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Premature Ejaculation – Treatment Methods

Erectile dysfunction is one of the two major male sexual problems but it affects about 10% of men, while premature ejaculation plagues approximately 80% of males. According to some statistics one in three men suffers from premature ejaculation, which is a rate of 27%-34%. This problem can affect men of all ages.

The American Psychiatric Association defines premature ejaculation as ejaculation that occurs with minimum sexual stimulation or shortly after penetration takes place. In other words, this is a condition where men ejaculate earlier than they and their partners want, or shortly after penetration.

Premature ejaculation often causes distress and anxiety for both the man and his partner because the condition doesn’t allow them to fully enjoy the sexual act. Both partners feel dissatisfaction: the man is dissatisfied because he is unable to maintain his erection and to enjoy the pleasure for a longer period, while the woman can’t reach orgasms.

In addition, men suffering from premature ejaculation often question their masculinity and their confidence is significantly reduced. Such men often feel humiliated, frustrated and embarrassed, and their psychological condition may result in serious problems with their partners.

However, many men occasionally experience premature ejaculation during sexual intercourse, but as long as it does not happen frequently, there is no cause for the man to worry. The time period that qualifies for PE has however become a highly debatable topic owing to the fact that men ejaculate at different times during different sexual encounters. Scientists and researchers now define premature ejaculation as a condition in which the man achieves orgasm in about 120 seconds or 2 minutes after vaginal penetration. Others specify the number of penile thrusts, considering less than 8 to 15 thrusts prior to ejaculation to be premature. With that said, if this should occur on a more regular basis, then he may be suffering from PE.

It is important to know that if premature is experienced occasionally and not frequently, then the men shouldn’t worry much about it. As it comes to the period of time that is qualified as premature ejaculation, there is no unanimous opinion. According to some scientists we can talk about premature ejaculation of the man reaches orgasm about 2 minutes after penetration. Other scientists count the number of penile thrusts and accept that a man is suffering from premature ejaculation if he ejaculates after 8-15 thrusts.

Treatment of Premature Ejaculation

Very often, the treatment of premature ejaculation includes behavioral therapy, psychological consultation and special medication. These methods can be used separately or in combination. Behavioral Therapy This treatment method involves practice and relaxation which are very helpful for solving the problem. Behavioral therapy proves to be successful in between 60%-90% of men who suffer from premature ejaculation. It is important to mention that premature ejaculation often returns after the end of the therapy and its repetition many be required. The techniques used by behavioral therapy include:

The "Squeeze" Technique

The technique is developed decades ago and involves squeezing of the penis shaft when the man is ready to ejaculate. The squeeze is performed with the thumb and two other fingers for about 20 seconds, after the man had withdrawn from his partner. Then the partners resume their sexual intercourse. This technique helps men develop good ejaculation control.

The "Stop and Start" Method

This method makes men reduce their stimulation when they are about to climax. As men start and stop the stimulation, they will learn to make the sexual act much longer. This method is developed by Dr. Helen Kaplan and is very helpful for men who suffer from premature ejaculation.

Avoiding Sexual Intercourses

In some cases, couples may have to avoid sexual activities in order to reduce their anxiety. This method is very helpful because partners will be able to focus on other sexual plays and stimulation as they eliminate the pressure associated with sexual intercourses.

Additional Foreplay

In the partners are engaged in additional foreplay, they may achieve higher arousal thanks to extra stimulation. Kissing, hugging, petting, stimulating the breasts or genitals and other erogenous zones are perfect ways for this purpose.

Masturbation

Sometime behavioral therapy may include masturbation for about one or two hours before sexual activity. This will help for delaying ejaculation. In addition, the man who practices it will need more time to ejaculate during sexual intercourses.

Kegel Exercises

In some cases premature ejaculation is related to faster neurological response in the pelvic muscles. Kegel exercises are very beneficial in such cases because they help men obtain control over the PC muscle. The result is better control of ejaculation. Kegel exercises also make erections stronger and longer lasting.

Psychotherapy

Psychotherapy is very helpful for resolving problems and issues between the partners. These problems may include anxiety, stress, frustration and resentment, and they all may contribute to premature ejaculation. Usually, better results are achieved if the partners visit sessions together.

Contemporary psychological methods allow men to learn different ways to control and delay ejaculation, boost sexual confidence, reduce stress and anxiety connected with sexual performance, and improve communication between partners which is a good way to solve personal conflicts and issues.

Medications

Premature ejaculation can be treated with two types of medications – antidepressants and topical anaesthetic creams.

Antidepressants

In the 1990s specialists have discovered that antidepressants can be very useful in the treatment of premature ejaculation because one of their side effects is to delay ejaculation. Antidepressants increase the time needed to achieve orgasm.

But the Food and Drug Administration doesn’t approve the usage of antidepressants for treatment of premature ejaculation. Despite this fact, studies and tests have proven that these medications are safe and effective. Antidepressants that can be used in cases of premature ejaculations include serotonin reuptake inhibitors like fluoxetine (Prozac), paroxetine (Paxil) or sertraline (Zoloft), as well as tricyclic antidepressants like clomipramine (Anafranil).

Topical Anaesthetic Creams

These creams are applied directly to the penis and they reduce stimulation as they decrease the feeling in the penile area. The result of their effects is delayed ejaculation. The application of the topical creams should take place 10-30 minutes before sexual intercourse. The usage of a condom will improve and enhance the absorption of the creams. The condom can be removed before the intercourse, or can be used during it. Appropriate topical anaesthetic creams include lidocaine-prilocaine combination and SS Cream which is an herbal Korean cream.

The average time from sexual penetration to ejaculation is approximately three minutes. For this reason, you and your partner should communicate about your expectation in order to find out if they are unrealistic and demanding, or you are really suffering from premature ejaculation. Another important thing to consider is that female orgasm is not always a result of longer sexual act. Many women share that it is easier for them to reach orgasm through oral or manual stimulation rather than through the actual sexual intercourse. Consideration of all these aspects will make easier the diagnosis of premature ejaculation.

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