The premature ejaculation is one of the most common sexual disorders, perhaps as common as the common cold. Generally 'climaxing' before one wants to, is considered as 'premature ejaculation'. This term confuses orgasm with ejaculation. I prefer the term Early Orgasmic Response wherein an individual experiences orgasm earlier than his idealized expectation. The premature ejaculation is defined as "persistent or recurrent ejaculation with minimal sexual stimulation before, during, or shortly after penetration and before the person wishes it." The reoccurring question remains. What is considered to be shortly after penetration? The Sannidhya Institute & Research Centre for Sex, Sexuality and Health state that 75% of men tested ejaculate within two minutes after vaginal entry. Does this mean that 75% of the men tested are premature ejaculators? Premature Ejaculation cannot be determined in time frame or by a partners dissatisfaction, considering that 75% of all women are unable to climax during sexual intercourse without direct clitoral stimulation, leaving only 25% capable of climaxing strictly from direct penile penetration.

What are the causes of premature ejaculation?
The causes may be primary, wherein the disorder exists from the beginning or secondary wherein it occurs subsequent to a prior normal function. The causes are situational or constitutional. Situational causes (usually primary) are Anxiety, Sexual inexperience, Deterioration of relationship, Prolonged abstinence, Victimization by partner, Unrealistic expectations from self/partner. Where as constitutional cause (usually secondary) are Diabetes mellitus, Neurological disorders & Genito-urinary pathology. Some cases of premature ejaculation are more severe, bringing the man to orgasm as soon as his penis makes vaginal contact. In less severe cases the man is able to make vaginal entry and stroke, but unable to maintain control in high levels of arousal. The voluntary ejaculator can sustain sexual intercourse in the "plateau" stage of arousa of arousal, maximizing sexual stimulation as the penis is at its most erect state before climax.

Many techniques have been used to delay orgasm. The method commonly used by many includes mental arithmetic, local anaesthetic ointment, wearing a disposable tissue and condom around the penis to decrease sensitivity, yogic exercises and oral medicine. Out of all these option only oral medicine is the only very effective way to handle premature ejaculation problem.

(1) Sexual Therapy
Usually requires weeks of hourly sessions in attempt to determine causes and establish a keener sense of premonitory sensations.

(2) Cock Rings
Devise utilized to trap blood in the penis by applying pressure to the key arteries/vessels through which blood is transported into the penis. Commonly used to treat impotence but has become a method for preventing premature ejaculation too.

3) Topical ointment
Local anaesthetic ointment used to reduce sensitivity in the highly sensitive areas of the organ. Usually applied 10 to 15 minutes prior to sexual contact. A Topical can be presented in a variety of ways, from an all-natural liquid roll on to spray on solutions. Researchers report side effects, typically "some degree of numbness of the penis." Another downside was that the men were required to put on a condom before sex to ensure that the topical ointment does not affect partner. The cream's effectiveness may diminish over time.

(4) Sexual Position
The female superior position often helps delay the premature ejaculation.

(5) Yogic Exercises
The Vajroli Mudra and the Ashwini Mudra could be of help in the treatment of premature ejaculation. These yogic exercises strengthen the anterior and posterior part of the pubococcygeus muscles respectively. Such exercises when done ten times, every morning and evening for six to eight weeks often give adequate control over the orgasmic reflex. Sometimes, practice of contracting the anterior part of the pubococcygeus muscle just prior to orgasmic (ejaculatory) inevitability during coitus helps to delay the orgasm (climax).

(6) Oral Medicine
Erect Plus: is an oral formulation for men who wish to preserve, restore or enhance their sexual functions. Erect Plus delivers the essential building blocks to the body necessary for optimal sexual performance. Also the exotic blend of herb is used as an aphrodisiac to excite sexual organs and improve libido function. Researchers in the Gujarat Research & Medical Institute, Premier Hospital of Gujarat State, India, have found it very effective from day third only. Also found that the men's partners appreciated the treatment as well. According to the men's reports, the women in their lives were more than twice as likely to have an orgasm when the men were using the treatment. They note, the problem of premature ejaculation may disappear after treatment of three months and make treatment unnecessary. However this medicines are not recommended for use if person is suffering from enlarged prostate. The ERECT PLUS, which will quadruple your staying power within, three days. Tested and proven prevention for premature ejaculation. Only $ 114 includes shipping and handlingping and handling. If it's not effective within 10 days money will be given back without asking any question after cutting shipping and handling charges. For order and more information/ any quire please e mail sanidhyains@gmail.com