Premature Ejaculation - Treatments

Treatment Options - Methods and Medications

There are many treatments for Premature Ejaculation.  None has proved successful for all men, that is why there are so many different avenues and strategies.  We will try and cover the most popular methods in this article:

The Squeeze Technique:
Step 1:  Begin sexual activity as usual, until you are almost ready to ejaculate.

Step 2:  Pull out and have your partner squeeze the end of your penis at the point where the head (glans) meets the shaft.  Hold the squeeze until the urge to ejaculate is past.

Step 3:  After the squeeze is released, wait 30 seconds, then go back to foreplay.  Squeezing usually causes the penis to become less erect.  You will soon regain your erection with stimulation, and then resume sexual activity.

Step 4:  When you again feel you are about to ejaculate - repeat step 2 and step 3
Practicing the squeeze technique may help a man develop the habit of knowing how to delay ejaculation.

The Masters-Johnson Method:
The Masters-Johnson is very similar to the squeeze technique.  Doing this method is best learned and demonstrated by an expert counselor that specializes in this method.  Most couples who try to learn it from a book get it wrong.

There are similar exercise programs designed to prevent premature ejaculation, on many Internet sites.   They claim to have very successful results, but most of them give you no clue, as to what is involved until after you pay them for their program.  It is very difficult to give any information in this article either pro or con on these programs.

Start and Stop Method:
This is pretty self explanatory.  You need to have an understanding partner that will work with you.  When you get close to ejaculating, stop sexual activity and wait for things to settle down.  When you are calm again, you resume.  This method can be very frustrating for both partners, but so is premature ejaculation.  Information on the success of this method is almost non-existent.  I know anxiety plays a big part in this problem and think this method would produce more anxiety.

Masturbation Technique:
Masturbate an hour or two before intercourse, so that you'll be able to delay ejaculation during sex.  Sometimes it is helpful to focus on other types of sexual play to help remove pressure from your sexual encounters.

Medications:

Topical Anesthetic Creams are sometimes used to dull the sensation on the penis to help delay ejaculation.  These creams contain Lidocaine, Prilocaine or Benzocaine, which can also reduce sexual pleasure in some individuals, due to lessened sensitivity.
  
The cream is applied a short time before intercourse and then wiped off, after your penis has lost enough sensation to help delay ejaculation.  Female partners in some studies reported reduced genital sensitivity and sexual pleasure.

A new product available are condoms that are treated on the inside to lessen sensitivity and thus offset reduced sensitivity for your partner.

Antidepressants have been noted to delay orgasm in some men and have become a popular treatment choice.  You doctor may prescribe Fluoxetene (Prozac), Sertraline (Zoloft), lustral or Paroxetine (Paxil), to help delay ejaculation.  If your condition does not improve with  the above prescriptions, your doctor may prescribe Clomipramine (Anafranil), which also is available in a nose spray.

You may need to take these medications every to day to prevent premature ejaculation.  Some side effects of antidepressants can include drowsiness, nausea, dry mouth and decreased libido.  This class of medication are listed as Serotonin re-uptake inhibitors.  They work by reducing anxiety and chemically promoting a feeling of well being.  This is also the way they work to reduce depression.

Psychotherapy:
Talking with your mental health provider about relationships and experiences, can help reduce performance anxiety.  Effective methods of coping with stress can help produce positive results.  Many couples produce good results by talking with a therapist together.

Herbal Remedies:   

Damiana:  This shrub grows in Mexico, Central America and the Dutch Indies.  Men swear by it's effectiveness in increasing erection quality and the ability of maintaining erection even after cumming.  I find this amazing.  It is worth checking into.  Click on this link and scroll down to the bottom of the page to read more:  http://www.sexuallyhealthyman.com/2010/10/cumming-too-soon.html

Topical Spray:

KY jelly is a name we are all familiar with.  They also make a desensitizing spray that is effective for prolonging sex.  It must be sprayed 10-15 minutes before sexual intercourse. The spray needs to soak in and dry first, otherwise it may cause numbness or loss of sensation to your partner.

 
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