Why does rapid ovulation occur in men? Causes and diagnosis of early ejaculation. How does ovulation affect the moment of conception?

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Questions and answers on: ovulation in men

2009-03-19 09:48:05

Dina asks:

We want to conceive a boy, but my husband often flies by plane. How long does it take for Y chromosomes to recover after an air flight? i.e., on the day of ovulation in a woman, does the man have restored Y chromosomes?

Answers Yakubchik Natalia Nikolaevna:

Greetings, Dina!
I do not have any information about the effect of air travel on the Y chromosome, just as there are no reliable methods for planning the gender of an unborn child. Chromosomes cannot be restored after breakage.
I can only say that spermatogenesis (maturation of sperm) is a continuous process; each new “batch” takes about 3 months to mature.
Good luck to you! Wait and love your child not for his gender!

2015-09-07 10:41:51

Tatiana asks:

Hello. Please tell me whether Valtrex taken by a man 3 days before ovulation can affect the unborn fetus. P.S. I stopped taking it 3 days before ovulation.

Answers:

Hello Tatiana! The effect of valacyclovir on fertility and its teratogenic/mutagenic properties is known only from animal experiments. According to these data, the drug is safe. However, if you are not yet pregnant, planning should be postponed and resumed 3 months after the end of therapy. Take care of your health!

2015-07-10 02:45:58

Anna asks:

Hello! I am 40 years old. A year ago, my husband left and during this time I did not have another man. But recently my husband returned and we made peace. We went to Yarovoye and there during the ovulation period we had PPA twice in a row. My cycle is almost always 28-30 days, now the delay is a week, but the test done twice showed negative result. Shortly before the trip, I had cystitis (symptoms). What could it be? Can tests be trusted?

Answers Medical consultant of the website portal:

Hello Anna! ABOUT possible reasons delays in menstruation and the actions that need to be taken in such a situation, read the materials of the popular science article on our medical portal. Take care of your health!

2013-10-06 10:28:14

Irina asks:

Hello! Does taking it by a man affect the quality of sperm and conception? the following medications: intramuscular mydocalm, combilipen, orally - arthrozan. My husband has pain in his lower back, and it’s time for ovulation. I’m also wondering if it will have any effect on conception. healthy child the presence of thrush in a woman. I know that it would be wiser to skip one more cycle, but I’ve already missed three, now one thing gets in the way, then another. Thank you.

Answers Purpura Roksolana Yosipovna:

In principle, the problems you described (taking medications and candidiasis) should not negatively affect the conception and health of the unborn child.

2012-12-23 09:09:49

Belisa asks:

Good afternoon. I have the following problem...I had unprotected intercourse during ovulation. But the partner did not complete in me. My period is 3 days late. Could I get pregnant? Are sperm released in a man's mucus during sexual intercourse?

Answers Medical consultant of the website portal:

2012-12-08 16:01:34

Oksana asks:

Hello. From the age of 17, I was friends with a man 15 years older than me. Of course there was sex and unplanned pregnancies. And no matter how much I resisted, it all led to abortions and enormous stress. At one of these moments of an unplanned pregnancy, I noticed a clear, yellowish discharge from my breasts that ran a little like water. I didn't notice anything else like that. From now on I am now 30 years old. In 2009, I finally gave birth to my baby and breastfed for 2 years. At the end of feeding, in the fall, it was necessary to wean... I didn’t overstretch and didn’t take pills so that the milk would go away. There was very little milk by that time; it almost never came. Exactly a year ago, I began to feel unwell. I was choking strange feeling in the throat, then there was swelling, the excess weight of 25 kg remained. I went for an ultrasound of the thyroid gland for the first time in my life. They found a 2 cm node with a cyst. They sent me for TSH and c-peptide tests, all tests were normal, free T4 was low. Then both breasts begin to hurt. I reflexively press on the nipple, as if pumping, and a black-green thick liquid comes out. After that come tiny droplets of breast milk and colostrum.
I ran to the mammologist, they prescribed an ultrasound - there were a lot of brushes in both breasts, constant aching silent pains were shooting in the armpits, like the arrival of milk. They also prescribed a prolactin test, but I started having delays in my periods a year after breastfeeding, my cycle was always like clockwork. I had to take prolactin, but I still didn’t have my period, I had brown discharge for 3-4 days. I go for a puncture of the cyst of the Thyroid Gland node, I leave the clinic after this procedure, my periods suddenly started, the next morning I run to take prolactin. It turned out from the moment of “smearing” 3-5 days. Everything is normal. Prescribed to drink mastodinone and endocrinol. I’m feeling a little better. My periods are restored, without any smudging, they immediately start in 27 days, just like it took 2 years before the birth and birth. But there is discharge from the breasts, you can’t see it on the bra, but when you press it, it’s there in the same vein: green-black, there’s a little colostrum and milk. And this all increases during the period of ovulation. I haven't been to the doctor since April. I drank Mastodinon at the wrong time and not the whole pack. I drank a lot of endocrinol, 4 packs. Now I should go to an appointment, again for a thyroid puncture, what other tests would you recommend I take? Can I do a head examination?

Answers Demisheva Inna Vladimirovna:

None for now, continue taking Mastodinone and add Cyclodinone or Dysmenorm to it for another 3 months.

2012-08-06 10:26:02

Patya asks:

Hello! I have such a problem - my menstrual cycle is 25 days, almost never shifts. After a trip abroad, my period came 2 days earlier. On the 5-6th day of the cycle I had a relationship with a man, I’ve been dating him for 3 months, usually I used protection, but this time I didn’t. On days 11-12 of the cycle I accidentally met ex-man, with whom I dated until recently, and with him it also turned out to be a mating! Only with him I seemed to be protected with FARMATEX cream, but I didn’t know that it had to be supplemented with each act. In the second act I didn’t add any cream! There was no further contact with Kay. Please tell me who the possible father of the child is; it depends on whether I should keep him or not! 3 months ago I still checked the day of ovulation using a test, it showed on the 11th. Thank you in advance! Please don't judge!

