03 Mar 2016

 

(၁) ေဆးမွီ၀ဲျခင္း 
SSRIS ေဆးမ်ားျဖစ္ေသာ sertraline,paroxetine,fluoxetine,the tricyclic clomipramine စသည္မ်ားကို အသံုးျပဳႏိုင္သည္။ ထိုေဆးမ်ား၏ ေဘးထြက္ဆိုးက်ိဳးသည္ ပါးစပ္ေျခာက္ျခင္း၊ ေခါင္းမူးျခင္း၊ ေအာ့အန္ျခင္းမ်ားကို ျဖစ္ေစျပီး လိင္ဆက္ဆံလုိစိတ္ကို ေလ်ာ့က်ေစသည္။ ထုိ႔အျပင္ ကိုက္ခဲရာတြင္ အသံုးျပဳေသာ tramadol ကိုလည္း အသံုးျပဳႏိုင္ပါသည္။ ထိုေဆးသည္ သုတ္လႊတ္ျခင္းကို ေနာက္က်ေစသည္။ Phosphodiesterase-5 inhibitors ေဆးမ်ားျဖစ္ေသာ sildenafil , tadalafil ႏွင့္ vardenafil မ်ားကိုလည္း အသံုးျပဳႏိုင္ပါသည္။ 

သမားရိုးက်နည္းလမ္းမ်ား
၁။ စိုးရိမ္ပူပန္မႈကို ေလ်ာ့ခ်ျခင္း
စိတ္လႈပ္ရွားျခင္း စိုးရိမ္ပူပန္ျခင္းသည္ သုတ္လႊတ္ျခင္းကို ေစာေစေသာ အဓိက အေၾကာင္းအရင္းျဖစ္ပါသည္။ ထုိ႔ေၾကာင့္ စိတ္ဖိစီးျခင္း ၊ ေလာျခင္းကို တတ္ႏိုင္သေလာက္ေလ်ာ့ပါ။ 

၂။ ပံုမွန္အေတြးမ်ားကိုသာ ေတြးေတာျခင္း
အကယ္၍သင္ဟာ အလြန္စိတ္လႈပ္ရွားေနျပီဆိုလ်င္ သင္၏စိတ္ကို လိင္အေၾကာင္းမွ လႊဲျပီး သခ်ၤာအေၾကာင္း၊ ေဘာလံုးအေၾကာင္း၊ ယာဥ္လမ္းေၾကာၾကပ္တည္းသည့္အေၾကာင္း စသည္ျဖင့္ အျခားအေၾကာင္းမ်ားကို စဥ္းစားပါ။ သင္၏စိတ္ဖိစီးမႈကို ျဖစ္ေစေသာ အရာမ်ားကို ေတြးေတာျခင္းမွ ေရွာင္ၾကဥ္ပါ။ 

၃။ ပံုစံအေနအထားေျပာင္းပါ။
ပံုစံတစ္ခုထဲကို အၾကာၾကီးမေနဘဲ အေနအထားမ်ိဳးစံုေျပာင္းေပးပါ။ 

၄။ ေျဖးေျဖးမွန္မွန္ျပဳလုပ္ပါ။ 
အလ်င္အျမန္ျပဳလုပ္ျခင္းသည္ သုတ္လႊတ္ျခင္းကို ေစာေစသျဖင့္ ပံုမွန္ျဖည္းျဖည္းသာ ျပဳလုပ္ပါ။ 

၅.PC ၾကြက္သား ေလ့က်င့္ခန္းျပဳလုပ္ပါ။ 
သင္၏တင္ပါး၀န္းက်င္တြင္ရွိေသာ ၾကြက္သားမ်ားကို ေလ့က်င့္ခန္းျပဳလုပ္ျခင္းသည္ သင္၏သုတ္လႊတ္ျခင္းကို မ်ားစြာထိန္းခ်ဳပ္ႏိုင္ပါသည္။ ထိုေလ့က်င့္ခန္းကို Kegel ေလ့က်င့္ခန္းဟုလည္း လူသိမ်ားျပီး ထိုေလ့က်င့္ခန္းသည္လည္း PC (pubococcygeus ) ၾကြက္သားမ်ားကို အဓိကထိေရာက္ေစပါသည္။ 

