(Best way to prevent premature ejaculation.)
The knowledge of an individual's normal sexual responses prior to engaging in sexual activity may be helpful
in preventing premature ejaculation. For a better understanding of how to prevent premature ejaculation please
review the following information.
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Erection Physiology
For something that appears so natural, an erection is a rather complicated process involving the coordination of the psychological, neurological and cardiovascular systems. The penis becomes erect following a series of events. First, the nerves are stimulated, a sensation known as arousal. No matter what the nature of the stimulus be it visual, mental or physical, the brain coordinates the following series of events: Nerve impulses transverse the length of the spinal cord to the pudendal nerve and on to the penis. Smooth muscle within the walls of the penile arteries respond by relaxing. Subsequently, the penile arteries dilate allowing up to eight times more blood to flow into the corpora cavernosum (two parallel cylinders that transverse the length of the penis).
The cavernosum becomes engorged with blood which expands and lengthens the penis. The expanding tissue then
exerts a positive pressure that compresses the veins that normally empty the blood from the penis, which maintains
the blood in the penile tissue. When ejaculation occurs or when arousal is discontinued the penis returns to
its non-erect state.
The
Sexual Response
William Howell Masters and Virginia Eshelman Johnson, during their research in the beginning of the 1950’s, determined that there are at least four different stages that an individual goes through from the beginning of arousal to the time after orgasm.
Excitement
Phase
Plateau Phase
Orgasmic Phase
Resolution Phase
Excitement Phase
During this phase, physical changes accompany mental arousal. The nervous system sends messages to certain centers of the brain causing the following measurable changes in the body:
Increase blood
pressure
Increased heart rate
Increased breathing
rates
Increased blood to
the genitals
Altered muscle tension
Heightened skin sensitivity
Heightened overall
awareness to smell and tactile
As the level of sexual arousal increases in males, the penis engorges with blood and becomes erect while the
testicles draw closer to the body.
Females experience increased vaginal lubrication, the inner two-thirds of the vagina expands, the outer lips
of the vulva become more pronounced, and the clitoris engorges secondary to increased blood flow. Both sexes
experience increased sensitivity in the breast region causing erect nipples.
Plateau
Phase - In this phase, the changes that began to take place in the first phase continue to progress
during this phase until an orgasm is reached. The plateau stage in males includes the corona or head of the
penis deepening in color and an increase in the size of the head of the penis and testicles. The testicles
rotate and pull toward the body while a clear pre-ejaculatory fluid may appear at the tip of the penis.
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For women, this phase consists of 1/3 of the vulva swelling and narrowing the opening; therefore, the physiological
argument of penis size is not that relevant. If the arousal is significant enough, the vagina will grip a short
or thin penis. Next the inner 2/3 of the vagina tents, lifting the uterus and cervix away from the end of the
vagina. The clitoris draws closer to the pubic bone and is often covered by the enlarged labia. Often the inner
labia will become two or three times thicker than in the non-aroused state. The breasts also increase in size
during the plateau phase, especially the areola (area surrounding the nipples), which makes nipples look less
erect.
In both sexes, heart rate, breathing rate and blood pressure increases. In addition, a "sex flush"
that looks like a rash, sometimes appears on the skin covering the chest, neck or other areas of the body.
Orgasmic Phase (or the peak of sexual excitement) - During this phase both men and women
experience involuntary muscle contractions, increased heart rate and blood pressure, sphincter muscle contraction,
periodic spasms of the muscles in the feet, and sudden forceful release of sexual tension.
In men, orgasm generally climaxes with the ejaculation of semen, which contains millions of sperm. Ejaculation
consists of two steps:
Phase I Emission Phase: The seminal fluid builds up in the urethral bulb of the prostate
gland. When the fluid accumulates, the male senses he is about to ejaculate with an often inevitable and uncontrollable
urge.
Phase II Expulsion Phase: The urinary bladder closes to block the possibility of urine mixing
with the semen and the muscles at the base of the penis begin a steady rhythmic contraction that finally expels
the semen from the urethral opening at the head of the penis.
In women, orgasm also consists of rhythmic muscle contractions. The uterus begins a series of contractions
similar to the male. Tightening of the woman's muscles puts pressure on the man's penis and assists in male
orgasm. The orgasmic phase is the shortest phase in the sexual response that generally only last a few seconds
in contrast to other phases, which can last for minutes or in some cases hours.
Resolution Phase – In the final phase of the sexual response, the body returns to normal levels
of heart rate, blood pressure, breathing, and muscle contraction. Engorged and erect body parts return to normal
and skin flushing disappears. The resolution phase is marked by a general sense of well-being and enhanced
intimacy. Many women are capable of a rapid return to the orgasmic phase with minimal stimulation and may experience
continued orgasms for up to an hour.
Males, especially in later years, may experience a refractory period of varying duration after orgasm. During the resolution phase men cannot achieve another orgasm, although a partial erection may sometimes be maintained. The duration of the refractory period can vary from a few minutes to several days in duration. Men experience a great variability in the length of the refractory period; it is not know why this time varies, except it becomes more prolonged with increased age.
Prevention Premature Ejaculation
The above information on erection physiology and the phases of sexual response was presented to demonstrate the intricate process of successful intercourse in both the male and female genders. There are many theories concerning the cause of premature ejaculation whether the condition is psychological and/or physiological.
Premature ejaculation occurs in men of all ages (more common in younger men) and of all socioeconomic backgrounds. Premature ejaculation has been identified in men who have been diagnosed without psychological conditions, as well as, in those men who are experiencing extreme stress and anxiety.
Men who experience premature ejaculation frequently question their masculinity and will often lose confidence concerning their sexual performance. This lack of sexual performance can result in a low self-esteem that affect existing relationships. Secondary to their fear of ejaculatory control, sometimes men will also isolate themselves and refrain from dating or engaging in meaningful relationships.
The connotation "premature ejaculation" tends to imply that a man is sophomoric or not fully matured. The new trend among discussions of premature ejaculation is to refer to the condition as rapid ejaculation. Yet, the term rapid ejaculation can also imply negative connotations. For most men it is normal to often have a sense of urgency and have the need to control ejaculatory response.
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