This guide has already mentioned that there was not much information on premature ejaculation treatment in my youth. Internet, as it exists today, didn’t exist. There were very few articles or articles in mainstream magazines on the subject. It was not something I wanted to ask friends, family, or doctors about.
False or true? Premature ejaculation can be curable
False. I wish I could say that there is a cure for premature, or even permanent, ejaculation. Anyone who says otherwise is lying. It’s not a problem if there was a cure for premature, chronic, and lifelong ejaculation. The condition that causes premature ejaculation can be improved if treating the underlying cause.
We know that premature ejaculation affects at least 30 percent of men. This guide will give you a solid understanding of the reasons that many “cures” don’t work. You’ll be armed not only with useful, accurate information but also the ability to understand premature ejaculation so that you can live a happier sex lifestyle.
We are constantly being bombarded with information about premature ejaculation. This includes spam emails and articles from respected sex therapists. This is the good news. The bad news? The bad news? This article will cover some of the most common claims you’ll find and help you distinguish the lies from the truth.
Premature ejaculation treatment: Separating facts from fiction
Here are the most recent claims and treatments regarding premature ejaculation.
The solution? “Sexercises”
They are two exercises that sex therapists recommend to increase the time a man can stay on the sex table. These techniques, also known as the stop-start and squeeze techniques, have been used for years to control sexual arousal and manage premature ejaculation.
Stop-start stimulates your penis until it is close to ejaculating. Then, stop stimulation and begin again. Your partner will squeeze the technique by placing her thumb on your penis, and your index and middle finger on your penis. She will squeeze your hand when you feel ready to go for the climax. This supposedly stops you from ejaculating and quells your desire. These techniques were devised by sex therapists to help you last longer.
Bottom line: While you can practice the stop-start technique by yourself, most experts recommend that you do it with a partner. To be effective, the exercises must be done regularly and they won’t always produce consistent results. Some people find them difficult, which can make sex more work and less enjoyable. I have also found that most women don’t like doing them.
Are you curious about so-called sexercises
This article explains why it might not be a good idea to involve your partner.
Many experts advocate the integration of behavioral exercises during sex such as the “stop/start” method and the “squeeze” technique, both of which require a high degree of partnercollaboration.
While communication and teamwork are important components of any healthy relationship these techniques can actually be more harmful than beneficial when you consider that premature ejaculation is a man’s main goal. He wants to bring his partner to an orgasm. As we discussed, women are not subject to ejaculatory inevitability.
They can experience an “ejaculatory loss” and even have the ability to stop orgasms from happening. Many women will tell you that there is a possibility of the experience being disrupted or altered by a disruption or change in the stimulation pattern during sex. This may be caused by a change in the brain’s processing of arousal. Recent research has shown that women may need to “turn off”, in order to turn themselves on.
Research has shown that a woman’s ability to feel relaxed and not anxious is key to her desire to have an affair with a man. Researchers from the University of Groningen, Netherlands, scanned the brains of 13 men and women while they were being manually stimulated to orgasm.
The scans revealed that women’s brains responsible for processing fear and anxiety slowed down as they were more sexually stimulated. These brain areas showed less change in men.
According to researchers, this could mean that women need to let go of anxiety and fear in order to have an orgasm. In a sense, women must turn off to be able to turn on. Your partner will be less likely to have the mental deactivation she needs to enjoy sexual pleasure and orgasm if there is a lot of “stopping, starting”, or feeling interrupted or anxious about “squeezing” your penis at a specific point.
My professional experience with men suffering from premature ejaculation has shown that sex exercises, while effective in achieving successful sexual experiences, can be very ineffective. They can however be used with a sexscript that isn’t distracting a woman and doesn’t place her burden of participation, if they are reconceived in a way that allows them to work with guys. I’ll discuss this reconceptualization in Part 4.
Are Supplements The Solution?
