- Important Points To Remember
- Rapid or Premature Ejaculation Affects…
- Definitions Of Premature Ejaculation
- Negative Impacts
- Causes Of Premature Ejaculation (PE)
- Potential Solutions To Overcoming PE
- Other Means To Overcome PE
- Be Persistent
Premature ejaculation is probably among the major issue men faces today when it comes to sex compared to numerous other sexual disorders like erectile dysfunction(ED) and decreased sex drive or libido.
Although there is no exact number of men suffering from PE, statistics shows that 1 of every 3 men is experiencing PE, and it can occur at all ages.
There was a survey conducted revealing percentage of men in certain age brackets who are experiencing rapid ejaculation or reaching their sexual climax too early prior to what is desired.
Important Points To Remember
Before going further, one should take note these important points regarding premature ejaculation.
- Subject involving premature ejaculation is an evolving field of study, and as much as yet to be learn how common it is or causes it, and how best to treat it.
- Treatments described are not necessarily approved for use in premature ejaculation by the FDA, other regulatory bodies. They are used based on clinical experience, research data, and consensus among experts clinician in the field.
- Treatments should be individualized with the physician, and potential benefits must outweigh the potential risks.
Rapid or Premature Ejaculation Affects…
- 30 percent of men age 18 to 29
- 32 percent of men age 30 to 39
- 28 percent of men age 40 to 49
- 31 percent of men age 50 to 59
Definitions Of Premature Ejaculation
There are many ways to define premature ejaculation. Here are the ones that come from AUA and ISSM.
AUA(American Urological Association) defined premature ejaculation as…
Ejaculation that occurs sooner than desired, either before or shortly after penetration causing distress to either one or both partners.
ISSM(International Society For Sexual Medicine) defined premature ejaculation as…
A male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration; and inability to delay ejaculation on all or nearly all vaginal penetrations; and negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy.
One of the challenges facing doctors treating this condition is there has been previously little agreement as to how to define it. The definition by the AUA just quoted is based on medical history alone. In other words, the diagnosis has been made after a careful interview with the patient and his partner.
Others have tried and attempted to define premature ejaculation precisely by measuring what is called IELT(Intravaginal Ejaculatory Latency Time), whereby a patient or partner uses a stopwatch to measure the time to ejaculation from the time of penetration. Based on large studies around the world, it appears the average time for most men is between 4 to 7 minutes. It has been proposed the following conclusion can be drawn based on the measurement of IELT.
If the time interval is less than one minute, the patient has premature ejaculation, and if it is 1 to 1.5 minutes he probably has PE.
It is worth noting that 6% of men report a more severe situation wherein they ejaculate during foreplay before being able to achieve penetration at all. Measuring vaginal penetration time to ejaculation in this manner is obviously cumbersome for the couple. Hence, this method is commonly used for research purposes only.
In clinical practice, the diagnosis is usually made by simply questioning the couple. Many questionnaires have also been used to diagnose and assist PE, but again, these are mostly used for research purposes.
This sexual condition has several negative consequences in a man’s sexual relationship like;
- Less frequent intercourse
- Anxiety about having intercourse
- Less sexual satisfaction
- Reduced self-esteem
- Distress or less sexually satisfied partner
- Relationship problem
On the other hand, premature ejaculation does not affect the man’s sexual desire or reduce his ability to become aroused.
Causes Of Premature Ejaculation (PE)
The old thinking was premature ejaculation was purely a psychological problem relating to early sexual experiences and conditioning, and anxiety related to sexual performance. More recently, doctors have learned that premature ejaculation is mostly a biological and not psychological problem.
Today, scientists who conducted studies about the subject now learn that PE is a complicated issue. Though it appears simple to most men, the process involves a highly complex interaction of both biological and psychological factors.
PE can be attributed to various factors such as anxiety, excessive arousal, muscular tension or even repetitive learned behaviors. Any of these factors or perhaps a combination can impact one’s control of ejaculation.
It is likely in many men there may be a genetic link to premature ejaculation leading to a relative lack, or poor response to certain chemicals that transmit signals require to delaying ejaculation. The chemical in the nervous system that has been pinpointed is called Serotonin, or 5HT.
In almost half of men with premature ejaculation, there may be an important association with erectile dysfunction(ED). In some, early ejaculation maybe a separate issue while in others, it results from rushing intercourse because the erection does not last long, or from performance anxiety resulting from the erection problem.
It may also relate to prolong stimulation required to achieve a full erection. The psychology of evolution suggests that men learned to ejaculate too quickly in order to end sexual activity for various reasons.
Potential Solutions To Overcoming PE
Fortunately, men who suffer premature ejaculation have lots of options. We’ll attempt to list the most common ones that are successful in helping men overcoming this issue. We’ll start with the most natural one and move along towards using medications, creams, and sprays.
Minimize or Eliminate Anxiety
One of the best methods to reduce or even eliminate anxiety is through relaxation. Learning how to calm down, relax both body and mind can lower anxiety levels significantly.