Answers Korchinskaya Ivanna Ivanovna:

On the 5-6th day of pregnancy, for conception to occur, this is unlikely, sperm live in the woman’s genital tract for up to 72 hours, they simply would not survive until your ovulation. On day 11-12 m.c. Conception can occur, so draw conclusions about who the father of the child is. But as for whether to leave it or not, I definitely advise you to leave it and don’t do anything stupid! I wish you success!

2012-02-04 12:33:36

Alice asks:

Good afternoon I asked you a question in January, thanks for the answer. (http://www..html)
As of today - 02/04/2012, my period has not started, a couple of days ago something in the uterus was very sharp, but it went away quickly. It didn’t happen again. I don’t have the opportunity to go to my doctor, because... I’m away from home. I went for a repeat ultrasound (also transvaginal).
01/18/2012 ultrasound results:
uterus-50mm*34mm*49mm, smooth contour, homogeneous structure, endometrium 4 mm, homogeneous, uterine cavity not dilated, cervix normal,
right ovary 39*20*19mm, normal, normal position.
left ovary 36*23*19 mm, normal, normal position.
the structure of both ovaries is a multitude of small follicles.
02/04/2012 ultrasound results in the same medical center, only in another branch.
uterus 43*27*39mm, normal, smooth contour; myometrium is normal; volumetric formations-No; uterine vessels are normal, uterine arteries: mas in the right 22.1, mas in the left 20.7 cm/s;
endometrium 9 mm, three-layer, does not correspond to the cycle,
FOCAL FORMATIONS: yes - along the basal lembrane (or membrane - it’s not very clearly written) 3 * 3 * 2mm formation of higher echogenicity, blood flow in the formation - I don’t understand, either it is determined or not determined.
the uterine cavity is not dilated, ovum absent, right ovary: 41*23*31 mm, enlarged, typical position, multifolicular structure. There are no large formations.
left ovary: 37*20*26mm, normal, position - BEHIND THE UTERUS!!!, multifolicular structure. There are no large formations.
Today: the left ovary is slightly stretching, but not always, the sensations in the lower abdomen are somehow not the same... nothing hurts. I feel fine.
At the last ultrasound, the doctor told me that there was a formation in the endometrium - maybe a polyp, maybe a piece of old endometrium. The uzologist doesn’t know what it is. BUT he said that: this formation should have been visible on the ultrasound on January 18. then he said that since it was not visible, it means it is not a polyp or a piece of endometrium.... WHAT COULD THIS BE??? AND IS IT REAL FOR A POLYP TO GROW IN 2-3 WEEKS???? ALSO WITHOUT GIVING BIRTH??? HE ALSO SAID THAT HE DOESN'T SEE THE YELLOW BODY, THAT IT IS NOT AVAILABLE.
WHEN I ASKED HIM SHOULD I WAIT FOR MY PERIOD, HE ANSWERED THAT HE IS NOT GOD AND DOES NOT OWN SUCH INFORMATION. WHY THEN ON AN ULTRASOUND ON 18.01 OVULATION WAS VISIBLE, AND THEN THE DOCTOR TOLD ME THAT I WOULD HAVE MY MENSORY... AT THE FIRST ULTRASOUND THE DOCTOR WAS A WOMAN, AT THE SECOND A MAN.
ANOTHER QUESTION - CAN THIS “POLYP” BE A PREGNANCY? OR FROZEN PREGNANCY?
AND ABOUT THE TESTS: I DID SEVERAL, MOST SHOWED THE ANSWER NO, A FEW SHOWED A SECOND LIGHT STRIP.
How can I find out the truth, what is where and how? I can see my doctor in about a month...
I'm really looking forward to answers to my questions. Thank you

Answers Wild Nadezhda Ivanovna:

There could have been a frozen pregnancy in a short period of time and an ultrasound shows what remains, but the presence of an endometrial polyp cannot be ruled out. Unfortunately, those who have not given birth may have endometrial polyposis and such things cannot be left without examination and treatment. You need to be examined and treated. At this time, the presence or absence of pregnancy can be judged by blood test for hCG.

2012-01-22 21:10:10

Alice asks:

Good afternoon I am 27 years old. I have no children. I have a question: is it possible for me to become pregnant now?
today is 01/22/2012.
The situation is this: January 12, 13, 14, 2012 - there was a PA, he came inside me.
16.01. Brown discharge began and my lower abdomen felt tight.
18.01 - went for an ultrasound. the doctor said that there was no pregnancy, ovulation would happen today or tomorrow, and said that my period would be in 10 days.
cause discharge - violation hormonal levels. I didn’t take any tests.
In general, my periods are irregular and their cycle is about 50-60 days. And this month for some reason the endometrium is thin - only 4mm showed on ultrasound.... a year ago it was like 10mm.. though on the other day of the cycle.
According to the doctor’s predictions, I should have my period in 5 days, BUT usually all the signs are clearly visible (my breasts are enlarged, my head hurts, my stomach is tight) 8-10 days before my period starts, but now I don’t have THESE signs.
My man and my previous girlfriend were examined before, and both of them were diagnosed with infertility. I don't know the reasons.
My question is, is pregnancy possible? or is it 100% impossible? (I’m going to fly out in 5 days, and if there is any chance, the flight is cancelled)

Answers Wild Nadezhda Ivanovna:

Despite technical progress, there are no technologies yet that can determine pregnancy after 5-10 days from PA. I recommend getting examined and finding out the cause of menstrual irregularities: work thyroid gland, the work of the adrenal glands or is it the ovaries that work. If at the ovarian level, then find out the reason for this work. If there is a problem before pregnancy, then during pregnancy these problems are especially pronounced and can lead to pregnancy loss. If your man had problems, then both of you need to be examined, find the cause and undergo a course of treatment. About the percentage of possibility - Don’t be offended, but probably in this life only the Almighty can give 100%, and not always... Take a pregnancy test with you, preferably “Duet” or “Frau”, and take the test on February 1-2. These tests are highly sensitive, so you can do it on January 26-27, if there is one clear line and the other is weak, then you need to repeat the test after 2-3 days. If the test is negative, take Vitamin E 100 units 3 times a day, folio 1 tablet 1 time a day for 2 weeks.

