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Pre-Mature Ejaculation
Premature Ejaculation (PME)
Delayed or Retarded Ejaculation (orgasm)
Absent Ejaculation Orgasm
Semen in Urine (Retrograde Ejaculation) 
PREMATURE EJACULATION (PME) OR EARLY DISCHARGE
There can be four types of disturbances in semen ejaculation (i.e. orgasmic discharge) 
1. Premature ejaculation i.e. early discharge or early orgasm. 
2. Absent ejaculation, Delayed ejaculation, Retrograde ejaculation & others
What is premature ejaculation
Causes of premature ejaculation
MYTHS & FACTS ABOUT PREMATURE EJACULATION
Prevention
Investigation & Diagnosis
Treatment  
What is Premature Ejaculation? 
Premature ejaculation occurs in men of all ages. "Premature ejaculation" or "Quick Discharge" is an ejaculation before the man wants it to occur he is unable to control
or delay the process.Men, who experience premature ejaculation, frequently question their masculinity and lose confidence in their sexual performance, which often
leads to feelings of lowered self-esteem. Furthermore, both the partners suffer negative feelings about the experience and continuation of such problem can lead to
serious relational conflicts and more sexual problems in marital life. The problem can occur in all sexual situations, including masturbation, or during sexual
encounters with another person.
Premature ejaculation (also known as early discharge or quick orgasm, early fall, Shigra-patan) is one of the most frequent, of sexual disorders in the male and is characterized by sudden ejaculation of the semen, just prior to or immediately after vaginal penetration during intercourse (before one wishes or before he could satisfy the female partner). Approximately 10% to 30% people of all age group suffer with quick semen discharge. Premature or 'before time' in other words, is a condition where the man has no voluntary control over his ejaculation. He is quick on the trigger once he starts the coitus. This is a very frustrating disorders of male sexual function in which man feels totally helpless. This leads to bitterness in husbands & wife relationships. For the man, lack of control of his body functioning leaves him feeling unsure of himself. His pleasure is often decreased by the abrupt early discharge. Eventually his preoccupation with trying to postpone ejaculation will hinder his ability enjoy himself to sexual pleasure. When a man is, feeling inadequate, and ejaculating fast, the woman will probably be left unsatisfied. Her frustration will only increase the negative pattern. This is an easily treatable condition.
PREMATURE EJACULATION
Premature Ejaculation is one of the most common sexual problems faced by men today. It is characterized by a man ejaculating very soon during sexual intercourse; it creates a problem if the ejaculation occurs before or just after sexual intercourse begins. 
This is a very frustrating problem for men and can cause dissatisfaction not only for himself but also for his partner. It can lead to negative consequences for their relationship such as stress and loss of intimacy between the partners. Men who suffer from this condition usually feel loss of self confidence and low self esteem. Another problem that it can cause is problems with fertility, some couples may find it very hard to conceive and have children, if premature ejaculation is not treated properly.
There can be four types of disturbances in semen ejaculation (i.e. orgasmic discharge)
1. Premature ejaculation i.e. early discharge or early orgasm.
2. Absent ejaculation
3. Delayed ejaculation
4. Retrograde ejaculation & others
What is Premature Ejaculation?
Premature ejaculation (also known as early discharge or quick orgasm, early fall, Shigra-patan) is one of the most frequent, of sexual disorders in the male and is characterized by sudden ejaculation of the semen, just prior to or immediately after vaginal penetration during intercourse (before one wishes or before he could satisfy the female partner). Approximately 10% to 30% people of all age group suffer with quick semen discharge. Premature or 'before time' in other words, is a condition where the man has no voluntary control over his ejaculation. He is quick on the trigger once he starts the coitus. This is a very frustrating disorders of male sexual function in which man feels totally helpless. This leads to bitterness in husbands & wife relationships. For the man, lack of control of his body functioning leaves him feeling unsure of himself. His pleasure is often decreased by the abrupt early discharge. Eventually his preoccupation with trying to postpone ejaculation will hinder his ability enjoy himself to sexual pleasure. When a man is, feeling inadequate, and ejaculating fast, the woman will probably be left unsatisfied. Her frustration will only increase the negative pattern. This is an easily treatable condition.
