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October 28th, 2010
03:37 PM ET
Men and sex: Survival of the quickest
Even though it’s often the butt of many jokes, premature ejaculation (PE) is no laughing matter. It’s the most common type of sexual dysfunction a man can have, with many experts estimating that up to 30 percent of men have PE. In my new book Overcoming Premature Ejaculation, I use the latest research to distinguish myth from reality and offer a new approach for managing a condition that has left many men, myself included, feeling like a sexual cripple. There’s been a lot of disagreement and discussion in the medical community about how we should define PE. But the latest, most widely accepted definition—from the International Society for Sexual Medicine (ISSM)— says that PE is a male sexual dysfunction characterized by:
To say that it’s tough to talk about PE is an understatement. Most guys don’t want to admit that they’ve got any kind of sexual problem, especially one as sensitive as ejaculating too soon. It doesn’t help that stereotypes about PE tend to label it as a problem limited to teenagers (just take a look at movies like "American Pie" or "Fast Times at Ridgemont High") or selfish jerks (Lorena Bobbitt famously claimed, after cutting off her husband’s penis, “He always has an orgasm and doesn’t wait for me”). The truth is that PE can happen to anyone. It doesn’t matter how old you are, how much experience you have, or how much you know about sex. What was once believed to be an anxiety disorder is now thought to include not just psychological factors but biological origins as well. Most guys with PE have chronic PE—they’ve never known any other way. Do you suffer from chronic PE? 1. Are you unable to control how long you last during sex? 2. Do you climax within a minute or less of starting intercourse? 3. Have you tried various methods to deal with PE, only to have your hopes dashed? 4. Are you dissatisfied with your sex life? 5. Do you often worry about pleasing your partner? 6. Does even foreplay often lead to “end of play?” 7. Do you avoid intimate situations because they could lead to premature ejaculation—so why even bother? 8. Has PE damaged your relationships with women? If you answered “yes” to most of these questions, you could have chronic PE. And you’re not alone. Although the stereotype of PE tends to be a teenager who can’t control himself, nothing could be further from the truth. Because lifelong PE is chronic, it’s a problem in young and old men alike. It’s true that your ejaculatory control does get a little better with age, but that’s because your body is getting older, not because your PE is improving. In fact many older men with PE face the double whammy of erectile dysfunction. Researchers now believe there well may be a genetic basis for chronic PE, not unlike congenital heart problems and other conditions present at birth. Studies of twins show an increased risk of PE in families, and one Dutch study found that men with PE were likely to have at least one first-degree relative (such as a father or brother) with PE, too. This tells us it’s possible that PE is has a genetic basis and that your risk for it may be inherited, just as your risk for heart disease and some types of cancer. In my book Overcoming Premature Ejaculation the program I recommend is biopsychosocial, or combination therapy, which combines behavioral, medical, and interpersonal approaches. That means there are: 1. Behavioral techniques - things you can do during sex. For years sex therapists have been advising men that PE can be cured with two techniques that focus on arousal-awareness and postponing climax. But in fact, those techniques have limited efficacy. If anything, they often interrupt sex. Instead, I suggest a unique series of sexual positions that allow men to maintain sexual interaction without the interruption of more commonly recommended techniques. 2. Medical therapies - medications such as SSRIs that help to delay ejaculation and other medical approaches that are on the near horizon. While pharmaceutical solutions shouldn't be relied upon on their own, they can help guys to get a jump-start on managing PE and developing sexual self-esteem. 3. Interpersonal methods - changes to the way you relate during and around sex. For example, many women don't understand PE and often think that men with the condition are sexually selfish. In fact, this couldn't be further from the truth. Men with PE care greatly about their partners' sexual satisfaction, and need to be able explain the issue without shame and develop alternative paths to pleasure with their partners. For best results, you need a combination of all three. While we can’t cure PE – because there frankly is no cure – we can learn to manage and ultimately “overcome” it. Ian Kerner is a sexuality counselor and New York Times best-selling author. Read more from him at his website, GoodInBed.
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Author probably is not too sure of his research. At one place he writes "It can happen to anyone" and then "it’s possible that PE has a genetic basis." If it's genetic how come it happen to anyone?
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After a lot of research, trial and error, I completely agree that a combination approach is the way forward. There is often not just one problem and then it can be different for each person. Therefore providing a combination approach when looking for a cure seems the best way to tackle premature ejaculation.
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11.Increase the intensity of orgasm
12. Stops early ejaculation and make more rounds
DR SALATO IS THE BEST HERBAL AND SPELL CASTER DR IN AFRICAN LIFE IS SWEETER WHEN YOU HAVE HAPPY HOME AND FAMILY.
Hi everyone here i am from the UNITED STATE OF AMERICAN,i am married to my lovely wife MICHELLE and we were the most happiest couples in the world but problems started when i started having or experiencing premature ejaculation and weak erection also i was having 5 inches penis on erection when i got married to her and she never complain about the size of my penis but my problem was the premature ejaculation and it was causing alot issues between me and my wife it got to a point that she told me that she is moving out of our home and because of that also i do not want to loose my lovely wife due to premature ejaculation then i went to the hospital to get pills and drugs but did not gave me any result i wanted then i ordered herbal medicine from AFRICAN but still no result.i was so wick and frustrated but on one faithful day that i was searching on GOOGLE then i saw one MR JACE ALBERT testifying about DR SALATO HERBAL MEDICINE then i told myself that this will be my last trial in finding solution to my problem then i contacted DR SALATO on his email drsalatosolutiontemple@gmail.com also went to his website http://drsalatosolutionte0.wixsite.com/drsalato He replied and gave me some comforting words and told me what i should do which i did also He sent me the product through UPS DELIVERY SERVICE and it was only five days of using the herbal medicine,my penis add 2.5 inches making it 7,5 inches on erection also i can spend 1hr30 minutes bed with my wife and to complete my testimony,i used the product for two weeks and my penis size is now 9 inches on erection because i stopped using the cream when i was having 9 inches also i now spend 3hrs in bed with my wife before ejaculating. My happy home is back to more than normal and all thanks to DR SALATO for bringing back to my home. so contact DR SALATO today on drsalatosolutiontemple@gmail.com website http://drsalatosolutionte0.wixsite.com/drsalato call/whatsapp +2348103629945 and all your problems are solved THANKS
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