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News on the topic: ovulation in men

There have long been legends about women's intuition: in many everyday situations, the “stronger sex” even finds the right decision, then only after a painful grinding of the brain convolutions, and a woman only needs to think for a moment - and an unmistakable plan of action by itself already pops up in her head. Representatives of the fair sex show particular insight when choosing a potential partner - no matter how a man hides his problems behind a mask of cold-blooded calm, women intuitively feel that this “male” has difficulties in life. They feel - and avoid it: the instinct of procreation forces them to look for a strong and self-confident potential father of their children.

Premature ejaculation (ejaculation) - causes, symptoms, diagnosis and effective treatment

Thank you

Premature ejaculation, or early ejaculation, is a disorder in which ejaculation occurs too early. Premature ejaculation is one of the most common types of sexual dysfunction in men in different countries ah peace. Every man has experienced early ejaculation at least once in his life.

In the USA, there are statistics according to which 25% to 40% of men in this country suffer from premature ejaculation. In 1950, Alfred Kinsey, an American biologist, conducted an extensive statistical study, during which he showed that every representative of the stronger sex in America at least once during his life noted symptoms of this disorder. Most men do not attach any importance to this if ejaculation occurs prematurely once. But with the systematic development of the disorder, conflicts begin to occur in the family, the man cannot improve his personal life, and ultimately he develops psychological complexes and self-esteem decreases.

Premature ejaculation and other disorders in men

Early ejaculation is not the only type of ejaculation disorder. There are others:
1. Delayed ejaculation- this is the exact opposite disorder, in which ejaculation occurs after too long time from the beginning of sexual intercourse.
2. Retrograde ejaculation- a phenomenon in which the seed does not flow out of urethra, and in the opposite direction, flowing into the prostate gland.
3. Suppressed male orgasm. Also known as orgasmic dysfunction. In this case, the patient’s sexual satisfaction is incomplete and does not bring proper pleasure.

All these violations are often difficult to verify and somehow rank. The fact is that ejaculation during sexual intercourse different men may advance in different time and in different ways. The satisfaction of both partners with sexual intercourse is also not an accurate criterion. Sometimes even with prolonged and complete sexual intercourse on the part of the man, the partner remains dissatisfied. And sometimes a couple only needs two minutes to get pleasure from each other, and with such short sexual contacts it is quite possible to conceive a child.

Causes of premature ejaculation

The difficulty is that the reasons premature ejaculation It is not always possible to establish accurately. Sometimes a disorder occurs without any visible provoking factors.

It is known that early ejaculation often occurs in adolescents. They can ejaculate without sexual intercourse. Over time, as a man grows up, he learns to control his physiological processes during sexual intercourse.
Often, by examining and questioning the patient, the doctor can identify following reasons premature ejaculation:

Early ejaculation in a man can occur whenever he has sexual intercourse with a new partner.
Premature ejaculation often occurs during sexual intercourse after long period sexual abstinence.
The role of psychological factors in development early ejaculation quite high. Conditions such as depression, anxiety, restlessness, frequent stress, and feelings of guilt can lead to this type of sexual dysfunction in men.
Hormonal disorders. First of all, early ejaculation can be triggered by a disruption in the production of hormones involved in sexual function.
Some types of injuries.
Sex with very beautiful representatives of the fairer sex. Sometimes a man experiences such strong feelings before sexual intercourse. sexual arousal that ejaculation occurs even before the penis is inserted into the vagina.
Proven and genetic reasons premature ejaculation. It is known that 91% of men with this violation, there are relatives who also suffer from early ejaculation.
Another factor that can lead to the development of pathology is malnutrition. The disorder occurs more often in men whose food contains an insufficient amount magnesium This problem is common in major US cities. Unfortunately, statistics are not available for Russia.

Often men do not attach much importance to psychological factors as the causes of premature ejaculation. However, they are among the most important. It is believed that the consequence of depression, frequent stress or overwork is mainly erectile dysfunction (impotence). But often the first sign of incipient problems is early ejaculation. For example, it can occur when a man experiences stress related to financial problems.

It is very interesting to consider the causes of premature ejaculation from the perspective interpersonal relationships. Thus, after a series of studies conducted in America, it was found that for many men the time of ejaculation depends on the phase monthly cycle partners. Another interesting observation: men who live with older partners ejaculate earlier during intercourse than those who live with women their own age or younger.

Organic diseases that can cause

premature ejaculation Early ejaculation develops much more often in men who have predisposing factors such as:

birth injuries - can affect many years later in this form;
shortening of the frenulum of the penis: a thin fold of skin that runs along the bottom surface penis, connecting its head to the neck;
phimosis - narrowing foreskin, due to which the head is exposed with great difficulty, or is not exposed at all;
anatomical defects of the penis (for example, its curvature);
infectious and inflammatory diseases of the genitourinary system in men, especially prostatitis and urethritis (inflammation of the prostate and urethra);
benign prostate hyperplasia (adenoma);
diseases and injuries that affect the pelvic nerves: fractures pelvic bones, lumbar, sacral or coccygeal vertebrae, osteochondrosis;
alcohol abuse and alcoholism, smoking, substance abuse and drug addiction;
hormonal changes in the body - most often are a consequence of taking certain medicines.

