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However, sexual intercourse is not always go according to the wishes. There are times when a husband exposed to sexual dysfunction like arousal disorder, erectile dysfunction, premature ejaculation and others.
According to Prof. DR. Dr. Wimpie Pangkahila, Sp. And, an expert doctor Andrology and Sexology, "sexual health problem that is often experienced by men is sexual dysfunction and sexually transmitted diseases, sexual dysfunction often is premature ejaculation and erectile dysfunction."
Premature ejaculation is very common. Recent research shows that 1 in 3 sexually active men (33%) suffer from premature ejaculation. Premature ejaculation can occur in men at any age although it is more common in young men with a variety of walks of life.
Sexual harassment is also befell Mr S. Tuan S (29) have been married for a year with his wife (28). Since a year ago, Mr S experience sexual problems of premature ejaculation. It is known in the first months of marriage. Mr. S admitted difficulties in having sex because sperm 'trigger' out.
Sexual dysfunction is a terrible scourge for men. Any man who would arguably not "mighty"? If the problem is not immediately addressed could result in disruption of domestic harmony. Remember the saying goes, "Sex is not everything, but without sex, everything will be nothing."
What's the Premature Ejaculation?
The term premature ejaculation may not be as well known as erectile dysfunction. Men who experience ejaku! Ation early still able to achieve an erection and sexual intercourse although ejaculation happens too fast.
Prof. Wimpie Pangkahila explains that there are actually some sense embraced by experts about premature ejaculation, namely:
1. Limitation of premature ejaculation based on a specific time when ejaculation.
2. Premature ejaculation is determined by how many times a man is able to make a move during intercourse before ejaculation.
3. Premature ejaculation is defined as the inability to hold ejaculation until his partner reaches orgasm.
4. Premature ejaculation is determined by whether or not a man is able to control the ejaculation that occurs in accordance with her wishes.
Based on the understanding that the fourth, then premature ejaculation means the inability to control ejaculation that occurs within a short time, which is not in accordance with his wishes, while ejaculation is ejaculation of semen events out suddenly that marks the climax for men. The fourth notion that now seems more acceptable.
Some Causes of Premature Ejaculation
Premature ejaculation does not come naturally to him, but there is cause. "There is a psychological causes such as prolonged stress, habit want to quickly finish when having sexual intercourse," said Prof. Wimpie Pangkahila.
Not only that, further Prof Wimpie Pangkahila who is Professor of the Faculty of Medicine Udayana University explains, "There are physical causes, especially lack of proper functioning of serotonin, which serves to inhibit."
Disorders of control nerves that regulate ejaculation events are also suspected to be the cause of premature ejaculation. Unfortunately, men with erectile dysfunction are generally experienced premature ejaculation. Conversely, men with premature ejaculation may eventually suffer from erectile dysfunction.
Lightweight Weighing Premature Ejaculation
It turned out premature ejaculation is different. Premature ejaculation can be divided into three types based on their severity, namely: mild premature ejaculation, premature ejaculation moderate, and severe premature ejaculation.
Understanding the type of Premature Ejaculation
Lightweight ejaculation occurs after some brief friction.
Medium ejaculation occurs after the penis into the vagina.
Weight ejaculation happens so penis touching the outside of the female sex.
Ejaculation occurs before the penis touches the outside of the female sex.
Whatever type of premature ejaculation is experienced, both men and women will feel dissatisfied because the ejaculation occurs in a very short time outside the will so that sexual relations must end.
The impact of premature ejaculation
Want heavy or light, which inevitably lead to premature ejaculation sexual intercourse took place not in harmony. On premature ejaculation, disharmony and even caused dissatisfaction on both sides. Men who experience premature ejaculation feel dissatisfied because the sexual relationship lasted a very short in spite of himself.
Although able to achieve orgasm, men who experience premature ejaculation also felt very disappointed because it was not able to give sexual satisfaction to their partners. Moreover, if a partner expresses disappointment in the form of reaction to blame the patient.
"Men who experience premature ejaculation often experience stress, lack confidence, low self-esteem and shame towards his partner. In a long time can occur erectile dysfunction. Her partner is certainly disappointed, dissatisfied, irritated, angry, and finally experiencing sexual dysfunction such as loss of sexual desire , "said Prof. Wimpie Pangkahila.
Furthermore, the reaction was a feeling of fear or worry every time they had sexual intercourse. This feeling will only worsen the state of premature ejaculation. If this situation continues, then in the end he was able to experience erectile dysfunction.
Women who have experienced premature ejaculation spouse generally can not reach orgasm because sexual relationship soon ended. Disappointment that appear later may turn into annoyance with fear every time they had sexual intercourse. Further result could be loss of sexual desire and dyspareunia (pain that occurs during intercourse).
Premature Ejaculation make Infertile?
Circulating in the community have the wrong assumption that if ejaculation occurs too quickly, meaning disrupted sperm so it can not impregnate. Barriers pregnant again become a new problem that is exacerbated problems arising from premature ejaculation.
Prof Wimpie Pangkahila deplores false myth about premature ejaculation, "Premature ejaculation is often regarded as fertility disorders, but it is not so. Premature ejaculation is considered a watery sperm, but it is not clear what was meant by the term" dilute "."
"Premature ejaculation is no relationship with fertility. So a pregnancy can occur origin of sperm into the vagina," said Prof. Wimpie Pangkahila.