THE MEDICAL DEFINITION
The medical definition of premature ejaculation or PE is the persistence of recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration, and before the person wishes it to occur.
In common terms, PE can be defined as:
The inability to control one’s ejaculation.
Ejaculating before he is ready to or has satisfied his partner.
Ejaculating before or within several minutes’ after penetration.
How common is the premature ejaculation?
Premature ejaculation is very common, recent studies show that three out of ten sexually active men are affected by thsproblem….
MYTHS & FACTS
Myth: Alcohol, cocaine and antidepressants are good ways to control premature ejaculation.
Fact:These drugs are not meant to be taken to control premature ejaculation. They are not safe drugs to take.
Myth:Anaesthetic sprays or creams are good ways to control premature ejaculation.
Fact:These products rarely, if ever, work. They numb the head of the penis as well as the vagina detracting pleasure from both partners. As they numb the head of the penis, you never actually "get used" to the sensation of making love for long periods of time and when you stop using them, the problem returns.
Myth: Premature ejaculation will not eventually cause erection problems.
Fact:More patients who have suffered from PE for a long time eventually develop erection problems than those who can actually control their ejaculation. The reason is that the longer we are able to maintain our erections during lovemaking, the less likely we are to suffer from erection problems later in life
Myth:Premature ejaculation is not a sign that there may be an erection problem developing.
Fact: Premature ejaculation can be the first sign of an erection problem
Myth: Premature Ejaculation will not affect your sex life.
Fact: As while you are making love, you are often worried that ejaculation may occur, it is difficult to relax and enjoy yourself. Also, your partner may not be getting the most out of their sex life and they may avoid lovemaking for this very reason.
What is normal time of discharge: In one scientific study European males took approximately 10 to 15 minutes in discharge whereas Americans took fourteen minutes in getting orgasm.
How common is pre mature ejaculation due to some well-defined internal causes?
Many of recent studies have proved that, most cases of quick ejaculation are Psychogenic is not correct (which was old belief). In one study by Schwartz & Pirke & colleague found that in many patient of pme male hormones were deranged. Similarly Colpi et all found that evoked sacral potentials & Bulbocavernosal reflex were hyper-excitable in many patients. 
Thus psychogenic cause should never be labeled unless Hormonal & other causes have been excluded, by thorough examination, hormones & other tests as mentioned below. 
What causes premature ejaculation?
Various factors can increase your risk of premature ejaculation, including: -
There are several Causes and reasons why a man may ejaculate Quickly. The cause is most likely to be anxiety, psychological factors and others are :-
  Expecting failure
Weak PC Muscle.
Stress & Depression
very sensitive
penile skin.
Excessive OF Masturbation
Feelings of guilt, embarrassment or frustration
The masturbation habits you developed may have led to this. Typically adolescents masturbate with the intention of reaching orgasm quickly, thus premature ejaculation has been “grooved” into your system.
Impotence: You may be at increased risk of premature ejaculation if you occasionally or consistently experience impotence. Fear of losing your erection may cause you to rush through sexual encounters.
Health problems: If you have a medical concern that causes you to feel anxious during sex, such as a heart problem, you may have an increased likelihood of hurrying to ejaculate.
Stress: Emotional or mental strain in any area of your life can play a role in premature ejaculation, often limiting your ability to relax and focus during sexual encounters.
Certain medications: Rarely, drugs that influence the action of chemical messengers in the brain (psychotropic) may cause premature ejaculation.
Over sensitiveness: Caused by a combination of an oversensitive glans penis (or head of the penis), and nervousness or performance anxiety during lovemaking.
Fear: The fear often stems from the previous experience of premature ejaculation.
 
Other Possible Causes
There are number of possible causes have been propunded about the causes of Premature Ejaculation: 
Diagnosis of Cause 
1) We take detail history
2) Detailed general & systemic examination
3) Investigation & Diagnostic tests
For accurate diagnosis of the cause patient's blood is tested following tests:
Complete Male Hormone Profile tests
Biochemistry tests
Urine is tested for pus cells
Penile Nerve conduction tests & central nervous system is if required.
