Premature ejaculation
Causes
Premature ejaculation is a common complaint.
It is thought to be caused by psychological factors or physical problems. The condition often improves without treatment.
Symptoms :
The man ejaculates earlier than he would like (prematurely). This can range from before penetration to just after penetration. This can leave the partner feeling unsatisfied.
Treatment
Practice and relaxation can help you manage this problem. There are helpful techniques you can try.
The «stop and go» method:
This technique involves sexually stimulating the man until he feels he is about to orgasm. Stop the stimulation for about 30 seconds and then start again. Repeat this pattern until the man wants to ejaculate. The last time, continue the stimulation until the man reaches orgasm.
The «squeeze» method:
This technique involves sexually stimulating the man until he 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 joins the shaft of the penis) for several seconds. Suspend sexual stimulation for approximately 30 seconds and then begin again. The person or partner can repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.
Antidepressants such as Prozac and other selective serotonin reuptake inhibitors (SSRIs) are often prescribed. These medications can increase the time it takes to reach ejaculation.
Anesthetic creams or local sprays may be applied to the penis to decrease stimulation. Decreased sensitivity in the penis may delay ejaculation. Condom use may also have this effect for some men.
Other medications used for erectile dysfunction may help. Some studies show that using a combination of behavioral techniques and medications may be most effective.
An evaluation by a sex therapist, psychologist, or psychiatrist may help some couples.