Premature ejaculation is primarily linked with infrequent sexual activity resulting men to feel super excited and get aroused so easily. This feeling of anxiety can be manifested during sex encounter, even men who have frequent sex can still experience such feeling super excitement.
For men who feel cannot control their sexual arousal, doing relaxation on a regular basis can help. In addition, hypnosis and visualization exercises are both helpful, as well. Imagine yourself engaged in a sexual imagery inside the bedroom.
Visualize both your behaviors and interactions while calming the entire body and mind. Anyone can do this, but it is not easy to begin if one is not accustomed using these techniques. In that matter, seeking a professional help is incredibly useful.
Moreover, being open to your partner is a considerable relief. Never be ashamed with your partner to tell her about it. The majority of women understands the issue and willing to help you along in overcoming premature ejaculation issue. Most men who have such issue choose to keep it for themselves which can lead to stress.
Other causes of sexual anxiety for men are body image, penis size, relationship issues and other known stressors such as financial, work, health and family issues. Over time, all these can add up and can cause a higher anxiety in the bedroom that often occur unconsciously.
Hence, practice relaxation and talk to your partner about the issue. Often, having a vacation that takes you away from stressful work can help.
Releasing Pelvic Muscle Tensions
When there is an intense feeling of arousal, muscular tension can be felt within the pelvic floor muscles. Most men do not know how to release such tension. The tension in pelvic muscles can lead to out of control when ejaculation is about to explode. Orgasm is about the contraction of the muscles and releasing the tension.
In order to have full control of the pelvic muscle tensions, activities such as yoga, relaxation to reduce stress and anxiety, stretching exercises and any other exercise that can help reduce tension in the abdominal and pelvic areas are all worth doing. Additionally, let your partner gives you a full body massage, or visit a massage spa to let the muscles of the entire body relaxed.
Moreover, Kegel exercise can help in releasing the tension in the pelvic area as well as make the Pubococcygeus Muscles strong.
Perform Helpful Penis Exercises
There are penis exercises that are very helpful in desensitizing the penis like JELQING and EDGING. Jelqing is not only proven effective penis exercise routine but it also a great means of overcoming premature ejaculation. The milking movement employed in Jelqing can be helpful in making the penis less sensitive to reaching quick orgasms.
Edging technique, on the other hand, an effective way of training one’s mind and body to overcome the intense urge of ejaculation. Edging is an advanced masturbation technique and can be both used as a means of overcoming premature ejaculation and enjoying the maximum pleasure of masturbation.
There are other two exercises that are of great help for those who are suffering from rapid or early ejaculation. These are basic exercises but when implemented consistently, it can have a great impact to overcoming premature ejaculation. In the future, Start-Stop and Squeeze techniques will be covered in details.
Making Use Of The Start-Stop Method
This method has been tested to achieving full control of ejaculation and improving sexual performance at the same time. The start-stop method is a penis exercise and stimulation without actual sex intercourse. It is training to finding the point of no return or the intense feeling prior to ejaculation.
When the point of no return is reached, penile stimulation is stopped and allow the body to calm down in order to delay ejaculation. At this point, most men will squeeze the PC muscles in order not to ejaculate.
Essentially, this is about training both the body and mind to delay ejaculation when the onset of orgasm occurs. The main goal of this method is to extend the plateau stage of the sex response period putting a longer time between excitement and orgasm stages.
Most men cannot achieve full control during the first attempt to practice this method. Most men learned to control it fully for months of doing the exercise. Most of the time, it provides gradual, yet lasting results.
Here is a Step-by-Step procedure on performing Start-Stop method.
Some of the techniques that can help along doing the start-stop method is masturbating alone, using a partnered stimulation such as hand job or blow job(fellatio), and apply or incorporate it in an actual sex intercourse.
Masturbation is a form of behavior that can be learned and unlearned. When it comes to masturbation, most men are using it for fast-track orgasms as what they have learned during teenage days.
When men experienced their first feeling of orgasm, it was an intense and exciting feeling. This sensation has been carried over to doing masturbation. However, masturbation is an excellent workout prior to a sexual intercourse.
Utilizing masturbation towards a goal-oriented orgasm can be immensely helpful to achieve a fully controlled ejaculation. While most teenagers are using masturbation to ejaculate quickly, use it for an extended time of at least 20 minutes prior to allowing the explosion.
With masturbation, combine several methods mentioned above such as a start-stop method, Kegel exercise as well as manual stimulation of both penis shaft and head.
Therefore, when masturbating stimulate both the penis shaft and head, as opposed to most men stimulating only the shaft. The penis head is extremely sensitive and continuously stimulated inside the vagina. Getting used to the intense sensation through masturbation can help in controlling the feeling during actual intercourse.
Tips To Be successful With Goal-Oriented Masturbation
- Use only imagination while stroking the penis for 20 minutes without lubrication.
- Masturbate along with adult or porn magazine without lubrication.
- Masturbate along with adult or porn magazine, but this time use lubrication.
- Masturbate using sex toys that mimic vaginal stimulation or artificial vagina such as Fleshlight.
