There are several treatments available for premature ejaculation control, but none of them offer a permanent cure for the condition – unless you understand how the mechanism causing the problem works, and learn to control it.
Do not be fooled by the numerous promises circulating on the internet about premature ejaculation cure. Like erectile dysfunction, premature ejaculation has neurophysiological causes, and it is possible to learn to manage and control it.
To do this, it is first necessary to understand that premature ejaculation is a common sexual dysfunction, affecting approximately 30% of men. Also important to read medical research and try to understand what can cause the condition in each concrete case.
According to the American Psychiatric Association’s “Manual of Statistical Diagnosis of Mental Disorders” available online, premature ejaculation is defined as persistent or recurrent ejaculation with minimal sexual stimulation prior to intercourse, soon after penetration.
That is, ejaculation before we would have it happened …
Age does not solve the problem.
How often does this occur in different age ranges for men? There is the general idea that age would help slow things down. However, this condition is quite common at any age – but for different reasons.
According to a survey by the NHS, England’s public health system in 1999, 30% of men aged 18-29 stated that too much sexual problems were affecting their relationships.
The problem was recognized by 32% of men between the ages of 30 and 39, 28% of men aged 40-49 and 31% aged 50-59.
“Premature ejaculation can disrupt relationships and have a profound effect on people’s lives,” says Dr. David Edwards, president of the British Society of Sexual Medicine, BSSM.
“Once a patient is diagnosed with premature ejaculation, the first thing I do is reassure him, explain to him how common the problem is,” explains Edwards.
“There are many treatment options available. The BSSM offers an algorithm on your site with a guide for the different treatments, and which of these treatments are appropriate for each specific case, “advises the doctor, specialist in Medical Anthropology.
Um … so how does this work out?
There is a wide range of home-made techniques to try to control premature ejaculation, such as frequent sex (probably the most popular), pre-sex masturbation, or having sex with a woman on top.
Another popular approach is to use thicker condoms – a thicker wall can decrease penis sensitivity and delay ejaculation. Behavioral strategies such as “start-stop” and “squeeze” are often effective, but they do not provide a long-term solution.
Overcoming premature ejaculation with these techniques can take a few months, and many men have to continue to use them permanently indefinitely. But on average, 50% to 95% of men who use sexual techniques can eventually overcome premature ejaculation.
There is a risk of relapse if there are significant changes in the sexual routine – for example, a new partner or a stressful event, especially if the individual feels anxious. In general, the sooner you learn to master these techniques, the better.
In some cases medications like Priligy, an oral tablet that reduces sensitivity, are recommended. It is a quick fix and usually solves the problem effectively, but although it can be taken indefinitely to control premature ejaculation, it does not cure the condition.
What is this “start-stop” technique?
This is by far the simplest technique and can be practiced by the individual alone or with the help of the partner. The technique involves stimulating the penis and stopping before you feel like you are about to ejaculate.
The procedure is simple: hold the stimulation for 30 to 60 seconds, stop, and start over when you feel you have regained control. Repeat the process 4 to 5 times, stopping and “resting” each time you feel like you are about to have an orgasm. Finally, let the ejaculation occur, so you can identify the “non-return point”.
Many couples complain, however, of the inconvenience of this “game” and find it quite frustrating. The solution often passes by incorporating it smoothly into the sex ritual and take the breaks to focus on sources of pleasure other than the penis.
And the “squeeze” technique?
The squeeze technique works by squeezing the penis in the area between the shaft and the glans penis for about 30 seconds just before you are about to ejaculate.
The procedure stops ejaculation, but it can affect the erection, at least until it is stimulated again. You should then repeat the process 4 to 5 times, until you decide not to delay the orgasm any more. To be effective, the method has to be used for several months and requires great perseverance from the man and his (her) partner.
The idea behind this “squeeze” technique is that, after a while, man will be able to recognize the “no return point” and may delay future ejaculations without having to resort to the process. But this technique can be frustrating as it can disrupt sexual activity.
Take care of your partner
Preliminaries help increase partner’s satisfaction as well as delay ejaculation. In addition, longer preliminaries can improve the couple’s relationship by reducing performance-related dissatisfaction, frustration, and anxiety.
Be aware that the more pressure men feel during sex, the more likely they are to suffer from premature ejaculation.
Communication can also help you overcome many issues and any discrepancies between your wishes and those of your partner.
In short, what are the best tips?
Thick condoms: Try these if you think your penis is too sensitive. They can help decrease your sensitivity.
Focus on other sexual pleasures: this can lessen anxiety and help you gain better control over your ejaculation.
Talk to your doctor: Premature ejaculation is an easily treatable condition.
Diagnostic and Statistical Manual of Mental Disorders (DSM 5), APA
Treatment Algorithm for Premature Ejaculation (PE) July 2013, BSSM
Ejaculation problems are common sexual problems in men, NHS Choices
Ways to Control Premature Ejaculation, Euroclinix
In conclusion, if you suffer from premature ejaculation, know first of all that the condition is very common, but you have treatment – and that just lying down waiting for age to solve the problem will not work.