What do we mean by the term premature ejaculation?
Premature ejaculation ( PE ) is one of the most common sexual problems.
In a study done on several thousand British young men, roughly 10 percent of them stated that they usually or occasionally have the problem.
It is more common in younger men because there is a marked tendency to improve with age. Men generally have better control as they get older.
How would we define the term premature ejaculation?
It is almost impossible to give an accurate definition of premature ejaculation because it is individual. Some couples feel that giving a definition would be inappropriate for both spouses.
2006. years on Congress of European Science for Sexual Medicine U.S. investigative journalists reported that:
• The average length of time a man had intercourse with PE was 1.8 minutes
• The normal duration of a man’s intercourse is about 7.3 minutes
However, men were also included in the testing, stating that they had premature ejaculation because it could last much longer (up to 25 minutes). This clearly shows that people have significantly different desires.
But at the same congress, Professor Waldinger reported that 2.5 percent of men would not be able to last 90 seconds inside the vagina. Such men absolutely have premature ejaculation.
The working definition is that if both partners feel that the orgasm has come too quickly, we can talk about premature ejaculation.
Is premature ejaculation an important problem?
In many cases, premature ejaculation is an important problem because it makes people unhappy and frustrated. In some cases, premature ejaculation can jeopardize or even ruin a marriage because it disrupts the sexual life of both partners.
Sometimes the disease is so severe that men cannot have intercourse because they ejaculate before care enters the vagina, which can destroy a man’s self-esteem and can be very frustrating and upsetting for a partner – especially if she wants to get pregnant.
What is the cause of premature ejaculation?
For years, sex experts have wanted to say early illnesses cause that premature ejaculation. On the other hand, some claim that this group includes men who have had premature sexual experience. In contrast, our own research found that many men with premature ejaculation did not have an early sexual experience.
Some men have had a problem with PE since the beginning of their sexual life, but there have been cases where their father had similar problems, suggesting that the time to reach orgasm is more likely to be hereditary than learned.
There is also no answer as to whether anxiety and nerves play a role in many cases of premature ejaculation. Still, it has been reported that nervous men are more likely to come faster. This is why many men who take a small amount of alcohol that acts on the nerves are less prone to premature orgasm. But alcohol should by no means be recommended as therapy.
Treatment of mild cases
For example, in mild disorders of premature ejaculation, someone ejaculates for five minutes but would like it to last ten minutes; there is no reason for treatment.
In these cases, the condition can be improved by simple distraction techniques;
which means turning your attention to something completely unimportant. For example, during a relationship, one can think of something completely unrelated to sex, or attention can be distracted by a mechanical stimulus, e.g., by pinching.
Local anesthetic gel
Some men try to treat themselves with a local anesthetic gel applied to the torso of the genitals just before intercourse.
This gel is registered as an agent that reduces sensitivity in the genitals.
The use of the gel is not recommended as the local anesthetic may weaken the sexual sensitivity of the partners and may also cause an irritating skin reaction in both partners accompanied by severe itching, redness, and pain.
German scientists have developed a different concept that does not irritate.
His name is “ a long-lasting love condom. “It also contains the local anesthetic benzocaine.
“Long love condom” can be bought in many countries under different names.
Several male patients have commented positively on this method, but there is still a risk of an allergic reaction to benzocaine.
What to do in severe cases of premature ejaculation ?
Treatment for much more serious cases
If premature ejaculation causes significant problems, it is best to consult a doctor;
This treatment method is of great importance for men and requires that both the partner and the partner are interested in cooperation (which is not always the case). It is based on a special “holding of the penis” developed by the American therapist Masters Johnson.
In this method, holding a finger on the male genitalia eliminates the desire for ejaculation. If the couple carefully follows the instructions, it can train a man well, and he can delay ejaculation.
What does this method involve?
• The partner puts her hands so that the thumb on one side of the male genitalia is erect (closer side to her when she is facing him)
• Her index finger and middle finger are on opposite sides
• The index finger is just above the groove of the glans (“head”) while the middle finger is just below it
• When a man feels close to ejaculation, he tells his partner
• She squeezes his torso tightly between her thumb and the other two fingers.
