Problems of ejaculation are common occurrences in the sexual life of men. This week we will discuss premature ejaculation. It occurs when a man ejaculates shortly after intercourse begins.
At least a third of men surveyed in the United States in a 1999 report at least one incidence of premature ejaculation in the previous year. It may well be the most common male sexual problem. It occurs in men who are sexually inexperienced and also among those in sexual partnerships for many years.
Orgasm and ejaculation
Ejaculation is distinct from orgasm in men. While ejaculation describes the release of semen, orgasm is the subjective, pleasurable sensations which occur before ejaculation.
Before a boy reaches puberty, he can experience orgasm but does not ejaculate because the male organs are still immature. After several ejaculations, young men can experience orgasms without ejaculations during intercourse.
So, premature ejaculation becomes a non-issue for men who are concerned only with their own orgasms. In fact, in some cultures, it is considered very masculine to ejaculate very quickly.
Why does premature ejaculation occur?
Men are capable of orgasm within two minutes of initial stimulation while women usually require about eight minutes. It is, therefore, ‘normal’ for young, inexperienced men to ejaculate before their partners have reached orgasm. To achieve mutual satisfaction, men have to be able to time their ejaculation. Overanxiety will cause premature ejaculation in any relationship. Afterwards, the penis goes down and will not respond immediately to stimulation during the normal refractory period.
Premature ejaculation becomes a problem only when there is the persistent and recurrent absence of reasonable voluntary control of ejaculation. It is generally believed to be caused by psychological factors. Men may have had early sexual experiences where they hurried through intercourse. Sometimes, premature ejaculation presents many years into a relationship and may represent interpersonal problems in the relationship. Premature ejaculation results in disappointment, frustration and ultimately loss of self-esteem.
Treatment is twofold – medications that delay ejaculation and counselling. Pharmacological agents that may be used to delay ejaculation include antidepressants and benzodiazepine anxiolytics. These are useful in the short term.
Open discussion between partners with or without the help of a therapist may resolve the problem. They can be taught simple behavioural techniques to help them manage the problem. First, the frustration of the couple is reduced by teaching them sensate-focus exercises.
These exercises teach the man not to hurry during sexual relations. Then the couple is taught to manually stimulate the penis until the man is close to orgasm. They cease stimulation whenever the man feels ejaculation is imminent. This stop-start technique is repeated several times. In another technique, the man can ask his partner to squeeze his penis firmly behind the glans whenever ejaculation seems close at hand.
Both stop-start and squeeze techniques teach the man to delay ejaculation. Eventually, the man learns to change his thoughts and mental pictures when ejaculation is imminent and thus prolong intercourse.
Dr Pauline Williams-Green is a family physician and president of the Caribbean College of Family Physicians; email firstname.lastname@example.org
Rosalee M. Brown
The evidence is not clear, but there are drug trials which have been shown to reduce the risk of recurrent breast cancer in women. The results from the Breast Cancer Prevention Trial have also shown that women at high risk for breast cancer, who take the drug tamoxifen, lowered their risk by 45 per cent.
There are other available prevention measures which include preventative mastectomy and early detection through breast self-examination and routine mammograms.
What of nutrition
There are inconclusive studies and sometimes even conflicting ones regarding the role of nutrition in breast cancer prevention. The Women’s Healthy Eating and Living study states that a “diet high in fruits, vegetables and fibre and somewhat lower in fat did not protect early-stage breast cancer survivors from further breast cancer, nor did it help them live longer than women in a comparison group’.
These findings contradict at least one other large study of diet and breast cancer risk. JAMA 2007 Jul 18;298(3): 289-98). Results from the Women’s Intervention Nutrition study, a large randomised clinical trial reported in 2005, suggested that a low-fat diet helps prevent breast cancer recurrence in postmenopausal women, especially those whose cancers don’t respond to oestrogen.
Another study, Low-fat Diet May Reduce Risk of Recurrence by Chlebowski et al, concluded that a low-fat diet may reduce the risk of breast cancer recurrence in postmenopausal women. However, in the Women’s Health Initiative, completed in 2006, researchers found only a slight, statistically insignificant reduction in breast cancer risk among women 50 to 79 who lowered their total fat intake.
Factors at play
It is very difficult to study people’s diet because, for example, someone who reduces his or her fat intake may also reduce his or her animal protein intake. The same individual may also increase his or her fruit and vegetable intake. So, there are many factors at play which make it difficult to isolate positive or negative effect.
