Premature ejaculation occurs when a man reaches orgasm sooner than he or his partner expects during sex. The criteria for diagnosing this condition are that men almost always ejaculate within one minute of penetration or are almost never able to slow down ejaculation. For most men, the average time to reach ejaculation is about 5 minutes. Premature ejaculation affects many men and can lead to feelings of frustration and embarrassment. Some men even try to avoid sex because of it. However, this problem can be managed through counseling, using sexual techniques to slow ejaculation, and medication. By dealing with this problem, you and your partner can enjoy sex.
Step
Method 1 of 2: Using Behavioral Techniques
Step 1. Try the pause-squeeze method
If you and your partner are willing, you can try the squeeze-stop method to learn to slow down ejaculation.
- Stimulate the penis without entering the vagina. Pay attention to when you are about to ejaculate.
- Ask your partner to squeeze the penis at the location where the head of the penis meets the shaft of the penis. Your partner should squeeze it for a few seconds until the urge to ejaculate is reduced.
- After 30 seconds, continue to warm up and repeat if necessary. This will help you gain control and allow you to insert your penis without ejaculating immediately.
- Another variation of the squeeze-stop method is the stop-go method. This method is the same as the stop-squeezing method, except that your partner is not squeezing the penis.
Step 2. Use self-help techniques
This is a do-it-yourself way that can help you slow down ejaculation.
- Masturbate before having sex. If you want to have sex later that night, try masturbating an hour or two beforehand.
- Use a thick condom that will reduce stimulation. The use of this condom takes longer to reach climax. Do not use condoms that are made to increase stimulation.
- Take a deep breath before ejaculating. This can help you stop the ejaculation reflex. In addition, it can also help think about something boring until the urge to ejaculate passes.
Step 3. Change positions during sex
If you're used to being on top, consider changing your position to be on the bottom or change to a position that will allow your partner to pull away if you're about to ejaculate.
Then, start having sex again when the urge to ejaculate passes
Step 4. Get counseling
You can do it alone or with a partner. This can help with:
- Anxiety or various tensions in life. Sometimes if men are concerned about their ability to achieve or maintain an erection, they can ejaculate too quickly.
- Traumatic sexual experiences when young. Some psychologists believe that if your early sexual experiences include feelings of guilt or fear of being exposed, you may have learned to ejaculate quickly.
- If you and your partner have problems in your relationship, this could be a contributing factor. This can be a problem if the problem is new and didn't occur in a previous relationship. If this is the case, couples counseling can help.
Step 5. Try a topical anesthetic
This drug is sold freely in the form of a spray or cream. You can spray or rub on the penis before having sex and these drugs can reduce the sensations you feel, thereby helping to delay climax. Some men, and sometimes their partners, experience a temporary loss of sensitivity and decreased sexual pleasure. The drugs commonly used are:
- Lidocaine
- Prilocaine
Method 2 of 2: Getting Medical Help
Step 1. See a doctor if self-help methods don't work
Sometimes premature ejaculation is a symptom of another problem that needs to be addressed. The possibilities are:
- Diabetes
- High blood pressure
- Alcohol or drug abuse
- Multiple Sclerosis
- prostate disease
- Depression
- Hormonal imbalance
- Problems with neurotransmitters. Neurotransmitters are chemicals that carry signals into the brain.
- Abnormal reflexes in the ejaculatory system
- Toriod condition
- Infection in the prostate or urethra
- Damage from surgery or trauma. This is not common.
- Inherited condition
Step 2. Ask your doctor about the drug dapoxetine (Priligy)
These drugs are similar to selective serotonin reabsorption inhibitor antidepressants (SSRIs) but are made to treat premature ejaculation. This drug is relatively new. If you get a prescription for this drug, you must take it within one to three hours before having sex.
- Do not take it more than once per day. This can cause side effects including headache, dizziness, and malaise.
- This medicine is not suitable for men with heart, liver, or kidney disease. This medicine may also interact with other medicines, including other antidepressants.
Step 3. Talk to your doctor about other drugs that can slow down orgasm
These drugs have not been approved by the Food and Drug Administration (FDA) United States for use in treating premature ejaculation, only known to delay orgasm. Your doctor can prescribe it for you to drink if necessary or every day.
- Other antidepressants. Possibilities include other SSRI medications such as sertraline (Zoloft), paroxetine (Paxil), fluoxetine (Prozac), or tricyclic clomipramine (Anafranil). Side effects are nausea, dry mouth, dizziness, and reduced desire for sex.
- Tramadol (Utram). This drug is used to treat pain. One of the side effects is that it can slow down ejaculation. Other side effects are nausea, headache, and dizziness.
- Phosphodiesterase-5 inhibitor. This drug is often used to treat erectile dysfunction. These medications are sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). Side effects are headache, skin redness, vision changes, and nasal congestion.
