Premature ejaculation (PE; also known as rapid ejaculation) is the most common type of sexual dysfunction in men younger than 40 years. Most professionals who treat premature ejaculation define this condition as the occurrence of ejaculation prior to the wishes of both sexual partners. This broad definition thus avoids specifying a precise duration for sexual relations and reaching a climax, which is variable and depends on many factors specific to the individuals engaging in intimate relations. An occasional instance of premature ejaculation might not be cause for concern, but, if the problem occurs with more than 50% of attempted sexual relations, a dysfunctional pattern usually exists for which treatment may be appropriate.
To clarify, a male may reach climax after 8 minutes of sexual intercourse, but this is not premature ejaculation if his partner regularly climaxes in 5 minutes and both are satisfied with the timing. Another male might delay his ejaculation for a maximum of 20 minutes, yet he may consider this premature if his partner, even with foreplay, requires 35 minutes of stimulation before reaching climax. If intercourse is the method of sexual stimulation for the second example and the male climaxes after 20 minutes of intercourse and then loses his erection, satisfying his partner (at least with intercourse), who needs 35 minutes to climax, is impossible.
Because many females are unable to reach climax at all with vaginal intercourse (no matter how prolonged), this situation may actually represent delayed orgasm in the female partner rather than premature ejaculation in the male; the problem can be either or both, depending on the point of view. This highlights the importance of obtaining a thorough sexual history from the patient (and preferably from the couple).
The criteria for premature ejaculation stated in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, text revision (DSM-IV-TR) is as follows: (1) persistent and recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration before the person wishes it; (2) marked distress or interpersonal difficulty; and (3) not exclusively due to direct effects.
The human sexual response can be divided into 3 phases: desire (libido), excitement (arousal), and orgasm. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) classifies sexual disorders into 4 categories: (1) primary, (2) general medical condition–related, (3) substance-induced, and (4) not otherwise specified. Each of the 4 DSM-IV categories has disorders in all 3 sexual phases.[1]
Premature ejaculation may be primary or secondary. Primary premature ejaculation applies to individuals who have had the condition since they became capable of functioning sexually (ie, postpuberty). Secondary premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control, and, for unknown reasons, he began experiencing premature ejaculation later in life. Secondary premature ejaculation does not relate to a general medical disorder and is usually not related to substance inducement, although, rarely, hyperexcitability might relate to a psychotropic drug and resolves when the drug is withdrawn. Premature ejaculation fits best into the category of "not otherwise specified" because the cause is unknown, although psychological factors are suggested in most cases.
Premature ejaculation is believed to be a psychological problem and does not represent any known organic disease involving the male reproductive tract or any known lesions in the brain or nervous system. The organ systems directly affected by premature ejaculation include the male reproductive tract (ie, penis, prostate, seminal vesicles, testicles, and their appendages), the portions of the central and peripheral nervous system controlling the male reproductive tract, and the reproductive organ systems of the sexual partner (for the purpose of this discussion, the partner is assumed to be female) that may not be stimulated sufficiently to achieve orgasm.
If the premature ejaculation occurs so early that it happens before commencement of sexual intercourse and the couple is attempting pregnancy, then pregnancy is impossible to achieve unless artificial insemination is used. Perhaps the most affected organ system is the psyche of the partners. Both partners are likely to be dissatisfied emotionally and physically by this problem.
From an evolutionary perspective, logic may dictate that males who can ejaculate rapidly would be more likely to succeed in fertilizing a female than males who require prolonged stimulation to reach climax. The genes of a male who ejaculates rapidly (but not so rapidly that ejaculation occurs before intromission) would be more likely to be passed on to succeeding generations. In a primitive sense, a male who could not complete the fertilization process quickly might be pushed away or killed by a competing male because of his obvious vulnerability during intercourse.
Premature ejaculation has historically been considered a psychological disorder. One theory is that males are conditioned by societal pressures to reach climax quickly because of fear of discovery when masturbating as teenagers or during early sexual experiences "in the back seat of the car" or with a prostitute. This pattern of rapid attainment of sexual release is difficult to change in marital or long-term relationships. The fact that female arousal and orgasm require more time than male arousal is being increasingly recognized, and this may result in increased recognition and definition of premature ejaculation as a problem.
