Posted by: Morne | 2009/08/19

premature ejaculation

I am 24 but is prematurely ejaculating i dont know what is causing this and afterwards it take very long to get an erection. I working under great stress, so can this cause the problem and what can i do to overcome this

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Our expert says:
Expert ImageSexologist

There are a number of factors that can impact on a man's ability to control his ejaculation: stress and anxiety can mean that he is not focusing on how close to orgasm he is in order to slow it down, infrequency of sexual activity can mean that the sensation is intense and therefore difficult to manage. But don't be mistaken, delaying ejaculation is a skill that needs to be LEARNED.

The average time a man takes to ejaculate is 2 minutes (compared to 13 minutes for a woman to reach orgasm). Due to these 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. Whilst a low dose anti-depressant (SSRI) can help as one of the side effects of these drugs is to delay orgasm, the benefits will stop as soon as you stop taking the it is a short term aid. Perhaps 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.

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.

Good luck and enjoy!

Claire - SASHA (

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.

Our users say:
Posted by: PJ | 2009/08/20

Morne. You can do all of the above, it is excellent advice. Whilst doing this you can also do the following. When you feel the tingle just starting, squeeze the head of your penis between your thumb and forefinger - your thumb on the top side of the head and the forfinger at the bottom, where the head and the foreskin joins. Keep the preassure untill the feeling goes away. When you get going again, it' s allmost like starting over.

Good luck!

Reply to PJ

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