What Are Premature Ejaculation Causes?

Premature ejaculation is characterized with sperm release from penis before penetration or right away after it. There is no another scientific description of this disorder in medicine.

Many sexologists tried to find a connection between premature ejaculation and intercourse duration, number of frictions during intercourse, time that it takes a woman to reach orgasm, but no one has found this connection. 

Who suffers from premature ejaculation?
In most cases premature ejaculation is found in young men who started early their sexual life. Premature release of sperm occurs because of excessive excitement or hypersensitive glans – these are two major factors causing premature ejaculation right away after beginning of sexual intercourse or before penetration.

It is considered that premature ejaculation occurs in younger age and with experience disappears. However, when the situation not changes, man starts seeking medical advice. 

Premature ejaculation occurs rarely among adult males. However, the disorder may be kept from teenage but may appear in mature years. Causes of premature ejaculation in experienced men differ from premature ejaculation in young men. 

Premature ejaculation causes
All factors causing premature ejaculation may be divided into next groups:
 - physiologic, i.e. connected with diseases and peculiarities of male genitalia constitution
 - psychological, i.e. connected with environmental effect over male psyche

There are two physiologic causes of premature ejaculation:
1) chronic inflammation of seminal vesicles  (vesiculitis);
2) hypersensitive glans.

Psychogenic Erectile Dysfunction

Erection refers to the most simple physiological male sexual response. This reaction involves only two mechanisms  vascular and neurogenic. Ironically, while the reactions of psychosexual disorders the most common is male erectile dysfunction .
The presence of an erection for men is more important fact than the sexual act itself . That is why any erectile dysfunction is not perceived as a single problem, but as a downfall to the male in principle.
If we turn to the terminology  erectile dysfunction means - impossible to achieve an erection at all, or inability to maintain it throughout the intercourse.
Erectile dysfunction can occur at any age. Most frequently observed inability to enter the penis into the vagina. Somewhat less evident disappearance of erection when attempting copulation, though before it can be quite strong. Also, there are cases when a man can achieve an erection only in certain conditions or any situations.
Research on European and American scientists have revealed the following facts: erectile dysfunction were recorded in more than 80 millions men younger than 40. Number of older men suffering from erectile dysfunction, twice that number.
Do not take as psychogenic erectile dysfunction single erectile dysfunction cases (or lack thereof extinction at the most inopportune moment). Individual episodes still is nothing, it may be caused by a variety of reasons: stress, tension, unsuitable conditions, especially relations with a new partner. If you experience a failure and think about the possibility of its recurrence, it can lead to a true psychogenic erectile dysfunction and a phenomenon known as psychogenic impotence .

Psychological causes of erectile dysfunction
Erectile dysfunction is quite often provoked by psychogenic disorders. The most common form of the syndrome is the expectation of failure. Random sexy failure - the reduction or disappearance of erection - leads to doubt in his masculine power. Fear intensifies in anticipation of sexual intercourse, resulting in a loss of erection. Triggered the principle of auto-suggestion: the more such concerns, the more likely their implementation. Over time, manifested genuine problems with achieving and maintaining an erection begins the so-called psychogenic impotence. Subsequently, this may cause loss of interest in sex as such, the loss of faith in yourself. Numerous attempts to overcome self intercourse converted into a set of  "saving " rituals, partners can not concentrate on anything other than monitoring and evaluation of response to their actions. This suppresses the possibility of even stronger erections and exacerbates psychogenic erectile dysfunction.
As a result, we are seeing a vicious circle:
• weakness of erection ;
• fear of further failures ;
• change his position on the role of the observer ;
• erectile dysfunction ;
• strengthening the fear of failure ;
• psychogenic erectile dysfunction .
If at any time not to break this cycle, erectile dysfunction will constantly get reinforcements.

Treatment of psychogenic erectile dysfunction
Psychogenic erectile dysfunction treatment combines psychotherapy and pharmacotherapy . Therapist can help relieve anxiety and fear of sexual intercourse. Pharmacotherapy initially exhausted by symptomatic agents - tranquilizers, which helped to get rid of anxiety for a short time  Also used homeopathic remedies that are based primarily on the placebo effect.
In the last decade the situation has changed with the advent of PDE5 inhibitors type. They are used in all kinds of erectile dysfunction, regardless of what caused the breach. Especially these drugs are effective in the case of the vascular nature of violations. But psychogenic erectile dysfunction retreats before the action of the inhibitors.
PDE-5 inhibitors may be the type of drug treatment as psychological impotence and as a means of psychological protection: if there is attraction and provide a powerful means of stimulating the vascular effect, minimizing the possibility of failure. Therefore, the appointment of PDE- 5, it is desirable to continue to completion of psychogenic disorders: their effect is both symptomatic and pathogenetic. It is also desirable parallel with the reception held inhibitors in therapy because Fear of failure can reduce the effect of even such an effective means of, and psychological erectile dysfunction again prevail over medicines.
Increasingly inhibitors are used in situations where disorder is not yet evident, but there are prerequisites for sexual failures: increased workload, change of the partner, stress, fatigue. However, inhibitors use should certainly be after consultation with a specialist.