Some have questioned whether premature ejaculation is purely psychological. A number of investigators have found differences in nerve conduction/latency times and hormonal differences in men who experience premature ejaculation compared with individuals who do not. The theory is that some men have hyperexcitability or oversensitivity of their genitalia, thus preventing down-regulation of their sympathetic pathways and delay of orgasm. Recently, a certain group of nerves in the lumbar spinal cord has been identified as the possible generator of ejaculation. This nerve site is thought to be linked to excitatory and inhibitory dopamine pathways in the brain, which play significant roles in sexual behavior. This knowledge, while continuing to be researched, is providing the foundation for possible development of medications specifically targeting delay of ejaculation.[2]
Other questions have been raised regarding possible biochemical factors in premature ejaculation. Testosterone is thought to play a role in the ejaculatory reflex. Higher testosterone (free and total) levels have been demonstrated in men with premature ejaculation than in men without premature ejaculation.[3]
Research published in a Chinese andrology journal showed that semen from men with premature ejaculation contained significantly less acid phosphatase and alpha-glucosidase than did the semen of controls.[4] These researchers concluded that these biochemical parameters may reflect dysfunction of the prostate and epididymis, possibly contributing to premature ejaculation; however, these have yet to be supported by subsequent studies.
In other biochemical parameters, many men with premature ejaculation have been shown to have low serum levels of prolactin.[5] However, in this same study of prolactin in men with sexual dysfunction, men in the lowest quartile of serum prolactin levels who had premature ejaculation also demonstrated associated metabolic syndrome, erectile dysfunction, and anxiety. In other words, while biochemical markers such as prolactin may contribute to premature ejaculation, organic and psychological associations (ie, anxiety) suggest that biochemical parameters play only a partial role in premature ejaculation. Further research is needed.
While other factors may play roles of unknown significance, psychological factors have been found to contribute greatly to premature ejaculation beyond merely the time to ejaculation. While patients with premature ejaculation show significantly lower intravaginal ejaculatory latency time (IELT), the IELT in those who fit the DSM-IV-TR criteria for premature ejaculation overlaps with the IELT in patients who do not fit the criteria.[6] However, while a shorter IELT has been the measure of premature ejaculation in many studies, the perception of ejaculation control has been shown to mediate patient and/or partner satisfaction with sexual intercourse and ejaculation-related distress.[7] While premature ejaculation is most likely not a purely psychological disorder, such associations demonstrate a significant psychological role in the disorder.
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Early Ejaculation As Part of Our Evolutionary Legacy
As you may have already been able to tell from the title of this article, I am who you might call a "Darwinian evolutionist." I believe that, as with all other aspects of our biology, early ejaculation can also be explained in terms of our bodies' evolutionary need to propagate our species.
To build a foundation for what I'll be discussing in this article, I'll now take some time to briefly explain the sexual arousal process as it occurs in men. This process (also commonly referred to as "The Sexual Response Cycle") is simply the biological changes that the body goes through as we become increasingly sexually excited.
It's a process made up of four distinct phases. The first is the excitement phase, where your heart beats faster and faster and your manhood rapidly fills with blood and becomes erect, as your whole body ignites with sexual desire. The second phase is the plateau, where there appears to be no further significant changes for some time.
Once the body has crossed over what is commonly referred to as "the point of ejaculatory inevitability," it enters the third phase: the orgasmic phase, where you're standing at the precipice of ejaculation. When orgasm has been reached and you have ejaculated, the body finally enters the resolution phase, returning to its normal, unexcited state.
A number of studies about the human male Sexual Response Cycle reveal that the average man ejaculates within 2 to 6 minutes after penetrating his woman (given he makes no conscious attempt to control it). While this may not seem like much, we still "outperform" our mammalian male counterparts by a long way as these ejaculate within 3 to 15 seconds of penetration!
Our male human bodies have evolved in such a way that our sexual arousal naturally develops very fast from the excitement phase to the plateau and quickly into the orgasmic phase. This is to ensure that ejaculation occurs as early as it possibly can. And the reason for this is simple and obvious: procreation. Men naturally climax before women because it ensures that the seed that caries the species forward is planted. Our sexual arousal response and reproductive system have evolved to maximize the propagation of our species; they have evolved out of our instinct to survive and for self-preservation.
Early ejaculation, as annoying and embarrassing in many modern-day cultures as it is, is, therefore, nothing more than the optimal functioning of the male body.
Early ejaculation starts to become the problem we refer to as premature ejaculation (PE) when the fact of ejaculating too quickly during sex is not desirable and fulfilling to both the man and his woman to the extent that it causes them both sexual frustration. Viewed and experienced from this angle, early ejaculation/premature ejaculation can be devastating. (The terms "early ejaculation" and "premature ejaculation" are usually used interchangeably; but I hope you have a sense of their distinction by now).
