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YOU ARE NOT ALONE:
Many men experience premature ejaculation when making love.
The Foundational 3 level tantra program of the Jade Lotus Technique teaches you and assists you with controlling ejaculation and more. Read below for more information.
This can often result in embarrassment for themselves and frustration for their partners. For sex to be fulfilling, it needs to be sustained long enough for both people to peak. There's really no predetermined length of time, though, that quantifies "healthy sex". We could say, basically, that anytime a men orgasm without wanting to, they've experienced premature ejaculation. When this happens, it's often a result of over arousal.
Jade Lotus Tantra views such a condition as the result of energy blockages, and addresses it with various techniques that move energy past this block so the individual can feel more balanced and in control during lovemaking.Other disciplines involve mostly solitary practice, Tantra uses the interaction between partners as a springboard both for personal growth and for deepening intimacy.
One basic assumption of Tantra is that sexual energy is the root energy of life. Other states in human experience, such as openness of the heart (compassion and love) and stimulation of the mind (inspiration and logical thinking) are made possible as this root energy is refined. An evolutionary theory is often put forth to explain how the energy often remains largely "trapped" in lower energy centers (known as chakras). As this theory goes, men, being biological conditioned to propagate the human species by spreading their genes, have much of their energy dammed up in the sexual center. Women, perhaps because of their biological impetus to nurture their offspring, center their energies in the heart area. Hence the remarked upon difference is in the ways in which the sexes view the sexual experience: men are more able to remain emotionally aloof, while women are more prone to emotional attachment.If men have a tendency to focus their energies in the genital region, then, it stands to reason that they would experience a buildup of pressure and live out that "tomcat on the prowl" stereotype as a means of alleviating it.
Tantric practice poses other solutions, which involve grabbing hold of this basic energy and moving it upwards through the other chakras. The ideal moment to do this - because of the concentration of energy - is right before reaching climax, either during lovemaking or self-pleasuring. The technique involves the manipulation of what is known as the PC muscle, which is located between the genitals and the anus, and one's breathing. You can feel the PC muscle contracting if you stop yourself in the midst of urinating. Once you've isolated it, practice contracting and relaxing it. This muscle is involved in most Tantric exercises that involve any kind of bodywork. The rest of the technique is fairly simple. When you're nearing the "point of no return" during whatever form of sexual activity, cease stimulation (i.e., pull out or stop stimulating yourself). Then contract the PC muscle, lower your chin to your chest (this is important, as it prevents energy from rising too high and making you feel ungrounded) and draw an in-breath, feeling the warmth of sexual energy rise upwards in your body. Repeat this as needed, until the urge to release is no longer urgent. Does it sound like such a hard technique? It can seem this way at first, but you'll likely find that when you do it you feel a relief of sexual pressure immediately. It's almost as if you do experience release - but it happens within the body. The energy has literally moved out of the sexual center, though not through ejaculation.
If done correctly, this exercise can reduce the state of over arousal that's responsible for premature ejaculation. It requires a little practice to discover how much use of it will prolong lovemaking to the extent that you want without extinguishing your desire entirely. A fine balance is required, but this is something you can feel a judge for yourself without much trouble as you work with the practice
The Jade Lotus Tantra program teaches you these skills and techniques through its initial 3 level foundational program.
Scientific Studies on Premature Ejaculation
Statistics on Premature Ejaculation?
Premature ejaculation is the most common male sexual dysfunction. Estimates of its prevalence vary because different definitions of premature ejaculation are often used.
The prevalence of lifelong and acquired premature ejaculation as defined by an intravaginal ejaculation latency time of less than two minutes is thought to be quite low (2–5%), but a much greater proportion of men (typically 20–30%) complain of premature ejaculation disorders in epidemiological studies. For example 23.8% of Australian men reported that they "came to orgasm too quickly" in the National Sex in Australia survey.
A study using a representative sample of the British population reported that a much lower proportion of men (11.7% of 16–44 year old men) experienced premature ejaculation at some point in the last year, though premature ejaculation was not defined for the respondents. This study also reported that the proportion of men who had experienced premature ejaculation in the past six months dropped to 2.7%, suggesting that the condition often comes and goes, but may affect a large proportion of men at some point in their life.
Risk Factors for Premature Ejaculation
Lifelong premature ejaculation is now thought to be an inheritable neurological condition. Individuals with first-degree relatives who suffer from premature ejaculation are predisposed to the condition.
Acquired premature ejaculation is associated with co-occurring conditions, including urethritis, prostatitis, hyperthyroidism, erectile dysfunction and obesity. Those who suffer from these conditions are more likely to experience acquired premature ejaculation than those who do not. It may also be caused by psychological factors such as relationship problems.
Progression of Premature Ejaculation
Premature ejaculation commonly co-exists with other sexual dysfunctions such as erectile dysfunction and sexual dysfunction in the female sexual partner (e.g. anorgasmia). The origins of an individual's premature ejaculation may be organic (relating to the body) or psychogenic (relating to the individual's mind).