The mechanism of development of premature ejaculation

Let's delve a little deeper into male physiology and consider how the process of ejaculation occurs. It consists of two successive stages:
1. Emission phase. In this case, a large amount of seminal fluid is released, which accumulates in the back of the urethra (urethra). All sex glands take part in the process of the emission phase, including the prostate, seminal vesicles, and bulbourethral glands.
2. Release phase. This is what directly manifests itself as ejaculation. The muscles surrounding the junction of the bladder and the urethra contract and close the opening. At the same time, the walls of the urethra begin to move rhythmically, forcefully pushing out seminal fluid out.

Both processes are regulated by special nerves connected to the nerves of the genitals, organs and pelvic muscles. Moreover, in the cerebral cortex there are special nerve centers, which clearly coordinate both phases of ejaculation.

Indeed, it turns out that men suffering from early ejaculation have some characteristics nervous regulation pelvic area. In particular, pelvic muscles Such patients respond faster to electrical stimulation and are more excitable. Naturally, when the right approach this problem can be easily dealt with.

The rate of ejaculation is influenced by certain biological factors. active substances, which are normally released in the human body. For example, a hormone-like compound such as serotonin can have a strong suppressive effect on ejaculation. Accordingly, if there is not enough serotonin in the corresponding areas of the brain, a man has a problem in the form of early ejaculation.

Symptoms of premature ejaculation

The most the main problem for andrologists - to determine when symptoms of premature ejaculation appear, when the norm ends and a disorder begins that needs to be treated.

Different researchers have different formulations and criteria:
1. A symptom of early ejaculation is considered to be a condition when a man ejaculates in 50% of cases before his partner experiences orgasm (Masters, Johnson).
2. At one time, sexologists believed that a reliable symptom of premature ejaculation was its onset within two minutes after insertion of the penis into the vagina. But this point of view was refuted after some research:

American Alfred Kinsey conducted a survey of men in 1950, during which it was shown that 75% of them ejaculated in 50% of sexual contacts within 2 minutes after insertion of the penis into the vagina;
the same Kinsey showed that half of men need no more than five minutes to complete sexual intercourse;
experts from the USA and Canada ranked sexual intercourse as follows: 1 – 2 minutes – too short; 3 – 7 minutes – normal; 7 – 13 minutes – desired for many couples; 10 – 30 minutes is too long;
It was also found that 75% of Americans ejaculate within 10 minutes of inserting the penis into the vagina.

As you can see, the time criterion turned out to be too unreliable. A man can ejaculate within a very short time, and both partners experience complete satisfaction.
3. When determining the symptoms of premature ejaculation, modern doctors focus on the general well-being of the man and the couple as a whole. If both partners experience satisfaction after sexual intercourse, do not suffer from any psychological complexes and characterize their life together as happy, then even with ejaculation in 1.5 minutes one cannot talk about its prematureness.
4. If ejaculation occurs in a man even before the penis is inserted into the vagina, it should be considered clearly premature.

Wrong approach on the part of many men

Many men tend to believe that they male power And physical health in the sexual sphere are mainly determined by three factors:

penis size, especially when erect;
erection hardness;
duration of sexual intercourse - it is believed that the longer it is, the more “full” the representative of the stronger sex is.

This is a fundamentally wrong point of view, inspired in men by society, upbringing, and traditionally established stereotypes. The quality of life together with a partner is actually influenced by more factors. And size and duration are not always decisive.

However, if a man believes that he is suffering from premature ejaculation, this leads to deep psychological problems.

Negative experiences can provoke the development of the following disorders:

psychological complex, the belief that a man does not satisfy his current partner and is not able to satisfy those who will come after her;
disturbances in the personal sphere: a patient who has found “symptoms” of early ejaculation may refuse sexual activity altogether;
the man develops nervousness and poor sleep;
Often there are problems such as depression, increased anxiety, emotional imbalance, self-isolation, etc.

However, such patient reactions to what is happening do not help him cope with the problem. On the contrary, they lead to the development of new ones. A kind of vicious circle closes. Psychological disorders lead to further aggravation of problems with ejaculation. In turn, worsening problems makes a man worry even more.

Sometimes such symptoms can be the first step on the path to erectile dysfunction.

Most men, with some exceptions, perceive sexual intercourse lasting 0.5 - 1.5 minutes as too short and incomplete. But we have already mentioned above that this point of view has not found any confirmation among doctors and researchers. In addition, you should always focus on the opinion of your partner. For some women, just one minute is enough to achieve a full orgasm. And for some it takes 30 – 60 minutes.

Ultimately, any man who shows signs of premature ejaculation should remember one simple truth: if you and your partner have an orgasm during intercourse, if you fully satisfy each other, then it is completely wrong to talk about early ejaculation, even if sexual intercourse lasts very little. There are no absolute standards here, and there is no need to measure up to anyone.

Partner's opinion

Sometimes a man claims that he suffers from premature ejaculation, relying only on the opinion of his partner. Time after time, a woman says that she does not experience orgasm during intercourse, blaming her partner for this. As a result, the man himself begins to believe in his “guilt”, begins to visit dubious specialists, buy different means to slow down ejaculation in sex shops.

In fact, self-diagnosis and self-medication are unacceptable in these cases. Moreover, if they rely only on a single criterion - the opinion of their partner.

in this case, it often turns out that the man did not have early ejaculation at all - he and his partner are simply not quite suitable for each other;
If there is still a problem, it is often impossible to eliminate it using only products from a sex shop: each specific case requires separate consideration and an individual approach.

Many men are sure that they must certainly give a woman an orgasm during sexual intercourse only with the help of the penis. In this case, premature ejaculation is perceived as a big hindrance. In fact, there are many other quite normal ways give a woman pleasure during sexual intercourse and, it should be noted, they are used by many married couples worldwide.

Concluding our review of the symptoms of premature ejaculation in men, we can give most important advice: Don't rush to conclusions. Early ejaculation is a common disorder, but it does not occur as often as many men “discover” it. Focus on satisfaction with sex life on your part and on the part of your partner. And if you have doubts or suspicions, it is better to immediately contact a specialist.

