Premature ejaculation happens when a man reaches orgasm in the first few seconds after penetration or before having penetrated, ending up being unsatisfactory for the couple.
This sexual dysfunction is more common in adolescents, due to hormonal changes, which make them more excitable, but it can also appear in adults, being, in these cases, more related to psychological factors, such as stress, anxiety or fear, for example. Check out the main causes of premature ejaculation.
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 undergo psychotherapy. Therefore, it is best to always consult a urologist to identify the possible cause of premature ejaculation and begin the most appropriate treatment.
6 forms of treatment for premature ejaculation
The main ways to treat premature ejaculation are:
1. “Start-stop” technique
This technique is widely used and helps to get the man used to taking longer to ejaculate. To achieve this, the technique is carried out in gradual steps, which include:
- On the first day, the man should masturbate with a dry hand, making 3 movements and stopping for 2 or 3 seconds. After each pause, make 3 movements again and stop. This pattern must be maintained for 10 times. If ejaculation occurs before these 10 times, you must repeat the exercise in the following days until you can hold it 10 times;
- After managing to do 10 times of 3 movements, the technique must be repeated, but with 5 movements in a row, interspersed with pauses;
- When you can do 10 times of 5 movements, you can do 7 movements in a row;
- After reaching 10 times with 7 movements in a row, the entire technique must be repeated, starting again with the 3 movements, but with a damp hand, using some type of lubricant or petroleum jelly;
- When you reach 7 movements again, the technique must be repeated, but with your partner.
Each step of this technique must be done on different days or a few hours apart, so that the stimulus and desire to ejaculate are similar.
Ideally, during this technique it is expected that the man will learn to identify the sensations and be able to control them, prolonging the time until ejaculation. To obtain the best results, it is important to follow up the technique with a urologist.
2. Compression technique
In this technique the man learns 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 the man himself, without the need for help from a partner.
To do this, you must stimulate the penis, through masturbation or sexual intercourse, and, when you feel that you are going to ejaculate, you must stop and put pressure on the head of the penis.
To do this, you must place your thumb on the underside of the head of the penis, above the frenulum, and with your index and middle 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 must be repeated a maximum of 5 times in a row.
Another compression option is to squeeze it at the base of the penis. This technique can be done during penetration, but it is important to ask your partner not to move, avoiding stimulation when compressing.
3. Desensitization technique
This is a very simple technique, but it may not work for all men, as it involves masturbating 1 to 2 hours before sexual intercourse, which reduces sensitivity to orgasm.
Furthermore, if the man does not use a condom, as he already has a long-term relationship, the urologist can advise its use, as it normally reduces the sensitivity of the penis, allowing orgasm to be controlled.
4. Do Kegel exercises
Kegel exercises allow you to strengthen your pelvic floor muscles, which are the group of muscles located in the pelvic region and around the urethra. When these muscles become stronger, the man may be better able to control ejaculation, preventing it from occurring when he contracts them, for example.
These exercises must be done every day in 10 sets of 10 repetitions. See a step-by-step guide to doing Kegel exercises correctly.
5. Use of topical anesthetics
Some ointments or sprays that contain an anesthetic substance, such as lidocaine or benzocaine, can be used to reduce the sensitivity of the penis and increase the duration of sexual intercourse, without ejaculation occurring. This type of product must be recommended by the urologist and must be applied approximately 10 to 15 minutes before intercourse.
In addition to these products, there are also condoms that contain the anesthetic inside and can also be used. Some examples are:
- Durex Prolonged Pleasure;
- Prudence Retardant Effect;
- Prudence Ice.
Although anesthetics have an excellent effect in delaying ejaculation, they can also have some side effects, the most common of which is for men to report a decrease in pleasure due to decreased sensitivity.
6. Use of medicines
Medicines are generally used when other techniques do not produce the intended results. Medications should always be recommended by a urologist and generally include antidepressants, such as Sertraline, Fluoxetine or Trazodone, for example, which mainly treat anxiety, which is very common in these cases.
Check out a more complete list of the most used remedies for premature ejaculation.
Which doctor to consult
The best doctor to consult in cases of premature ejaculation is a urologist, who will identify the possible cause and indicate the most appropriate treatment.
However, in some cases, it may also be recommended to consult a psychologist, especially when premature ejaculation is associated with emotional factors, such as fear or anxiety, for example.
Is premature ejaculation curable?
Curing premature ejaculation can be achieved using simple self-control techniques, but when this is not enough, you can try to reduce the sensitivity of the male sexual organ or take medications prescribed by your doctor. A great strategy to cure premature ejaculation is to perform Kegel exercises about 300 times a day, every day.
