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Hundreds of men have confided in me over
the years that they would like to last longer during sexual intercourse
and delay ejaculation. As high as 70% of men suffer from
premature
ejaculation
or P.E..
P.E. can be a serious issue in a
man's relationship with his sexual partner. The fear of not meeting
your sexual partner's needs can lead to feelings of shame and
embarrassment which can lead to relationship problems.
In order to
delay ejaculation
during
sexual intercourse, it's important to understand what's happening in a
man's body when he is aroused.
Ejaculation is controlled by the
sympathetic nervous system as opposed to the parasympathetic nervous
system.
What does
this mean?
It means that
you have
NO control over ejaculation, it's a simple
reflex.
Remember when
you were a kid and the doctor used to tap you on the knee with his
instrument, and your leg would kick? The doctor was testing your
"reflexes."
This is an
example of the sympathetic nervous system. You can't control it. The
moment that instrument hit your knee, chemicals were released in the
spinal cord that instantaneously caused you to kick your leg up. No matter
how hard you tried not to move your leg, you couldn't "will" it into not
moving.
The same
holds true for ejaculation. It's a reflex. Once those chemicals have been released in your
spinal cord, your body is told to ejaculate. No matter how hard you
try to control it, you simply can't. It's just the way a reflex is.
According to Dr. William Ganong, M.D., a noted physician,
physiologist, and medical educator whose textbook entitled "Review of
Medical Physiology" has taught reproductive physiology to tens of
thousands of physicians over several decades, "Ejaculation is a 2 part spinal reflex that involves emission, the
movement of the semen into the urethra; and the ejaculation proper, the
propulsion of the semen out of the urethra at the time of
orgasm."
Again, this
simply means that ejaculation is a spinal
reflex AND can NOT be
controlled, the same way as you can't control your knee jerking when the
doctor taps it! When your body is ready to ejaculate, you can NOT
stop it or "will" it to stop. It's a
reflex.
So for you to
think you can help yourself and "think" your way into curing your P.E. is
not realistic.
This is where
medicine has a
place.
Brain
chemicals can have an inhibitory
effect on spinal messages. The important chemical that can inhibit spinal cord messages is called
serotonin.
For years
physicians have been using medication known as SSRI's. This stands for
selective serotonin reuptake
inhibitors. These medications have been used most widely to treat
depression and anxiety.
Interestingly, physicians have found that SSRI's effectively treat
about 70% of men with
P.E.
SSRI's increase the level of
serotonin. This increase is
crucial if one wants to help
P.E.
In the brain,
information is passed between nerve cells via a small gap between the
cells called a synapse. The neuron, or nerve cell, that sends the
information releases neurotransmitters, serotonin being one of them, into
the synaptic
gap.
The serotonin
is then recognized by the recipient nerve cell. When the recipient nerve
cell recognizes the serotonin, it is stimulated and relays the signal.
Almost 90% of the serotonin is
taken up again by the cells, hence reuptake. SSRI's delay the reuptake of
the
serotonin.
By delaying
the reuptake of serotonin, you are
effectively increasing the quantity of sertonin that the receptor cells are
exposed to. This increase
in serotonin can effectively treat
P.E. because a message is
sent from the brain to the spinal cord to "inhibit" the reflex of
ejaculation.
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