The good news, however, is that, as natural as early ejaculation may be, our bodies and psychology can still be reconditioned such that the plateau phase of the arousal process can be extended out, in effect delaying ejaculation for long stretches of time, allowing the man to escape the ravages of PE.
Unfortunately, implied in this good news is a catch: just as there are things that can be done to delay the escalation of the phases toward ejaculation, there are certain factors that tend to make this escalation even faster- much faster. Bad self-gratification styles that condition the body to respond to sexual stimulation with rapid ejaculation, for example, is one such factor. These factors contribute to and serve to aggravate PE.
Early ejaculation is indeed a relic; and from strictly an evolutionary point of view, it is a good one. But men have since moved from their caves where their early ejaculation was a sign of pure virility, and into their modern homes where the notion of virility has itself since evolved to mean "long-lasting stamina."
The women in their lives no longer welcome fast ejaculation anywhere as nearly as they welcome good, long-lasting sex. I guess what they are saying is: "We can chew a gum and walk at the same time; give me a darn good time before you get me with child..." Rightfully so, we all deserve a good time.
To find out more on the factors contributing to premature ejaculation and that serve to aggravate it you can visit my website by clicking the link.
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All on 4 Implants: Revolutionary Teeth Replacement Protocol, PART 3
In our previous article posts on All on 4 implants, we provided an overview of the surgical procedure involved in their placement as well as how this revolutionary technique for oral rehabilitation is almost always capable of bypassing the need for lengthy, expensive and painful bone grafting surgery. In this, the third installment of a four part series, we shall be looking at the benefits and advantages of All on 4 implants over traditional dental implant protocol when it comes to the treatment of edentulous (toothless) and near-edentulous patients.
All on 4 Implants and Traditional Surgical Placement Protocol
Prior to the conception of All on 4 implants by European implantologist, Dr. Paulo Malo, the road to oral rehabilitation using traditional surgical placement protocol was one that often involved countless consultations with oral surgeons, multiple surgeries, painful bone grafting and as long as 18 months before a patient could eat, smile and speak with confidence. The innovation of All on 4 implants completely revolutionized the fields of fixed oral rehabilitation and dental implantology, first and foremost, by its ability to almost always bypass the need for bone grafting. After placement in specific locations and precise angulations of the four dental implants in regions of the jaw that naturally contain a greater volume of atrophy resistant bone tissue, qualified prosthodontists are able to secure a customized and non-removable prosthetic dental bridge in the mouth... all in a single surgery, in a single day and almost never needing bone grafting beforehand.
Benefits and Advantages of All on 4 Implants
Same Day Solution: By avoiding the need for bone grafting surgery, All on 4 implants enable patients to receive same-day solutions to oral problems that have been plaguing them for years.
Fewer Dental Implants: Traditional dental implant techniques frequently require as many as 20 implants for complete oral rehabilitation. All on 4 implants, as the name suggests only need 8 for both the upper and lower jaw.
Single Surgery: All on 4 implants typically requires a single surgery for placement. Traditional techniques often call for multiple surgeries owing to the need for bone grafting as well as a much greater number of dental implants.
Less Expensive Solution: Owing to the fact that All on 4 implants only require a single surgery and substantially fewer implants, they come in at a much lower price than traditional implant techniques. All on 4 implants can save patients tens of thousands of dollars or even more on complex cases.
Immediately Functional and Aesthetic Results: With All on 4 implants, patients are free to return home to a light meal and a good night's rest on the day of the procedure. Many patients even return to work the very next day!
The Benefits of All on 4 Implants: In Summary
Owing to the ability of All on 4 implants to almost always avoid the need for bone grafting surgery, this surgical placement protocol has come to be regarded as a breakthrough in modern dental science. With a lower price tag, fewer dental implants needed, a single surgery and substantially less pain, discomfort, expenses, inconvenience and hassle, it's no wonder that All on 4 implants have developed a reputation of this magnitude! Stay tuned for the fourth and final article in this series on All on 4 implants.
Jack De Richards the author of this article is a working at a renowned dental implants center specializing in All on 4 implants. His clinic offers All on 4 implant by renowned Oral Surgeons in Rutherford.
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Proper Body Hygiene for Women
Practicing and maintaining good physical hygiene is crucial to avoiding complications in the human body's private areas. As it is, in the western culture, our armpits, feet, anal, vaginal, and pelvic areas are secluded from open fresh air many hours of any given day. These areas have creases in the skin that traps in moisture hastening the probability of bacteria growth if not thoroughly cleansed with mild soap and warm water daily. For some, several times a day. While it is important for men and women to execute healthy hygiene habits, it is even more so for the woman.
