Traditionally, it has been a problem associated with the psyche. And however we don’t want to discard that aspect, now we can affirm that the main cause of that dysfunction comes from a bioethical and genetic issue. In fact, parents with that illness have a higher chance of making their children heritage it.

Premature ejaculation is the most frequent sexual dysfunction among male, even more than erectile dysfunction. Since not a long time ago, professional were convinced that the cause of that came from a psychological origin, but nowadays experts are considering more probable the biological and genetic heritage factors.

“There is a genetic component linked with PE, premature ejaculators fathers will have a higher probability of having children with that problem too”, say urologists Tomás Olmedo and Cristián Palma from the Hospital Clinico of Chile University.

During a long time, experts used for dealing with that illness medicine that delayed the ejaculation and psychological treatments. However, in December 2002 appeared a publishment in the “Journal of Urology” from Holland where they demonstrated that PE is a heritable neurological pathology.

After that research, other studies have reaffirmed that thesis, though more of them are not totally sure of their conclusions. However, after that there has been a kind of unanimity among some experts that assure that the dysfunction is due to a lack of a neurotransmissor called seretonine. When the organism has enough seretonine, the nervous system is more relaxed and slower on the reflect answer, but when there is a lack of it, it simply explodes.

Treatment

Considering this as a base, the treatment for dealing that illness is trough a medicine that avoids loosing that seretonine. And so, what were are looking for is that the male is capable of producing a bigger amount of that substance and can control the ejaculation.

Urologists from Chile totally share that thesis. “Premature ejaculation would be a product of the hyper sensibility of a receptor called 5HT1A, with activation decreases the seretonine in the neurotransmission. So, the therapy is based fundamentally in a pharmacological treatment. Especially, using antidepressant medicines. It is demonstrated that the chronicle use of that medicines increases the amount of serotonine. In some research made on in vitro animals, the result was variable, but it has about a 60% of efficiency when the treatment is the right one and the patient follows it”. Those experts also add that it is also important to consider treating and following the couple of the patients.

Advices, chats and group therapies help a lot, and also psychotherapeutical interventions. The problem is that very few studies have evaluated its effectiveness.

Do I have the problem?

That dysfunction was first considered after the 70’s, once women started having more freedom in the sexual aspects, and so started to demand a bigger “efficiency”.

In Chile, there are no statistics, but globally 30% of male suffer that problem, while 70% might suffer it occasionally along their life.

However, short lasting in your sexual relations is not a synonym of PE. There is a specific definition for that problem: every man with less than a one minute ejaculatory intravaginal time in the 50% of his sexual relations”.

That handicap in controlling the ejaculation and so, not allow your couple achieve the climax, is showed in male among every age. There are two kinds of PE. Primary, which has always existed and so the patient has never controlled it. And secondary, which appears in a specific time of the life of the patient.

The effects of the premature ejaculation in your couple are devastator, like an earthquake.

“Most are unhappy with their sexual life and some of their partners insecure about their sexuality and guilty. The most important thing is that the intimate relation losses his sense, with has a huge impact on both of them”, say specialists from Chile.

Source: Carmen Eugenia Bravo (La Nación)