These claims are easy to find: A quick Internet search will reveal a lot of claims claiming that various herbs and supplements can be used as quick and easy remedies for premature ejaculation. There’s nothing more appealing than popping a pill to fix your problems, especially if it’s all natural.
Supplements for premature Ejaculation often include passionflower, B vitamins, griffonia seed, and other ingredients that are said to improve your body’s serotonin production and male sexual dysfunction. These products can boost stamina in as little as 24 hours.
Bottom line: Does it sound too good to be true? It is. It is. Despite the claims of some manufacturers, there is no solid clinical evidence supporting such supplements. Remember, just because a product claims to be natural doesn’t necessarily mean that it is safe. Some vitamins and herbs can interact with medications and we don’t always have enough information about the potential side effects.
Is Hypnosis The Soluution?
What is it: Hypnosis recordings can be marketed online as a pre-ejaculation remedy. These CDs can be listened to by those who believe that they tap into the subconscious, which will make you last longer.
Bottom line: Hypnosis is not used to treat premature ejaculation. There are other medical uses that hypnosis can be used for, and there has been good research. As I mentioned, premature ejaculation is not caused by psychological factors.
You need to use a combination of treatments for best results.
Is Alcohol The Solution?
It’s a way for guys who have premature ejaculation to make themselves last longer by having a few beers before they go out on sex.
Bottom line: While alcohol may increase stamina slightly, it is not a solution. There are many negative consequences of excessive alcohol use, such as liver disease, depression, and increased accident risk. Erectile dysfunction, a condition often associated with premature ejaculation, can be caused by alcohol intake.
Are Desensitizing Products The Solution?
They are creams, gels and sprays that numb your penis head. This makes your sensation less intense and lasts longer. This is often done with condoms that are thicker and contain topical numbing lotions. To reduce their sexual stimulation, some men may use multiple condoms simultaneously.
These products are often sold under the names Maintain, Prolong and StaHard. They usually contain some kind of numbing agent such as benzocaine. This anesthetic is also used in many over-the counter remedies for canker sores or ear pain.
Desensitization does not address the root causes of premature ejaculation so it is only temporary. Some men, or their partners, may be allergic to benzocaine and other inactive ingredients in these products.
Overuse of benzocaine can increase the risk of developing acquired methemoglobinemia. This blood disorder can cause headaches, fatigue and shortness of breath. A desensitizing spray has potential to treat premature ejaculation. See “Promising Treatments on the Horizon” on pages 49 and 49 for more information.
Is Intracavernous Pharmacotherapy The Soluution?
What they are: Intracavernous Pharmacotherapy (ICP), is a treatment that the Boston Medical Group advocates. It is an official contingent of 23 North American medical groups (but not Boston). You must inject a vasodilator into your penis to achieve ICP. This increases blood flow to the organ. The Boston Medical Group claims that this procedure can cause an erection lasting approximately an hour, even after you have ejaculated.
Bottom line: ICP can cause side effects other than the discomfort of injecting something into your penis. These include pain, tenderness, scarring, bruising and prolonged painful erections. The approach can also be dangerous. In 2009, a former patient sued the company for permanent damage to the penis due to ICP.
Are Antidepressants a Solution?
What are they? I explained how neurotransmitters (chemical messages) serotonin, dopamine and serotonin regulate the ejaculation process. Dopamine reduces ejaculatory threshold, while serotonin increases it.
For optimal sexual function, you need to have the right balance of both neurotransmitters. Premature ejaculation has been linked to lower levels of serotonin in men. This may explain why they ejaculate so quickly.
A class of antidepressant drugs known as selective serotonin reuptake inhibits, or SSRIs, increases serotonin levels. Doctors may prescribe SSRIs off-label to treat premature ejaculation because higher levels of serotonin can raise the ejaculatory threshold.
