Premature ejaculation is defined as the male reaching orgasm sooner than he or his partner wishes. It's a common occurrence that's rarely related to a disease or biological problem and is almost entirely psychological, and thus quite treatable. When there is a biological basis for the issue it usually pertains to thyroid function or hormonal and neurotransmitter levels. An evaluation by a medical doctor can help rule these in or out as being connected to the issue.
In the absence of a medical explanation, the three primary causes (and those that I see most often with my patients) are: over-stimulation, performance anxiety, and stress. It may also be viewed as a conditioned response as early sexual experiences may have required quick ejaculation, i.e. sex in the backseat of the car, sex at the parent's house. Guilt may also come into play. If sex was seen as a negative act or one that someone has to be of a certain age or married, then guilt may pervade and with this is a rush to end it, hence the premature ejaculation.
Here are some tips to prolong pleasure:
- Familiarize yourself with the sensations and feelings leading up to an orgasm because a lack of awareness may render you feeling like you have no control. This will allow you to know when you are reaching the point of no return and can predict orgasm, thereby restoring some control.
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