Ways To Prevent Premature Ejaculation

Psychological techniques involve exercises aimed at changing negative thoughts, reducing fear and anxiety, helping a man develop a healthy attitude to sex, dispelling old emotional issues around sex, and dealing with relationship issues which might be causing a man to come too fast (or which may be caused by a man's premature ejaculation).

Behavioral techniques to cure premature ejaculation involve masturbatory exercises by the man on his own, or with his partner.

And medical cures for premature ejaculation may involve medication - tablets or pills - or some other kind of medical treatment. (However there is no medical treatment specifically designed for PE.)

The driving force behind a man seeking a cure for premature ejaculation may be his own personal distress or the pressure he feels form his partner - or the effect PE has on his relationship. A barrier to a man seeking a cure may come from the shame and embarrassment he feels.

Psychological therapy is best used when the man's issues are clearly psychological. Some may argue that a combined psychological and pharmacological approach is more effective.

There are many psychological premature ejaculation cures, including cognitive-behavioral therapy (CBT), psychodynamic therapy, couples therapy and hypnotherapy. It's always important to treat relationship and accompanying sexual disorders. The aim of any psychological cure for PE is to enhance sexual communication and sexual repertoire, address intimacy and conflict issues, address low confidence and self-esteem and performance anxiety.

Psychological therapies address the individual and the couples' approach to sexuality in terms of their ability to relax and enjoy sexual encounters (e.g., looking at the reasons for having sex) and to check the expectations of how sex should be (e.g., frequency of sexual activity). A co-operative couple will benefit more from treatments designed as premature ejaculation cures.

A Guide to Premature Ejaculation Cures

Behavioral techniques to cure PE

Behavioral techniques, known as stop/start exercises, were initially developed in the 1950s by the American urologist Dr James Seman. The stop/start technique helps the man learn his sexual responses, discover when he is close to ejaculation (point of inevitability), and shows him how to pull back from this point. Stop/start exercises should be carried out daily if possible, and each stage should be continued until a change is noted, which may take up to three months or longer.

Stop/start exercise as a premature ejaculation cure

1 . Begin stroking from the tip of your penis to the base with your hand. Move your hand up and down. Don't think about ejaculation or trying to last longer; just notice the physical sensations in your penis as you are stroking it. As you get close to ejaculation notice the physical sensations in your body. Is there a build up, gradual or rapid, to the point of ejaculation?

2. Once you are familiar with these feelings, you begin to identify what happens before the point of inevitability, when it's still possible to stop ejaculation. To identify these sexual feelings stimulate your penis until before the point of inevitability. Then stop stimulating for 15 seconds, letting your arousal drop and then recommence stimulation. Try to do this at least three to five times before going on to ejaculation. Don't worry if you lose your erection, this is a normal part of this premature ejaculation cure system. If you do lose your erection you may need to take a few deep breaths and reintroduce sexual fantasy to regain excitement.

When you feel confident with the exercises and able to stop before the point of inevitability you can increase the degree of stimulation. This is a good time to introduce a lubricant while stimulating your penis as it creates conditions that are close to what your penis feels during penetrative intercourse.

When you are confident with the above exercises, you may decide to involve your partner.

Ask your partner to stroke from the tip to the base of your penis with their hand, and stop before the point of ejaculation inevitability when you indicate to stop. After a brief period of no stimulation, ask your partner to resume, and repeat the exercise three to four times, while you focus on the pleasurable sensations in your penis.

When you are comfortable, ask your partner to stimulate your penis using a lubricant.

Finally, lie on your back with your female partner in the superior position. Insert your erect penis into her vagina and ask her to make gentle thrusting movements. just before the point of inevitability, tell your partner to stop. Take a short break, and then resume the exercise again.

Stop/start exercises were further developed in the 1970s by the famous American sex therapist couple, William Masters and Virginia Johnson, with the squeeze technique. The squeeze technique is a firm squeeze to the end of the penis that results in some loss of sensitivity of the glans penis. The squeeze technique can be used on its own before penetration occurs or as part of the stop/start exercise after the stop command.

