You may be one of those men who, once aroused, becomes a victim of “overflow”. Coming too fast is a nightmare for many. And a nightmare to explain to your partner. Fortunately, there are solutions to combat premature ejaculation.
How to prevent your coitus from lasting just a few seconds… Or preventing any penetration at all… If this seems impossible, rest assured, there are solutions.
What is premature ejaculation?
Premature ejaculation (PE) is a condition in which sexual climax occurs before, during or shortly after vaginal penetration, before the desire to do so, with minimal voluntary control. It is the most common form of male sexual dysfunction. Rapid” ejaculation may be a milder term than “premature” ejaculation.
The main characteristics are as follows:
- Short time to ejaculation (often less than a minute)
- Lack of control over ejaculation
- Sexual dissatisfaction, partner distress and frustration
How long does it take to ejaculate?
In a study of over 1,500 men, it was found that the average time between penetration and ejaculation for a premature ejaculator was 1.8 minutes, compared with 7.3 minutes for “normal” ejaculators.
Another study of 500 couples in five countries reported results ranging from 33 seconds to 44 minutes, with a median of 5.4 minutes.
What causes premature ejaculation?
PE can be psychological and/or biological and can occur as a result of over-sensitive genital skin, overactive reflexes, extreme arousal or infrequent sexual activity. Other factors include genetics, guilt, fear, performance anxiety, inflammation and/or infection of the prostate or urethra. They can also be linked to the consumption of alcohol or other substances.
PE occurs in up to 30% of men, involving all ages, ethnicities and socio-economic groups. PE can cause embarrassment, frustration and loss of self-confidence. It can be devastating to a relationship. It’s very typical of men’s first sexual experiences.
Premature ejaculation can be permanent or acquired, and sometimes occurs on a situational basis. Lifetime premature ejaculation is thought to have a strong biological component. Acquired premature ejaculation can be biological, based on inflammation/infection of the reproductive tract, or psychological. Or based on situational stress factors. It can sometimes be linked to erectile dysfunction (ED), with rapid ejaculation triggered by the desire to cum before losing the erection.
The focus on ejaculation as the focal point of intercourse tends to increase performance anxiety, which can trigger the problem. Once it has occurred and become established, fear and mental preoccupation with the problem can actually induce unwanted rapid ejaculation, creating a vicious circle.
How to overcome premature ejaculation
Diversionary thoughts
Non-erotic mental diversion tactics (focusing on thoughts other than ejaculation) can prevent it. Soccer, work, counting backwards, etc. are examples of such thoughts. But they are rarely effective and diminish the pleasure of sexual intimacy.
Down Tempo
This requires developing full awareness of the sensation immediately before ejaculation. By slowing the pace of pelvic thrusting and varying the angle and depth of penetration before the “point of no return” has passed, the sensation of impending ejaculation can dissipate.
Pause-start method
If slowing down the tempo is not enough to prevent premature ejaculation, it may be necessary to stop thrusting altogether while maintaining penetration so that the ejaculatory urgency disappears. Once the sensation of ejaculation has subsided, pelvic thrusting can resume.
Compression technique
Created by Masters and Johnson, as ejaculation approaches, the penis is withdrawn. The head of the penis is then squeezed until the sensation of ejaculation disappears. Sexual intercourse is then resumed. Although effective, it requires sexual interruption. It is cumbersome and requires a highly cooperative partner.
Pelvic floor muscle training
Pelvic floor muscle contraction is a lighter alternative to the Master and Johnson technique. Instead of the clumsy and obvious compression technique, a more subtle and discreet method involves slowing down the pace of intercourse. This means interrupting the pelvic thrust and performing a sustained pelvic muscle contraction. This is an internal “compression” without external hand compression and can achieve the same objective, short-circuiting premature ejaculation. With sufficient practice and the realization of “muscle memory”, this process can become easier. And the problem of premature ejaculation has improved. Particularly with the commitment to a pelvic floor muscle training program.
Reducing sensitivity
One method is to use thick condoms. Alternatively, local anesthetics in the form of topical creams, gels and sprays can desensitize the penis. These include lidocaine cream or gel, lidocaine and prilocaine (EMLA cream) or lidocaine spray (promescent ), which are applied before intercourse. Another desensitization technique increases the frequency of ejaculation, as PE tends to be more pronounced after longer periods of sexual abstinence. By masturbating before intercourse, PE can be controlled.
Erection pills
The Viagra, Levitra, Cialis and Stendra, are commonly used for erectile dysfunction. They may have a role in the treatment of men with acquired EP due to erectile dysfunction.
SSRI antidepressants
These selective serotonin reuptake inhibitors can significantly delay ejaculation. One is usually started at a low dose, with the dosage increased if necessary. Once an effective dose has been reached, the drug can be used on a situational basis, several hours before intercourse.
Advice
PE can also be psychological. Therefore, it may be advantageous to seek advice from a sexologist. This can be done in conjunction with some of the techniques mentioned above. This can speed up the resolution of PE.
Although not fatal, premature ejaculation is a significant common life problem. It’s distressing and sometimes endangers the relationship. The good news is that there are a number of effective treatment options. Conclusion, then, there’s no need to suffer from the problem.
