Premature ejaculation (scientific name: premature ejaculation) is a condition in which a man reaches orgasm during sex earlier than his partner would like. The general so-called diagnostic criteria is that ejaculation is almost always within one minute of penetration or cannot be delayed, while most men reach ejaculation in an average of five minutes. Premature ejaculation can be embarrassing and affect many men, some even avoiding intimacy, and here it is not only one-sided, but may also affect the partner. However, it is possible to delay ejaculation through medical visits, sexual skills training and medication to enhance sexual pleasure for yourself and your partner. I. Behavioral treatment 1. Pause – squeeze method, to be done with the cooperation of both partners. The specific method for stimulating the penis without penetration, note when the feeling of ejaculation; let the partner squeeze the head of the penis and the intersection of the body, squeeze a few seconds until the feeling of ejaculation is reduced; 30 seconds later you can repeat foreplay, which can control insertion will not immediately ejaculate; pause – squeeze method of another technique called stop – move method, and the former method, only the partner will not squeeze 2, self-assisted method. Masturbation before sex, 1-2 hours before the planned intercourse; choose thickened condoms to reduce stimulation, which can make the orgasm lag a bit, rather than the kind of condoms designed to increase stimulation Oh; deep breathing before ejaculation, can assist in reducing the ejaculation reflex, you can also take the attention distraction (think about unrelated things, etc.) until the sense of ejaculation past. 3, the bed becomes interesting. You can change positions during sex, for example, you are always in the top position, you can change to the bottom position or move your partner away when there is a strong feeling of ejaculation, which not only helps but also adds interest. When the feeling of ejaculation passes you can start again. 4, anxiety and other stresses in life: If a man has problems with erection, premature ejaculation is more likely to occur; certain psychologists believe that early sexual experience, frustration with sexual experience at a young age, such as guilt or fear of being found, may contribute to premature ejaculation; and tension with the partner also becomes a triggering factor. If this problem is new and has not appeared before, both parties go to counseling at the same time for better results. 5, topical anesthetics, these drugs can be prescription or over-the-counter sprays or creams. Topical on the penis before sex is used to delay orgasm, but some people, including partners v. Brief sensation disappears or pleasure decreases. Commonly used drugs: lidocaine, proparacaine. Second, medication 6, if self-assisted does not work, it is time to see a doctor. Sometimes premature ejaculation is other medical problems that potentially require treatment, including diabetes, hypertension, alcohol or drug abuse, multiple sclerosis, prostate disease, depression, endocrine disorders, neurotransmission disorders, abnormal ejaculatory system reflexes, thyroid disease, prostate or urethral infections, trauma or surgical injury (uncommon), genetic disorders, etc. 7. Dapoxetine, also known as Brylcreem, is a drug similar to antidepressant similar to selective pentraxin uptake inhibitors (SSRI), approved for the treatment of premature ejaculation. This medication is relatively new and may be the first one prescribed by your doctor. Take it 3-4 hours before sex and not more than once a day. Side effects include headache, dizziness and discomfort; it is not indicated for men with comorbid heart, liver or kidney pathology and can cross-react with other medications, such as antidepressants; other SSRI drugs have similar effects, such as paroxetine, sertraline, fluoxetine and citalopram, but are not approved for premature ejaculation indications; the rest of the SSRI drugs take about two weeks to work, and dapoxetine is taken on taken as needed. 8, other drugs. These drugs are not explicitly approved for premature ejaculation even in the U.S. FDA, but have the effect of delaying orgasm and may be prescribed by your doctor. Including: other antidepressants, such as paroxetine, sertraline, fluoxetine and citalopram, side effects include nausea, dry mouth, dizziness and decreased libido; Tramadol (Ultrama) is a painkiller with side effects of delayed ejaculation, other side effects include nausea, headache and dizziness; phosphodiesterase 5 inhibitors, which are drugs for erectile dysfunction, including sildenafil ( Viagra), tadalafil (Cialis), and vardenafil (Elidel). Side effects include headache, flushing, vision changes, and nasal congestion. As you can see, the word “premature ejaculation” is the first thing that is avoided in medicine. The term “premature ejaculation” is used to reduce the psychological and physical stress of the patient and to better express the specific situation. There is no mention of circumcision, dorsal penile nerve cutting and other surgical procedures, which are clinically ineffective and should be done with great caution! Sexual life is a two-sided affair, as you can see above, many “tricks” are to be done in cooperation with partners, and the efforts of one party alone are sometimes counterproductive. The way out is to work together and cooperate with each other.