What do we mean by the term premature ejaculation?
Premature ejaculation (PE) is one of the most common sexual problems.
In a study done on several thousand British young men, roughly 10 per cent of them stated that they usually or occasionally have the problem. It has been found to be more common in younger men – because there is a marked tendency to improve with age. Men generally have better control as they get older.
How would you define the term PE?
It is almost impossible to give an accurate definition of premature ejaculation because the matter is individual and some couples feel that giving a definition would be inappropriate for both spouses.
At the 2006 Congress of European Science for Sexual Medicine, American investigative journalists reported that:
· The average length of time of a man with PE was 1.8 minutes
• Normal male duration is about 7.3 minutes
However, men were also included in the testing, stating that they had premature ejaculation because it could last much longer (up to 25 minutes). This clearly shows that people have significantly different desires which is to be understood.
But at the same congress, Professor Waldinger reported that 2.5 percent of men could not last 90 seconds inside the vagina. Such men absolutely have premature ejaculation.
As a working definition it is set that if both partners feel that the orgasm has come too fast then one can talk about premature ejaculation.
Is PE an important issue?
In a large number of cases, premature ejaculation is an important problem, because it makes people unhappy and frustrated. In some cases, premature ejaculation can jeopardize or even ruin a marriage because it disrupts the sexual life of both partners.
Sometimes the disease is so severe that men cannot have sex because they ejaculate before care enters the vagina which can destroy a man’s self-confidence as it can be very frustrating and upsetting for a partner – especially if she wants to get pregnant.
What is the cause of PE?
For years, sex experts have wanted to say that premature ejaculation is caused with earlyillnesses, but on the other hand, there are those who claim that men who had premature sexual experience belong to this group. In contrast, our own research found that many men with premature ejaculation did not have an early sexual experience.
Some men have had a problem with PE since the beginning of their sexual life, but there have been cases where their father had similar problems, which suggests that the time to reach orgasm is more likely to be inherited.
There is also no answer as to whether anxiety and nerves play a role in many cases of premature ejaculation but it has been reported that nervous men are more likely to come faster. The answer to this is why many men who take a small amount of alcohol that acts on the nerves are less prone to premature orgasm. But alcohol should by no means be recommended as a therapy.
Treatment of mild cases
In mild disorders of premature ejaculation – for example someone cums for five minutes but would like it to last 10 there is no reason for treatment.
In these cases, the condition can be improved with simple distraction techniques
which means turning your attention to something completely unimportant. For example, during a relationship, one can think of something completely unrelated to sex, or attention can be distracted by a mechanical stimulus, e.g. by pinching.
Local anesthetic gel
Some men try to treat themselves with a local anesthetic gel that is applied to the torso of the genitals just before intercourse.
This gel is registered as an agent that reduces sensitivity in the genitals.
The use of the gel is not recommended as the local anesthetic may weaken the sexual sensitivity of the partners and may also cause an irritating skin reaction in both partners accompanied by severe itching redness and pain.
Condom use
German scientists have come up with a different concept that does not cause irritation.
Its name is “long-lasting love condom” and it contains the local anesthetic benzocaine.
“Long love condom”can be bought in many countries under different names.
Several male patients have commented positively on this method, but there is still a risk of an allergic reaction to benzocaine.
What to do in severe cases of PE?
Treatment for much more serious cases
If premature ejaculation causes significant problems it is best to consult experts.
Masters-Johnson method
This method of treatment is of great importance for men and requires that both partner and partner are interested in cooperation (which is not always the case). It is based on a special “holding of the penis” developed by the American therapist Mastersai Johnson.
In this method, holding a finger on the male genitalia eliminates the desire for completion, which, if the couple carefully follows the instructions, can train a man well, and he can finish much longer.
What does this method involve?
• The partner puts her hands so that the thumb on one side of the male genitalia is erect (closer to the side when she is facing him)
• Her index finger and middle finger are on opposite sides
• The index finger is just above the groove of the glans (“head”) while the middle finger is just below it
• When a man feels he is nearing the end he tells his partner
• She then squeezes his torso tightly between her thumb and other two fingers. (sorry this is painful).
Is this method really good?
Many men with premature ejaculation that lasted 30 seconds extended the time to reach orgasm and to half an hour after a serious workout that lasted about a month.