Diagnostics

Which doctors diagnose premature ejaculation in men?
These problems fall within the competence of andrologists and sexologists. It is better to visit sexologists, since they specialize in disorders of this specific nature.

If necessary, a man who has signs of premature ejaculation may be prescribed consultations with other specialists:

endocrinologist - a specialist who treats pathologies of the endocrine glands;
neurologist - a doctor whose competence includes all diseases of the nervous system;
a psychologist or psychotherapist - you have to resort to the help of this specialist very often, because, as discussed above, early ejaculation often has psychological problems behind it;
urologist - to identify other diseases of the genitourinary system that can increase the sensitivity of the nerve receptors of the penis;
a therapist and related specialists, if the sexologist suspects that the patient has other diseases that may be associated with premature ejaculation.

What happens in the doctor's office?

First of all, the sexologist carefully questions his patient. The first part of the question concerns general health data, and is carried out in the same way as at an appointment with any other specialist. The doctor is interested in the transferred and existing this moment diseases, the general health of the man, his working and living conditions.

Then they move on to clarifying their sexual history. The specialist may ask about the timing of the onset of sexual activity, the number of partners, the regularity of sexual activity, etc. At this stage, it is very important to tell the doctor absolutely everything, without hesitation or hiding anything. After all, the correctness of diagnosis and, as a result, treatment depends on this.

Early ejaculation is a disorder that develops as a result of large quantity reasons. In order to identify them, the doctor will most likely prescribe a laboratory test after the examination.

In accordance with modern regulations, a doctor can consider the diagnosis of premature ejaculation proven if:
1. Ejaculation occurs even before the penis is inserted into the vagina, or against the will of the man when he tries to restrain it. Of course, the doctor takes into account factors such as the age and physical condition of the patient, the duration of abstinence, and how long the patient has been sexually active with a particular partner.
2. Premature ejaculation disrupts the patient's personal or family life. The disorder causes strong feelings and problems in a man.
3. Early ejaculation should not be caused by taking or, on the contrary, stopping any medications. For example, it is known that for some time after stopping opium-based drugs, men begin to ejaculate earlier.

Often, in order to understand the existing problem, the doctor must talk not only with the patient himself, but also with his partner.

Today, special tests have been developed that help identify the severity and likelihood of early ejaculation in a man.

What diseases need to be differentiated between premature ejaculation?
Most often, the imaginary signs of premature ejaculation are caused by erectile dysfunction, when the penis cannot become hard enough to be inserted into the vagina. At a certain stage, a man realizes that he needs additional stimulation for penetration. Often during this process not only an erection occurs, but also ejaculation.

It is worth distinguishing real premature ejaculation from sporadic cases, which occur only from time to time and cannot lead to significant suffering in a man. This problem can be easily fixed.

Sometimes early ejaculation and erectile dysfunction can be caused by the use of opioids and their subsequent abrupt withdrawal. This condition also cannot be considered true early ejaculation.

Questionnaires for diagnosing premature ejaculation
Specialists from different countries have now developed special questionnaires that help identify early ejaculation and assess the degree of its severity.
Today there are quite a lot of such questionnaires, but two are mainly used:

PEDT (Premature Ejaculation Diagnostic Tool) – a questionnaire that contains only 5 questions;
AIPE (Arabic Index of Premature Ejaculation) - Arabic index of early ejaculation: a questionnaire consisting of seven questions.

Laboratory and instrumental examination with premature ejaculation
Below is a list of additional diagnostic measures, which can be prescribed by a doctor in order to identify existing causes:

smears from the urethra with their bacteriological culture to identify hidden urogenital infections;
PCR diagnostics is a study of the level of antibodies in the blood, which helps to identify a specific infectious agent;
Ultrasound of the pelvic organs, genitourinary system: a simple, accessible, informative and completely painless diagnostic technique;
urethroscopy and cystoscopy – examination inner surface urethra and Bladder using endoscopic equipment;
study of the level of sex hormones in the blood.

Treatment

Many men are interested in the question of how to treat premature ejaculation. Unfortunately, there is no clear answer to this. In each specific case, it is necessary to understand the causes of premature ejaculation in a particular man, and focus primarily on them. Therefore, visit your doctor before starting any therapeutic measures, and high-quality diagnosis of the problem are prerequisites.

Initial stages of premature ejaculation
If the cause of the disorder has not been established, and early ejaculation bothers you from time to time, you can use some special techniques to prolong sexual intercourse.

Start-Stop Method
Enough effective method. Its essence is that during sexual intercourse a man must “catch” the moment when premature ejaculation begins. In this case, the penis is removed from the vagina, and its base is strongly compressed with the fingers. When sexual arousal subsides a little, penetration can be achieved again and sexual intercourse can continue. If a man feels the beginning of ejaculation again, then he repeats the break. The number of repetitions is practically unlimited.

Over time, the number and duration of such “respite” naturally decreases, and the duration of sexual intercourse increases.

Kegel method
This technique is based on the assertion that if a man suffers from early ejaculation, it means that his innervation is impaired to one degree or another. pelvic organs. Accordingly, you can perform exercises that will help restore it.

During Kegel exercises, a man learns to regulate the tension and relaxation of certain muscles of the pelvis and tailbone. As a result, the skill of controlling ejaculation is simultaneously trained.

Drug treatment
The general principles of treatment for premature ejaculation are as follows:

application medicines(both general and local), which delay ejaculation;
use of sedative medications.

If early ejaculation has psychological or nervous causes, then when using these medications they can go away quite quickly.

If sexually transmitted infections are detected, antibiotics are prescribed. First, the doctor must prescribe smears to identify the pathogen and determine its sensitivity to antibacterial drugs.

If detected neurological disease leading to premature ejaculation, appropriate treatment is prescribed: vasodilators, vitamins, neuroprotectors, etc.