Although particular foods and nutrients have not been identified as preventative weapons in the fight against breast cancer, there is evidence for the role of diet and a healthy lifestyle in other cancer prevention. The American Cancer Society advises people to reduce cancer risk through exercising, limiting alcohol use, maintaining a healthy weight (as overweight in postmenopausal women has been linked to breast cancer), breastfeeding and avoiding postmenopausal hormone replacement therapy.
Standard nutritional guidelines holds – food has a synergistic effect on health; consume a diet from the six food groups; consume more whole plant-based foods and less processed foods; consume a little animal fat and consume large amounts of fruits and vegetables of all colours.
Rosalee M. Brown is a registered dietitian/nutritionist who operates Integrated Nutrition and Health Services; email email@example.com.
Zurich University Hospital scientists have discovered that the HIV virus survives antiretroviral medicine and can spread from a single infected cell.
Antiretroviral medication suppressed HIV so well that no traces of it appeared in laboratory tests, researchers said. But scientists Beda Joos and Huldrych Guenthard found that the virus that causes Aids resurfaced with astounding rapidity as soon as patients stopped taking the drugs.
That led them to two debateable theories about the virus’s ability to survive medical treatment: either it remained in the blood at extremely low levels of infection, or it built itself into a cell’s DNA and waited.
The study looked at 20 patients who had been using anti-HIV medication for a long time. Researchers stopped giving the medicines for two-week periods, followed by two-months of steady treatment.
Numerous variations of the virus rapidly resurfaced between treatments. That meant anti-AIDS medication was so effective because it completely paralysed the virus, researchers said.
A letter published in your Saturday Gleaner, on October 18, edition signed by S. Richards, took issue with the suggestion by a United Kingdom government minister that discrimination against gays should be halted as part of the efforts to stop the spread of HIV/AIDS.
The writer, I believe, is correct to suggest that a false “health link” argument is being used as the plank to end “discrimi-nation”. The writer went off the rails, however, with two other subsequent points.
Higher health risks
First, the health authorities do suggest and have emphasised that anal sexual activity carries higher health risks and so should be avoided or mitigated by the use of condoms.
I don’t know if reader S. Richards is so naive as to believe, however, that this kind of activity is exclusively male/male. The influence of pornography has presented this as an acceptable activity for men and women to engage in and anecdotal stories suggest that it does take place among heterosexual couples and may even be increasing as a practice.
Usefulness of the buggery law
Therefore, the second point made in the writer’s letter about the usefulness of the buggery law is irrelevant. Does the buggery law apply to a man engaging in anal sex with his female partner? If so, when has this ever been enforced? And if not, then there is discrimination against men and is, therefore, gender-biased. Also, the existence of the law, by itself, has not stopped people from engaging in their ‘kinky’ activities, whatever the law says.
People often know or suspect their behaviour and, apart from snide comments or the some-times derogatory remarks, for the most part, let them be. And that is how it should be. People should not be excluded from jobs or denied access to health care (if that is happening) because of what they do in the privacy of their homes as consenting adults. Where they are violating moral laws, God will deal with them in His own way, as He does with others who violate His many other strictures.
I am, etc.,
SEE THE ORIGINAL LETTER HERE by Shirley Richards of The Anti Gay Group Lawyers’ Christian Fellowhsip or
Another view of reaction to gays
published: Saturday | October 18, 2008
THE EDITOR, Sir:
I write regarding the news item in Tuesdays Gleaner, under the heading, ‘Stop discriminating against gays’.
As you reported the story, this was a call made by a United Kingdom minister of trade and development and was made as a part of discussions regarding the impact of HIV/AIDS on the Caribbean.
If the eating of oranges was thought to be the most dangerous activity where malaria or any other infectious disease was concerned, would there be any outcry about the banning of oranges?
Three local health consultants have confirmed, in response to questions posed by the writer hereof, that anal sexual activity is the most dangerous type of sexual activity where sexually transmitted infections are concerned.
In view of the problems with HIV/AIDS, why have our local health officials not warned the population about the dangers of engaging in anal sexual activity?
Where allegations of discrimination are concerned, the fact is that the law judges behaviour, which is either detrimental to individuals or to the society as a whole. Thus, standards are set, based not on the thoughts or desires of the individual but on the behaviour of the particular individual.
