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It is critical that this issue be addressed with a health care provider with whom the person or couple can feel comfortable and openly discuss sexual behaviors and concerns. Treatment may involve the provider simply explaining why premature ejaculation occurs, assuring the person or couple that it is a normal part of the male sexual response, and providing techniques that may assist the man in learning to delay ejaculation. In about 95% of cases, the man is able to learn ejaculatory control through education and practice of the simple techniques outlined.

Treating premature ejaculation

As to treating premature ejaculation, here are a list of things that DON’T work:

1. Long-term psychoanalysis

2. Getting drunk

3. Using one or more condoms

4.Concentrating on something other than sex while having sex

5. Biting one’s cheek as a distraction

6. Frequent masturbation

7. Creams that numb the penis

8. Testosterone injections

9. Tranquilizers

So,  How to treat a PREMATURE EJACULATION? What can be done for PE?

Depending on severity, chronic premature ejaculation can be significantly reduced, or completely cured. Most sex therapists prescribe a series of exercises to enable the man to gain ejaculatory control. While the exercises are intended for men who suffer from premature ejaculation, other men can use the exercises to enhance their sex lives.

There are legitimate ways, to treat premature ejaculation

A: Very mild cases (‘last’ a good five minutes but would like to last 10)

If you have very mild PE (for instance, if you can ‘last’ a good five minutes but would like to last 10), there’s probably no point in going to a doctor. Why? Because you should be able to improve matters by simple ‘distraction techniques’. This means turning your mind to something else when you sense that a climax is near. For instance:

think very hard about something totally unconcerned with sex.

pinch yourself hard.

bite the pillow.

Some men try to treat themselves with a local anaesthetic gel. This product is advertised to the public as a good way to ‘damp down’ sexual sensation in the penis. But we do not advise using it firstly, because the local anaesthetic can ‘dull’ the sex sensation for the partner, and secondly because it can sometimes cause a distressing skin sensitivity reaction.

B:  Getting help for more severe cases
1. The squeeze method developed by  Masters-Johnson

The “squeeze” method Developed by Masters and Johnson, involves sexual stimulation until the man recognizes that he is about to ejaculate; at that point, the man or his partner gently squeezes the end of the penis (where the glans meets the shaft) for several seconds, withholding further sexual stimulation for about 30 seconds, and then resuming stimulation. This method has the partner stimulate the man’s penis until he is close to ejaculation. At the point when he is about to ejaculate, the partner squeezes the penis hard enough to make him partially lose his erection. By circling the hand just below the head of the penis, a squeeze will prevent ejaculation. The sequence may be repeated by the person or couple until ejaculation is desired, the final time allowing the stimulation to continue until ejaculation occurs.
The goal of this technique is to teach the man to become aware of the sensations leading up to orgasm, and then begin to control and delay his orgasm on his own. This technique progresses from manual stimulation to motionless intercourse to intercourse with both moving.
Masters and Johnson reported that 98 percent of couples who learned and used these techniques had success treating premature ejaculation.

The stop and start method can be used with the squeeze method as well.
2. The stop-start method
By far the most common exercise is the so-called start-stop technique. While the technique varies, the purpose is to get the male accustomed to maintaining an erection for an extended period of time while gradually increasing sexual tolerance. In doing this exercise, the male obtains an erection through self-stimulation, or masturbation. After achieving an erection, he stops stimulating himself until he begins to lose his erection; at that point, he begins to stimulate himself again. Gradually, over a period of several weeks, he is able to stimulate himself for longer periods of time, eventually gaining ejaculatory control.
Stop-start involves the partner stimulating the man’s penis, except that when the man instructs, the partner stops stimulating the man’s penis before ejaculation becomes inevitable. Then as he feels he regains control, he instructs the partner to begin stimulating his penis again. This procedure is repeated three times before allowing the man to ejaculate on the fourth time. The couple repeats this exercise three times a week, until the man has good control, then they progress to stop-start with lubrication, and then intercourse with the woman on top and the man not moving. He again instructs her to stop moving when he senses he is losing control.
This involves sexual stimulation until the man recognizes that he is about to come; the stimulation is then removed for about thirty seconds and then may be resumed. The sequence is repeated until ejaculation is desired, the final time allowing the stimulation to continue until ejaculation occurs. For example If you find yourself nearing climax withdraw your penis from your partner and allow yourself to relax enough to prevent ejaculation. By starting and stopping sexual stimulation you can learn to prolong the sex act.
The couple progresses over subsequent times to the having the man move, then side by side intercourse. Instead of stopping and starting, the couple may progress to merely slowing down to enable the man to regain control of his urge to ejaculate. The therapists counseling patients using this stop-start technique report a 90 percent success rate in delaying ejaculation.

While exercise methods are effective, they both rely on the cooperation of the man’s partner, which in some cases may be a problem. In order for this technique to be successful, the male should avoid feeling discouraged if he ejaculates rapidly; instead, he should use his sexual responses to learn how to vary the technique in a way that most benefits him. The male can choose to integrate his partner into these exercises.
Therapists counseling patients using this stop-start technique report a 90 percent success rate in delaying ejaculation.

3.Kegel exercises
Researchers have noted that men who suffer from premature ejaculation have a faster neurological response in the pelvic muscles. Simple exercises commonly suggested by sex therapists can significantly improve ejaculatory control for men with premature ejaculation caused by neurological factors. Often, these men may benefit from anti-anxiety medication

Kegel exercises, which consist of flexing the pelvic muscle, also play an extremely important role in achieving ejaculatory control. A person can learn to flex his or her pelvic muscle by abruptly stopping the flow of urine while going to the bathroom.
Kegel exercises can be performed at any time. The exercises vary, but their aim is to strengthen the pelvic muscle. The male might flex his pelvic muscle for ten seconds, relax for ten seconds, and then repeat the cycle for as long as he can. Or he might flex the muscle ten times, relax, and flex it ten more times, and so forth. Eventually he will be able to flex his pelvic muscle for longer periods of time. Together with these exercises, he should practice learning to release all pressure from the pelvic muscle, which enables the relaxation necessary for sexual satisfaction. The male might also benefit from performing these exercises while erect. While Kegel exercises are helpful in overcoming premature ejaculation, they have been shown to improve the sexual response in both men and women.

4. Drug Therapy

Recently there have been reports in the urology literature of successful treatment of premature ejaculation through the use of low dose antidepressants including Anafronil, Prozac, and Zoloft.

In recent years, it has also proved possible to treat PE with antidepressant drugs. But  antidepressants are well known for the side-effect of delaying male climax. Antidepressants that are commonly used for this purpose include clomipramine (Anafranil), fluoxetine (Prozac) and sertraline (Lustral). But please be warned: these are powerful drugs, lasting a long time in the body, and with a considerable list of potential side effects. Before going on to one of them, talk it over carefully with your doctor.

One of the known side effects of these medications when used for depression is significantly delayed ejaculation. In the studies, extremely low doses of the antidepressant medication have prolonged ejaculation by at least 5-10 minutes with very few side effects.

Currently these medications are the most popular treatment. The medication is given approximately four hours before intercourse and will result in a significant delay of ejaculation. Few patients have described any side effects with this treatment. On certain occasions, the medication is given on a daily basis. It should be pointed out that this medication is not approved by the FDA for treatment of premature ejaculation. When combining the medication with the exercised,  a man can begin to take control over his ejaculation time.

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