The causes of premature ejaculation are often complex. Traditionally, it has been thought that the majority of premature ejaculation cases involve psychogenic factors. However, evidence has recently emerged which suggests that inheritable neurological factors lie at the root of most cases of primary premature ejaculation. Even in cases where premature ejaculation is organic in origin, psychogenic factors (e.g. lack of self esteem, relationship problems) may cause the condition to worsen.
While premature ejaculation does not harm the man's body or genitals, it commonly leads to psychological problems, including relationship problems, sexual anxiety, lack of satisfaction with sex and avoidance of sexual activity. Premature ejaculation can also lead to sexual dysfunction in the man's partner, who may be unsatisfied with sex or unable to orgasm.
Prognosis of Premature Ejaculation
Lifelong premature ejaculation cannot be cured, but can be managed with psychoeducational and/or pharmacological treatment in 75% of cases.
Acquired premature ejaculation can be treated by treating the underlying causes. For example, if a man has erectile dysfunction and ejaculates prematurely to compensate for his inability to maintain an erection, treating erectile dysfunction may also treat the premature ejaculation.
Symptoms of Premature Ejaculation
The primary symptom of premature ejaculation is a man's inability to control his ejaculations. This commonly results in secondary psychological symptoms, including lack of self esteem, sexual anxiety and relationship problems.
Clinical Examination of Premature Ejaculation
When investigating the possibility of premature ejaculation, a doctor will probably perform a physical examination to check that the man is generally healthy. The doctor is also likely to examine the man's genitals to assess whether or not there are infections which may be contributing to ejaculatory problems.
How is Premature Ejaculation Diagnosed?
In the vast majority of cases, no specific tests are necessary to diagnose premature ejaculation. The diagnosis will usually be made on the basis of a man's reports of ejaculatory control and resulting distress, and his answers to questions about his past health and sexual experiences.
How is Premature Ejaculation Treated?
Treatment of premature ejaculation focuses on enabling the male partner to develop control over his ejaculations, and both partners to develop satisfaction with their sex lives. Wherever possible, the treatment should involve both partners. A treatment plan should be developed to suits their tastes and sexual relationship.
Where premature ejaculation is acquired, the doctor will identify and treat the underlying cause (e.g. erectile dysfunction), rather than instituting treatment specifically for ejaculatory function control.
In cases of lifelong erectile dysfunction, treatment is likely to involve a range of treatments, including psychotherapy, behavioural and pharmacological treatment.
Lifelong premature ejaculation
Non-pharmacological treatments
Psychological issues cause or worsen many cases of premature ejaculation. Interventions aiming to increase the man's confidence, reduce anxiety and develop sexual technique (particularly ejaculatory control) are an important part of treating the problem. Non-pharmacological treatments may involve:
- Behavioural training: For up to fifty years, the treatment of premature ejaculation has involved training the man to control his ejaculation (e.g. the stop–start technique, in which the man will advise his partner to stop sexual stimulation when he begins to feel too highly aroused, then commence sexual activity soon after when the desire to ejaculate has diminished).
- Reducing penile sensation: Condoms can be used in the treatment of premature ejaculation as they cover penis and reduce its sensitivity. There is no clinical evidence regarding the effectiveness of using condoms to delay ejaculation. A range of topical anaesthetics can reduce penile sensation, including lignocaine-prilocaine aerosols and creams, and lignocaine spray. These creams must be applied less than half an hour before sexual intercourse.
- Physiotherapy: Physiotherapy, particularly pelvic floor exercises, has been used in clinical practice.
- Counselling: Many men with premature ejaculation also have associated psychological problems (e.g. lack of self esteem and sexual anxiety), although these tend to be caused by premature ejaculation rather than being the cause. As such, counselling (sexual therapy) should be conducted in combination with other therapies.
Pharmacological treatments
A number of pharmaceuticals have been employed in the treatment of premature ejaculation, administered either on a daily basis, or on-demand before sexual activity. Available medications include:
- Tricyclic antidepressants: The antidepressant clomipramine (e.g. Anafranil, Placil) has proven effective in delaying ejaculation, although its side effects may in turn inhibit sexual function. One study found that clomipramine treatment resulted in increased sexual satisfaction for both partners, but side effects included dizziness, nausea, constipation and hot flushes. This medication can be administered either daily or just before sexual activity;
- Selective serotonin reuptake inhibitors (SSRIs): SSRIs, including paroxetine (e.g. Oxetine, Paxtine, Aropax),11 fluoxetine (e.g. Fluohexal, Flouxebell, Lovan, Zactin) and sertraline (e.g. Concorz, Eleva, Sertra, Setrona), can delay ejaculation. However, the slow onset of their effect means that daily doses are necessary, rather than on-demand doses just before sexual activity. In addition, SSRIs can reduce libido and inhibit orgasm;
- Phosphodiesterase (PDE-5) inhibitors: PDE-5 inhibitors such as Cialis (tadalafil), Levitra (vardenafil) or Viagra (sildenafil) are the most common treatment for erectile dysfunction, and have also been used in the treatment of premature ejaculation. While they have been associated with a greater perception of ejaculatory control amongst men with premature ejaculation, there is no evidence that they significantly increase intravaginal ejaculation latency times.
