Premature ejaculation


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  • dr.tarequl islam tareq

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like.

“ejaculation which always or nearly always occurs prior to or with in about one minute.”

  • International society for sexual medicine endorse

Men’s typical ejaculatory latency is approximately 4-8 minutes.

Causes:

  1. Psychological:
  2. Situation in which you may have hurried to reach climax in order to avoid being discovered.
  3. Guilty feeling that increase your tendency to rush through sexual encounters.
  4. Relationship problems.
  5. Others factors:
  6. Erectile dysfunction.
  7. Serotine receptor fact.
  8. Some drugs side effect.
  9. Abnormal hormone levels.
  10. Abnormal level of brain chemicals called neurotransmitters.
  11. Abnormal reflex activity of the ejaculatory system.
  12. Certain thyroid problems.
  13. Nerve damage from surgery or trauma.

Mechanism:

Normally ejaculation required 2 phages- emission & expulsion.

  1. Emission: -Deposition of fluid into the posterior urethra from- ampullary vas deferens, seminal vesicle, prostate gland.
  2. Expulsion: –
  3. Closure of bladder neck.
  4. Rhythmic contraction of urethra by- pelvic perineal and bulbospongiosus muscles.
  5. Intermittent relaxation of external urethral sphincters.
  6. Sympathetic motor neuron reflex (somatic and autonomic motor neuron)- they are located in the thoracolumbar and lumbosacral spinal cord are activated by sufficient sensory input.

 

Types:

  1. Lifelong PE (primary PE): – Life long experience of problem.
  2. Acquired PE (secondary PE): – problem beginning late in life.
  3. Global PE: – when it occurs with all partner.
  4. Situational PE: – when it occurs in some situations or with specific partner.

Risk factors:

  1. Erectile dysfunction
  2. Serious cardiac disease.

Symptoms:

  1. Inability to delay ejaculation for more than 1 minutes after penetration.

Complication:

  1. Stress and relationship problem.
  2. Fertility problems- can occasionally make fertilization difficult.

Tests:

  1. General physical exam.
  2. Urine for infection.
  3. Blood for detect the level of testosterone hormone.

Homoeopathic medication

 

Rubrics:

