Premature Ejaculation
Sexual Dysfunctions
Sexual Dysfunctions may occur in both heterosexual and homosexual relationships. Of the different stages in the sexual response cycle, three of them - desire, arousal and orgasm —are each associated with specific sexual dysfunctions. In addition, pain can become associated with sexual functioning in women, which leads to an additional dysfunction.
Sexual Dysfunctions can be:
- Lifelong -- Present during entire sexual history.
- Acquired – Interrupts normal sexual pattern.
- Generalized – Present in every encounter.
- Situational – Present only with certain partners or at certain times.
Sexual response stages are -
Desire: Sexual urges occur in response to sexual cues or fantasies.
Arousal: A subjective sense of sexual pleasure and psychological signs of sexual arousal; in males, penis tumescence (increased flow of blood into the penis); in females, vasocongestion (blood pools in the pelvic area) leading to vaginal lubrication and breast tumescence (erect nipples).
Plateau: Brief period occurs before orgasm.
Orgasm: In male, feelings of the inevitability of ejaculation, followed by ejaculation; In females, construction of the walls of the lower third of the vagina.
Resolution: Decrease in arousal occurs after orgasm (particularly in men).
About Premature Ejaculation:
Males with ejaculation before it is desired with minimal stimulation is referred to as Premature Ejaculation. A far more common male orgasmic disorder is Premature Ejaculation.
Males who achieve Orgasm only with great difficulty or not at all meet criteria for a condition called Delayed Ejaculation. Some men who are unable to ejaculate with their partners can obtain an erection and ejaculation during masturbation. Occasionally men suffer from Retrograde Ejaculation, in which ejaculator fluids travel backward into the bladder rather than forward. This phenomenon is almost always caused by the effects of certain drugs or a coexisting medical condition and should not be confused with delayed ejaculation.
SYMPTOMS
1. Ejaculation occurs within approx 1 minute following vaginal penetration.
2. This symptom present for at least 6 months.
TREATMENT FOR SEXUAL DYSFUNCTION
Treatment programs, both Psychosocial and medical, offer hope to most people who suffer from sexual dysfunctions. Psychosocial treatment include therapy program to facilitate communication, improve sexual education and eliminate anxiety. Both the partners should participate fully.
Medical treatment includes almost all interventions focus on male erectile disorder, including drugs, prostheses and surgery. Medical treatment is combined with sexual education and therapy to achieve maximum benefit.
Find Treatment Program here
REFERENCE
David H. Barlow, BOSTON UNIVERSITY
V. Mark Durand, UNIVERSITY OF SOUTH FLORIDA- ST. PETERSBERG
2. ABNORMAL PSYCHOLOGY: 9TH EDITION
Davision G.C., Neale, J.M. and Kring, A.M.
3. ABNORMAL PSYCHOLOGY
Allov. L.B.: Riskind, J.H. and Manos, M.J.
4. ABNORMAL PSYCHOLOGY AND MODERN LIFE. NY: Harper and Collins. 2000
Carson. R.C. and Butcher. N.J.