Premature Ejaculation: Home Doctor & Self Therapy

Premature ejaculation, in which a man reaches orgasm and ejaculates with minimum stimulation, just before or shortly after penetration, is a common sexual problem, especially for young men. The problem is mainly due to excitement and/or anxiety and often occurs at the start of a new relationship and resolves itself over time. However, recurrent premature ejaculation can be physically and emotionally frustrating for both partners and may harm a relationship. Stress and depression aggravate the condition; some men become so anxious they have difficulty getting an erection. Rarely, the cause is a prostate or nervous system problem.

What you can do yourself

Because anxiety is a major part of premature ejaculation, talking about the problem with your partner may help to resolve it. There are also several techniques you can try.
● If you are in a long-term relationship, share your feelings with your partner. Discuss the problem calmly and good-humoredly when you are not engaged in sex. Don’t blame yourself or feel guilty.
● Some men find wearing a condom dulls sensation sufficiently to delay ejaculation. Some types of condom have a desensitizing lubricant inside that contains a mild topical anesthetic. These may be even more effective. Don’t try using anesthetic gel without a condom – it will reduce sensation in your partner, too.
● Try using the squeeze technique (see PRACTICAL TECHNIQUE, below) to help you control ejaculation.
● Focus your attention on your partner’s pleasure during foreplay and delay penetration for as long as possible. If your partner is close to or has reached orgasm before penetration, you will both feel less anxious about premature ejaculation.
● Try experimenting with different sexual positions. Having your partner on top, for example, may be less stimulating and help you delay ejaculation.
● During intercourse, distract yourself by thinking about something totally unrelated and somewhat dull: count backward in threes or think about work.

PRACTICAL TECHNIQUE

The squeeze technique This method of preventing premature ejaculation can be carried out by you or your partner.
● When you feel you’re about to ejaculate, use your thumb and forefinger to squeeze the shaft of the penis just below the head, as shown below. This causes your erection to be partially lost, temporarily preventing ejaculation.
● By practicing this technique regularly, you can achieve greater control over ejaculation, and this will boost your sexual confidence. Eventually, you will no longer need to use the technique.
Apply pressure: Use the thumb and forefinger to apply pressure just behind the head of the penis, on the upper and lower sides.