Fighting psychological problems
Often, premature ejaculation can be successfully treated with the participation of only a specialist such as a psychotherapist or psychologist. This helps especially well in at a young age when existing disorders are mainly associated with psychological problems and are supported by them.

An experienced psychotherapist can eliminate problems such as increased anxiety, emotionality, irritability, depression, exposure to stress, self-doubt, and fear of failure. As a result, early ejaculation will cease to bother the patient on its own.

Meaning alternative medicine in the treatment of premature ejaculation
For early ejaculation, they are widely used various methods alternative medicine :

acupuncture - involves a reflex effect on the nerves that innervate the pelvic organs (including the male genitourinary system);
massage - some of its varieties can have an effect on the nerves and blood flow in the pelvic area, improve a man’s control over various muscles responsible for erection and ejaculation;
medicinal baths – widely used in spa treatment;
mud therapy – also used in various sanatoriums and resorts;
physiotherapy – influence on the male genitourinary system using various physical factors.

Masturbation
Even masturbation can be a therapeutic measure for premature ejaculation. It should not be performed independently and uncontrollably, but under the guidance of a sexologist. The doctor must explain to his patient how, when and in what environment it is best to do this, and how often.

The main difference between masturbation and sexual contact with a partner is that at this time the man completely controls the degree of his sexual arousal. By masturbating, he can learn to control ejaculation and restrain it when necessary.

After the sexologist questions and examines the man, he may well ask to bring his partner to the appointment. The doctor will talk with the woman, find out additional details, give her recommendations and advise how to help the man.

All of the above methods for treating early ejaculation are not applied at once together. In each specific case, the doctor prescribes a combination that should be as effective as possible.

Additional recommendations can be given to men undergoing treatment:

rational mode of work and rest, good sleep at least 6 hours a day;
good nutrition, presence in daily diet all necessary substances;
exclusion of promiscuity, at least for the duration of treatment;
avoidance of conflict and stressful situations;
it is advisable to refuse all bad habits, smoking, drinking alcohol;
frequent visits to fresh air, active recreation, sports.

If you follow all the doctor’s recommendations, the prognosis is most often favorable. Before use, you should consult a specialist.

Scientists from around the world continue to study the differences between women and men, as well as the psychology and behavior of the stronger sex in various aspects of life

Some scientific facts, which scientists have established in relation to representatives of the stronger sex, can be very useful for women.

NV offers a list of interesting discoveries by scientists and psychologists, as well as interesting facts about men.

4. Poor men prefer curvy women, rich men prefer thin women.

Psychologists Leif Nelson and Evan Morrison found that men's preferences for female forms directly depend on their financial situation. Thus, they were able to determine that poor men prefer large women, and men living in abundance prefer slimmer ones. In addition, psychologists have found that a hungry man is most likely to pay attention to a plump woman, while a well-fed man will give preference to a thin woman.

5. A man feels a woman's ovulation

Despite the fact that appearance Women cannot tell when they are ovulating; men feel this period. During ovulation, men find women even more attractive, as evidenced by a study by psychologist Jeffrey Miller. He conducted an experiment with erotic dancers and found that strippers on peak fertility days earned an average of $70 in tips per hour, while on menstrual days they earned only $35 and on other days, $50.

The psychologist explains this by saying that the man records subtle differences in a woman's scent, facial expression, waist-to-hip ratio, or movements. IN fertile days the woman's voice becomes higher mammary glands more symmetrical, the waist-to-hip ratio is accentuated.

6. Sexy TV presenters make it difficult for men to remember information.

Attractive TV presenters interfere with a man’s ability to perceive and remember information. The study, the results of which were published in Communication Research, showed that the attractiveness of a woman on screen directly affects a man’s perception of information. Thus, during the experiment it was possible to establish that men who watched political news voiced by a sexy woman remembered the information worse than those who watched a program with a male presenter.

Every tenth man is raising a child who is not his own

Research by English scientists has shown that on average about 10 percent of men are raising children that are not their own, without even realizing it. In their experiment, experts analyzed information from the results of genetic testing to establish paternity, as well as data from various surveys. As a result, it turned out that every tenth man is not the biological father of the child he considers his own.

On average, about 10 percent of men raise children other than their own Pixabay

8. Men fake orgasms too

It is generally accepted that only women fake orgasms, but a study published in scientific journal The Journal Of Sex Research says otherwise. According to scientists, approximately 25 percent of all men fake an orgasm. The most common reasons for a man to pretend in bed is the desire to satisfy his partner’s need for a synchronous orgasm, as well as alcohol intoxication and the unattractiveness of women.

9. A man spends almost a year of his life looking at women.

British scientists conducted an experiment and came to the conclusion that a man spends an average year of his life looking at the fair sex.

The survey showed that on average a man spends 43 minutes “inspecting” ten ladies every day. If recalculated for a year, then in total this will be 259 hours - 11 days. Thus, over a life period of 18-50 years, a man devotes 11 months and 11 days to admiring female charms.

In turn, women are not inclined to admire men for so long, spending half as much time.

10. Men lie twice as much as women.

Men tend to resort to lies twice as often as women, as evidenced by the results of a survey of British experts. Scientists have found that men lie on average 6 times a day to their lovers, relatives, friends and colleagues. According to scientists, women do this on average only three times.

11. A man's loyalty depends on his IQ.

Scientists have found that the smarter a man is, the less often he cheats on his partner. A group of scientists from the London School of Economics, UK, who analyzed statistical data on the behavior of men, came to the conclusion that smart men are less likely to cheat on their partners - faithful men have a more developed brain and a higher intelligence quotient.

Ovulation is when one or more eggs are released from one of your ovaries. This best time for conception in . Every month, 15 to 20 eggs mature in the ovaries. The most mature egg is released into the pelvic cavity and slides along fallopian tube. It is impossible to predict which ovary the egg will come from. It is not at all necessary that if ovulation occurred in a given cycle in the right ovary, then in the next it will occur in the left.

How does ovulation affect the moment of conception?