MALE; genital/sex; ejaculation- quick, to

MALE; genital/sex; ejaculation- early

MALE; genital/sex; ejaculation- fast

MALE; genital/sex; ejaculation- premature

 Some valuable related rubrics

Mind; psychological themes; sexuality:
abr abrom-aug absin acet-ac acher-a ACHY ACON acon-ac acon-c adam adlu aego-p aesc aeth aether AGAR agath-a agav-t AGN aids alch-v alco alet alf all-c alli-m aln aloe ALUM ALUM-P alum-sil alumn AM-C am-m AMBR aml-n amyg-am amyg-p ANAC anath androc ang ange-s ANH ANT-C ant-o ant-t anth ANTHR ANTHRO aphis APIS AQ-MAR aran-ix ARG ARG-N arg-s arge-p arist-cl arist-m ARN ARS ars-i ars-s-f art-v arum-d arund asaf asar asc-t astac ASTER atp atro AUR aur-ar aur-m-n AVEN aza ba-tn BAC bacch-a bamb-a bani-c bar-acet BAR-C BAR-M bar-s bart BELL BELL-P BERB beryl-n BISM bism-o biti-a blatta-a bond bor bor-ac bos-s both-a BOV brachy-s BROM bros-g bry BUFO butho-t c-di-o cac CACT cadm cadm-s cahin caj CALAD CALC calc-acet CALC-AR calc-f calc-hp calc-i CALC-P CALC-S calc-sil cale-z calen calop-s CAMPH camph-br CANN-I CANN-S canna-g CANTH CAPS carb-ac CARB-AN CARB-V CARBN-O CARBN-S CARC cari carl caruk-b caul caust cedr cench cent cere-b cere-s cetr CHAM chen-a chen-v chim CHIN chin-ar chin-b chin-m chin-s chir-f chlam-t chlf chlol chlor choc CIC CIMIC CINA cinch-s CINNB clad-r CLEM COB COB-M cob-n coc-c COCA COCC cod COFF coff-t colch COLOC colum-p CON conch COP COR-R cordys-s cori-r corn corn-a corn-f cortico cot crat croc crot-c crot-h CROTO-T cryp cub culx-p cupr cupr-acet cur curc CYCL cygn-c cygn-c-b cymb-c cyna cypr cypra-e DAM dendro-p des-ac DIG digin dinitrob DIOS DIPH dpt dros DULC dys-co dysp-s echi-a elaps electr ephe-v epig equis erech erig ERY-A ery-m eryth eug EUP-PUR EUPH euph-cy euph-pu euphr falco-p FERR ferr-acet ferr-i FERR-M FERR-MA FERR-P ferul fic-i fic-m fic-sp FL-AC foll FORM form-ac franz FUC galeoc-c gall galph galv gard-j gast GELS geoc-c germ get gink GINS glyc-g gnaph granit-m GRAPH GRAT GUAI haliae-lc HAM harp HELL helo helod-c HELON helx-t hema-h HEP herin hipp hippo-k hist hoch hom hura HYDR hydr-ac hydrc hydrobr-ac hydrog HYOS HYPER ictod IGN ind indg indol interf IOD ion-rad IP irid IRIS jab jac-c jug-r kali-ar KALI-BI KALI-BR KALI-C KALI-CHL kali-fcy KALI-I kali-n KALI-P kali-s KALI-SIL kalm kola KREOS kron LAC-C lac-cpr lac-del lac-eq lac-v-b LACH lact lact-s lampr-s lappa lat-h lat-m latex lath LAUR lec LED LEPRO lil-s LIL-T lim linu-c lipp loxo-r lsd luna LUPIN LYC lycps LYSS M-ARCT m-art M-AUST MAG-C mag-m MAG-P mag-s maland MANC mang mang-acet MED melal-a melis MENY MEPH MERC MERC-C merc-cy merc-i-f merc-i-r merc-s merc-v methyl-p-h mez mill moly morg morg-g morph morpho-m MOSCH MUR-AC MURX musc-d MYGAL myric NAJA naphtin nat-acet NAT-AR NAT-C nat-glt nat-hchls NAT-HP NAT-L NAT-M nat-p NAT-S nat-sil nelu neod-br neon nep nept-m nicc NIT-AC nitro-o NUPH NUX-M NUX-V oci-b oci-s OENA ol-an OLND onc-t ONOS OP opun-v orch ORIG orig-v oro-ac ory-c osm OV ox-ac oxyt ozon paeon PALL par parth ped pen perh perl pers PETR PETROS PH-AC PHOS phys phyt PIC-AC pier-b PIP-M pip-n pitu-a plac plan PLAT plat-m PLB plb-acet plb-i plumbg plut-n pneu polyg pop posit prun psil-s PSOR ptel pter-a ptych-o PULS rad-br raja-s ran-b ran-s RAPH rheum RHOD rhodi-o-n rhus-g RHUS-T rib-ac ros-b ros-g rosm rumx ruta SABAD SABAL SABIN sac-alb SAC-L sal-ac salx-f SALX-N samb SANG sanic saroth SARS SCIRR scorp SEC SEL senec seneg senn SEP ser-ang SIL sile-c SIN-A SIN-N sol sol-c SPIG spira spirae SPONG squil STANN STAPH stict still STRAM stroph STRY-P succ sul-ac sul-i sulo-ac SULPH SUMB SYMPH syph tab tama taosc tarax TARENT TARENT-C tax tere-ch teucr thala thea THER thiop thlaspi THUJ THYMOL THYR titan toxop-p TRIB trio TUB ulm-c unc-t upa upa-a uran uran-n urt-u UST uv-lux uva v-a-b VERAT VERAT-V verb VIB vichy-g viol-o VIOL-T vip visc vitis wies wye X-RAY xan xero YOHIM yuc ZINC ZINC-CHR zinc-o zinc-p zinc-pic ZINC-VAL zing ZIZ

