Premature Ejaculation: Causes and Treatments

Premature ejaculation indicates the loss of voluntary control of the ejaculatory reflex.

Some experts define premature ejaculation as ejaculation that occurs less than 2 minutes after penetration or in less than 10 impulses. Delayed ejaculation is another health problem and means a persistent failure of ejaculation, in the presence of a satisfactory erection, is the inhibition of the ejaculatory reflex.

In practice, a man who cannot tolerate a high level of sexual arousal without reaching ejaculation immediately is considered a premature ejaculator, giving him the feeling that he would like to ejaculate later and not at that moment.

The origin of Premature ejaculation

Premature ejaculation is a health problem of multifactorial origin, that is, many things can be related to the presence of this alteration. The history of previous sexual intercourse, the use of medications, disorders such as depression may be related to premature ejaculation. But one of the main factors of premature ejaculation is anxiety. Although part of individuals manage to control it during the sexual act, the vast majority of premature ejaculators are anxious. The problem is that the more repeated these ejaculations are, the more anxious they are, the more adrenaline they produce and the faster they ejaculate. In some cases, anxiety is so much that they end up developing some kind of erectile dysfunction.
No theories about the organic causes of premature ejaculation have been proven.

However, psychological causes also play a very important role and are closely related to the development of this alteration and should always be evaluated and treated. Anxious men who have an episode of premature ejaculation will have a greater tendency to repeat this behavior, as with each sexual intercourse they become more anxious and under greater psychological pressure to perform their role satisfactorily. Many evaluated cases of premature ejaculation show a man’s great concern to provide sexual satisfaction, up to orgasm, for his partner. This pressure will cause more problems.

What are the types of premature ejaculation?

There are 4 types of premature ejaculation:

• Primary premature ejaculation, that is, ejaculatory dysfunction that persists since the first sexual experience;

• Acquired premature ejaculation, when ejaculatory dysfunction begins gradually or suddenly, after a period of normal ejaculatory experiences;

• Natural/Situational Variable Premature Ejaculation, variation from normal sexual performance that may be related to a new partner, an unusual situation or a low frequency of sexual activity;

• Subjective premature ejaculation, subjective perception of rapid ejaculation, but with intravaginal latency time within or even greater than normal, is not considered pathological.

How is premature ejaculation diagnosed?

The diagnosis of ejaculatory dysfunction is based on:

• Conducting a detailed clinical history and physical examination;

• Use of specific diagnostic tools, such as the TLEIV (intravaginal ejaculatory latency time) and questionnaires, such as the PEDT (premature ejaculation diagnostic tool).

Is there treatment for premature ejaculation?

Yes, there is. Premature ejaculation treatment may involve:

• Behavioral measures;

• Psychotherapy;

• Pharmacological therapy.

Treatment should begin with the correction of risk factors, namely, and when applicable:

• Weight loss;

• Practice of physical exercise;

• Treatment of hyperthyroidism and/or other hormonal changes;

• Diabetes control;

• Treatment of prostatitis;

• Abstinence from narcotic substances.

Psychotherapy, accompanied by a urologist or psychiatrist, also contributes to reducing anxiety levels, improving sexual performance and optimizing the couple’s relationship.

Recommendations and suggestions for those with premature ejaculation

» Don’t be shy if you have premature ejaculation and seek the help of a specialist to solve the problem. Sex therapy usually gives good results as well as Authentic Tantric massage.

» Be open to psychotherapeutic treatment. In addition to helping resolve the cause of the problem, it involves the partner’s participation, which has an impact on improving the relationship.

» Know that simultaneous orgasm is rare. What really matters is that the partners are satisfied with the sexual relationship, each in their own way and in their own time.

How can Authentic Tantra Massage help me?

The essential concept of Tantra is that everything is connected, expanding and interconnected.

Tantra gives us an experiential understanding, through which we reach a greater, more comprehensive and more meaningful understanding than the usual understanding that comes from words and logical reasoning.