For pregnancy to occur, the egg and sperm must meet in the fallopian tube before the egg breaks down. The egg lives no more than 24 hours after ovulation, unless, of course, it is fertilized by a sperm. However, the sperm is capable of longer existence in the reproductive tract, which includes:

vagina
uterus
fallopian tubes

In some cases, sperm can survive up to 7 days. However, sperm with the greatest physical activity are produced if a man ejaculates every 3-4 days.

This means that for successful conception There is no need to have sex at the exact moment of ovulation. It is more reasonable to consider the most suitable period for fertilization at 4-5 days, when healthy sperm has a chance to meet the egg immediately after ovulation.

How to determine the most favorable period for conception?

Ovulation usually occurs 12-16 days before your start. next menstruation. If a woman has a menstrual cycle of 28 days, then ovulation will occur around day 13-15. The first day of menstruation is considered the first day of the cycle. Duration normal cycle can range from 23 to 35 days. Therefore, ovulation may occur earlier or later in your cycle.

The easiest way to determine the best time to conceive is to listen to your body and learn to notice the signs of imminent ovulation. Use ours to calculate the best period to conceive. Familiarize yourself with the hormonal cycle and physical changes which occur monthly:

Changes in cervical mucus. Pay attention to changes in cervical mucus. This is a fairly accurate and effective method for determining the days most favorable for conception. As the menstrual cycle progresses, cervical mucus increases in volume and changes structure. This is a reaction to an increase in the level of the hormone estrogen and a sure sign that ovulation will soon occur. Best Chances conception occurs when the mucus becomes transparent, slippery and stretchy. The function of mucus is to support, protect and propel the sperm through the uterus to the fallopian tubes to meet the egg. Many women compare their discharge during this period to raw chicken protein.
Pain in the lower abdomen. Approximately one fifth of all women feels the process of ovulation, which can be expressed by mild or quite noticeable pain. Some women experience pain on one side of the lower abdomen, special sensitivity and weakness. This condition is called midline pain. It can last from several minutes to several hours. If you notice that such pain occurs during a certain period of the cycle, pay attention to changes in cervical mucus. Pain during ovulation can be a sure sign of the onset of a favorable period for conception. Pay attention to other signs as well. The study of changes in appearance and behavior throughout the menstrual cycle is becoming very popular in last years. Watch yourself and perhaps you will learn to recognize the approach of ovulation by these signs:
Desire to flirt and have sex. Increased libido, elevated mood and increased social activity may be signs that the most favorable period for conception has arrived. If you're in a long-term, stable relationship with your significant other, you'll probably notice an uptick in sexual desire during ovulation. During this period, many women seek to communicate with other men and flirt a little. If you are in a serious relationship, your loved one may become more jealous during this period!
External attractiveness. There is a scientifically proven connection between your emotional state, physical attractiveness and ovulation. Latest Research have shown that during ovulation, many women feel more physically attractive. They begin to take more care of themselves and become more attractive to others too. Unconsciously, you can choose clothes that emphasize your strengths, give great importance accessories and personal care. Therefore, the closer ovulation is, the more attractive a woman becomes. Although we think we don't demonstrate our sexuality as we do in the animal kingdom, we still use little feminine tricks to attract the attention of the alpha male.
A scent that drives a man crazy. Not only do you look attractive, you start to smell amazing! Scientists have found that on the eve of ovulation, women begin to smell especially attractive to men. This property disappears with the end of the period favorable for conception. You may think that no one knows about your ovulation, but pheromones will tell you about it.

How to increase your chances of conceiving?

If you have unprotected sex every 2-3 days, active sperm will be where they need to be during ovulation. To increase the chances of conception, doctors recommend regular sex throughout the entire cycle. Making love during a period when the cervical mucus becomes moist, slippery and therefore easier for the sperm to pass through, also promotes conception. On average, 20-30% of fertile couples can conceive a child every month. About 84% of women can conceive within a year if they do not use protection and have sex regularly. Half of the remaining are able to conceive a child naturally over the next year. Accordingly, 92% of couples can conceive a child within two years.

The question of what ovulation is is usually asked only by women planning a pregnancy.

And for good reason, because understanding this process is simply necessary for quick conception, if you are serious about getting pregnant. Based on fragments of knowledge about ovulation and certain “favorable days,” it might seem to you that this is a very complex science. But we will now prove that everything is much simpler and more interesting than it seems at first glance.

About ovulation, simple and clear

From birth, the ovaries of a girl, and then a woman, contain about a million eggs. Not all eggs survive to puberty, but those that are mature are quite capable of fulfilling their main duty - the formation of a new human body.

But only a few eggs succeed in fulfilling their functions. From the moment a girl begins her first menstruation, every month one of these eggs matures and is released from the ovary.

Essentially, ovulation is the release of a mature egg from the ovary, somewhere in the middle of the menstrual cycle (normally 14 days before the start of menstruation). Naturally, ovulation does not occur during pregnancy.

IN menstrual cycle every woman has a special day when there is highest probability getting pregnant is the day of ovulation.

Ovulation occurs once a month, and the egg lives for about 24 hours. Ovulation itself is like a small explosion, when a mature follicle bursts in the ovary and the egg is released. Everything happens very quickly, within a few minutes.

Now the task of the egg is to meet with the sperm within 24 hours for the conception of a child to occur. If a meeting with a sperm occurs, the fertilized cell passes through the fallopian tube and is implanted into the uterus. As a result of this process comes. If for some reason pregnancy does not occur, then menstruation occurs and the egg is released from the body.

In very rare cases, ovulation can occur 2 times a month, but at approximately the same time, with an interval between the first and second of no more than 2 days. It is during this short period of time that conception is possible. Without ovulation, conception is impossible.

Therefore, to successfully plan a pregnancy, you need to have a good understanding of ovulation issues and be able to calculate days favorable for conception.

How to seize the moment?