Squeeze the frenulum with your thumb and place your index finger behind the rim of the glans. The squeeze should be firm but not too painful and last for 10 -15 seconds. Your partner can also apply the technique as part of the premature ejaculation cure.

From Too fast? Learn To Last Longer by Michael Lowy and Brett McCann

The physiology of ejaculation

To understand premature ejaculation, it's important to know that ejaculation and orgasm are not the same thing. Ejaculation is the result of a short-lived reflex contraction of the pelvic floor muscles. This event is precisely organized by the brain, and it's an event which involves many different neural inputs and proceeds in a set sequence. The brain responds to sexual sensory input by provoking the sympathetic nervous system into first creating the emission phase of ejaculation - where semen, made up of fluid from both the prostate gland and the seminal vesicles, is passed into the base of the urethra. The expulsion phase of ejaculation takes place when semen is propelled out of the urethra by contraction of the bulbocavernosus and the levator ani muscles - these are elements of the pelvic floor musculature. As you know, this sequence of events is often called an orgasm but in reality orgasm is the sensation produced by the pulsation of the muscles of the pelvic floor, and this need not be accompanied by an ejaculation (click on the link for a clear explanation of the difference between orgasm and ejaculation).

Curing premature ejaculation may be as simple as discussing the problem

What you think of as premature ejaculation depends on what you want from sex. Some men can make love for up to fifteen minutes but still think they come prematurely. Conversely, other men come after one minute but still feel their sex life is fine. Often the most effective adjuncts to premature ejaculation cures is information. Simply discussing premature ejaculation with a man and his partner may help them to understand that they do not have a problem. Alternatively, they may try some medication which slows down ejaculation.

Premature ejaculation cures have often included psychotherapy or sex therapy. The stop/start technique, also known as the "squeeze" technique, where the tip of the penis was squeezed to reduce arousal and ward off ejaculation, was a mainstay of this approach. Other PE cures include local anesthetic applied to the penis to dull sensation: these are ineffective for both the man and his partner (who may develop a numb vagina!).

Other premature ejaculation cures: SSRIs and other antidepressants

Men who take antidepressants often experience a delay in ejaculation, a fact which focused research on how these drugs might be used as cure for premature ejaculation.

Tricyclic antidepressants can dramatically increase the period between penetration and ejaculation. But sadly they can also cause sexual dysfunction, headaches and nausea. Selective serotonin reuptake inhibitors (SSRIs) including fluoxetine, sertraline and paroxetine have been used, either officially or unofficially, as a cure for premature ejaculation and have become very popular. Since it now appears that effective premature ejaculation cure is possible, research will no doubt continue.

However, a warning if you decide to use SSRIs for treating your own premature ejaculation! Most men who do this try the drug without first telling their partners. And since the drug produces a significant increase between penetration and ejaculation, your partner will probably reach the conclusion you must be having an affair! (Which is, after all, one reasonable explanation for reduced libido and increased sexual latency.)

Furthermore, a lot of men stop using the drug after a short period of time because they find they are perfectly happy to ejaculate quickly. It seems that long lasting lovemaking is not everyone's real desire!

SSRIs have their effect by producing an increase in the amount of serotonin available to the central nervous system. There are some herbal compounds which have a similar effect - they work by increasing levels of the natural precursor of serotonin in the body. Such serotonin precursors supply the building blocks needed for the conversion of L-5-hydroxytrypophan (L-5-HTP) in the diet into serotonin in the body.

Herbal premature ejaculation cures

Anxiety is always seen in men with premature ejaculation, especially if they are at the start of their sexual career. Sexually inexperienced men may be stressed and over-excited, and the result of this over-arousal may well be premature ejaculation. Natural therapists use extract of Passiflora coerulea (chrysin) to reduce anxiety - the mechanism is similar to Valium®. This is a natural product (a bioflavinoid, in fact) that does not produce sedation or muscle relaxation.

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