Secondary premature ejaculation is when the male has had a normal coitus history before experiencing premature ejaculation.
Generally secondary premature ejaculation is easier to treat and has a better prognosis than primary premature ejaculation, which is when the male has never experienced successful controlled coitus.
When the medical professional treating the male first suspects secondary premature ejaculation, in addition to a general medical history being taken, there will also be questions that are asking for details about prior relationships. This is especially important if there was premature ejaculation in that relationship or if there was not a problem for this male in that relationship.
The timing of when the premature ejaculation started in the current relationship will be important information to have. The non-sexual parts of the relationship will also be explored as this information is also relevant too. Are there compatibility problems, fighting, power struggles? Is one of the partners a dominant player in the relationship? These factors can carry over into the bedroom.
The presence of the female at the appointment is an important key to the issue. If she is missing from the appointment this may show her lack of concern or that she regards the problem as his alone and not a problem of the couple, which may be an important clue regarding the relationship and how it may contribute to the premature ejaculation issue.
If erectile dysfunction (ED) is present, did this begin after the problem with premature ejaculation or before? If erectile dysfunction is determined not to be an issue than is the timing of coitus off? Or is coitus not achievable due to the premature ejaculation? These are also very important questions to have answered.
Embarrassing questions may be asked of the male including: Is the male experiencing premature ejaculation with self-stimulation (masturbation)? Does he experience premature ejaculation with non-intercourse stimulation by the partner, or just with coitus?
It is important to be open and honest with the reply to these questions and to leave pride out of this as only when the medical professional has a clear picture of the dynamics of the situation can the proper treatment be assigned.
It may be embarrassing for the female too to answer some of the questions asked of her such as: What is the time required for the female partner to reach climax? Can she reach climax with intercourse, or does she require direct clitoral stimulation (oral or manual) to be able to climax? These questions do have a bearing on the condition, as the problem may not be all male if she is having a prolonged climax or not climaxing at all.
Should there be erectile dysfunction present but it is determined that it began after the premature ejaculation, then treatment of both conditions may be required in order to cover all factors. The ED may be a result of the PE in which case it will be easier to correct it. The erectile dysfunction can resolve when the male gains confidence in controlling his ejaculation.
If however, the erectile dysfunction started initially, followed by the premature ejaculation, then the PE may be a secondary sexual dysfunction. The PE may resolve in this case when the male is confident in being able to maintain his erection. There are several treatment options for erectile dysfunction and there will be more tests to help determine the cause of the ED.
Answers to these questions are very important when it comes to arriving at the correct diagnosis and when determining the proper course of treatment, so give a priority to being honest in your response. The end result of all the questions will be that the treatment plan will accurately fit the condition. The problem of premature ejaculation can successfully handled and the male can again gain control over his ejaculation.
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