PREMATURE AND DELAY EJACULATION AS INDICATORS OF A RHYTHM OF SEXUAL ACTIVITY

Report

Slide 1

Ladies and Gentlemen, colleagues,

Thanks to organizing and scientific committees for given possibilities to present our work at this great sexological forum in Cuba.

Slide 2.

In clinical sexology frequently, it is necessary to qualify statuses of premature ejaculation; because it is the widespread complaint. We use the following categorization that is based at quantity of symptoms▓ expression.

Certainly, this is insufficiently for clinical practice. Variations of ejaculation can be reflected by other categories. And a rating of a rhythm of sexual activity, on which background the patient has complaints, should complement the known approaches to a rating of premature ejaculation (as time, quality of erection, ability to repeated sexual intercourse, prostate gland condition, neurological symptoms, woman▓ satisfaction, and so on.).

Slide 3.

With the aim to value coitus▓ duration during different rhythms of sexual activity 47 cases of married couples participated at special family planning program were analyzed. Pairs participated in the program of own accord. The spouses were recommended to increase rhythm of sexual activity within three months before conception to get pregnancy with the male baby.
Ethical, theoretical and some applied aspects of this program are in the presentation which was done at the 6 Congress of European Sexologycal Federation, which passed on Cyprus last year. This presentation you can load from internet.

Slide 4.

Here manifestations of sexuality of a man before the beginning of sexual life, rhythm of sexual activity before entering in the marriage and sexual activity during marriage are shown. In this case, sexual activity does not fall for several years after the marriage.

Profiles of similar lines vastly vary.

Slide 5

For your attention, - sexual activity falls after the marriage. This period is differing in different couples.

Slide 6

In this instance sexual activity level is supported on stable conditionally "low" level.

It is interesting that if we value a rhythm of sexual activity on short temporary intervals, for instance, within three months before conception, phenomenological spectrum of variations also can be divided into several types.

Slide 7

Coitus duration, rhythm of sexual activity before and after entering the program was valued from words of husband and wife. In most cases it was not found significant divergences, but if they were found, it was possible to do revisions.

Observations were divided in two groups.

Slide 8

In the first group (n=14) was not found significant changes of intercourse▓ duration, in spite of increasing of rhythm sexual activity. Intercourse▓ duration was about three-five minutes.

In the second group (n=33) sexual reactions were changed vastly. Intercourse▓ duration was enlarged from one - five minutes to 20-30 minutes. There were 12 cases of delay ejaculation up to anejaculation at repeated sexual intercourse during the day. Periods of abstentions during the day restored ability to ejaculation.

Some men noted increasing of sexual drive during performing a program (n = 9), reinforcement of erection (n=15) and increasing of brightness of orgasm▓ feelings (n=15). Women noted increasing of frequency of orgasm▓ achievement (n=17).

In other words, pairs perceived the program positively. Sometimes there was a problem with conception at a scheduled time. And a need to carry a fecundation▓ day to the following month or even more later time appeared. Sometimes interested women asked: Doctor, should we continue the program? And some men spoke, smiling: Thanks, doc!

Only one case of premature ejaculation syndrome was revealed, when intercourse▓ duration was about 5 or 7 frictions during 20 -30 seconds. Sexual activity increasing did not bring about increasing of intercourse▓ duration. Phenomena of neurosis were observed. It took additional examination and treatment. This case is not enclosed in the totality of observations.

In the other case, at the irregular sexual activity intercourse▓ duration was about one minute. When rhythm of sexual activity increased to 4-5 intercourses per week, coitus▓ duration go up to 10 - 15 minutes. Treatment was not required. This case is enclosed in the totality of observations.

Slide 9

That is to say that estimation of sexual activity has diagnostic value, because allows to differentiate physiological fluctuations in intercourse▓ duration from the pathological condition - a syndrome of premature ejaculation.

Moreover, evaluation of sexual activity in connection with some sexologycal data opens prospects of deeper understanding bio-social interactions in sexuality, because rhythm of sexual activity is a factor reflecting integration of biological, personal and social influences.

You can load this presentation and other papers from my site.

Thank you

National Research Center on Addictions
Rehabilitation Dept.,
Moscow, Russia

Ph. /Fax: + 7 095 168 40 34
E-mail: bgp@flashmail.com ; zharkov@apsexology.com;
www.apsexology.com