Male; emissions, pollutions, seminal; premature, too quick:
adlu AGN aloe alum-p arn bar-c BERB bor brom bros-g bufo CALAD CALC canna-g canth carb-an CARB-V carbn-s CHIN COB CON ERY-A ery-m eug fl-ac GELS GRAPH ind kali-fcy lupin LYC NAT-C NAT-M NUX-V ol-an ONOS petr PH-AC PHOS pic-ac PLAT plb plut-n SARS SEL SEP staph sul-ac SULPH sumb thala TITAN trib ust yohim ZINC

 Male; emissions, pollutions, seminal; premature, too quick; erection is complete, before:
calad GRAPH PH-AC SULPH

 Male; emissions, pollutions, seminal; premature, too quick; excitement, slightest emotional, agg.:
CON ERY-A PH-AC plb SARS

 Male; emissions, pollutions, seminal; premature, too quick; shortly after erection:
PH-AC SULPH

 Mind; dullness; impotency, with:
ph-ac SABAL

Mind; fancies; lascivious; impotency, with:
agar CALAD CHIN LACH NUPH OP SEL

Mind; fear; impotency, of:
cinis-p coca naja nat-m onos phos pitu-p rhod stry

Mind; fear; impotency, of; old people, in:
phos stry

Mind; irritability; impotency, with:
PIC-AC

Mind; jealousy; impotency, with:
calad nux-v ONOS

Urine; sugar; impotency, with:
coca mosch

Male; coldness; scrotum; impotency, with:
AGN BAR-C CALAD CAPS CON GRAPH LYC MED PHOS SEL SEP SULPH

Male; emissions, pollutions, seminal; dribbling; impotency, with:
calc-s SEL

Male; enlarged; prostate gland; impotency, with:
clem SABAL

Male; erections; wanting, impotency:
abr abrom-aug abrot absin acon aegle aego-p AGAR AGN aids alco ALUM alum-p AM-C ambr ANAC ANATH anh anil ANT-C ant-o ap-g apis aq-mar aran-ix ARG ARG-N ARN ars ars-i ARUM-D aspar AUR aur-i AUR-S AVEN ba-sv BAR-C bar-i bar-s bart bell-p berb bor BUFO buth-aust c-di-o CALAD CALC calc-i CALC-P CALC-S calc-sil CAMPH camph-br cann-i CANN-S canth CAPS carb-ac carb-an carb-v carbn-s CARC CARD-M CAUST cent cere-s chen-v CHIN chin-s chir-f chlol chlor chlorpr cic cinnam clem COB COC-C coca cocain coch cod COFF COLOC CON corn cortico cot crot-h croto-t cub cymb-c DAM diaz DIG digin dinitrob dios dol DULC elaps electr ery-a ery-m EUG EUP-PUR euph fab FERR ferr-i ferr-m ferr-ma ferr-p FL-AC gast GELS gink GINS glyc gnaph GRAPH gymn halo HAM HELL HELON HEP hydr hydrc HYOS HYPER IGN ind IOD kali-bi KALI-BR KALI-C kali-i KALI-P kali-s kali-x kreos lac-c LACH lact LAPPA latex lath LEC lepro levo LYC lyss m-art M-AUST MAG-C mag-m mang-p MED MENY MERC merc-c merc-n merc-v morph MOSCH MUR-AC musc-d naja NAT-C NAT-M NAT-P nat-sal NIT-AC NUPH NUX-M NUX-V oci oci-s onis ONOS OP orch ox-ac oxyt pall passi pen perh pers petr petros PH-AC PHASE PHOS PHYT PIC-AC plan PLB plb-acet polyg polyg-a PSOR PULS rhod rhodi-o-n rib-ac ros-b ruta SABAD SABAL sabin SALX-N saroth sarr scroph-n scut SEC SEL SEP SIL sile-c SIN-A SIN-N SPONG STANN STAPH stram STRY sul-ac sul-i SULPH sumb syc-co SYPH TAB tax terb-o teucr thal thala thea ther THUJ trib tus-p upa URAN-N ust vib x-ray YOHIM ZINC zinc-p zinc-pic zing

