Premature Ejaculation

What is the main cause of premature ejaculation?
Premature ejaculation can be caused by psychological factors such as stress, depression, relationship issues or performance-related anxiety. It can also be due to physical causes, such as diabetes, high blood pressure, thyroid problems or prostate disease.
How long should a man last before ejaculation?

The average time for each couple (that is, averaged across all the times they had sex) ranged from 33 seconds to 44 minutes. That’s an 80-fold difference. So it’s clear there’s no one “normal” amount of time to have sex. The average (median, technically) across all couples, though, was 5.4 minutes.
How do you know if you have premature ejaculation?
1. Always or nearly always ejaculate within one minute of penetration.
2. Are unable to delay ejaculation during intercourse all or nearly all of the time.
3. Feel distressed and frustrated, and tend to avoid sexual intimacy as a result.
What does a man release in ejaculation?
Ejaculate contains fluid from the prostate, seminal vesicles, and bulbourethral glands. Though it contains a wide variety of substances, including citric acid, cholesterol, mucus, and water, its primary job is to deliver sperm
How do you know if a girl is not satisfied in bed?

“When a woman is sexually gratified, she’ll crave contact via cuddling, talking, or wanting to go for round two,” “When she’s dissatisfied, she’ll detach, which could entail rolling over or getting out of bed.” So if she bolts to make a snack, call a friend, or turn on the TV, it’s not good.
How can I increase my ejaculation time?Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course.
Recent treatment options for resistant early ejaculation?

Penile hypersensitivity was proposed to be the main key pathologic mechanism of premature ejaculation.Reducing the sensitivity of skin and mucous membrane of penis is therefore believed to prolong the IELT in males with premature ejaculation Augmentation of glans penis is a promising treatment for hypersensitivity of glans penis in premature ejaculation patients. Penile glandular augmentation with injectable HA gel(dermalfiller) is a safe and effective modality to reduce sensory of glans penis. Hyaluronic acid (HA) is a natural and safe compound that has been widely used not only in the aesthetic medicine clinic. The procedure is well tolerated without adverse reactions. The increased self-esteem and self-confidence from enlarged glans may act positively.

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