"Premature ejaculation is no relationship with fertility. So a pregnancy can occur origin of sperm into the vagina. But in severe premature ejaculation, the ejaculation occurs outside the vagina, pregnancy does not occur," said Prof. Wimpie Pangkahila.
If it turns out men who experience premature ejaculation also impaired sperm, it means that there are two separate disorders, not a cause and effect.
Sperm disorders can be caused by many things, such as infection of the testicles or other parts of the reproductive system, testosterone deficiency, dilation of the walls of blood vessels around the testicles, and vitamin deficiencies.
How to overcome premature ejaculation?
First of all it is advisable to perform sex therapy. If sex therapy does not work, then do the second way is to use drugs. Drug used to treat premature ejaculation is a potent drug that controls ejaculation. There are several types of drugs that can control ejaculation.
"It depends on the cause. Because many causes related to serotonin function, it is necessary medications that regulate serotonin function, said Prof Wimpie Pangkahila.
Furthermore, Prof. Wimpie explains, "Drugs for example, class of SSRIs (Selective Serotonin Reuptake Inhibitors). However, note the side effects, because the drug is not a cure-counter." But given these drugs have side effects, then its use should be under a doctor's supervision.
As explained above, there are medications to control ejaculation. If premature ejaculation is caused by erectile dysfunction, then to improve erectile function, ejaculation can be slowed. So the erectile dysfunction drug useful if premature ejaculation is caused by erection problems.
The other is the way of treatment by surgery to the nerves that control the occurrence of ejaculation. But the third way although never done in certain countries, until now it was not popular and not widely used.
"Regarding supplements, many of which claim to be able to treat premature ejaculation but without the results of clinical trials," said Prof Wimpie Pangkahila. So if you want to try taking supplements, make sure the supplements include evidence based on clinical trials that have been done.
"If there are test results with significant results, it is necessary to analyze what content in it. And they must know whether the researcher was competent to do so. If only supplements, for example vitamins, may not be able to overcome premature ejaculation," said Prof Wimpie Pangkahila.
Try Sex Therapy
Sex therapy, which is done to control ejaculation is done with the help of his wife. Basically the way this is done through several steps.
1. Wife masturbate to her husband who suffered from premature ejaculation with husband lying supine position, until the husband feels like an orgasm and ejaculation.
2. When the husband feels like an orgasm and ejaculate, his wife made an emphasis on the penis by using the thumb, index and middle fingers, for a few seconds to prevent the occurrence of ejaculation.
3. Wife to husband to masturbate erection sufficient occur, then immediately put into the vagina in the wife's position at the top without movement. When her husband was going to ejaculate, the wife immediately lifted her and made an emphasis on the penis as a second step. Furthermore, repeated stimulation with masturbation, and continued with sexual intercourse as above.
4. Do after a few days doing the above exercise. In this step, the husband was allowed to exert pressure to maintain erection during sexual intercourse with the wife's position at the top.
5. Do when the husband was better able to control ejaculation. In this step the couple can have sexual relations with the side position. If this place to hold ejaculation husband, then sexual intercourse can be done in the husband's position at the top.
The exercise is expected to be performed during 6-12 months after that, and whenever needed. But this way is not always easy to do for several reasons. First, the closure of the man against his wife. Secondly, the lack of communication and cooperation of husband and wife in sexual matters. Third, feeling reluctant or lazy to do exercise because of having to waste time and considered impractical.
Men Can Also Kegels
For those who avoid drugs, Prof Wimpie advise against trying to do Kegel exercises or sex therapy with couples. Kegel exercises or exercises known as pelvic muscle exercises to improve the quality of sexual intercourse.
Kegel is a pelvic floor muscle exercises Puboccoccygeus (PC) or Pelvic Floor Muscle originally used for therapy in women who are not able to control the release of urine. The PC muscle is called muscle 'sexual' for supporting the vagina, penis, uterus, rectum and other related parts of the body such as the sexual function and ejaculation orgasm in both women and men.
To find the location of the PC muscle, you can stop the urine when you urinate. Try to stop urinating up to three times so that you can position the PC muscles.
Kegel exercises was introduced by Dr. Arnold Kegel, a gynecologist, since 1945. This exercise is a series of movements that serve to train the PC muscle contractions multiple times with the aim of increasing muscle tone and contraction. This exercise new show benefits after a minimum of six weeks.
While for men it turns Kegel exercises have been developed since 1978 by Zilberger. But the main principle remains the strengthening exercises pelvic muscles. This exercise is useful to strengthen the pelvic muscles, including the penis and increase the ability of sexual potency. And the result was satisfactory.
How to tighten these muscles mengendorkannya sebanvak 10 times and 10 times each day, within one to one and a half months, you will automatically be used to delay ejaculation so that orgasms can be experienced repeatedly.
Premature Ejaculation, Realize & End
Be aware that premature ejaculation is a sexual dysfunction, not a natural thing. However, not many men who realized that he suffered from premature ejaculation. Besides not aware, there are many who do not want to admit.
Facing the many men who suffer from premature ejaculation, there are certain parties who offer healing when they do not understand properly what and how premature ejaculation.
Though the origin of known earlier, premature ejaculation can be cured. But remember, not a cure to the "smart people" but with treatment to the doctor. Before the divorce be the only solution, preferably immediately consult with an expert to end suffering premature ejaculation.
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