Premature Ejaculation

Does it matter?

In most cases premature ejaculation does matter, because it makes people unhappy and frustrated. And in severe cases PE can threaten or even ruin a marriage - simply because it spoils the sex lives of both partners. Sometimes, the condition is so bad the man can't have sex because he ejaculates before he can get into the vagina. This can be devastating for a man's self-confidence. And it can be hugely frustrating and annoying for his partner – especially if she wants to get pregnant. However, most men merely find PE a considerable irritation. It's a condition that makes them come very soon after they enter their partner - say, after only a minute or two, so neither party gets a lot of satisfaction.

What causes it?

For many years, sex experts have tended to say that premature ejaculation is caused by early conditioning. In other words, the man's early, rushed (and perhaps furtive) sexual experiences had to be quick so as to avoid detection. The idea is that this conditions him to climax as quickly as possible. However, our own surveys have found that many men with PE did not have rushed early sexual experiences - though others say they did. It's worth noting that from an evolutionary point of view, it's probable that males who climaxed quickly were more likely to have children. In other words, if you were a caveman who came very fast, you'd stand more chance of impregnating your woman and enlarging your tribe. Some men seem to be highly triggered right from the start of their sex lives, and we have encountered instances where their fathers were much the same. Therefore, we feel that the tendency to reach orgasm quickly may possibly be inherited rather than learned. Finally, there's no question that anxiety or 'nerves' play a part in many cases of PE. If you're nervous, you're likely to come too quickly. This is why many males have discovered for themselves that a small amount of alcohol eases their nerves and makes them less likely to climax prematurely. But we wouldn't recommend alcohol as a treatment. So, what can be done for PE?

Treatment for mild cases

If you have very mild PE – for instance, you can last five minutes but would like to last 10, there's probably no point in going to a doctor. Why? Because you should be able to improve matters by simple distraction techniques. This means turning your mind to something else when you sense that climax is near. For example, you can think about something totally unconcerned with sex or pinch yourself.

Local anaesthetic gel

Some men try to treat themselves with a local anaesthetic gel that's applied to the shaft of the penis shortly before intercourse. This product is advertised to the public as a good way to 'damp down' sexual sensation in the penis. We do not advise using this gel because the local anaesthetic can 'dull' the sex sensation for your partner. It can also cause a distressing skin reaction in either partner, with intense itching, redness and soreness.

Long love condoms

German scientists have come up with a slightly different approach that won't cause vaginal irritation. It's called the 'long love condom' and it contains a local anaesthetic (benzocaine) inside it. Long love condoms are now being sold in many countries, under a variety of brand names. A few male patients have told us they do last longer with these condoms, but the man is still at risk of a sensitivity reaction to the benzocaine.

Treatment for more severe cases

If PE is causing you significant problems, it is best to consult an expert for treatment.

The Masters-Johnson method

This method cures the vast majority of men, provided that both partners are keen to co-operate (which isn't always the case). It is based on a special 'penis grip' developed by the American therapists Masters and Johnson. The finger-grip abolishes the desire to climax, so if, under careful instruction, the couple use it over a period of weeks, they can usually re-train the man so he can last much longer.

What does it involve?

* Your partner places her hand so that her thumb is on one side of the man's erect penis (the nearer side to her when she is facing him).

* Her index and middle fingers are on the other side.
* The index finger is just above the ridge of the glans (the 'head'), while the middle finger is just below the ridge.
* When the man feels that he's near to a climax, he tells his partner.
* She then squeezes his shaft firmly between her thumb and the other two fingers. (Don't worry: it's painless!)
* Psychometric testing
* Urine analysis

The programme and the grip can work for male couples as well as for heterosexual ones.

Does it work?

We have seen many men with PE who couldn't last for 30 seconds, but who were able to last as long as half an hour after careful training over a period of months. However, unless this is done as part of an organised programme, it probably won't work. The Masters and Johnson grip really needs to be demonstrated to you personally by an expert. Most couples who try to learn it from the Internet or a book get it wrong. Our advice: see a professional. In the UK, try one of the organisations listed at the end of this article.

Antidepressant drugs

In recent years, it has also proved possible to treat PE with antidepressant drugs taken a few hours before intercourse. This may seem a little odd, but delaying male climax is a well-known side-effect of certain antidepressants. For most men, that side-effect is unwanted. But for guys with premature ejaculation, it's desirable. Antidepressants that are commonly used for this purpose include clomipramine (Anafranil), fluoxetine (Prozac) and sertraline (Lustral). But please be warned: these are powerful drugs that last a long time in the body, and have a considerable list of potential side-effects. Before going on to one of them, talk it over carefully with your doctor. In many countries antidepressants are now sold illegally in bars and on the street as 'last-longer pills', with amitriptyline the most commonly available. We really do not recommend buying antidepressants in this casual fashion. Antidepressants are prescription-only drugs, with a potential for causing you harm. If you want to try them for premature ejaculation, make an appointment to see your GP.

