Premature ejaculation consists of a sudden expulsion of semen, uncontrolled, and before the desired moment by the man, who is not able to control the ejaculatory reflex.

Occasionally it occurs even before penetration begins. It is accepted as premature ejaculation that occurs before 1 minute, and “probable” that oscillates between 1-1.5 minutes. It is not a problem of seriousness for the health of man, and is not usually caused by a physical complication. However, it must be treated to avoid psychological problems that may alter the emotional stability of the patient or their relationship. It can even be a cause of infertility in couples if it never manages to ejaculate inside the vagina.

Premature ejaculation can be primary or secondary. In the first case, the dysfunction is maintained since adolescence and the man has never had a relationship with a partner in which he was able to control the ejaculatory reflex.

Primary premature ejaculation is associated with inadequate masturbation, due to the adolescent’s haste to reach climax, in many cases due to lack of privacy or feelings of guilt.

Secondary premature ejaculation affects men who were in control for a while but subsequently lost for some reason, usually related to emotional problems, stress, prolonged sexual inactivity, or a new partner that causes them anxiety or a high degree of excitement. sexual.

There are also several degrees depending on the severity of the case:

• Grade 1: it is the least serious degree and easier to correct. It is associated with anxiety and a very stressed lifestyle.
• Grade 2: develops when grade 1 is not passed, and premature ejaculation becomes chronic. It can be treated with the help of a professional through sex therapy.
• Grade 3: occurs when grade 2 is prolonged too long. Ejaculation occurs before penetration or at the beginning of it, and males who suffer this degree are often very affected at the psychological level.
• Grade 4: in this last grade, premature ejaculation becomes a chronic disorder that affects all aspects of the patient’s life. It is necessary already the pharmacological treatment.

Whatever degree the patient presents, it is essential that he consult him, without shame, to his doctor, who will be the one to indicate the correct treatment. The symptoms of premature ejaculation define this disorder and they will be the key to reach the accurate diagnosis by the specialist. The treatment of premature ejaculation will depend on the severity of the case and what this problem affects the patient. In the first place, psychological therapies will be started, whose objective is to modify the sexual techniques, and which require the participation of the couple to be effective. The pharmacological treatment will be reserved for those cases in which the therapy does not obtain the desired results.

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