Updated: Jun 16
There are two main approach to overcome this issue which are by conservative approach together with medical treatment. This will also depend on if you have premature ejaculation primarily (meaning that since the first time you are sexually active) or acquired (Premature ejaculation due to ERECTILE DYSFUNCTION). For those with acquired PE, it's best to treat the ERECTILE DYSFUNCTION first since this are the root cause of you having PE.
Patients who have had PE for a long time are normally prescribed medication. Some techniques, such as topical anaesthetics, can be used in conjunction with other methods to enhance the patient's outcome.
The use of topical anaesthetic creams has been shown to improve the situation and prolong ejaculation. Around 20 to 30 minutes before sex, numbing creams may be applied to the whole penis area and can be wash right before sexual encounter.
Selective Serotonin Reuptake Inhibitors (SSRIs)
These drug are supposed to slow down ejaculation by 2.6 to 13.2-fold. They should be administered as per needed basis. They can, however, cause unpleasant side effects including drowsiness, nausea, and vomiting, which are said to improve over time. Due to these side effects, it has been suggested that they be used only when necessary, for a short period of time.
Phosphodiesterase 5 inhibitors (PDE5)
These drugs have been shown to have little effect on PE because they do not increase ejaculation time. However what it does is actually helps in improving the erection thus easier for you to control the ejaculation (better erection = better control)
Psychological counselling is a method of working with the thoughts and emotions that can contribute to intimate relationship issues. The aim of this form of therapy is to figure out what's causing the problems and come up with ideas that will help PE.
It may also assist couples in wanting to become closer. Psychological counselling will assist you in reducing your anxiety about sexual performance. It can also help your partner's pleasure by giving you more sexual trust and understanding. This therapy can be used as a stand-alone treatment or in conjunction with medical or behavioural therapy.
Exercises are used in behavioural therapy to help develop tolerance and prolong ejaculation. The goal is to assist you in training your body to prevent PE. The squeeze method and the stop-start method are among the two options. Exercises are efficient, but they may not be a long-term solution.
You or your partner stimulates your penis until you are close to ejaculation. When you're close, either one will squeeze your penis tightly, causing your erection to fade. The intention is to make you conscious of the sensations that lead up to the climax. The squeeze method can help you gain better control and delay climax within your own means.
The beginning is the same as the squeeze method where you or your partner will stimulate your penis until just before ejaculation. Upon reaching climax, stop the stimulation to a halt before the urge to climax has passed. Begin stimulating your penis again afterwards as you regain control. This process is repeated for three times and ejaculate on the fourth cycle. This approach should be repeated three times a week until you feel more in control.
Around 95 out of 100 men will recover from PE using the combination techniques described above. There's no way to guarantee that you'll heal, but with the therapy above it can help.
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