How to perform behavioral therapy for premature ejaculation?

  Men masturbate in a variety of ways, but the most classic is to run or rub one hand back and forth along the shaft of the penis, which is ideal when training for ejaculatory control. Some men masturbate by rubbing their penis on bedding or other objects (without actually using their hands directly), but these methods are not applicable to this training.
  Phase 1: Stop motion training
  Exercise 1: Masturbation training with a dry hand without lubricant for 15 minutes in the same way you used to do it, without ejaculation. Focus your attention on the penis or pelvic area, experiencing and savoring your arousal and sexual tension. When sexual tension reaches the level of the control phase which is the emergence of ejaculatory urgency, stop all stimulation by.
  1. Pay attention to the sensation of experiencing arousal/tension and try to notice the sensation in the penis when you are about to ejaculate. You may feel an increased tingling sensation in the head of the penis, or a feeling of fullness in the groin area. As soon as that feeling occurs, stop masturbating and squeeze the penis firmly with your thumb and index finger, either at the root of the penis or at the head of the penis and the displaced part of the penis body, the coronal groove, until the ejaculatory urgency subsides.
  2. Deep breathing. Resume stimulation when the arousal/tension level starts to drop, taking care to keep the fire in check. Both the stopping time and the time to wait for the arousal to subside are included in the 15min. At the beginning, you need to feel a few times to decide when it is good to stop stimulation, how long it is appropriate to stop, and how many times you need to stop to complete the 15-minute exercise. If you only need to stop 1-2 times, even if you pass, you can move on to the next phase of the exercise.
  Exercise 2: Take 5 minute intervals, then repeat the first half of the above steps and record the time from masturbation to the onset of ejaculatory urgency. Stop masturbating and squeeze the penis again. Wait 1 minute – then repeat this 2 more times. When you experience the ejaculatory urgency for the 4th time, do not stop and continue masturbating, focusing on the sensations in the penis and groin until you ejaculate.
  A possible problem with the exercise is that after stopping stimulation and resting for a while, you have to stop immediately when you just resume masturbation, which means that the time to stop stimulation is too late and the time to rest and adjust is too short, when you should stop early and resume late. Aim to do this exercise 3 times a week for 2 weeks. You will likely notice that the time from masturbation to the onset of ejaculatory urgency begins to increase, which convinces you that premature ejaculation has changed.
  Phase 2 Masturbation plus fine tuning.
  With the first stage of practice, you will notice that you have begun to learn what to do to delay the onset of orgasm. It may be slowing down the pace of your masturbation; it may be becoming more cognizant of the level of sexual arousal and excitement earlier; it may be noticing sooner when to stop stimulating.
  Exercise 3: As in Exercise 1 of Phase 1, masturbate for 15 minutes, requiring that you do not ejaculate or stop halfway through. When sexual arousal/tension reaches the control phase, instead of stopping stimulation, change the mode of stimulation in order to control ejaculation. These changes or adjustments include slowing down the rhythm, changing the site of maximum stimulation (e.g., stimulation of the penile shaft only and not the glans), and changing the stroking technique (e.g., from long strokes to short strokes). Make only one change or adjustment per exercise. Gradually find out which type of stimulation is most suitable for you and fix it later. The changes should be made in time, otherwise there is a risk of failure, leading to ejaculation in the middle. When arousal/tension is reduced by the change, you can return to the original stimulation method; when arousal/tension reaches the control phase again, change to a milder stimulation method. If you can maintain 15 rains of masturbation training without ejaculation with only minor adjustments, move on to the next phase of the exercise.
  Exercise 4: Next, you will begin to work on maintaining your sexual arousal at a consistently high level. If your ejaculatory urgency is “10”, then the goal is to maintain a level of 7. 5 to 8. Start with your old masturbation style and pay attention to the level of sexual arousal. While concentrating on your penis and groin, try to mentally estimate what your current level is. As you begin to approach a “6” or “7”, slow down your masturbation rhythm to keep you at a constant level of arousal. As the pressure of erection increases, you will feel an increased tingling sensation in your penis. Slow down your rhythm, but keep your arousal level constant. The first few times you may not be able to accurately estimate the level of arousal, it may go from 7 to 10 at once. This is normal and nothing to worry about. Try to recall carefully what you felt, and the next time you do it, slow down a little but still be careful to maintain a high and constant level of arousal. After a few sessions of this practice, you will find that you will be able to keep yourself in a constant state of high sexual arousal, and your “arousal” will change when you are able to maintain this state for 10 or 15 minutes. You will notice that it becomes easier to maintain a high level of sexual arousal without ejaculatory urgency. The goal of this phase is to maintain the highest level of arousal you can for 15 minutes, and then allow yourself to reach orgasm naturally. You will find that the intensity of the orgasm becomes great.