Male; erections; wanting, impotency; masturbation, from:
agn arg arg-n eup-pur GELS graph kali-br kali-c kali-p LYC phos salx-n stram

Male; erections; wanting, impotency; salt, after abuse of:
phos

Male; erections; wanting, impotency; tobacco, after abuse of:
CALAD LYC

Male; erections; wanting, impotency; chronic:
lyc

Male; erections; wanting, impotency; neurotic:
levo

Male; erections; incomplete:
achy acon-ac AGAR agav-t AGN ANT-C aq-mar aran-ix ARG-N ARN ars ars-i astac aur-m-n BAR-C berb bros-g CALAD CALC CALC-S CAMPH carb-v CAUST chen-v CHIN chin-ar COB coc-c COCA CON curc cymb-c cyna ferr-p FORM gall GRAPH HEP hura ign ind iod kali-ar kali-fcy KALI-I kali-p kreos lac-c lach lappa LAUR linu-c LYC lyss m-art m-aust mang MED merc merc-cy moly morph MOSCH mur-ac naja nat-ar NAT-C NAT-M NAT-P nit-ac NUPH NUX-M NUX-V oena ONOS ox-ac pers PETR PH-AC PHOS pic-ac plb psor rhod rhodi-o-n sabal sars SEL SEP sil SIN-A stann STRY-P sul-i SULPH TAB tarent tere-ch thea THER upa zinc

Male; erections; incomplete; coition, during:
agar agn ARG-N bar-c calad CALC CAMPH caust CON cyna FORM GRAPH hep ign kreos lach LYC lyss NAT-C NAT-M nux-m NUX-V PH-AC PHOS SEL SEP SULPH thea ther

Male; erections; incomplete; excitement, during sexual:
coc-c sel

Male; erections; incomplete; fright, after, during coition:
SIN-A

Male; erections; incomplete; gonorrhea, after:
CALAD

Male; erections; incomplete; masturbation, from:
ARG-N LYC

Male; erections; incomplete; quarrels, after:
hura

 

Male; erections; incomplete; sexual excesses, after:
ARN

Male; erections; incomplete; imaginary:
STRY-P

Male; erections; incomplete; psychical:
ONOS

Male; erections; delayed:
BAR-C CALC canth carbn-s iod lappa mag-c merc-c nit-ac osm par pic-ac SEL sil

Male; erections; short, too:
ambr arg-n berb calad CALC camph carb-v CON fl-ac GRAPH ign laur lyc m-aust NAT-C NUX-M NUX-V PH-AC phos plb SEL sep tax zinc

