Premature ejaculation

   

Premature ejaculation happens when a man has an orgasm sooner than he or his partner would like. Premature ejaculation can happen before or shortly after penetration.
There is no set time for how long a man should “last” during sex. But when a man has an orgasm before he wants to, he loses his erection and can’t continue with intercourse. Premature ejaculation can be frustrating and embarrassing. You may feel you don’t have enough time to enjoy sex. You may have difficulty satisfying your partner. For some men, embarrassment about premature ejaculation can cause problems with intimacy and damage their relationships. Premature ejaculation is a common problem among men. About 30% to 40% of men have this problem at some time in their lives.

What causes premature ejaculation?

A number of emotional and physical factors can lead to premature ejaculation. It may happen when a man becomes too excited or stimulated, or if his penis is very sensitive. It may also happen if a man is nervous or uncomfortable with a new partner. Other common causes include the following:

v Anxiety about performance

v Guilty feelings

v Depression

v Stress

v Relationship problems

Men who have a low amount of a special chemical called serotonin in their brain may have problems with premature ejaculation.

Some medical treatments may help with premature ejaculation, but there is no permanent cure for it. However, males may learn to control their ejaculation and find more sexual satisfaction using a number of remedies, including supplements and exercise. Keep reading to learn more.

Exercises to Control Premature Ejaculation

Various pelvic floor exercises may help train the muscles involved in ejaculation. By becoming aware of and strengthening these muscles, it may be possible to increase orgasm control.

One study found that a 12 week program of pelvic floor exercises helped males with premature ejaculation control their ejaculatory reflexes and increase their time to climax.

The pelvic floor muscles are the same muscles involved in cutting off the flow of urine. To find them, a male should urinate and then cut off the urine flow midstream.

To perform pelvic floor exercises, lie or sit in a comfortable position without putting pressure on the perineum, which is the area between the anus and the genitals.

Tighten the muscles involved in cutting off the flow of urine, holding them as tight as possible for 5 seconds. The muscles should feel as though they are lifting up. There may also be a pressure sensation inside the body, near the muscles.

Release the muscles and rest for 5 seconds. Repeat this process 10 times for one session. Do two or three sessions each day.

Condoms

Wearing a condom during sex may work in a similar way to using topical creams, by temporarily dulling the sensation in the penis. In some cases, this may increase the time it takes to orgasm.

Some companies make thicker condoms or condoms with a numbing agent on the inside to help decrease sensitivity further and help increase a male's time to orgasm.

Techniques

There are some techniques and methods that a male can try during sex that may help with premature ejaculation. These include:

The squeeze technique

The squeeze technique helps physically control an orgasm. It may also help a male identify the sensation of orgasm and learn how to control it.

During this method, a male or their partner should stimulate the penis until they are close to ejaculation. They must then firmly squeeze the shaft of the penis, so that the erection partially goes away and the impending orgasm subsides.

Going through these steps may help a male identify the sensations that lead to orgasm. Understanding these sensations can lead to better control over ejaculation.

The stop-start method

The stop-start method is another physical technique for sexual practice.

During this method, the male or their partner should stimulate the penis until climax is imminent. They should then stop all stimulation and allow the feeling of the upcoming orgasm to go away completely.

After the pleasure subsides, the male or their partner should stimulate the penis again and stop again just before the orgasm. Continue the cycle a third time, and allow the ejaculation on the fourth.

This practice may help a male identify the sensations that occur just before orgasm. Exploring them in this way can make it easier to identify or control ejaculation.

Topical drugs

MEDICATIONS

Some topical therapies may be applied to the penis before sex, with or without a condom. These local anesthetic creams reduce stimulation.

Examples include lidocaine or prilocaine, which can improve the amount of time before ejaculation.

However, longer use of anesthetics can result in numbness and loss of erection. The reduced sensation created by the creams may not be acceptable to the man, and the numbness can affect the woman, too.

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