Is this method excellent?
Many men with premature ejaculation that lasted 30 seconds extended the time to reach orgasm and to half an hour after a serious workout that lasted about a month.
It should be noted that until this method becomes part of an organized program, it will most likely not work.
Masters and Johnson, the procedure needs to be demonstrated personally and professionally because many couples who have tried to learn a technique from the internet or a book have done it wrong.
Can antidepressants be used?
In recent years, there has been supporting in treating premature ejaculation with antidepressant medications taken a few hours before sexual intercourse.
This method may seem a little strange, but the side effects of certain antidepressants are associated with delaying a male orgasm.
For most men, side effects are undesirable, but they are desirable for men with premature ejaculation.
Antidepressants commonly taken for this purpose include Clomipramine (Anafranil), Fluoxetine (Prozac), and Sertraline (Lustral). Still, before use, it should be noted: these are strong drugs that prolong orgasm and have significant side effects.
Talk to your doctor carefully before use.
In many countries, antidepressants are now sold illegally in bars and on the streets as “orgasm pills.”
We do not recommend buying antidepressants for such unimportant indications. If you want to use them for the problem of premature ejaculation, talk to your doctor.
What is the significance of drugs with nasal inhalation?
At the end of 2008 in the UK, companies started advertising as a product to treat premature ejaculation nasal spray.
The advantage of the spray is that it spreads inside the bloodstream faster than it could be by taking it by mouth.
The drug that is mainly used in this new nasal spray is clomipramine – which belongs to antidepressants.
In 2009, sex clinics continued to suggest using pain medications such as e.g., Tramadol in nasal spray. But the use of Tramadol has a lot of side effects that include mental confusion and abdominal pain. It is also linked to morphine and abuse in people who have a drug problem.
Special constricting agents
In 2000. clinical trials of new techniques for treating premature ejaculation have been published in the medical press.
They were published at St George’s Hospital in London and included a daily thirty-minute wearing of a constrictive ring under the glans penis. The theory was to reduce the sensitivity of the genitals.
Unfortunately, the inventors could not publish the results of long-scale experiments.
Our advice is not to try constriction techniques on your own initiative as an ss clinic specialist must prescribe them for sexual problems.
At a medical conference in December 2004. A new drug was announced on the UK market in 2005. but the drug has not yet received approval for use.
The drug is a tablet called dapoxetine – a name associated with the antidepressant drug Prozac but much less effective.
Unfortunately, the study results show that only about 45 percent of men stated that the drug gives good results. In contrast, dapoxetine’s possible effects include dizziness, nausea, insomnia, headache, and diarrhea.
However, if you have a major problem with PE, these medications could really be a choice when available.
Cognitive-behavioral method (cognitive-behavioral techniques) (stop-start techniques)
In December 2006. at the conference of sexual medicine in Vienna, the first speaker Dr. Mehmet Sungur spoke of a cognitive-behavioral method.
This method is based on a change in a man’s psychological approach to sexual intercourse based on a prudent approach to sexual intercourse that may prove poor choice.
For example, a man may believe that he must be infinitely perfect for giving a woman pleasure, but such thinking is harmful to the man and is also wrong. Most women want penetration but get the most pleasure from foreplay – usually preferring to cuddle and foreplay each other.
The CBT method aims to change male habits using some stop-start technique methods.
What is a stop-start technique?
1. Men are encouraged to masturbate on their own
2. They are encouraged to masturbate with dry hands for a period of time
3. They are encouraged to masturbate almost to the point of ejaculation and then stop
4. They should do it three times
5. They are allowed to ejaculate for the fourth time
When they learn this, they can try to masturbate with wet hands that will look much more like the inside of the vagina.
These techniques are easier to adapt with a therapist’s help, and most men will benefit more from learned treatments than from self-learned stop-start techniques.
Retrieved from: Dr. David Delvin, MD and family planning specialist, and Christine Webber, physiotherapist.