Male; erections; wanting, impotency:
abr abrom-aug abrot absin acon aegle aego-p AGAR AGN aids alco ALUM alum-p AM-C ambr ANAC ANATH anh anil ANT-C ant-o ap-g apis aq-mar aran-ix ARG ARG-N ARN ars ars-i ARUM-D aspar AUR aur-i AUR-S AVEN ba-sv BAR-C bar-i bar-s bart bell-p berb bor BUFO buth-aust c-di-o CALAD CALC calc-i CALC-P CALC-S calc-sil CAMPH camph-br cann-i CANN-S canth CAPS carb-ac carb-an carb-v carbn-s CARC CARD-M CAUST cent cere-s chen-v CHIN chin-s chir-f chlol chlor chlorpr cic cinnam clem COB COC-C coca cocain coch cod COFF COLOC CON corn cortico cot crot-h croto-t cub cymb-c DAM diaz DIG digin dinitrob dios dol DULC elaps electr ery-a ery-m EUG EUP-PUR euph fab FERR ferr-i ferr-m ferr-ma ferr-p FL-AC gast GELS gink GINS glyc gnaph GRAPH gymn halo HAM HELL HELON HEP hydr hydrc HYOS HYPER IGN ind IOD kali-bi KALI-BR KALI-C kali-i KALI-P kali-s kali-x kreos lac-c LACH lact LAPPA latex lath LEC lepro levo LYC lyss m-art M-AUST MAG-C mag-m mang-p MED MENY MERC merc-c merc-n merc-v morph MOSCH MUR-AC musc-d naja NAT-C NAT-M NAT-P nat-sal NIT-AC NUPH NUX-M NUX-V oci oci-s onis ONOS OP orch ox-ac oxyt pall passi pen perh pers petr petros PH-AC PHASE PHOS PHYT PIC-AC plan PLB plb-acet polyg polyg-a PSOR PULS rhod rhodi-o-n rib-ac ros-b ruta SABAD SABAL sabin SALX-N saroth sarr scroph-n scut SEC SEL SEP SIL sile-c SIN-A SIN-N SPONG STANN STAPH stram STRY sul-ac sul-i SULPH sumb syc-co SYPH TAB tax terb-o teucr thal thala thea ther THUJ trib tus-p upa URAN-N ust vib x-ray YOHIM ZINC zinc-p zinc-pic zing

Male; erections; wanting, impotency; coition; during:
AGN ARG-N CALAD camph GRAPH LYC NUX-V PHOS SEL staph STRY SULPH

Male; erections; wanting, impotency; diabetes, in:
abrom-aug coca HELON MOSCH

Male; erections; wanting, impotency; excitement, from excessive nervous:
PHOS

Male; erections; wanting, impotency; falling of hair, with:
caps

Male; erections; wanting, impotency; fright, fear agg.:
nat-m onos SIN-A SIN-N

Male; erections; wanting, impotency; fright, fear agg.; coition, during:
SIN-A SIN-N

Male; erections; wanting, impotency; gonorrhea; after:
AGN CALAD cob cub hydr med sulph THUJ

Male; erections; wanting, impotency; gonorrhea; suppressed, from:
calad med THUJ

Male; erections; wanting, impotency; masturbation, from:
agn arg arg-n eup-pur GELS graph kali-br kali-c kali-p LYC phos salx-n stram

Male; erections; wanting, impotency; memory, with loss of:
KALI-BR

Male; erections; wanting, impotency; nervous prostration, in:
calad CALC-P dam GRAPH KALI-P passi PH-AC SULPH YOHIM ZINC

Male; erections; wanting, impotency; perspiration, after:
LYC PHOS stram

Male; erections; wanting, impotency; sexual; excesses, after:
AGN alum aven CALAD CALC CANN-S CHIN dam DIG EUP-PUR GRAPH KALI-BR kali-c KALI-P LYC NAT-M PH-AC PHOS STAPH SULPH TRIB ZINC

Male; erections; wanting, impotency; sexual; excitement, during and after:
aego-p agar am-c aq-mar aran-ix CALAD calc calc-i calc-sil carbn-s CHIN CON ferr-ma GRAPH IGN ind KALI-C LACH lyc MENY NAT-M NUPH NUX-M onos OP PHOS pic-ac SEL SEP STRAM SULPH thuj

Male; erections; wanting, impotency; small and cold penis, with:
AGN BAR-C berb caps LYC SULPH