Tantra deals with the right hemisphere of the brain, with non-verbal experience, with sensory aspects that directly interfere in the sphere of human behavior. The language of Tantra is therefore experimental, experiential and integrative.

Natural treatment to prevent premature ejaculation

Ejaculation is an involuntary muscle reflex. Thus, it is necessary to train to be able to control the orgasm, because, through exercises, the idea is to find the muscles involved in the process so that you can control them and delay the orgasm.

With this, the methodology used is to stimulate the genital organ and stop when you feel that you are close to ejaculation, known as the return point. Soon after, after 30 seconds, resume excitement and repeat the process a few times. You can do this cycle over and over again. Be present in the act and notice the Point of No Return, which is when you can no longer control ejaculation. Ejaculatory control is a daily exercise, in Tantra and in some teachings such as Taoism, ejaculation is not practiced, also called semem retention.

Authentic Tantra massage and its benefits for premature ejaculation

Ejaculation is an involuntary muscle reflex. Thus, it is necessary to train to be able to control the orgasm, because, through exercises, the idea is to find the muscles involved in the process so that you can control them and delay the orgasm.

With this, the methodology used is to stimulate the genital organ and stop when you feel that you are close to ejaculation, known as the return point. Soon after, after 30 seconds, resume excitement and repeat the process a few times. You can do this cycle over and over again. Be present in the act and notice the Point of No Return, which is when you can no longer control ejaculation. Ejaculatory control is a daily exercise, in Tantra and in some teachings such as Taoism, ejaculation is not practiced, also called semem retention.

Another technique used to delay ejaculation is Kegel exercises. There are specific courses to teach you this technique, the benefits of Kegel exercises are beyond ejaculatory control, such as: improvement of erection, significant increase in pleasure, contributing to perfect sexual health.

Tantric massage works step by step with each aspect, prioritizing work with breathing, which can help control and reduce anxiety. In addition, it helps to increase body sensitivity. In this sense, the sessions help in learning how to express sensations and pleasure through sound, breathing and movement.

Throughout treatment, the patient learns to empty the mind of worries and notice every sensation that happens in the body. So it helps stimulate the nervous system and produces neural connections that make sensations more intense and evident.

During the session, some exercises are also performed with the aim of creating a bond and intimacy with the orgasmic process, which makes the patient more confident, secure and integrated. Therefore, a pre-consultation is the most effective option to find out the causes of the dysfunction and unblock fears and anxieties, opening up new possibilities for relationships with pleasure itself. Results can be seen in the first sessions. Thus, self-esteem, vitality and confidence are consequences of the process.

Furthermore, after a development process with authentic tantric massage, the results are not just for sexual relations. Many people report that their sex life has improved, but other benefits have also come, such as: the ability to give and receive affection, healthy bonds and true intimacy in their affective relationships.

Does alcohol delay premature ejaculation?

Yes! Alcoholic beverages have this effect, but are by no means the recommended treatment. In that sense, alcohol helps to relax and reduce anxiety, which can help the person to have better control of ejaculation. In contrast, you can learn to regulate your autonomic nervous system, responsible for excitement and relaxation, in an organic way! Do you know how? Conscious breathing practices that can be found in Tantric Therapy, Tantric Massage, Yoga and even martial arts.

My name is May Gonzalez, I am tantric massage teacher and sexual re-education. I guide you, through special and contemporary techniques, to control anxiety, stress and improve your sex life. Getting to know your body and its sensory perception of arousal will free you from frustrations and will give you real pleasure and a prolonged feeling of well-being in return. 

This is how I conduct a Tantra massage session.

Each session is tailored to each person’s needs.

Work that I am extremely grateful for all the transformations, discoveries, gifts, stories, awareness, exchanges, shares, relationships and beauties that it has given me and gives me every opportunity to experience and attend.

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