Premature ejaculation is one of the most common sexual problems in men where a man ejaculates (comes) too quickly during sexual inter course causing distress for one or both partners.
International guidelines define premature ejaculation as regularly ejaculating within one minute of entering your partner while the average duration is five and a half minutes.
Some men ejaculate as soon as foreplay starts. Others may lose control during or just after penetration. Whatever the case, premature ejaculation can cause marital distress for the couple.
Types of Premature Ejaculation
There are two types of Premature Ejaculation:
- Primary premature ejaculation –Some men will have premature ejaculation from their very first sex
- Secondary premature ejaculation (or “acquired premature ejaculation”) – develop after a period of normal sexual activity due to various reasons.
The causes of primary premature ejaculation have psychological basis, such as having a traumatic sexual experience at an early age. Both psychological and physical factors may be responsible for Secondary premature ejaculation. Physical causes can include Drinking too much alcohol and inflammation of the prostate gland (prostatitis) are some physical causes while psychological reasons could be depression, anxiety, fear of performance, Childhood sexual abuse etc.
Consulting doctor or sex therapist for premature ejaculation is a good idea. If it is caused by a physical condition, treating the underlying condition should help. Your Doctor can suggest possible treatment options including medications and some devices.
Treating the psychological factors for premature ejaculation can be more challenging. However, perseverance with treatment will help the problem resolve.
Some of the following self-help techniques will help:
- Try masturbation an hour or two before having sex
- Allowing the partner to control from the top may help (to allow them to pull away when you are close to ejaculating)
- Distracting yourself by thinking about something completely different and take breaks in between
- Reducing penile sensation with the following will help:
- Using a thick condom or two condoms will decrease the sensation and prolong the duration.
- Local anesthetic sprays and creams can be used to reduce penile sensation and should be applied 30 minutes before sexual intercourse. Use these treatments with a condom to prevent absorption by your partner.
Try Pelvic Floor Exercises or Kegel Exercises
Such exercises will help you to strengthen the pelvic floor. To identify which set of muscles to work out, stop yourself from urinating in midstream. Once identified, tightly contract the muscles and hold for 10 seconds. Repeat 10 times, three times a day. Practice it when bladder is empty.
You can practice some behavioral techniques like the Semans ‘stop-start’ technique and the Masters and Johnson ‘squeeze’ technique.
It involves learning to control the sensations prior to ejaculation. Bring yourself repeatedly close to ejaculation, then stop and rest. If you practice it often enough, you will learn to recognize your ‘start of the finish point’
Masters and Johnson Technique
Try to squeeze the end of the penis just before ejaculation to lessen the urge to ejaculate.These exercises can be done alone or with your partner to help.
Psychotherapy and Counselling
Try to seek guidance of an experienced sex therapist to address any underlying anxieties about sex. If you have an understanding and supporting partner, try to seek couple therapy.