ON MALE SEXUALITY

What is  premature ejaculation:This is one of the most common  sexual  disorders, perhaps as  common  as the common  cold.  Generally, ‘climaxing; before   one wants to is  considered  as ‘premature ejaculation’.  

This term  confuses orgasm with ejaculation.  This is early orgasmic response wherein an individual  experience orgasm earlier   than  his idealized   expectation.

What are the  causes  of premature  ejaculation:The causes  may be primary, wherein the   disorder exists from the beginning, or secondary, wherein it occurs  subsequent to a prior normal function.  The causes  are illustrated as follows:

Situations  (usually primary)

Constitutional (usually Secondary)

Anxiety

Diabetes

Sexual  inexperience

Neurological disorders

Deterioration of  relationship

Genitourinary pathology

Prolonged abstinence

 

Victimization  by partner

 

Unrealistic expectation

 

From  self/ partner

 

What is phimosis:Inability  to retract the foreskin (prepuce) due to adhesions between   the foreskin and the glans  penis is called  phimosis. It may lead to pain,  frenulum tear or paraphimosis during  intercourse and also  predisposes the individual  to recurrent infections.  It can be  prevented by good local   hygienic  and can be easily cured  by circumcision.

What is  a penile implant:A penile implant is a mechanical device  used in cases  of erectly  dysfunction.  It is  implanted  into the penis and is not an artificial penis.  There are two varieties of penile implants.  One is the semi-rigid  implant and the other  is the inflatable  implant  (three –part implant).  The details   are tabulated as follows:

Semi-Frigid Inflatable

Cost

Less

More

Appearance

Always

Under your control

Comfort

Less

More

Consistency  (Hardness)

Fixed

Adjustable

Complications

Less

More

Surgery

Less time and skill

More time and skill

Is it  advisable  to use a rubber band or a cloth   strip around  the penis in cases of Impotence. No, such  a practice  is extremely dangerous,  as instances of gangrene have been reported in such cases.

What  about orgasms and ejaculation  after   implant  surgery:The quality and quantity of   orgasm and  ejaculation  remain unaffected by the  surgery, i.e.; the patient will experience an  orgasm and will have an ejaculations has he used to have   prior to the surgery.

What are the common causes of pain in an erect penis:Phimosis, paraphimosis, local injuries, ulcers, and urethral and prostatic inflammations are known to cause pain on erection.  At times in Peyronie’s  diseases or fibruous cavernositis, pain on erection may be a common symptom.  Priapism is another condition in which there is prolonged painful erection.

At times,  just following  an erection  or prior  to ejaculation, a drop  or two of a sticky transparent fluid oozes out from the penis.  Is this  normal?
Yes.  In  such  situations, the fluid which comes  out is the secretion of Cowper’s glands or bulbourethra glands. 

When  one encounters   a sexual  situation, there is  secretion (akin to salivation ) from the Cowper’s glands.