SEX QUESTION ANSWERED

 

   

Premature ejaculation

 

Q.68. What is premature ejaculation?

Ans. Premature ejaculation is the discharge of spermatic fluid before five minutes of full penetration of the male penis in the female vagina. It is a fairly common condition because of rampant mental tension and nervous stimulation. Premature ejaculation leaves both the partners dissatisfied. In extreme cases, spermatic ejaculation takes place before actual penetration or after partial penetration of the penis. When a person ejaculates on merely thinking about woman and sex in waking state, it is called day fall, Nightfall occurs during the semiconscious or unconscious state of sleep and is within normal physiological limits unlike premature ejaculation.

Premature ejaculation is related to partial impotence when ejaculation occurs without full stimulation and erection of penis where nerves responsible for discharge become active while those responsible for erection are not well stimulated. However most cases of premature ejaculation come with early discharge after one or two minutes of penile insertion. When a person usually has normal sexual intercourse but sometimes ejaculates early it comes within normal limits as a casual failure is experienced by all men. Secondly the time factor of duration of intercourse is not that important as the quality and performance of the sexual act and satisfaction obtained by it. Premature ejaculation makes the man depressed and guilty. He develops performance anxiety with a feeling of masculine inadequacy which further results in premature ejaculation. Early ejaculation may become his habit and may even result in impotence. Premature ejaculation is basically a psychological problem. Anxiety, nervousness, hate, inferiority complex, wrong habit and inadequate  sex knowledge about the art of the sexual act are the causes of premature ejaculation. Over-stimulated local nerves because of over indulgence, masturbation, excessive nocturnal emission, urine filled bladder and constipation also lead to premature ejaculation. Under indulgence is also a cause of premature ejaculation.

The treatment of premature ejaculation is done by psychological reorientation of the mind which helps to remove mental anxiety, fear and constraint. Sex education can help to develop self confidence. Emptying of urinary bladder and cold water bath prior to sexual intercourse done in a serene atmosphere is desirable. Diet should contain milk, fruits and vegetables. Manual stimulation of penis by the wife prior to intercourse increases the threshold of sexual excitement. Mental distraction during the sexual act is desirable. Frenulum squeeze and basilar squeeze techniques applied prior to sexual behavior act playa very important role in overcoming the problem of premature ejaculation. Frenulum squeeze requires withdrawing the foreskin of penis backwards and putting the thumb on frenulum while index and middle fingers in front but behind the coronal ridge of penis just opposite of the thumb and squeezing the penis vigorously for five to ten seconds and then abruptly releasing the pressure. Basilar squeeze requires compression at the base of penis with thumb on the ventral root while index and middle finger just opposite of the thumb on the dorsal part of penis and squeezing the penis vigorously for five to ten seconds and then releasing the pressure abruptly. It is preferred that frenulum squeeze should be done just before sexual intercourse and basilar squeeze during stages of intercourse particularly at the time when ejaculating urgency is felt. With all these manoeuvres, the person is likely to be relieved of the problem of premature ejaculation.

Spermatorrhoea

Q.69. What is Spermatorrhoea?

Ans. Spermatorrhoea is the passing -out of seminal or spermatic secretion of colourless or whitish colour and sticky nature during, after and sometimes before urination and defaecation from the urethra particularly in un married male adolescents and youths. Spermatorrhoea takes place when there is accumulation of large quantity of seminal or spermatic fluid in the male genital tract coupled with physical exertion and anxiety particularly seen while straining during defaecation in a constipated man. It is in fact a normal physiological phenomenon similar to nocturnal emission if it occurs within limits. Spermatorrhoea is more when the seminal vesicles remain stimulated as in masturbation and excessive nocturnal emission. Marriage and normal sex life mostly cures spermatorrhoea. Mental stress, digestive disorders, urinary tract infections and constipation may be treated to relieve from the problem of spermatorrhoea.