Male; erections; wanting, impotency; syphilitic:
MERC

Male; sexual, libido; desire; diminished:
abr abrom-aug achy acon adam adlu aeth aether agar agav-t AGN aids alco all-c aloe ALUM alum-p AM-C AMBR aml-n amyg-am amyg-p anac anath anet-g ange-s anh ANT-C ant-o anth apis aq-mar aran-ix ARG ARG-N arist-cl arn arum-d arund asaf ASAR asc-t astac atist aur aven aza bar-acet BAR-C bar-s bart bell BERB BOR BROM bros-g bry BUFO c-di-o cadm caj CALAD CALC calc-f CALC-P calop-s CAMPH cand-p CANN-I cann-s CANTH CAPS carb-ac CARB-AN CARB-V CARBN-S carc cari carl CAUST cench chen-v CHIN chin-b chin-s chlf chlol chlor chlorpr cic cinis-p cinnb CLEM cob-n cocain cocc COFF coff-t coloc CON COP COR-R cordys-s cortico cortiso crot-c cub cund CUPR curc cycl des-ac DIG digin dinitrob DIOS echi-a elaps emer ephe-v epig equis ERY-A ery-m eug EUPH falco-p FERR ferr-m ferr-ma ferr-p fl-ac foll form franz gall galv gast GELS germ get gink GINS granit-m GRAPH gymn haliae-lc halo ham HELL helo HEP herin hippo-k hoch hura hydrc hyos IGN ind indg interf IOD irid-m jac-c KALI-BI KALI-BR KALI-C KALI-CHL KALI-I kali-n KALI-P kali-s kali-sil kalm kola KREOS lac-eq LACH lact lamp-c lappa latex lath laur lava-e lec leon LEPRO levo lil-s lil-t lim-b-c linu-c LUP LUPIN LYC lyss m-arct m-art M-AUST MAG-C mag-m mag-s mand mang mangi meny meph MERC merc-c merc-i-r methyl-p-h moly morph morpho-m MOSCH MUR-AC myric naphtin nat-c nat-glt NAT-M nat-p nelu NIT-AC NUPH nux-m NUX-V NYM-A oci oci-b oci-s ol-an ONOS op orig-v osm oxyt ozon ped pen petr PH-AC phas-c PHOS phys phyt PIC-AC plan plat PLB plb-acet posit PSOR ptel ptych-o PULS rad-br rauw RHOD rhodi-o-n ros-b rumx SABAD SABAL sabin sanic scorp sec SEL seneg senn SEP sid-al sieg SIL sile-c sol sol-c SPIG spirae spong STANN STAPH sul-ac sul-i SULPH SUMB syzyg tab tama tarent tax TEUCR thala thea ther thiop THUJ titan ulm-c unc-t upa uran ust uv-lux v-a-b vani-p vichy-g vichy-h visc X-RAY xero YOHIM ZINC zing

Male; sexual, libido; desire; diminished; coition, during:
anac berb GRAPH M-AUST plat

Male; sexual, libido; desire; diminished; diabetes, in:
CUPR

Male; sexual, libido; desire; diminished; discharge of prostatic fluid, with:
nit-ac sabal

Male; sexual, libido; desire; diminished; erections; without:
caust COFF DIOS hippo-k KALI-BR

Male; sexual, libido; desire; diminished; indifference, with:
adam KALI-CHL

Male; sexual, libido; desire; diminished; inflammation of prostate, in:
sabal STAPH

Male; sexual, libido; desire; diminished; quarrels, after:
hura

Male; sexual, libido; desire; diminished; spinal complaints, in:
CHIN

Male; sexual, libido; desire; diminished; thinking of it:
asar

 

Dr md shahriar kabir, BHMS (DU)

Lecturer, chronic disease, case taking & repertory

Govt. homoeopathic medical college, mirpur 14, Dhaka 1206, Bangladesh

Web: www.microdoshomoeopathi.com

e-mail: [email protected]

phone: +8801712966190

Works Cited

  1. Complete repertory 2017; ROZER VAN ZANDVOORT.
  2. SYNTHESIS REPERTORY
  3. WIKIMED MEDICAL ENCYCLOPEDIA.

 

 

 

 

 

 

 

 

 

 

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