Acquired premature ejaculation treatments
A number of causes of acquired premature ejaculation are treated as follows:
- Prostatitis and urethritis: Appropriate antibiotic therapy;
- Erectile dysfunction: PDE-5 inhibitors;
- Relationship problems: In some cases stress or difficulties in a relationship may cause, rather than be caused by, premature ejaculation. In such cases, couples should receive counselling and/or sex therapy.
Natural variable ejaculation treatments
Men whose ejaculation time is naturally variable typically cope well with their sometimes-premature ejaculations and rarely seek treatment. In cases where men with naturally variable ejaculation times do seek treatment, therapy should focus on psychogenic factors, for example providing them with information about typical intravaginal ejaculation latency times and reassuring them of the normality of their sexual performance. It is usually not appropriate to institute pharmacological therapy.
Premature-like ejaculation treatments
Men with premature-like ejaculation perceive their intravaginal ejaculation latency time to be short, when it is actually within the normal range (and may even be in the long range). The disorder is primarily psychogenic, and first line treatment focuses on psychoeducation and counselling. Pharmacological therapy is generally not appropriate for treating premature-like ejaculation.
As Tantra has been used for centuries as a therapy based technique for premature ejaculation, the Jade Lotus Tantra technique has assisted 80% of the study base in overcoming premature ejaculation. This is based on clients having a non biological issue
See the World Congress of Sexology abstract for more information on the thesis .
Premature Ejaculation References
- International Classification for Diseases: Version 10 [online]. World Health Organisation. 5 April 2006 [cited 14 May 2008]. Available from URL: http://www.who.int/ classifications/ apps/ icd/ icd10online/
- Gregorie A. ABC of sexual health: Assessing and managing male sexual problems BMJ. 1999; 318(7179): 315-7.
- Palmer NR, Stuckey BG. Premature ejaculation: A clinical update. Med J Aust. 2008; 188(11): 662-6.
- Richardson D, Goldmeier D, Green J, Lamba H, Harris JR. Recommendations for the management of premature ejaculation: BASHH Special Interest Group for Sexual Dysfunction. Int J STD AIDS. 2006; 17(1): 1-6.
- Waldinger MD. Premature ejaculation: Advantages of a new classification for understanding etiology and prevalence rates. Sexologies. 2008; 17(1): 30-5.
- Richters J, Grulich AE, de Visser RO, Smith AM, Rissel CE. Sex in Australia: Sexual difficulties in a representative sample of adults. Aust NZ J Public Health. 2003; 27(2): 164-70.
- Mercer CH, Fenton KA, Johnson AM, Wellings K, Macdowall W, McManus S, et al. Sexual function problems and help seeking behaviour in Britain: National probability sample survey. BMJ. 2003; 327(7412): 426-7.
- Hull EM, Muschamp JW, Sato S. Dopamine and serotonin: Influences on male sexual behaviour. Physiol Behav. 2004; 83(2): 291-307.
- Consumer Medical Information: Clomipramine [online]. Department of Health and Ageing, Australian Government. 2008 [cited 14 May 2009]. Available from URL: http://www.pbs.gov.au/ html/ consumer/ home
- Althof SE, Levine SB, Corty EW, Risen CB, Stern EB, Kurit DM. A double-blind crossover trial of clomipramine for rapid ejaculation in 15 couples. J Clin Psychiatry. 1995; 56(9): 402-7.
- Consumer Medical Information: Paroxetine [online]. Department of Health and Ageing, Australian Government. 2008 [cited 14 May 2009]. Available from URL: http://www.pbs.gov.au/ html/ consumer/ home
- Consumer Medical Information: Fluoxetine [online]. Department of Health and Ageing, Australian Government. 2008 [cited 14 May 2009]. Available from URL: http://www.pbs.gov.au/ html/ consumer/ home
- Consumer Medical Information: Sertraline [online]. Department of Health and Ageing, Australian Government. 2008 [cited 14 May 2009]. Available from URL: http://www.pbs.gov.au/ html/ consumer/ home
- Mulhall JP. Current and future pharmacotherapeutic strategies in treatment of premature ejaculation. Urology. 2006; 67(1): 9-16.
- Waldinger MD, Zwinderman AH, Schweitzer DH, Olivier B. Relevance of methodological design for the interpretation of efficacy of drug treatment of premature ejaculation: a systematic review and meta-analysis. Int J Impot Res. 2004; 16(4): 369-81.
- El-Nashaar A, Shamloul R. Antibiotic treatment can delay ejaculation in patients with premature ejaculation and chronic bacterial prostatitis. J Sex Med. 2007; 4(2): 491-6.
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