Each woman's egg matures and is released approximately 14 days (plus or minus 2 days) before the next menstruation begins. And what day it will be from the date of the start of the last menstruation depends on the length of the cycle of a particular woman.

This is where the whole difficulty of calculating ovulation lies. calendar method. If you have a 28-day cycle, ovulation occurs around day 14 of your cycle. If your cycle is 32 days - on the 18th day of the cycle, and so on.

Based on this knowledge, you can calculate the date of ovulation using. But, if a woman irregular cycle, then its length changes each time, for example, from 30 to 40 days, and it is almost impossible to calculate ovulation in this way. That's why they came up with ovulation tests, a method basal temperature, which help in realizing our maternal destiny. But more on that later.

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There are terms such as early and late ovulation.

If the egg is released, for example, on the 12th day instead of the 14th day of the menstrual cycle, then this ovulation is early. Therefore, late ovulation is when the egg is released later than mid cycle. There are several reasons for such phenomena:

Irregular periods
Hormonal disbalance
Postpartum period
Regular stress
Post-abortion
Gynecological diseases
Premenopausal period in women over 40 years of age.

How does ovulation occur?

Just recently, scientists for the first time captured the moment of ovulation on video during an IVF operation. Previously, it was a mystery, shrouded in darkness, and about what was happening in female body one could only guess.

The process only takes about 15 minutes. A hole forms on the wall of the follicle, resembling a wound, from which a small cell emerges. It is small and invisible to our eyes, but in fact it is the largest cell in the human body.

Some women are able to feel ovulation. They notice some dull or stabbing growing pain that is barely noticeable if you don’t pay attention to it. Then a fairly sudden cessation of pain occurs - this means that ovulation has occurred.

The egg, leaving the ovary, is picked up by the villi of the fallopian tube, and they direct it towards the uterus and towards the sperm. The egg waits only 24 hours to meet them, and if not a single sperm reaches it, it dies.

If during these 24 hours the sperm merges with the egg, we can say that conception has occurred. As you can see, the moment of ovulation and conception are somewhat different in time.

Signs of ovulation

As already mentioned, some women feel pain in the ovary at the time of ovulation. It is difficult to tell whether this pain is caused by a burst follicle or simply tension in the ovarian area. According to doctors, ovulation cannot be felt, since the follicle does not contain nerve endings.

But it can definitely be said that the ovulation process is controlled by sex hormones, which affect the emotional state of a woman and even her body temperature.

A day or two before ovulation, the level of the hormone estrogen in the blood rises sharply, due to which a strong emotional and physical uplift is felt, and the feeling of sexuality and self-confidence increases. This hormone also helps increase vaginal discharge - cervical mucus, which becomes more liquid and transparent.

All this is not in vain, because these days are the most favorable conditions for conception. Ovulation has not yet occurred, but the sperm has just enough time to reach the location of the egg after it is released from the ovary. And cervical fluid has a composition that helps sperm reach their destination and remain active longer.

The hormone estrogen also affects basal body temperature, which is measured in a state of complete rest immediately after waking up in the rectum, vagina or mouth. Only with this measurement method can you see how the temperature before ovulation, under the influence of the hormone estrogen, decreases by 0.1 or 0.2 degrees.

At the very moment of ovulation, the temperature usually returns to its previous level, but the next day it increases significantly by several tenths of a degree. It is on this principle that the method of determining ovulation by basal temperature is based.

To summarize, we can highlight following signs ovulation:

Pain in the ovarian area (doubtful sign)
Improved mood, increased activity and sexual desire
Liquid, copious and clear discharge
Decrease in basal temperature

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Methods for determining ovulation

There are several ways to determine ovulation.

Let's look at each of them.

1 Calendar method used for stable menstrual cycle. Any girl can do the counting herself. With a menstrual cycle of 28 days, ovulation will occur on days 13–16. If the cycle length is 30 days, then on days 14–17.

2 Also, with determining the time of ovulation, it can help determine Ultrasound – ultrasound diagnostics.

To do this, it is necessary to observe the process of maturation of the follicle in the ovary, from which the egg will subsequently be released. At least three ultrasounds will be required, but it will be worth it. At the beginning of the cycle, several follicles of approximately the same size are visible in a woman’s ovary. A follicle is a sac in the ovary that contains an egg.

Then one of the follicles begins to grow and it becomes clear that it is from this follicle that ovulation will occur. Its size increases gradually from 1 mm to 20 mm. When the follicle reaches its maximum size, the doctor concludes imminent arrival ovulation and sends the woman home.

A few days later she visits the ultrasound room again, and if the follicle is no longer there, then it has burst and an egg has been released from it. In other words, ovulation has occurred.

3 There is also a traditional method for calculating ovulation - maintaining a basal temperature calendar.

Every day, as soon as the girl wakes up in the morning, measure the temperature in the rectum (insert a thermometer there).

Typically, the temperature at the end of menstruation stays at 36.6 - 36.9°, before ovulation it drops slightly, then rises sharply and remains between 37.0 - 37.3° until the next menstruation.

4 Most women use rapid tests, which are freely sold in pharmacies. Such tests react to the content of a special luteinizing hormone in a woman’s urine.

At positive result test, ovulation will begin in 16–26 hours.

Method for determining the level of luteinizing hormone (LH) in urine.

The very peak of estrogen that occurs in favorable days before ovulation, provokes the release of this hormone. Thanks to it, the follicle ruptures and the egg is released.

LH is detected in a woman’s urine 1-2 days before ovulation, and it is on its detection that the pharmacy ovulation test is based.

It should be done daily for several days, approximately in the middle of the cycle. It is important not to miss the moment when LH levels are highest.

This can be judged by the very bright 2nd line on the test. After this point, ovulation will occur in 1-2 days.

To achieve success in determining ovulation, it is not at all necessary to conduct several ultrasounds every month or endlessly buy tests. There is one plus to all this - every woman ovulates at approximately the same time in the cycle.