Drugs by nasal inhalation

At the end of 2008, there was a good deal of controversy in Britain because a company started using large advertisement hoardings to promote its treatment for PE: a nose spray. In fact, the only point of the spray is to deliver a drug into the bloodstream more quickly than could be achieved through taking it by mouth. The drug which is mainly being used in these new nose sprays is clomipramine – which, as have mentioned above, is an antidepressant. There have also been reports in 2009 of sex clinics suggesting the use of the major painkiller tramadol in a nose spray. This does not strike us as a good idea, in view of the drug's side-effects which include mental confusion and abdominal pain. Tramadol is related to morphine, and is widely misused by people with drug problems.

A special constriction device

In 2000, a clinical trial of a new technique for treating premature ejaculation was published in the medical press. It was developed at St George's Hospital, London, and involved wearing a slightly constricting ring below the head of the penis for 30 minutes each day. The theory was it would make the organ less sensitive. Unfortunately, at the present time the inventors of the device have not been able to publish any results of large scale trials. Don't attempt any constriction techniques like this off your own bat. Such a method should only be prescribed by an expert at a sexual problem clinic. It may or may not turn out to be useful.

A new medication

At a medical conference we attended in December 2004, it was announced that a new anti-PE medication should be released during 2005. However, it is still awaiting approval for use in the UK. The product is a tablet called dapoxetine - a name which means that it is related to Prozac, but much shorter lasting. Taken by mouth, it is intended to lengthen the time between a man's arousal and his climax. Unfortunately, the trial results we've seen indicate that this is a far from 100 per cent cure for PE. Only about 45 per cent of men said that the drug gave them control that was 'fair, good or very good'. Possible side-effects of dapoxetine include dizziness, nausea, insomnia, headache and diarrhoea. However, if you have bad PE, this drug (which may the first of various such products) would certainly be worth trying when it becomes available.

Cognitive behaviour treatment (stop-start technique):

In December 2006, we attended a conference on sexual medicine in Vienna. One of the speakers, Dr Mehmet Sungur, talked of the cognitive behaviour (CBT) method of treatment for PE. The CBT method focuses on addressing the kind of thinking that has proved unhelpful. For example, a man may believe that 'real men' must thrust endlessly to give a woman pleasure. Such thinking is not only damaging to the man, but wrong. Most women want penetration but also derive great pleasure from love play – often preferring fondling and oral sex to intercourse. The CBT method also aims to alter the man's behaviour: he is encouraged to masturbate using the stop-start technique to gain more control over his responses and his urge to ejaculate quickly.

The stop-start technique

1. The man is encouraged to masturbate alone.
2. He is asked to set time aside to be private and to masturbate with dry hands.
3. The man is encouraged to masturbate almost to the point of ejaculation and then stop.
4. He should do this three times.
5. On the fourth time, he is permitted to ejaculate.
After he has achieved this measure of control, he can try masturbating with a wet hand, which will feel more like the inside of a vagina. He is encouraged to do the stop-start technique as before. Obviously, this technique could be adopted by a man who does not seek treatment from a therapist. But because there are often psychological difficulties as well as behavioural and mechanical ones, most men will benefit more from seeking treatment rather than using the stop-start technique on their own.

Frequently Asked Questions. Why does PE- CONTROL offer permanent results within 21 days while other websites offer permanent results within 7 days?

Premature ejaculation is a disorder that occurs due to poor sexual habits and typically continues for several years if left untreated. Therefore, we don't believe that it's possible to see permanent results within such a short treatment period. In fact, the first step to overcome premature ejaculation is by taking the appropriate amount of time to learn how to do things "calmly and properly". Unfortunately, other websites take advantage of the premature ejaculator's distress and anxiety in order to sell their products and services. However, we don't agree with the intentions of such websites considering our objective is to help our clients before helping ourselves. When will I start noticing results?

Positive results usually start to appear after the second week of treatment. These results tend to boost the premature ejaculator's self-esteem, although they still aren't permanent. In order to achieve permanent results, it's essential to continue with the exercises for at least another week or so until the movements become completely natural – so natural that you don't even need to think about it. It's similar to learning how to ride a bicycle or drive a car; you may experience some bumps and twists along the way but with practice you'll be perfect. On average, it takes about a month to achieve permanent results. How long should I be able to "control" myself during intercourse?

We look at it like this: if you're not able to control your ejaculation for as much time as you'd like to, you may be at risk of having PE. If you're able to delay your ejaculation for a half hour or so, you shouldn't be worried at all. However, it depends on both you and your partner; you should be able to satisfy her so that she reaches an orgasm, while controlling yourself in the "appropriate" moments. Are the exercise treatments safe?

