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Question
Posted by: Sammy | 2011-10-21

P.E

What is the best cure for premature ejaculation?

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Our expert says:
Expert ImageSexologist

The best approach is to desensitise yourself and to learn to delay orgasm.

Most men take about two minutes to ejaculate, but due to the differences between men and women, many men choose to learn to delay their orgasm in order to try to give more penetrative pleasure to female partners. You can get some medical assistance - but these benefits often last only as long as you are using the medication or cream. A GP could prescribe a low dose anti-depressant (SSRI) as one of the side effects of these drugs is to delay orgasm. Or you could try using a cream called Emla or topla which is a topical anesthetic and can reduce sensitivity - make sure you don't rub off onto your partner!

If you wanted a more long-term approach you could learn to delay your ejaculation...

The best way to learn this would be through masturbation where you learn recognise your physical signs of excitement (e.g. heightening sensation, a sensation in your testicles, heart rate) and at which point you need to ease off before it's too late (i.e. when the 'twitching' begins, it's probably too late). One way to help with this would be to try scoring your excitement on a scale of 0-10, with 8 being the point at which there's no turning back. When you get to about 5 or 6/10 you need to start using delaying strategies. For example: slowing or changing the rhythm of the friction, trying to take some deep and slow breaths, and try tensing your pelvic floor muscles as if you are trying to stop the flow of urine. Once your arousal has reduced somewhat (e.g. to about 3 or 4/10), you can resume stimulation and repeat this process several times before allowing ejaculation to take place. The effects of this can be enhanced by including a vibrating ring to enhance stimulation and learn to delay ejaculation with this enhanced stimulation before moving on to involving a partner.

A trusted partner could be a great help by coaching you through this, asking where you are on the scale, and encouraging you to use the strategies suggested. You stimulate yourself for the first few practice rounds (i.e. over days or weeks) and then once you have had some success, perhaps your partner could stimulate you, but she must slow down as and when you says to do so. Once you've gained confidence like this, you could move onto trying this intravaginally. This is likely to be much more difficult because of the sensations (warmth, moist) of the vagina so you should maybe slow your arousal down earlier than 5 or 6/10 to begin with. The best position to learn this would be with your partner on top so that you can focus all of your attention on your sensations, but you must remember to direct your partner to slow, stop, or start again as you need.

It's really important that these are 'exercises' though, and not 'sexual acts' as normal, otherwise you will feel more pressure to perform and your partner may feel frustrated - neither of these will help you with this learning process.

Claire – SASHA

For further information please consult SASHA's website at www.sexualhealth.qw.co.za/dru For referral to a professional in your vicinity, please send an email to helpline.sasha@gmail.com

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

3
Our users say:
Posted by: Sexologist | 2011-10-22

The best approach is to desensitise yourself and to learn to delay orgasm.

Most men take about two minutes to ejaculate, but due to the differences between men and women, many men choose to learn to delay their orgasm in order to try to give more penetrative pleasure to female partners. You can get some medical assistance - but these benefits often last only as long as you are using the medication or cream. A GP could prescribe a low dose anti-depressant (SSRI) as one of the side effects of these drugs is to delay orgasm. Or you could try using a cream called Emla or topla which is a topical anesthetic and can reduce sensitivity - make sure you don't rub off onto your partner!

If you wanted a more long-term approach you could learn to delay your ejaculation...

The best way to learn this would be through masturbation where you learn recognise your physical signs of excitement (e.g. heightening sensation, a sensation in your testicles, heart rate) and at which point you need to ease off before it's too late (i.e. when the 'twitching' begins, it's probably too late). One way to help with this would be to try scoring your excitement on a scale of 0-10, with 8 being the point at which there's no turning back. When you get to about 5 or 6/10 you need to start using delaying strategies. For example: slowing or changing the rhythm of the friction, trying to take some deep and slow breaths, and try tensing your pelvic floor muscles as if you are trying to stop the flow of urine. Once your arousal has reduced somewhat (e.g. to about 3 or 4/10), you can resume stimulation and repeat this process several times before allowing ejaculation to take place. The effects of this can be enhanced by including a vibrating ring to enhance stimulation and learn to delay ejaculation with this enhanced stimulation before moving on to involving a partner.

A trusted partner could be a great help by coaching you through this, asking where you are on the scale, and encouraging you to use the strategies suggested. You stimulate yourself for the first few practice rounds (i.e. over days or weeks) and then once you have had some success, perhaps your partner could stimulate you, but she must slow down as and when you says to do so. Once you've gained confidence like this, you could move onto trying this intravaginally. This is likely to be much more difficult because of the sensations (warmth, moist) of the vagina so you should maybe slow your arousal down earlier than 5 or 6/10 to begin with. The best position to learn this would be with your partner on top so that you can focus all of your attention on your sensations, but you must remember to direct your partner to slow, stop, or start again as you need.

It's really important that these are 'exercises' though, and not 'sexual acts' as normal, otherwise you will feel more pressure to perform and your partner may feel frustrated - neither of these will help you with this learning process.

Claire – SASHA

For further information please consult SASHA's website at www.sexualhealth.qw.co.za/dru For referral to a professional in your vicinity, please send an email to helpline.sasha@gmail.com

Reply to Sexologist
Posted by: XXX | 2011-10-21

Read no.16 above but you can also try Stud 100 which should help

Reply to XXX
Posted by: x | 2011-10-21

Read point 16

Reply to x

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