Premature ejaculation occurs when the man reaches orgasm in the first few seconds after penetration or before penetrating, and ends up being unsatisfactory for the couple.
This sexual dysfunction is more common in adolescents, due to hormonal changes, which make them more excitable, but may also arise in adults, being in these cases more related to psychological factors such as stress, anxiety or fear, for example.
Premature ejaculation can be controlled with the use of some techniques and exercises, but in some cases it may even be necessary to use medication or perform psychotherapy. So, it is best to always consult a urologist to identify the possible cause of premature ejaculation and start the most appropriate treatment.
Treatment options to control ejaculation
An urologist can indicate various types of treatment that include:
1. "Start-stop" technique
This technique is widely used and helps to accustom the man to take longer to ejaculate. For this, the technique is done with gradual steps, which include:
- On the first day, you must masturbate with a dry hand, making 3 movements and stopping for 2 or 3 seconds. After each pause, you must make 3 movements again and stop. This pattern must be maintained 10 times. If ejaculation occurs before the 10 th time, repeat the exercise on the following days until you can hold it for 10 times;
- After doing 3 movements 10 times, the technique must be repeated, but with 5 movements, interspersed with pauses;
- When you can do 5 moves, 10 times, you will try to do 7 moves in a row;
- After reaching 7 consecutive movements, 10 times, the whole technique must be repeated, starting again with the 3 movements, but with a wet hand, using some type of lubricant or Vaseline;
- When you reach 7 movements again, the technique must be repeated, but by your partner.
Each step of this technique should be done on different days or with a few hours difference, so that the stimulus and the desire to ejaculate are similar.
Ideally, during this technique it is expected that you will learn to identify the sensations and will be able to control them, prolonging the time until ejaculation. To get the best results, it is important that you go about doing a follow up appointment with an urologist.
2. Compression technique
In this technique you learn to recognize the sensations that arise before ejaculation and to control them. The great advantage of this technique is that it can be done by yourself, without the help of your partner.
For this, one must do penis stimulation, through masturbation or sexual intercourse, and when you feel that you will ejaculate, you must stop and put pressure on the head of the penis.
To do this, place the thumb on the underside of the penis head, over the curb, and with the middle and index finger press over the penis, closing the urethra. The pressure should be maintained for 3 to 4 seconds and should be slightly uncomfortable, but without causing pain. This technique should be repeated no more than 5 times in a row.
Another option of compression is to tighten at the base of the penis. This technique can be done during penetration, but it is important to ask the partner not to move, avoiding stimulation at the time of compression.
3. Desensitization technique
This is a very simple technique, but it may not work for all men, since it consists of masturbation 1 to 2 hours before intercourse, which decreases sensitivity to orgasm.
In addition, if a man does not use a condom because he has a long-term relationship, the urologist can advise on its use, since it usually decreases the sensitivity of the penis, allowing the orgasm to be controlled.
4. Doing Kegel Exercises
Kegel exercises allow you to strengthen the muscles of the pelvic floor, which are the group of muscles that lie in the pelvic region and around the urethra. When these muscles get stronger, you become more able to control ejaculation, preventing it from occurring when contracted, for example.
These exercises should be done every day in 10 sets of 10 repetitions.
5. Use of topical anesthetics
Some ointments or sprays containing an anesthetic substance, such as lidocaine or benzocaine, may be used to decrease penile sensitivity and increase the duration of the sexual act without ejaculation. These types of products should be indicated by the doctor and need to be applied about 10 to 15 minutes before the relationship.
In addition to these products, there are also condoms that contain the anesthetic inside and can also be used. Some examples are:
- Durex Extended Pleasure;
- Prudence Retarding Effect;
- Prudence Ice.
Although anesthetics have an excellent effect to delay ejaculation, they can also have some side effects, the most common being decreased pleasure because of the decreased sensitivity.
6. Use of medication
Drugs are usually used when other techniques do not have the desired results. The remedies should always be recommended by the urologist and usually include antidepressants, such as Sertraline, Fluoxetine or Trazodone, for example, which treat, especially anxiety, which is very common in these cases.
Does premature ejaculation have a cure?
The cure of premature ejaculation can be achieved using simple self-control techniques, but when this is not enough one can try to decrease the sensitivity of the male sexual organ or take medications prescribed by the doctor. A great strategy for curing premature ejaculation is to perform Kegel exercises about 300 times a day, every day.