Of course. If you follow the instructions carefully and step-by-step, you won't experience any problems whatsoever. You should never rush yourself through the treatment or perform more exercises than necessary since you can injure your PC muscle, just like with any other muscle in your body. The treatment program has been designed specifically to overcome premature ejaculation in the necessary time without the experience of any side-effects. Therefore, you have to start off by slowly training your muscle and strengthen it with time while the exercises gradually increase in intensity. What's the PC muscle?

The PC muscle (pubococcygeus) is the muscle that contracts when we want to stop the urination process (by "squeezing"). Many believe that this muscle is related to the cause of PE, which is not true. Regardless of the cause of premature ejaculation (since it varies depending on the person), training the PC muscle is a vital part of the treatment process. Will a well-trained pc muscle offer total control over ejaculations?

Not necessarily. The PC muscle is capable of blocking the release of sperm, but does not have control over ejaculation, whether it is injaculation or a delayed ejaculation. Even though premature ejaculation involves both the mind and body, it is particularly concerned with the mind. The only way to overcome premature ejaculation is through re-education of the ejaculatory process at all levels, not just the PC muscle, although it is definitely important.

How to prolong your time of by Alternative way of healing?

One of the commonest complaints women have of younger lovers is that they ejaculate too soon. Given that most women need time to become aroused and a lot of stimulation, either direct or indirect. If they are to climax during intercourse , that can be a real nuisance. Most men under the age of about thirty come more quickly then their partners would like. So what can be done ? There are some useful tips for men to control his rapid ejaculation I am advising my patients for several years and having good results , do and enjoy, THE JEN-Mo point This is a Taoist method of preventing ejaculation. Pressing hard on the perineum with an index or middle finger constricts the ejaculate. The JEN-MO point is an Acupressure point on the perineum, halfway between the anus and the scrotum (see the picture R-1) Tao teachers warn, however, that you need to be accurate about which point you press. The dangers are that if you apply the pressure too close to the anus it won't work but if you press too close to the scrotum , the semen will go in to the bladder, like retrograde Ejaculation ,

THE BEAUTRAIS MANEUVER This changing pace technique is named after the therapist Pierre Beautrais, who documented it in New Zealand. It's one that the man must do for himself without any assistance. Again as he approaches bursting point, he reaches behind the testicles and firmly pulls them down. This constricts ejaculation by blocking the urethral passage and allow you both to prolong your lovemaking.

THE SQUEEZE TECHNIQUE (self squeeze and female squeeze techniques) This is the method made famous by US sex researchers, Masters and Johnson in the late 1960 and early 1970. if the man is reaching ,, the point of no return,'' he should reach down with his hand and squeeze his penis hard on the coronal ridge between fingers and thumb (see picture 2 ). (Picture 2) self squeeze and female squeeze technique. This blocks the expulsion of ejaculate. Using the Squeeze technique a man can learn the signs and sensation of his arousal and control them. He should first master this task alone before involving his lover. This means going without intercourse for some days or weeks while he dose his homework.

HOW TO DO THIS PERFECTLY

Start off by getting aroused on your own however you normally would . Concentrate on the sensations in your penis and pelvis. When you are about to reach the point of no return, stop. Take the head of your penis between the fingers and thumb of one hand and squeeze hard just below the rim. This will quickly make the erection subside. Don't be afraid of squeezing to o hard. You'll find you'll need to if it is to have any effect. * Now get yourself aroused again and repeat the process. As the days go by you should be able to arousal and squeeze in a stop-start way during any one session. The task is to learn exactly how your body feels as you get close to coming so that you can reliably stop at that point.

» Once you have mastered this stage, repeat the exercise, this time using lots of lubrication. This adds a whole new dimension difficulty. Your penis will now be much more sensitive as the sensations are more 'vagina-like'. Over some days, or longer, practice regaining control until you are confident you can come exactly when you want to. Masters and Johnson taught this technique to female also. Now it's time for your lover . Ask her to arouse you and then teach her how to do the squeeze. She should become as expert at it as you are. Once she is, it's time to have sex. *Lie on your back with an erection and ask you partner to cover your penis with her vagina. She should now stay absolutely still and do nothing to arouse you further. If you're so exited that you feel you're about to come, ask her to get off and apply the squeeze. When you've regained control she can cover your penis again. Repeat this until you can't take it any more and have to come. She can now bring you to orgasm. The difference is that you should be able to sense exactly when you're likely to come and either of you can slow things until she is ready.

Sex Secrets ************

Pressing JEN_MO point can improve the quality of male orgasm as well as prolong intercourse by preventing ejaculation. Semen is blocked from leaving the body and is reabsorbed in the blood. In Taoism and sexual King-Fu, this point is called
" point of million gold coins"

Refrences:     sex secrets by Anne Hooper
                     Psycho sexual disorder.. by bDr. Syed Mubeen Akhter
                     A couple's Guide to loving by Dr. Andrew stanway