expressed in a reduction in the duration of sexual intercourse, as a result, ejaculation and orgasm occur uncontrollably.

Too early can be considered ejaculation, which occurs before the expiration of 1-2 minutes. from the moment the penis is inserted into the vagina, if the partner does not have an orgasm.

In the case of premature ejaculation, ejaculation can also occur when kissing a partner, when touching her genitals, and even when she undresses. The erection is normal or partial. In some cases, ejaculation occurs even in the absence of an erection.

The term “too early ejaculation” is used if ejaculation occurs after the introduction of the penis into the vagina, but before the onset of orgasm in a woman. Sometimes ejaculation is considered too early, occurring before 25 frictional movements.

Most men who suffer from premature ejaculation were unable to control ejaculation from the very beginning of sexual activity, however, in some of them this symptom occurred secondarily, after normal control of ejaculation.

Premature ejaculation, like impotence, has a psychological and organic character. In congenital forms, such a violation manifests itself from the onset of sexual activity and is associated with an increased tone of the sympathetic nervous system, psycho-emotional changes. Acquired premature ejaculation, as a rule, is due to inflammatory processes in the genital organs or a neurosis-like condition of the patient. As a result, this can lead to an increase in the susceptibility of the internal and external receptors of the genitals and over-irritation of the ejaculation center.

Several approaches are used to treat premature ejaculation:

  • regulation of the rhythm of sexual life;
  • psychotherapy;
  • sex therapy – according to Masters-Johnson, Kratochvil, stop-start technique;
  • anesthetics;
  • serotonin reuptake inhibitors;
  • injections of hyaluronic acid into the head of the penis;
  • surgical method – neurotomy of the branches of the dorsal nerve of the penis.


We usually use all methods in combination, depending on the cause, the degree of the disorder and the effectiveness of the treatment.

Sexual dysfunction in men is not an easy and very delicate problem. The prolongation of sexual intercourse is a matter that should be approached sensibly. To begin with, it is worth considering what could cause sexual dysfunction. It may be enough to rest, improve the quality of life or change sexual behavior. If sexual function does not recover on its own or the symptoms of diseases listed above appear, you should immediately consult a doctor.