ေလ့က်င့္ခန္း ပံုစံ 
သင့္ကိုယ္သင္ ဆီးသြားသကဲ့သုိ႔ ယူဆျပီး ဆီးသြားျခင္းကို ေခတၱရပ္ေအာင္ PC ၾကြက္သားကို အာရံုထား၍ေကြးပါ။ ပထမ မကြ်မ္းက်င္လွ်င္ ဆီးသြားရင္း ေလ့က်င့္ႏိုင္ပါသည္။ ထိုကဲ့သို႔ ေလ့က်င့္ခန္းကို တစ္ခါလုပ္လွ်င္ ဆယ္ၾကိမ္မွ အၾကိမ္ ႏွစ္ဆယ္ၾကား ေကြးဆန္႔ျပီး တစ္ေန႔ကို အနည္းဆံုး ႏွစ္ၾကိမ္မွ သံုးၾကိမ္ခန္႔ျပဳလုပ္ပါ။ ျပီးလွ်င္ ထိုထက္အဆင့္ျမင့္လာလွ်င္ သုတ္လႊတ္ခါနီးအခ်ိန္တြင္လည္း ထိုကဲ့သုိ႔ေလ့က်င့္ပါ။ ဤကဲ့သို႔ျပဳလုပ္လွ်င္ သုတ္လႊတ္ထိန္းႏိုင္လာပါမည္။ 

၆။ အကိုက္အခဲေပ်ာက္ေဆး၊ လိမ္းေဆး ၊ ဖ်န္းေဆး (သို႔မဟုတ္) ခရင္မ္ကို အသံုးျပဳပါ။ 
သင္၏လိင္အဂၤါထိပ္ကို ဤေဆးမ်ားလိမ္းလွ်င္ အာရံုခံစားမႈေလ်ာ့နည္းျပီး သုတ္လႊတ္ေစာျခင္းကို ကာကြယ္ႏိုင္ပါလိမ့္မည္။ 

၇. အခ်က္က်ေသာ ေနရာတြင္ ဖိထားျခင္း
သင္၏ တင္ပါးခြက္္ ခ်ိဳင့္ေသာ ေနရာတြင္ ဖိထားျခင္း၊ သင္၏ ကပ္ပါယ္အိတ္ႏွင့္ စအိုၾကားရွိအလယ္တည့္တည့္ဆံုခ်က္ေနရာတြင္ ဖိထားျခင္းသည္ prostate gland သုိ႔ ဖိအားသက္ေရာက္ေစျပီး သုတ္လႊတ္ျမန္ျခင္းကို တားဆီးေပးပါသည္။

 

What is premature?

A study involving 500 couples found the average time for ejaculation was about five-and-a-half minutes. However, this varies from person to person, and it is up to you and your partner to decide if you are happy with the time it takes you to ejaculate.
Regularly ejaculating within two minutes of entering your partner’s vagina is usually regarded as a medical problem that requires treatment.

Types of premature ejaculation

There are two types of premature ejaculation:
Primary premature ejaculation – where you have had premature ejaculation since becoming sexually active.
Secondary premature ejaculation (also known as acquired premature ejaculation) – where you develop premature ejaculation after having a history of normal ejaculation.
The causes of primary premature ejaculation are often psychological, such as having a traumatic sexual experience at an early age. Secondary premature ejaculation can be caused by both psychological and physical factors. Physical causes can include diabetes, high blood pressure (hypertension) and drinking too much alcohol.

common causes ejaculation problems?
Ejaculation problems are complex and can be caused by a number of things, including:
-stress
-relationship problems
-anxiety – such as a man being anxious that he will lose his erection (erectile dysfunction), causing him to ‘rush’ the intercourse
-previous traumatic sexual experiences
-depression
-some medical conditions or medicines – for example, diabetes can cause delayed ejaculation.
-Diabetes
-High blood pressure
-Alcohol or drug abuse
-Multiple sclerosis
-Prostate disease
-Depression
-A hormonal imbalance
-Problems with your neurotransmitters. Neurotransmitters are the chemicals that convey signals in your brain.
-Abnormal reflexes in your ejaculatory system
-A thyroid condition
-An infection in your prostate or urethra
-Damage from surgery or trauma. This is not common.
-An inherited condition.

Some researchers think certain men are more prone to premature ejaculation because of their biological make-up, such as having an unusually sensitive penis.
Retrograde ejaculation is caused by damage to nerves or muscles that surround the neck of the bladder (the point where the urethra connects to the bladder). This damage can often occur as a complication of prostate or bladder surgery.