Scrotum, epididydmus, prostate is examined for infection.
Semen is examined for pus & semen culture sensitivity. 
Ultrasonography of scrotum & prostate may be required.
Various antibodies are tested against relevant microbial agent
Detail sex counseling is done for knowing the cause of PME.  
Prevention
In some cases, premature ejaculation may be caused by poor communication between partners or a poor understanding of the differences between male and female sexual functioning. Women typically require more prolonged stimulation than men do to reach orgasm, and this difference can cause sexual resentment between partners and add pressure to sexual encounters. For many men, feeling pressure during sexual intercourse increases the risk of premature ejaculation.
Open communication between sexual partners, as well as a willingness to try a variety of approaches to help both partners achieve satisfaction, can help reduce conflict and performance anxiety. If you're not satisfied with your sexual relationship, talk with your partner about your concerns. Try to approach the topic in a loving way and to avoid blaming your partner for your dissatisfaction.
Many men who experience premature ejaculation feel frustrated and even ashamed. It may help you to know that this problem is common and often very treatable. If you're not able to resolve sexual problems on your own, if it's causing distress for you or your partner, talk to your doctor who can help you and your partner achieve a fulfilling sexual relationship.
Should premature ejaculation be treated?
It is advisable to solve it for two main reasons: -
First
It is difficult to relax and enjoy lovemaking to its fullest as most of the time you are preoccupied with trying to delay or stop your ejaculation instead of enjoying the pleasures of sex. Further, it is not uncommon for the unsatisfied partner to keep silent to avoid additional embarrassment. Only when PE is fully controlled and the lovemaking session is sufficiently prolonged for both you and your partner to reach climax, can you both enjoy a more rewarding sex life?
Second
Premature ejaculation tends to be a lifelong problem until treated. Although some love making sessions may last a little longer than others, the problem essentially remains the same, limiting the full enjoyment of lovemaking. While some men consequently avoid forming intimate relationships or avoid socialising for that matter, others may develop a tendency to avoid lovemaking or other forms of intimacy altogether, which of course tends to lead to further relationship problems. So, if premature ejaculation is affecting your sex life or your relationship, or if you would like to achieve greater satisfaction during lovemaking, then you should actively seek treatment. The best reason of all, however, is that PE is easily treated (usually only one consultation is required) and once treated, it is unlikely to recur.
When to seek medical advice or seek a doctor?
Talk with your doctor if you ejaculate sooner than you and your partner wish during most sexual encounters. The problem is common, and although you may feel you should be able to fix it on your own, you may need medical treatment to achieve and sustain a satisfying sex life
When premature ejaculation happens so frequently that it interferes with your sexual pleasure, it becomes a medical problem requiring the care of a doctor. 
Premature ejaculation affects not only you but also your partner and your sexual relationship. In an episode of premature ejaculation, You might feel angry, ashamed, and frustrated, and turn away from your partner. At the same time, your partner may be upset with the rapid emotional change.  
Premature ejaculation should never be a problem again! ,Treatment For Premature Ejaculation (Quick Discharge) With our Ayurvedic & Modern Medicine.
Our ayurvedic Medicine Has NO SIDE EFFECTS, You will experience an instant resolution to your problem, i.e. experience of 100% result and gives u a Permanent cure. Natural ayurvedic remedies have been used successfully throughout time. We use the Right combination of herbs which produces a powerful sexual enhancer that has the capability to Delay Your ejaculation, it also boost your libido increase sexual desire, increases sexual energy, improves vitality, increases blood circulation to the genitals treats erectile dysfunction and it give u a Rock hard erection without any side effects.
Here Are Some of the Many More Benefits of our medicine
  Increased Blood Flow to Your Penis.
Unleash and Stabilize Your Testosterone Levels.
Calms Your Nerves to Stop Anxiety and Stress.
Balances the Sex Hormones in Your Blood System.
Delays Your Ejaculation.(TREATS YOUR PREMATURE EJACULATION)
Shortens Your Recovery Time.
Increases Your Energy, Stamina, and Endurance.