It should be noted that until this method becomes part of an organized program it will most likely not work.
The Masters and Johnson procedure should be demonstrated personally and professionally because many couples who have tried to learn a technique from the internet or a book have done it wrong.
Our advice is to learn it from professionals. In the UK, try contacting organizations that deal with this.
Can antidepressants be used?
In recent years, there has been support in treating the problem of premature ejaculation with antidepressant medications taken a few hours before sexual intercourse.
This method may seem a little strange, but the side effects of certain adtidepressants are associated with delaying a male orgasm. For most men, side effects are undesirable, but for boys with premature ejaculation they are desirable.
Antidepressants commonly used for this purpose include Clomipramine (Anafranil), Fluoxetine (Prozac) and Sertraline (Lustral), but before use it should be noted: these are strong drugs that prolong orgasm but also have significant side effects.
Talk to your doctor carefully before use.
In many countries, antidepressants are now sold illegally in bars and on the streets as “orgasm pills.”
We do not recommend buying antidepressants for such unimportant indications. If you want to use them for the problem of premature ejaculation, talk to your doctor.
What is the significance of drugs with nasal inhalation
In late 2008, companies in the UK began advertising nasal spray as a product to treat premature ejaculation.
The advantage of the spray is that it spreads inside the bloodstream faster than it could be by taking it by mouth.
The drug that is mainly used in this new nasal spray is clomipramine– which belongs to antidepressants.
In 2009, sex clinics continued to suggest the use of pain medications such as Tramadolin nasal spray to treat PE. But the use of Tramadol has a lot of side effects that include mental confusion and abdominal pain. It is also linked to morphine and abuse in people who have a drug problem
Special constricting agents
In 2000, clinical trials of new techniques for treating premature ejaculation were published in the medical press.
They were published at St George’s Hospital in London and included a daily thirty-minute wearing of a constrictive ring under the glans penis. The theory was to reduce the sensitivity of the genitals.
Unfortunately, the inventors could not publish the results of a long scale of experiments.
Our advice is not to try constriction techniques on your own initiative as it must be prescribed by experts from a sexual problems clinic.
New drugs:
At a medical conference in December 2004. A new drug was announced on the UK market in 2005. but the drug has not yet received approval for use.
The drug is a tablet called dapoxetine– a name associated with the antidepressant drug Prozac but much less effective.
Unfortunately, the results of the study show that only about 45 percent of men said that the drug gives good results. In contrast, possible effects of dapoxetine include dizziness, nausea, insomnia, headache, and diarrhea.
However if you have a major problem with PE, these medications could really be a choice when they become available.
Cognitive-behavioral method (cognitive-behavioral techniques) (stop-start techniques)
In December 2006, at a conference on sexual medicine in Vienna, the first speaker, Dr. Mehmet Sungur, spoke about the cognitive-behavioral method.
This method is based on a change in a man’s psychological approach to sexual intercourse based on a prudent approach to sexual intercourse that may prove to be a poor choice.
For example, a man may believe that he must be infinitely perfect in order to give a woman pleasure, but thinking like that is not only harmful for a man, it is also wrong. Most women want penetration but get the most pleasure from foreplay – usually preferring to cuddle and foreplay each other.
The CBT method aims to change male habits using some methods such as the stop-start technique.
What is a stop-start technique?
Stop-start techniques
1. Men are encouraged to masturbate on their own
2. They are encouraged to masturbate with dry hands for a period of time
3. They are encouraged to masturbate almost to the point of ejaculation and then stop
4. They should do it three times
5. They were allowed to ejaculate for the fourth time
When they learn this, they can try to masturbate with wet hands that will look much more like the inside of the vagina.
Obviously these techniques can be more easily adopted with the help of a therapist and most men will benefit more from learned treatments than from self-learned stop-start techniques.
Taken from:Dr David Delvin, MD and family planning specialist andChristine Webber, physiotherapist.
Keywords: Premature ejaculation, antidepressant drugs, start stop techniques,
In short: Premature ejaculation is one of the most common problems in the sexual life of many couples. In short: Premature ejaculation is one of the most common problems in the sexual life of many couples.
Did you know: that BigPRX is a great dietary supplement to improve problems in men suffering from PE.