  Exercise 5: Continue with the previous exercises, preferably no less than 3 times a week. Frequency is an important factor in learning control. It’s like training an athlete to master a special skill in competition. They have to practice it over and over – repetition is the most important part until the process becomes somewhat automated, at which point their bodies instinctively will already be doing things that they wouldn’t have done before. During this phase, you should have an understanding of the pubococcygeus tailbone muscle. If you want to interrupt urination then you have to contract the muscle. In the previous exercise, you should pay attention to what happens if you compulsively contract the pubococcygeal muscle – whether it makes the ejaculation urgency approach or delay it. Then relax it to see what effect it has. Then practice a slow, gradual contraction of the pubococcygeal muscle. You’ll be able to practice it to the point where you can control it almost anywhere and at any time. Doing so makes you more aware of what the groin feels like. For some men, contracting it avoids ejaculation; for others, it speeds it up. In the latter case, a gradual, partial contraction of the pubococcygeal muscle may have the effect of delaying the urgency of ejaculation thus giving you better control over when to ejaculate.
  Stage 3 The only difference in this stage is the addition of lubricant.
  The lubricant makes the penis feel more like it’s in the vagina and is more stimulating than masturbation without lubricant. Then repeat the exercises you’ve been doing above, noting the difference after adding the lubricant.
  It’s important to note that whether you complete stages one through three alone or with a partner depends on your personal preference. Some men prefer to master the technique on their own so they don’t feel any pressure to do it, while others choose to practice with a partner from the start. The choice between the two approaches is guided by the principle of maximum comfort for oneself.
  Phase 4 Sexual partner involvement in therapy
  If you have been in a sexual relationship with your sexual partner for a long time, you may be willing to change it up a bit. The three stages of practice described above will prepare you for the next stage. If you are just starting out with her, then it is recommended that you juggle getting to know her before entering into a sexual relationship. Trust and comfort and communication with each other can really make a difference. Although revealing sexual problems can be detrimental to manhood, keeping it a secret can put a heavy burden on you, increasing your anxiety and possibly making it difficult to control your ejaculation. More seriously, it will make it difficult for you to focus on pleasure and enjoyment and not be controlled by worries about performance.
  Exercise 6: Partner stimulation of the penis: Both partners should read the training guide carefully and discuss the process carefully before practicing together for the first time. Both partners should determine a summary of mutually acceptable and understandable training phrases, so that the male partner can promptly notify the female partner to start or stop sexual stimulation, the female partner can respond in a timely manner. Both sides in the exercise should be as relaxed as possible, relaxed, full of warm atmosphere can start directly penile stimulation, but also first kissing, hugging, brewing feelings, but also by the male partner first to non-coital means to stimulate the female partner, the partners can arrange their own. It is especially important for the woman to take a comfortable position, because she has to continue to stimulate for as long as 15 minutes, usually by sitting beside the man or sitting between the legs of the man’s way. The key to successful training is that the man should pay attention only to his own feelings and sensations, and not to the feelings of the woman in mind. In general, each training session should last 15 minutes without ejaculation (except when otherwise specified).
  After completing the 15-minute training, if you want to ejaculate, you can do it yourself, but you should try to let it happen slowly and enjoy the process fully. Do not be nervous if you need to stop in the middle of the session, but still have confidence in your control and generally do not
Do not stop more than 2 times, otherwise return to the above exercise. It is important that both partners adopt a calm attitude and take it in stride if an unplanned ejaculation occurs in the middle of the session.
  Training 2-3 times a week is appropriate. The specific stimulation techniques and frequency are similar to those described earlier and will not be repeated here. The possible problem is that if the man does not focus on his own feelings, but pay attention to the reaction of the woman, he will not be able to fully experience their own feelings and in time for the woman to start or stop stimulation.