Ways to cure

1.Medication

Selective serotonin reuptake inhibitors (SSRIs) are available if the above self-help techniques don’t improve the problem.
Although SSRIs are primarily used to treat depression, and one of their side effects is delaying ejaculation. SSRIs that may be prescribed for premature ejaculation include paroxetine, sertraline or fluoxetine. You will usually need to take the medication for a week or two before gaining the full effects.
Dapoxetine is an SSRI that has been specifically designed to treat premature ejaculation. However, it is not currently licensed for use in the UK and is not usually available on the NHS.
Other antidepressants. Possibilities include other SSRIs such as sertraline (Zoloft), paroxetine (Paxil), fluoxetine (Prozac, Sarafem) or the tricyclic clomipramine (Anafranil). Side effects may include nausea, dry mouth, dizziness, and reduced interest in sex.
Tramadol (Ultram). This medication is used to combat pain. One of its side effects is that it can delay ejaculation. Other side effects include nausea, headaches, and lightheadedness.
Phosphodiesterase-5 inhibitors. These medications are often used to treat erectile dysfunction. They include sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca), and vardenafil (Levitra, Staxyn). Side effects include headaches, flushing, vision changes and a stuffy nose.

Alternate ways

1. Reduce anxiety. For many men anxiety and pressure to perform is a major contributor to premature ejaculation. Relax and remember that your partner probably cares about more than the timing of your orgasms, and that premature ejaculation doesn't mean you can't still be good in bed.
Take climaxing out of your expectations. Instead of viewing intercourse only as a means of achieving orgasm, reframe it as relaxing, pleasurable time with your partner that you'll enjoy regardless of ejaculation. Discuss this new mindset with your partner, so that he or she can stop pressuring you, intentionally or not.

2. Think nonsexual thoughts. If you notice yourself getting too excited, turn your thoughts to something distant, abstract and unsexy, such as math, rush hour traffic or baseball. Only dwell on it long enough to give yourself a short break from arousal, maybe 5 to 10 seconds, then refocus your attention on your partner. Avoid thinking of a topic that is going to make you stressed or cause you to lose your arousal entirely.

3.Change positions. Some intercourse positions put less pressure on the glans (or the most sensitive part of the penis). Here's what to do:
Try "passive" positions. Lie beneath your female partner, or try a side-by-side (or spooning) position.
Avoid "active" positions. Missionary and rear-entry positions place the most stimulation and friction on the glans, so consider taking them off the menu for now.

4.
Take it slow. Depending on your personal sensitivity, slowing your movements and opting for gentler, more teasing intercourse can help you hold off orgasm longer. If you find yourself getting too close to orgasm, slow down for a bit, change to a new position, or take a break to stimulate your partner in other ways.

5. Do PC muscle exercises. Flexing and strengthening your pubococcygeus (PC) muscle can help you exert more control over ejaculation. (Note that these are also called Kegel exercises, which you might have heard about women doing. The muscle is the same in both sexes.)[2]
a.Locate your PC muscle. Put one or two fingers right behind your testicles. Pretend that you are urinating, then try to stop the flow with a quick muscle contraction. That muscle you just used to stop the flow from the bladder is your PC muscle.
b.Flex the muscle regularly. Try to do 10 to 20 squeezes in a set, 2 or 3 times a day. Do a set whenever you're bored or stationary—like when you're sitting at your desk or in traffic. No one will be able to see that you're doing them.
c.Squeeze your PC muscle when you feel ejaculation coming on. Once the muscle is strong enough, you should be able to hold it off just like stopping flow when urinating.

 

6.. Use an analgesic cream or spray. There are two classes of these products. The first is the traditional "numbing" creams and sprays that have been on the market for some time. The upside is that you'll feel less sensation, which will delay ejaculation. The downside is your partner may suffer a loss of sensation as well—and of course less sensitive intercourse is not always an appealing notion, even in these circumstances.
There is a new class of topical medications that absorb into the skin to deliver a mild anesthetic to the sensory nerves below the stratum corneum (top layer of skin) of the penis. This allows men to have ejaculatory control but with less loss of sexual sensation, and reduces the transference to their partners. Look for products that are compliant to FDA 21CFR 348.10 and have a "eutectic formula" which is the basis of the absorption technology.

7 .Apply strategic pressure. With a little anatomy knowledge, you can delay an oncoming ejaculation by applying pressure to one of two spots.
Perineum pressure: Pressing on the perineum, a spot midway between your scrotum and your anus, will help to stop ejaculation because this spot reaches through to the prostate gland. It is the prostate that contracts and expands during orgasm and then expels the ejaculation fluid. Ask your partner to apply this loving pressure for you.
Testes tug: When a man nears orgasm his scrotum rises up closer to his body. You can delay ejaculation by gently pulling your testes down and away from your body. Your partner can also do this for you.

Contact

General Inquiries

Please use this email address to contact me by email.

ceomoenaymin@mmcities.com

Connect with me