Treatment of Premature Ejaculation
There are many treatments for premature ejaculation, but one thing is for sure, premature ejaculation can be cured! This is certainly a cause for rejoicing for the majority of premature ejaculation patients. Before treatment, it is important to discuss all the treatment options with the patient, as well as the benefits and disadvantages of the various treatment methods. The success of the treatment should also be evaluated by the satisfaction of the patient and the sexual partner. More importantly, since premature ejaculation is not a life-threatening condition, the safety of the treatment has to be put first.
I. Behavioral therapy.
Behavioral therapy includes increasing the frequency of ejaculation, adopting a woman-on-man** position, stop and start ejaculation, squeeze technique, pelvic floor muscle contraction exercises, etc. The short-term success rate is 95%, but long-term follow-up results found that 75% of patients are still the same as before treatment after 3 years, therefore, behavioral therapy is still only effective for Therefore, behavioral therapy still only has long-term effects on a small percentage of premature ejaculation patients.
Masters and Johnson proposed a male-under-female position, in which the man pauses when he feels he is about to ejaculate, and the woman lifts her body off the man’s and even presses three to four times below the glans. The woman can even press on the underside of the glans for three to four seconds to reduce arousal, and then continue after a break of 15 to 30 seconds. Other methods include distraction, change of position, etc. can also be used. In addition, the improvement of the relationship between husband and wife or sexual partners, the rapport, open communication, mutual understanding of the sexual sensitive areas of both parties, as much as possible more sexual foreplay and post-sex care, can improve the satisfaction of sexual life, and naturally solve the tension and shock caused by premature ejaculation to the sexual life of both parties.
1.James-Seman method
Some experts believe that premature ejaculation is fundamentally a result of the low stimulation threshold required for ejaculation. The method they advocate is intended to raise the threshold and eliminate the link between sexual stimulation and the ejaculatory response.
The specific methods of operation.
1. stimulate the penis to the point where ejaculation is imminent.
2. stop stimulation until the excitement of orgasm subsides.
3.Stimulate the penis again.
4, so many times, until the man can tolerate a lot of stimulation without ejaculation.
This method can make the man’s ability to withstand sexual stimulation increase, and can quickly tolerate continuous stimulation without having to intermittently.
2, pulling the scrotum method
The study found that men in a high degree of sexual excitement and orgasm, can see the phenomenon of scrotal contraction, testicular raise. On the contrary, pulling down the scrotum and testicles can reduce excitability to delay ejaculation, thus playing a role in the treatment of premature ejaculation.
3.Penis squeezing method
When the sexy concentration training enters the genital contact stage, teach the female partner to use a special physical method to delay rapid ejaculation, which is the penis squeezing method.
1.Elementary training
Specific operation methods.
1, the female partner put the thumb on the tethered part of the penis, the index and middle fingers on the other side of the penis, just below the upper coronary sulcus, steady pinch compression for 4 seconds.
2, and then suddenly relaxed.
3, so repeatedly, the female party every 5 minutes pinch squeeze.
Cautions.
1, the direction of pressure is applied from front to back, rather than from one side to the other.
2, the pressure of squeezing depends on the degree of erection of the penis. When fully erect, squeeze hard; when weak, medium strength squeeze, so that men only pressure and no discomfort is appropriate.
3, the woman should use the fingertips to touch the penis, avoid scratching the penis with nails. So repeatedly stimulate – squeeze – release, to improve the male ejaculation control ability.
4. During the training process, the female partner is required to squeeze once every 5 minutes, regardless of whether the male partner is immediately approaching ejaculation.
This method can relieve the urgency of ejaculation, and if used consistently, can improve the ejaculation too fast and rebuild the normal ejaculation reflex.
2.Intermediate training
After a few days of primary training, if there are no other sexual problems and the man has sexual confidence, the pinching and squeezing method can be transferred to the process of sexual intercourse.
Specific methods of operation.
1, in preparation for sexual intercourse before the use of pinching and squeezing method 5 times.
2, take the female position, the penis is inserted into the vagina, and then rested. Both parties focus on the body’s sensations, and the male partner should never take the initiative to insert.
3.After the penis is rested in the vagina for a short time, the woman should pull out the penis and squeeze it again, regardless of whether the man has a sense of urgency to ejaculate.
4.The female partner again incorporates the penis into the vagina and begins to rub slowly.
5.If the male partner has the urgency to ejaculate, give the female partner a hint and the female partner pull out the penis again to do the pinching and squeezing method.
6.If the penis can insist on resting in the vagina for 4-5 minutes, you can speed up the lifting and thrusting to make him ejaculate.
3.Advanced training
When this method can make ejaculation well improved, switch to the penis root pinching method, so that the female partner does not need to interrupt intercourse up and down by carrying out pinching.
Specific operation methods.
1. various positions of intercourse can be used at this stage.
2, when the male partner has a sense of urgency to ejaculate, prompt the female partner, stop lifting thrusts.
3, the penis to the outside of the vagina to pull out part of the female hand squeeze the root of the penis for 4 seconds.
4.Suddenly relax.
5.After the urgency of ejaculation disappears, then start to lift and insert from slow to fast.
6, so repeatedly, when the penis can be held in the vagina for more than 5 minutes, you can feel free to lift and insert until ejaculation.
II. Drug treatment.
Traditionally, male doctors believe that premature ejaculation is almost always caused by mental factors, so they promote the concept of behavioral therapy, whether this view is right or not is open to debate; in fact, in addition to mental factors, physical factors also often cause premature ejaculation. For patients with premature ejaculation, a comprehensive and detailed assessment of their physiological and psychological factors is necessary before appropriate treatment can be given.
Research in basic medicine, especially advances in neuropharmacology, can provide several effective medications to treat premature ejaculation caused by physiological factors or other diseases, in the hope that patients with premature ejaculation can return to a normal sexual life. With the discovery of the efficacy of selective pentraxin reuptake inhibitors (SSRIs) in prolonging ejaculation, the problem of premature ejaculation in men has been brought to a new era, where the psychological and physical components are no longer separate, but complement each other to provide a more complete and personalized assessment and treatment strategy for premature ejaculation, which is a groundbreaking page in the treatment of male sexual function.
The drugs commonly used to treat premature ejaculation are divided into two main categories: oral drugs and topical drugs.