While both male and female typically build up an odor in their feet (especially if they have worn socks and encased shoes all day), armpits, and private areas, the woman has the added probability of obtaining a strong fish like odor in and around her vagina if proper body hygiene is not adhered to daily. Because the vagina is made up soft, moist tissue, it is not uncommon for a woman to periodically experience a light odor by the end of a day. Often times, this may result in a slight vaginal discharge as well.
Those who live in warmer climates, yet forced by society to cover up for fear of arrest for indecent exposure may experience it even more so. Other lifestyles that may cause a smelly vaginal odor and discharge is that of a dancer, gymnast, deep sea diver, etc. These sports require the athlete to wear non-breathable fabric such as nylon ballet tights, spandex leotards, and full bodied rubber suits for hours at a time while executing physical exertion adding even more heat to the already creviced and enclosed areas. Entrapping the vagina and other bodily parts with folds of skin or tissue to trap in the moisture causing bacteria to form and grow. For the woman, this may result in a slight vaginal yeast infection. If left unchecked, it could grow into a health problem.
All the typical problems mentioned above can be avoided by following seven crucial steps:
1) Shower in the morning to start your day off fresh, and at night before going to bed
2) Allow some time in the day for all secluded parts of the body to be free of clothing to receive fresh air
3) Wear cotton or thronged under underwear to allow air flow
4) Wear a cotton bra with no padding to allow fresh air under the creases of the breast
5) Douche with vinegar and water regularly
6) Refrain from being sexual active with multiple partners and get medical information from anyone with whom you are sexually active
7) Visit your OBGYN on regular basis... they will be able to detect if anything out of the norm is causing the odor and offer a diagnosis to cure you
Women are beautiful creatures. In order for the body scent to reflect the inner and outer beauty of the woman, do not just cover up with perfumes. Take good care of the vessel you have been given. Practice good hygiene and enjoy being a woman.
Article Source: http://EzineArticles.com/6638375
Five Natural Cold Remedies That Work
Colds are the most common type of infection in the world, with the average adult contracting about three cold infections every year. Yet despite the common cold's ubiquity, we still have no cure for it. The only surefire way to deal with it is to wait approximately seven to ten days for your body to fend off the infection on its own. However, although science has yet to come up with a solution to the common cold, there are numerous remedies both old and new that can greatly help ease the symptoms of cold, even if they cannot cure it.
For anyone interested in natural remedies to ease cold symptoms and make the infection go away faster, here are five remedies that are worth trying.
1. Herbal teas: Any time you have a sore throat or a cough, it is always a good idea to drink hot beverages. And if you are already going to be drinking something hot, you might as well have one of many varieties of herbal tea that are thought to have cold-fighting properties. Echinacea tea is perhaps the best herb for boosting the immune system and speeding along the cold-fighting process, but other herbs such as ginseng, golden seal, eucalyptus, and ginger can have noticeable effects as well. Just stay away from teas with too much caffeine, as these can cause dehydration, which is bad when you have a cold.
2. Fruit and fruit juice: Your immune system needs plenty of vitamins to fight off the infection, and fruits are the best natural source of the types of vitamins the immune system thrives on. Try to eat plenty of citrus fruits, especially oranges, but remember that practically every fruit contains valuable vitamins. And because it is always good to drink plenty of fluids when you have a cold, fruit juices are helpful as well. Just stay away from juices that contain high-fructose corn syrup and other unnatural elements. Go organic, whenever possible.
3. Light soups: There are good reasons why grandmothers the world over swear by chicken soup as the perfect remedy for the common cold. A good bowl of soup has many vitamins that can help boost your immune system, and the warm broth of the soup helps ease inflammation in the bronchial tubes and can even help fight congestion. Chicken soup works well, but any light, healthy soup can work wonders. Add plenty of pepper to give the soup an extra kick for clearing your nasal passages.
4. Spicy foods: Speaking of spices, spicy foods in general can provide worlds of relief when you are in the throes of a nasty cold. Any food with chili peppers, garlic, or ginger can help clear your nasal passages while also inhibiting the substances that cause inflammation in your body. And eating spicy foods is not just a folk remedy; numerous scientific studies have shown that it works.
5. Steam and humidity: The viruses that cause the common cold thrive on dry air, so you can use moisture to fight back in numerous ways. Use a humidifier in the room where you sleep to add a little moisture to the air. Take extra long, very hot showers and breathe deeply throughout. You can even simply hold your head above a steaming pot of water. Use these methods a few times a day, and your cold symptoms will be lessened.
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