What is Ayurvedic Medicines?
  *Increases Your Energy, Stamina,Immunity Power and Endurance.
  *Calms Your Nerves to Stop Performance Anxiety. 
There is nothing more humiliating than premature ejaculation for a man. Imagine the ego bruising when ejaculation comes prior intercourse and the disappointment experienced by the unsatisfied partner. You don't have to live with premature ejaculation, treatments including Herbal medications, counseling and learning sexual techniques to delay ejaculation can improve sex for you and your partner. For many men, a combination of treatments works best. Consult a doctor if you ejaculate sooner than you and your partner wish during most sexual encounters. Although you may feel you should be able to fix the problem on your own, But you may need treatment to help you achieve and sustain a satisfying sex life.
Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life. There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition including "ejaculation which always or nearly always occurs prior to or within about one minute". The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse.
Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.
At Dr.S.K.Jain’s Burlington Clinic (P) Ltd Lucknow  in valueable guidance of Dr.Saransh Jain we have successfully treated numerous men with premature ejaculation problem and helped them lead more satisfying lives with greater confidence.
For consultation & treatment (by appointment / or online) click How to Consult Us 
Premature Ejaculation (PME) || Delayed or Retarded Ejaculation (orgasm) || Absent Ejaculation Orgasm
Semen in Urine (Retrograde Ejaculation)
We get patients from all major cities in India & Abroad . In the following cities all the facilities for investigation & treatments including medicines are available as Delhi (North, South, East, Central, West, New Delhi). To Different Communities like Hindustani, Hindustan, Hindu, Christian, Muslim, Sikh, Parsee. The other cities are NCR, National Capital Reagion in India, Indian, Hindustan, Ghaziabad, Faridabad, Noida, Gurgaon, Meerut, Bombay, Chandigarh, Calcutta,  Simla, Jammu, Srinagar, Aligarh, Lucknow, Kanpur, Allahabad, Varanasi, Dehradun, Madras, Kolkatta, Nainital, Agra,  Jaipur, Bikaner, Jodhpur, Porbandar, Dwarka, Ahmedabad, Gandhi Nagar, Vadodara, Surat, Mumbai, Pune, Thane, Panaji, Nasik, Nagpur, Indore, Ujjain, Bhopal, Gwalior, Jabalpur,  Raipur, Hyderabad, Goa, Visakhapatnam, Bangalore, Banglore, Bangalooru, Mysore, Mangalore, Manipal, Chennai, Pondicherry, Madurai, Kanchipuram, Coimbatore, Kanyakumari, Ernakulam, Trivandrum, Darjeeling, Gangtok, Bhubaneswar, Puri, Guwahati, Shillong, Imphal, Kohima, Agartala, Patna, Ranchi. 
Patients come to us with various queries, we diagnose their problems and give appropriate solutions. Some of their queries are as follows:
-What is the best method to cure premature ejaculation? 
-what is rapid ejacullation and why its happens 
-Is there any side effect of using anesthetic spray to prevent premature ejaculation?
-how premature ejaculation caused
-how control premature ejacuation
-ejaculation take place at the very time of penitrating before orgasm
-how do prevent pre-mature ejaculation during sex ? only serious ans please 
-What are ejaculation disorders? 
-What are the different natural methods of controlling premature ejaculation?
-How to find out premature ejaculation? What is the normal time a male takes to cum? 
-How to treat premature ejaculation? 
-How long normal ejaculation time in intracourse sex and what is premature ejaculation.
-What is early ejaculation and premature ejaculation? Will it prevents anything while sexual intercourse with a girl. 
-Did premature ejaculation is completely cureable?if yes then how? 
-what is Screw Technique for preventing premature ejaculation?
-Is Premature ejaculation responsible for fertilization 
-How to control the premature ejaculation due to masturbation ? Homeopaty Treatment or Ayurveda or Yoga ? What are exect steps/ Asan for control this disease ?
-Erectile dysfunction is that and premature ejaculation same? 
-What is the methods to use Topical anesthetic cream for premature ejaculation problem?
-how to get long duration in sex and avoid premature ejaculation 
 
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