Choose Less Sensitive Sex Positions At The Beginning
Sexual positions can hugely impact premature ejaculation. There are sexual positions that are extremely popular yet achieve intense feeling of orgasm.
The missionary sex position or man-on-top is hugely popular yet it is mostly associated with men experiencing premature ejaculation. The missionary position allows men to have an increased muscular tension as it supports the entire weight of the body as well as core strength.
Sexual Positions That Will Help Achieve Better Ejaculation Control
- Female-on-top or female superior (be careful your partner not too aggressive with this position)
- Side-to-side or spooning
- Rear entry or doggy style
Begin with these 3 sexual positions and make the missionary as the final position when ready to ejaculate.
Other Means To Overcome PE
Besides those already mentioned techniques on achieving freedom from premature ejaculation, there are other numerous ways to beating it. Although most of the time they only provide short-term results, they can be very useful for someone who is badly affected with this condition. These short-term solutions are helpful on-demand, and should not be done as a primary means in order to achieve long-term results.
Based on real-life experience, these techniques outlined below are somewhat useful for long-term, but due to the nature of how the human brain works, most men will tend to be addicted and stick to these techniques for long-term, which may not be very efficient when it comes to totally becoming free from early ejaculation problem.
Hence, use these techniques only during on-demand situations while persistently and continuously doing those techniques previously mentioned not just for long-term but permanent results. There is no such thing as shortcuts, so get into those techniques that offer long-term results. Put more effort into it, and when the time you need something quick, implement these tips below.
Use of Desensitizing Creams or Sprays
However, reducing the sexual sensation will not allow one enjoy the full enjoyment of sex. Employing desensitizing creams and sprays can be a short-term fix. Instead, go through the mentioned tips above for a long-term solution to PE.
Use of Condoms
Condoms are good for reducing a bit of sensation while doing safe sex that protects against STD and unplanned pregnancies. However, in some cases, condoms do not provide that level of reduced sensitivity.
Experimenting with different condom brands can help one to find a reasonable level of sensitivity to avoid a very early uncontrollable ejaculations.
Ejaculating Before Penetration
This technique might not be applicable in the majority. Most men when ejaculated once, can hardly achieve an erection the second time. However, if you are one of those who can achieve a quicker erection the second time, this a good means to last an extended sexual intercourse.
Medications taken orally is one of the primary treatments for premature ejaculation, and most commonly used are those in a class called SRI(Serotonin Re-Update Inhibitors). In higher dosage, these drugs are used for treating depression, and delay of ejaculation was noted as a common side effect.
These drugs work to increase the level of the biological chemical Serotonin in the nervous system to delay the nerve signals that trigger ejaculation.
Examples of drugs in this class are;
- Paroxetine (Paxil®)
- Sertraline (Zoloft®)
- Flouxetine (Prozac®)
- Clomipramine (Anafranil®)
As mentioned earlier, use of these drugs for premature ejaculation is considered off-label by the USFDA and other regulatory bodies. In simple terms, this means premature ejaculation was not the condition that these drugs were originally approved for. As much as 40% of drug use is off-label, and the benefits and safety of a particular drug for a particular use should be explained by your doctor.
Furthermore, most commonly prescribed drug for premature ejaculation with typical dosage of 20mg, and occasionally 40mg. This has to be taken either daily, or before intercourse as prescribed. It would take 5 to 10 days of regular use to benefit fully from this medication.
Side Effects Include But Not Limited To;
- Dry mouth
- Less ejaculations
- Inhibited orgasm
- Decreased sex drive
It may also interact with other medications. Hence, it is important to consult the pharmacist, doctor, or package insert for the complete list of side effects and drug interactions. Also, make sure your doctor knows what other medications you are taking.
Some patients are recommended this medication regularly on a daily basis while others may take them just as needed several hours before the anticipated sexual activity. Also, others will take them regularly for a time then switch to taking them as needed. The optimal way of taking this drug has not firmly been established, and different doctors will have different recommendations
Regardless of how they are taken, it has generally been found that the drugs must be taken long-term as once uses stop the problem commonly recurs.
Moreover, natural male enhancement pills such as VigRX Plus and Male Extra are noted for their efficiency in helping men overcome premature ejaculation. Medications or pills like these allow increase blood flow to the penis while helping the body to relax.
Solving premature ejaculation issue is not an overnight effort. Most men are able to overcome PE in the period of few months. Use the methods mentioned in this article, read self-help books, watch penis exercises DVD like Penis Health(FREE Bonus when you purchase SizeGenetics Ultimate Edition), or courses online such as Penis Advantage and Erection Fitness, or train along with your partner using manual penile stimulation such as hand job or blow job. Overtime, when both body and mind learned to withstand the super excitement, controlling ejaculation can be achieve easily.
Ejaculation Mastery Guide: Lloyd Lester’s Ejaculation By Command.
The effort of one’s persistence in doing the possible will pay-off eventually. Enjoying and satisfying your partner’s sexual fantasy is priceless. Do not be discourage if you cannot overcome it during initial stages. Continue doing until you reach your goal of being free from premature ejaculation.