There are two types of premature ejaculation. What causes premature ejaculation? Questions to ask your doctor What treatment options are available for premature ejaculation? Will counselling or sex therapy help treat this condition? Things to think about before your appointment When did you first experience fast ejaculation? How long do you last before climax after penetration?
What strategies do you use to delay ejaculation? On this page. Causes of premature ejaculation Treatment for premature ejaculation Where to get help. Causes of premature ejaculation In the past, premature ejaculation was thought to be entirely psychological.
Acquired premature ejaculation can be caused by psychological factors such as: depression or anxiety, particularly about performance feeling anxious about rejection by a sexual partner expecting failure negative sexual experiences in childhood religious beliefs stress problems within the relationship.
Treatment for premature ejaculation Seeking help for premature ejaculation from a doctor or sex therapist is a good idea. The treatments include: behavioural techniques — these include the Semans 'stop-start' technique and the Masters and Johnson 'squeeze' technique the Semans technique involves learning to control the sensations prior to ejaculation.
The idea is to repeatedly bring yourself close to ejaculation, then stop and rest. If you do this often enough, you will learn to recognise your 'point of no return' the Masters and Johnson technique named after the famed sex researchers involves squeezing the end of the penis just before ejaculation to lessen the urge to ejaculate.
These exercises can be done alone or with a partner Kegel exercises — these exercises are designed to strengthen the pelvic floor. To identify the muscles of your pelvic floor, stop yourself from urinating in midstream. This is the action you need to practice when your bladder is empty.
Tightly contract the muscles and hold for 10 seconds. Repeat 10 times, three times a day psychotherapy and counselling — with the guidance of an experienced sex therapist, any underlying anxieties about sex can be explored and eased reducing penile sensation — local anaesthetic sprays and creams can be used to reduce penile sensation and should be applied 30 minutes before sexual intercourse. Use these treatments with a condom to prevent absorption by your partner.
Using two condoms may also help to reduce sensation SSRIs selective serotonin reuptake inhibitors and tricyclic antidepressants — a side effect of these medications is to slow ejaculation when used in men with depression.
This effect may be helpful in men with premature ejaculation, and these medicines can be used in conjunction with counselling. Taking SSRIs can have other side effects such as decreased libido sex drive , nausea, sweating, bowel disturbance and fatigue. To continue reading this article, you must log in. Already a member? Login ». As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles.
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Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight loss Be calm and discuss your options. You may be able to overcome PE after trying a combination of therapy, home strategies, or medication.
You and your partner may also be able to enjoy a sexually fulfilling and intimate relationship with less emphasis on intercourse. Focus on oral sex and the use of sex toys while seeking treatment for PE. But only some of them are worthwhile. Kegel exercises are used to treat a variety of conditions in women, but research suggests they may also help men. Learn how Kegel exercises might…. Here's how to shop Viagra smartly.
VigRX Plus is marketed as a safe supplement to enhance sexual performance, but does it actually work? We review the research. Health Conditions Discover Plan Connect. Medically reviewed by Daniel Murrell, M. Symptoms Causes Seek help Treatment Talking to your partner Outlook We include products we think are useful for our readers. What is premature ejaculation? PE is also known as: rapid ejaculation premature climax early ejaculation Is premature ejaculation a type of sexual dysfunction?
What are the symptoms of premature ejaculation? What causes premature ejaculation? When to seek help.
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