Maybe then, standards and criteria, generally, could be said to be discriminatory in nature. Amazingly, one would have thought that the HIV/AIDS epidemic would have made us glad that we have the buggery law in place! Instead, we are being hoodwinked into thinking to the contrary! Don’t be fooled, Jamaica, it’s the same argument under a different disguise!
I am, etc.,
Also SEE ‘Stop discriminating against gays’
‘Stop discriminating against gays’
published: Tuesday | October 14, 2008
Gareth Thomas, minister of state for trade and development, United Kingdom. – Junior Dowie/Staff Photographer
A BRITISH government minister wants Jamaica and other Caribbean countries to stop discriminating against homosexuals.
Gareth Thomas, United Kingdom’s minister of state for trade and development, made the call yesterday while discussing the impact of HIV/AIDS on Caribbean economies.
“That discrimination is undermining the fight against HIV,” he charged at The Jamaica Pegasus hotel in New Kingston, noting that about 250,000 people across the region have been infected with the virus.
Thomas was speaking at the launch of the Department for International Development Caribbean Regional Development Strategy.
He called for regional govern-ments to challenge discrimination against gays.
Thomas said the Caribbean with the second-highest number of HIV/AIDS infections has been dealt an economic burden because of the prevalence of the virus.
In May, Prime Minister Bruce Golding, responding to questions on BBC’s talk show ‘HARDtalk’, said he would not be pressured by outsiders to recognise homosexual rights.
Pressed by the host of the show, Stephen Sackur, to declare whether gays would be included in his Cabinet, Golding said: “Sure they can be in the Cabinet – but not mine!”
Despite a strong resentment to homosexual lifestyle in Jamaica and the Caribbean, Grenadian sociologist Claude Douglas, in a recent interview with the Caribbean Media Corporation, argued that the region’s attitude to homosexuality was changing
Since the recording of this interview there have been some efforts that have borne fruit.
1). The Reggae Compassionate Act
2). The changing attitudes of the police (still needing improvements)
3). The slowly evolving public discourse on LGBT issues
We still have a long way to go.
A point of interest is that Brian Williamson was not the first openly gay individual to go public…Gay Freedom Movement (GFM), founded around 1974 by five Jamaicans and an American Jesuit then working in the island. It focused on consciousness-raising within the LGBT community and professional organizations, issued a newsletter, Jamaica Gaily News, and ran a Gay Youth Program, Prison Outreach Program and a free STD clinic.
Thanks however to Peter and others for highlighting the issues though.
The term ‘Murder Music’ was coined by British gay rights activist Peter Tatchell in the mid-1990s to describe the homophobic work of certain Jamaican musicians, primarily dancehall and ragga artists who called for and encouraged physical violence and murder of homosexuals
The Murder Music Campaign have accused Beenie Man, Elephant Man, Sizzla, Bounty Killer, Vybz Kartel, Capleton, T.O.K., Buju Banton and others of promoting anti-gay violence, harassment, and bigotry through their music.
Tatchell has called for laws against homophobic music and the Campaign participated in protests outside concerts. The Campaign has especially objected to lyrics which seem to support violence, including murder, towards gay men. Tatchell’s campaign began in the early 1990s when Buju Banton’s song “Boom Bye-Bye” was released and has continued to date. Dennis Carney, chair of the Black Gay Men’s Advisory Group, argued that the MOBO Awards had a responsibility to exclude anti-gay artists because, “homophobic lyrics in music normalise hatred towards black gay men.”Tatchell picketed the MOBO Awards ceremony to protest at their inviting performers of murder music. Tatchell received death threats and was labelled a racist. Tatchell defended himself by pointing to a life’s work campaigning against racism, and stated that his statements on Jamaica were in support of terrorised black groups within Jamaica.
The forum helped to highlight that gays and lesbians suffered discrimination as a sexual minority and that gay rights are not divisible from human rights. The overwhelming challenge, therefore, remained apparent, to educate Jamaicans on the importance of upholding human rights as set out in the United Nations’ Universal Declaration of Human Rights. First and foremost this regards to the right of life.
Coincidentally, the same day JGLAG had its forum, the then Prime Minister was quoted in the national paper as saying that hanging and sodomy laws will remain on the books as long as he is in power. This declaration was made less than an hour after he was returned unopposed as President of the People’s National Party (PNP), this solidified the necessity of human rights organizations to work together to uphold human rights in Jamaica.