Ejaculating before penetration is one of the forms of premature ejaculation that many men do not dare speak of, although in truth it is a state that is met often, and usually has causes that can be assessed in medical terms.
This problem may be connected with many factors, from the sensitivity of the nervous system, the control of the muscles of the pelvic floor, and tension, through to inflammation or abnormality that is hidden. This article will take you to understand the possible causes, the approach to assessment, and the way of beginning care suitably, without judging, and without looking at this problem as merely a matter of confidence or anxiety alone.
What does ejaculating before penetration mean in medical terms?
The state of ejaculating before penetration is classed in the group of premature ejaculation that is rather severe, considered from the very short time to ejaculation — for example an Intravaginal Ejaculatory Latency Time, or IELT, of less than 1 minute, or ejaculation occurring before any penetration.
The important thing is that this state is not "an inability to control one's own mind", but a response of the nervous system and the muscles that is more sensitive than the level most men can control.
The mechanisms lying behind ejaculating before penetration
Hypersensitivity of the sensory nerves
The nerves in the area of the head and the shaft of the penis in some people receive sensation at a level clearly more sensitive than normal. With only the initial touch, the brain receives a signal strong enough to stimulate the mechanism of ejaculation, so that ejaculation occurs before there is penetration. This state is a physiological factor that can be assessed in medical terms, not merely a matter of controlling oneself.
Hyperactivity of the muscles of the pelvic floor
The bulbospongiosus and ischiocavernosus muscles, whose duty is to contract in order to expel the semen, may be in a state of high tightness and contract at once when stimulation is received.
Men in this group usually feel the twitching of the muscles in the area of the perineum before sexual activity begins or as soon as it begins.
Anxiety before having sexual intercourse
Accumulated stress and anxiety before having sexual intercourse can stimulate the sympathetic nervous system to work more, with the result that the process of the body's response occurs sooner. In men who already have a basis of sensitive nerves, anxiety usually acts as an aggravating factor, making the mechanism of ejaculation occur sooner than normal.
Can this state be treated?
In medical terms, the state of ejaculating before penetration is a state that can respond to care, once the main cause has been assessed correctly.
However, the outcome depends on the particular character of each individual, the length of time it has been there, and accompanying factors, such as inflammation in the pelvic floor, or hidden erectile dysfunction. Assessment complete in every dimension is therefore the necessary starting point before planning care.
The approach to assessment at PYONG MEN
Before beginning the plan of care, the assessment at PYONG MEN will cover examining the level of sensitivity of the peripheral nerves in the area of the genital organ, examination by palpation in order to assess the points of pain and the tightness of the muscles of the pelvic floor, as well as examination of the prostate gland by palpation, in order to distinguish inflammation that may be hidden.
The whole process is carried out in a private atmosphere, with respect for the feelings of the person receiving the service.
The approach to care in clinical terms
Care for the state of ejaculating before penetration at PYONG MEN does not use local anaesthetic as its main axis, but is directed at adjusting the balance of the nervous system and training the control of the muscles anew, in a form suited to the cause in each individual.
The approaches that may be considered consist of the use of focused shock waves (Focused Shockwave) in order to adjust and reduce the sensitivity of the nerves; training the control of the timing of the contraction of the muscles of the pelvic floor with electromagnetic technology (PMS) together with Ejaculatory Control Biofeedback; and techniques for releasing knots of muscle in a case where significant spasm of the muscles is found.
The choice of approach and the number of sessions will depend on the result of the assessment, the length of time in stimulation and training being in general about 2–3 months.
In brief
- The state of ejaculating before penetration is classed in the group of premature ejaculation at a rather severe level, having a very short IELT or occurring before penetration
- The main mechanisms consist of hypersensitivity of the sensory nerves and hyperactivity of the muscles of the pelvic floor
- Anxiety before having sexual intercourse is usually an aggravating factor, not the only cause
- Detailed assessment is the necessary starting point before care begins
- The approach to care is directed at adjusting the balance of the nervous system and training the control of the muscles anew over a period of 2–3 months
Frequently asked questions (FAQ)
1. Is ejaculating before penetration considered very severe? In medical terms this state is classed in the rather severe group of premature ejaculation, but that does not mean that it cannot be treated. Assessing the true cause is the important starting point.
2. Can this state be treated? This state can respond to clinical care, once the cause has been assessed correctly. The outcome depends on the particular character of each individual and on the accompanying factors.
3. What examination must one begin with? The doctor usually assesses the sensitivity of the peripheral nerves, the tightness of the muscles of the pelvic floor, and the prostate gland, so that the plan of care matches the cause.
4. Must local anaesthetic be used for ever? Not necessarily. Approaches to care directed at adjusting the balance of the nervous system and training the control of the muscles exist, and are a choice that does not have to rely continuously on local anaesthetic.
5. How long is the length of time of care in general? On average it is about 2–3 months, so that the nervous system and the muscles have time to adjust their balance and to train the control of the timing anew.