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World-renowned Ayurvedacharya Dr. Sunil Dubey, acclaimed as a top sexologist in Patna, Bihar, possesses vast experience spanning many years in this profession. In India, he is a highly rated sexual health specialist who treats all types of sexual problems affecting men and couples using a holistic approach—combining both modern and traditional methods. About the early ejaculation in men, he states that when men experience premature ejaculation (PE), ejaculation occurs sooner than expected—often within one minute of penetration or even before it—at a time when the individual does not desire it. This is one of the most common sexual problems affecting men not only in India but also everywhere in world.
Impacts of Premature Ejaculation (Orgasmic Dysfunction):
Based on his daily clinical practice; Dr. Sunil Dubey says that it is always important for people to know what actually happens when a person falls victim to this condition known as 'orgasmic disorder.' He states that ejaculation is a complex process, in which an erection (the hardening of the penile) always triggers or stimulates this state. When a person's erection is normal, but the timing of ejaculation becomes abnormal, various uncomfortable situations arise in their life. Here, PE is a common sexual disorder that has various adverse effects on the sexual life of an individual or a couple.
Physically Impact of PE in Men:
- The ejaculatory reflex (the physiological response leading to ejaculation) is triggered more rapidly than usual. This reflex involves the spinal cord, brain chemicals such as serotonin, and the pelvic nerves and muscles.
- An individual may experience a very brief "point of no return"—that moment when he can no longer hold back—as arousal escalates rapidly and you become unable to prevent the orgasm.
- Occasionally, this condition is linked to hypersensitivity of the penile, reduced serotonin activity, or excessive tightness or tension in the pelvic floor muscles.
He says that, generally, premature ejaculation is not a serious issue related to sexual health; rather, it is a deficiency characterized by the inability to delay ejaculation during prolonged sexual activity. This can completely affect the process of a male and female partner reaching a climax simultaneously. Well, we know when a person might experience this sexual problem in their sexual life.
Types of Premature Ejaculation at Various Stages:
Our Ayurvedic sexology specialist, Dr. Sunil Dubey—widely regarded as the best sexologist in Bihar (India)—states that Premature Ejaculation can affect various stages of an individual's sexual life. Since it is a common sexual disorder, people across different age groups report experiencing this problem. The most common types of Premature Ejaculation are classified into four categories, which include:
- Lifelong or Primary: This problem has persisted since the time of the very first sexual experience. It is often linked to neurobiology or learned habits. The most common age group affected by this sexual issue is 16–30 years.
- Acquired or Secondary: This problem begins at a later stage in life. Its causes may include stress, ED (Erectile Dysfunction), prostatitis, thyroid issues, relationship difficulties, or the use of certain medications. The most common age group among men suffering from this sexual issue is 30–40 years.
- Situational or Variable: This problem occurs only in specific situations or exclusively with a particular partner.
- Subjective: The timing of ejaculation is "normal," yet the individual feels that it occurred too quickly.
Common Effects of Premature Ejaculation in Men:
- Emotional: Frustration, embarrassment, anxiety, avoidance of sexual activity, diminished self-esteem
- Relationship-related: Partner dissatisfaction, breakdown in communication, reduced intimacy
- Behavioral: Rushing through foreplay, focusing solely on "lasting longer," and performance anxiety that further exacerbates the problem of PE
Understand Contributing factors of PE:
Several factors are responsible for sexual problems in men, including:
- Biological: Low serotonin levels, hormonal issues, inflammation of the prostate or urethra, genetics
- Psychological: Anxiety, guilt, a history of premature ejaculation, depression
- Relationship-related: Poor communication, pressure, unresolved interpersonal conflicts
- Other: Erectile dysfunction—men sometimes ejaculate prematurely before their erection (arousal) subsides.
