Seeking Medical Help for Premature EjaculationOne of the first things you will be asked to do when you arrive for your medical appointment for premature ejaculation is to fill out a medical history form.
One of the first things you will be asked to do when you arrive for your medical appointment for premature ejaculation is to fill out a medical history form. The medical history is important because it will guide the doctor to the best treatment to help your resolve the problem. The treatment will e designed for both the male and his sexual partner. The first thing that the history will determine is if the premature ejaculation is something that has been a lifelong occurrence (primary) or if it is a out of the ordinary problem (secondary). Secondary premature ejaculation is easier to treat and has a better prognosis than primary premature ejaculation. A general medical history will be taken to screen you for other medical conditions that may be relevant such as angina. If it is determined that you have primary premature ejaculation than the following is likely to happen next: An inquiry will be made concerning any psychological difficulties because there is a higher risk for associated psychiatric conditions in men who experience premature ejaculation than men who do not. The history that is taken will include questions about early sexual experiences. It is important to discover if there were any traumatic sexual events in the childhood that may be contributing to the premature ejaculation. Questions will be asked about family relationships and family history of incest or other sexual misconduct. Questions will be asked about peer relationships and work relationships. Especially any difficulties will be discussed.
Religious upbringing will be discussed especially if it was strict regarding sex. The attitude of the partner will be important so the partner will be interviewed. The answers obtained will help determine what is the best course of action for treatment. If it is determined that you have secondary premature ejaculation than the following is likely to happen next: A general medical history will be taken first to determine if there are any physical or biological explanations for the difficulty. The current relation will be assessed to see if this is the first occurrence of premature ejaculation and if coitus is generally satisfactory for both partners. The nonsexual factors will be assessed of the relationship especially if there is any conflict present and who is the dominant personality in the relationship or is the relationship on a equal footing? Is there a erectile dysfunction along with the premature ejaculation problem, if so was the ED present first? Does male coitus occur or does the premature ejaculation prevent this from happening? Can the male achieve self-stimulation (masturbation) with coitus? Can the partner stimulate the male enough to achieve coitus? Does the female achieve climax? Does she require any direct clitoral stimulation to achieve this or is intercourse alone how she reaches climax? The answers to these questions can help arrive at a cause and determine the course of the treatment plan.
In both primary and secondary premature ejaculation a physical examination will be conducted and possible laboratory tests ordered. The cause of premature ejaculation is usually psychological but there are a few cases where a biological cause is determined based on physical exam and laboratory findings. Upbeat News About Premature Ejaculation
08/31/2010 |
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