Ashley Fitzgerald - SEX: MAKE HER COME FIRST! A sexual guide for men to fulfill and retain women.: A premature ejaculator is anybody coming before his mate. Don´t be one! (SEX IMPROVEMENT Book 3)

Ashley Fitzgerald

SEX: MAKE HER COME FIRST!

A premature ejaculator is anybody coming before his mate. Dont be one!

Discover the techniques to avoid premature ejaculation, prolong your sexual thrust and make you mate happy

SEX IMPROVEMENT SERIES: Volume 3

2015 by Ashley Fitzgerald.
2015 by UNITEXTO

All rights reserved

Published by UNITEXTO

TABLE OF CONTENTS

Symptoms of premature ejaculation
When to see a doctor
Causes of premature ejaculation
Psychological causes of premature ejaculation
Biological causes of premature ejaculation
Risk factors of premature ejaculation
Complications of premature ejaculation
Preparing for your appointment
Information to write down in advance
Basic questions to ask your doctor
What to expect from your doctor
What you can do in the meantime
Tests and diagnosis of premature ejaculation
Treatments and drugs of premature ejaculation
Behavioral techniques of premature ejaculation
The pause-squeeze technique
Oral medications
Counseling
Alternative medicine for premature ejaculation
Performance Anxiety
Techniques to Prevent Premature Ejaculation
Squeeze Methods can help prevent ejaculation
Desensitizing Creams for premature ejaculation
More Foreplay prevents premature ejaculation
Masturbation to prevent premature ejaculation
Step 1: Long-lasting thrusting technique
This is what you should do
Step 2: Take it slowly
Fearfulness
Nervousness
Foreplay
Your Turn
Get to it

INTRODUCTION

This book is all about premature ejaculation. Premature ejaculation is ejaculating earlier than you or your partner would like. As you can see, this is a very broad definition, and under this umbrella, probably every man in the world can claim to have suffered premature ejaculation at some time or other!

Medical authorities and sex therapists are in some disagreement as to a precise definition, but most would agree upon a diagnosis of premature ejaculation if a man regularly ejaculates within two to three minutes of penetration. Surveys have suggested that as many as 40% of men fall into this category, with a smaller minority suffering from 'severe' premature ejaculation, which most experts class as regularly ejaculating as soon as penetration occurs, or even before.

Premature ejaculation can become a very stressful, embarrassing and debilitating problem if no action is taken to remedy it. Many men are too proud or too embarrassed to discuss their problem openly, or in some cases even to recognize that they have a problem at all. Premature ejaculation can lead to a vicious spiral of increasing sexual dysfunction, which in turn can lead to emotional problems such as stress, anxiety and depression. Fear of a poor performance often exacerbates the problem, with 'performance anxiety' creating further problems such as erectile dysfunction. In some cases sufferers try to avoid sex completely, and this can put a strain on even the strongest of relationships.

In cases, premature ejaculation is caused by a too-rapid release of the neurotransmitters and pituitary hormones associated with sexual arousal. Whereas in 'normal' men these chemicals are usually released at a steady rate, it has been demonstrated that these chemicals flood the system of sufferers of premature ejaculation too quickly, leading to a loss of control and involuntary orgasm.

Most treatments therefore work on the principal of reducing the rate that these chemicals are released to their receptors. Temporary premature ejaculation can also be brought on by stress, anxiety, or even excess excitement - for example many men find that they lose control too quickly when they first have sex with a new partner, but are better able to control their timing on subsequent occasions.

CHAPTER ONE: PREMATURE EJACULATION

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern.

However, you may meet the diagnostic criteria for premature ejaculation if you:

• Always or nearly always ejaculate within one minute of penetration
• Are unable to delay ejaculation during intercourse all or nearly all of the time
• Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed to talk about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation or a combination of these can help improve sex for you and your partner.

Symptoms of premature ejaculation

The primary symptom is the inability to delay ejaculation for more than one minute after penetration. However, the problem may occur in all sexual situations, even during masturbation.

Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you've had previous sexual experiences without ejaculatory problems.

Many men feel that they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria for premature ejaculation. Instead these may have natural variable premature ejaculation, which is characterized by periods of rapid ejaculation as well as periods of normal ejaculation.

When to see a doctor

Talk with your doctor if you ejaculate sooner than you wish during most sexual encounters. It's common for men to feel embarrassed about discussing sexual health concerns, but don't let that keep you from talking to your doctor. Premature ejaculation is a common and treatable problem.

For some men, a conversation with their doctor may help alleviate concerns about premature ejaculation. For example, it may be reassuring to hear that occasional premature ejaculation is normal and that the average time from the beginning of intercourse to ejaculation is about five minutes.

Causes of premature ejaculation

The exact cause of premature ejaculation isn't known. While it was once thought to be only psychological, doctors now know premature ejaculation is more complicated and involves a complex interaction of psychological and biological factors.

Psychological causes of premature ejaculation

Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life, such as:

• Situations in which you may have hurried to reach climax in order to avoid being discovered
• Guilty feelings that increase your tendency to rush through sexual encounters

Other factors that can play a role in causing premature ejaculation include:

• Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change.
• Anxiety. Many men with premature ejaculation also have problems with anxiety either specifically about sexual performance or related to other issues.
• Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem.