Q: “Hi Evguenia, Could you tell me about Premature Ejaculation. Any Medicine suggestions?” M. B.
A: Hi M., great question! Below is some information for your about PE, various behavioural techniques you may find useful as well as other available options. PE is a very treatable condition and a pretty common condition – please don’t hesitate to speak to your doctor about the various solutions available.
Around 30% of people suffer from premature ejaculation (PE) at different stages of their lives. Usually, ejaculation that occurs around 30 seconds to 4 minutes into sexual play is considered premature. New partner, age and sexual frequency, psychological factors (such as an anxiety or guilt), or medical causes (hormonal problems, other medication side effects etc.) can all have an effect on the presence of PE in a person’s life.
Seeing a doctor and later on a sexual health professional are great first steps to rule out medical causes of PE and learn various techniques to work though the issue.
- Learning to identify the level of excitement and practicing to stop stimulation before “the point of no return”. The techniques may include:
- Stimulating the penis until the point close to ejaculation. Taking deep breaths and stopping any stimulation for 30 seconds
- Slowing down stimulation and focusing thoughts on something distracting, annoying or boring
- Stopping the stimulation and squeezing the shaft of the penis just below the Glans of the penis (around Frenulum) as well as at the base of the shaft
- Stopping the sensations and squeezing PC muscles or applying prolonged pressure to the perineum
- Using a thicker condom to minimize the sensation
- Communicating to Your Partner about your worries, trying not to put too much performance pressure on yourself
- Switching to giving as opposed to receiving in order to take care of the partner’s satisfaction and prolong the play as well as delay ejaculation
Sexual Counselling or Medication
At times various creams, gels or sprays as well as medication (such as antidepressants) may be used to help delay PE. Sexual counselling may also be helpful to identify various possible psychological causes behind the PE and learn techniques that aid at solutions.
A wonderful resource you could use to work with PE is “Male Multiple Orgasm” book by Somraj Pokras. It contains various exercises, in depth techniques and reccomendations to working through PE and achieving multiple orgasms for males.