Here is the Andrologist and Urologist Dr.Surendra Reddy Banka about the Micro Surgery process of Ejaculatory dysfunction and its side effects.
#Andrology #Urology Premature ejaculation (PE) occurs when a man expels semen (and most likely experiences orgasm) soon after beginning sexual activity, and with minimal penile stimulation.
It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax, and (historically) ejaculatio praecox.
There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition of around one minute after penetration.
The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse.
Although men with premature ejaculation describe feeling that they have less control over ejaculating, it is not clear if that is true, and many or most average men also report that they wish they could last longer.
Men's typical ejaculatory latency is approximately 4–8 minutes.
The opposite condition is delayed ejaculation.
Causes of Premature Ejaculation: The causes of premature ejaculation are unclear.
Many theories have been suggested, including that PE was the result of masturbating quickly during adolescence to avoid being caught, performance anxiety, passive-aggressiveness, or having too little sex; but there is little evidence to support any of these theories.
Several physiological mechanisms have been hypothesized to contribute to causing premature ejaculation, including serotonin receptors, a genetic predisposition, elevated penile sensitivity, and nerve conduction atypicalities.
The nucleus paragigantocellularis of the brain has been identified as having involvement in ejaculatory control.
Scientists have long suspected a genetic link to certain forms of premature ejaculation.
However, studies have been inconclusive in isolating the gene responsible for lifelong PE.
Other researchers have noted that men who have premature ejaculation have a faster neurological response in the pelvic muscles.[citation needed] PE may be caused by prostatitis or as a medication side effect.
Men with PE often report emotional and relationship distress, and some avoid pursuing sexual relationships because of PE-related embarrassment.
Compared with men, women consider PE less of a problem, but several studies show that the condition also causes female partners distress.
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