  It is also necessary to coordinate the living arrangements of both partners, to adjust the connection between them and to pay attention to correct the boredom of the female partner. This stage is mainly about simple genital contact: let the man himself hold his penis in contact with the woman’s vulva, but just stay at the vaginal opening. If you feel anxiety or any urge to ejaculate, immediately take a deep breath and concentrate on repeating this exercise until you are not nervous. You can then have the woman guide the penis with her hand for this exercise, and if you are nervous or anxious, return to the previous stage of the exercise.
  Exercise 7: After you have completed stages one through three (with or without a partner) you will place your penis into your vagina. Remember that you may be a little anxious about entering the new phase of the exercise, and you may even ejaculate quickly due to poor control. This situation is not abnormal. You may find for the first time that having your sexual partner straddle you while you lie on the bed (i.e. female on top) will facilitate ejaculation control. Have her guide the penis into the vagina with her hand. The penetration exercise should be done gradually and in steps, with the woman understanding that this is not sexual intercourse, so don’t make too many demands and just remain relatively calm. When the penis is inserted, the man should remain still and try to experience the warmth and wetness of the penis in the vagina, the pressure of the tight grip, the sensation of the texture of the vaginal walls from the fit of the organ, etc. This exercise usually takes no more than 5 minutes.
  If the erection subsides, have the woman contract the vagina several times to stimulate the penis to regain full erection. If you feel that you are about to ejaculate, have her withdraw her penis from the vagina. The purpose of this stage is to try to insert the penis into the vagina and just notice what it feels like when there is no movement or pumping.
  Recall what you have learned in the previous exercises and try to focus on the sensations in the penis and groin. You may find that pressing the base of the penis (in a forward and backward direction) with your thumb and index finger reduces the urgency of ejaculation. Once you feel you can control your ejaculation, your sexual partner can begin to move slowly, in a manner similar to the way you stimulate during masturbation. At this point, pay attention to your arousal level – try to keep it at 7.5 and guide your partner’s movements.
  After 3 or 4 ejaculatory urgencies, you can ejaculate and pay attention to the sensations during ejaculation. After ejaculating for orgasm, you want to ask your sexual partner what she likes you to do. Maybe she doesn’t want any stimulation at that time; maybe “reciprocity” will make her feel better. Talking about mutual expectations and good sexual feelings can improve mutual understanding and communication. Tell each other the way you like to stimulate, what kind of stimulation feels good, to know that in addition to sexual intercourse there are other ways to bring excitement and pleasure to both sides of the sexual feelings.
  Exercise 8: At this point the training can progress to vaginal penetration and pumping: schedule the exercise for 15min, starting with a slow rhythm and gradually speeding up, relaxing yourself by breathing deeply if necessary. Both men and women can take turns taking the initiative to pump so as not to put too much pressure on the male partner. The key is not to seek novelty and fancy, but to find out the most suitable position for yourself, which not only overcomes the monotony but also improves the quality of your sex life. The practice should also be careful to separate their own feelings from the excitement of their partners, do not mix them together, so as to ensure the benefits of their training.
  The best way to ejaculate as quickly as possible during sex: pay attention to the male partner to exclude negative thoughts, do not have any worries, master the skills of ejaculation as soon as possible. Let it end by stopping at a good feeling. If the woman needs it, the man can stimulate the woman to make her reach orgasm, or both partners can simply end with hugs, caresses, etc. Both partners should discuss this experience and treat the results of this training appropriately, as it is likely that they will encounter similar situations in future training, when they should also look at it in this constructive manner. This exercise can be performed 1 to 5 times, depending on the partner, and as long as there are no problems in rapid ejaculation you can move on to the next phase of training.
  The most effective way to continue to improve your ability to control your ejaculation is to keep practicing. Keep in mind that you will still occasionally experience premature ejaculation and an inability to control the onset of orgasm. Try to think back to when you felt good and remind yourself of the progress you have indeed made. Being overly concerned about “failure” may cause you to emotionally alienate your sexual partner, which can have adverse effects far beyond the problem of premature ejaculation itself. If necessary, medications such as diazepam (Valium) can be used to help reduce anxiety and tension. In short, premature ejaculation can be controlled and improved through training, the key is to dispel concerns and actively engage in training, and it is important to persist. At the same time, the active cooperation and understanding of the wife is also an important guarantee of success.