Bottom line: SSRIs can increase IELT (the time a man can stay in intercourse before ejaculating). It sounds impressive, but it might not be. It may not sound impressive, but it is possible. Although it is a significant difference, it is not always dramatic. SSRIs require a prescription from a doctor. They can cause weight gain, headaches, nervousness, and other side effects. You can also expect to return to the original IELT if you stop taking SSRIs.
Can Viagra Help?
Viagra changed how we see erectile dysfunction. It brought it out of our bedroom and into the doctor’s office. And it made it easier for men to talk about it. Even Bob Dole, a former senator, admitted that he took Viagra. There is some evidence to suggest that this blue pill may also be effective in treating premature ejaculation.
European Urology published a 2007 review of all previous studies and found Viagra (sildenafil) increased IELT, and sexual satisfaction. Researchers aren’t sure how Viagra works to improve premature ejaculation.
However, they believe it may work by altering the nervous system, prolonging the erections or relaxing the smooth muscles of the male reproductive systems. Both young and old men suffering from premature ejaculation seem to benefit from Viagra.
Research suggests Levitra and other medications in the phosphodiesterase type 5-inhibitors class may also have similar effects. It’s an interesting possibility, but we need to do more research before we recommend Viagra for premature ejaculation. Keep watching.
There are promising products at the horizon
We live in an information- and misinformation-filled world about premature ejaculation. It’s also a fortunate time to have good scientific research on the condition. There are more clinical studies published about premature ejaculation and its causes.
This research has sparked a lot of controversy about “medicalizing premature ejaculation” by creating drugs to treat it. Critics claim that drug companies are creating a market for new products by making men believe they have prematurely ejaculated when in fact they don’t.
A 2009 New York Times article on premature ejaculation states that “While there’s no doubt that some men feel distressed by their inability control their orgasms,” there is very little evidence to support the claim that premature ejaculation is epidemic. The reporter also quoted a psychologist as saying that premature ejaculation will “become a problem once there is enough publicity.”
This is something I strongly disagree with. I strongly disagree. To suggest premature ejaculation as a fake issue being manufactured by pharmaceutical industry to sell drugs is not only offensive to the legions men (and their spouses) who are suffering from this very real problem but also hinders the development of a much needed solution.
An FDA panel has rejected a pill to treat premature ejaculation (dapoxetine), once before it was approved. Although there are legitimate concerns about its efficacy, the FDA panel rejected it because of an anti-pharma backlash against the medicalization of sexual issues.
There have been attempts to develop drugs that can be used to treat other sexual issues (such as low female desire) and there were also efforts to create drugs to help with these problems. Many people were dismayed by the marketing of erectile stimulants to men who might not really need them. This created a culture of suspicion and caution around the medicalization of sexual problems.
I am not one to jump on the bandwagon of pharmaceutical companies and suggest drugs to “relationship problems”. There is no doubt that chronic premature ejaculation has a biological basis, as is erectile dysfunction.
A drug treatment may be an important part of the overall solution. My personal and professional experiences have shown that medical treatment for prematurely ejaculated men can be extremely helpful.
This is especially true since the condition is likely to be biopsychological and genetic in nature. Don’t forget that I also recommend combination therapy. The medical part is just one aspect. Hopefully, lessons have been learned over the past decade. Only men suffering from chronic premature ejaculation will need medical treatment.
My professional experience with men suffering from premature ejaculation and ED has shown me that most of them are afraid to use drugs due to potential side effects or developing a dependence in order to have sex. Contrary to what the media portrays as a “culture of pill popping”, these men aren’t just going to start using drugs to treat their problems, but they will be careful.
To my mind, there is more to be done to educate people about the biological basis of sexual problems and the legitimacy and effectiveness of combination therapy. Instead of living with the consequences and stress of these issues or seeking out solutions that may not work, or even dangerous, I believe that it is better to educate them.
There will always be someone who uses these drugs recreationally or abuses them, but I believe that the vast majority of men suffering from chronic premature ejaculation will benefit from proper doctor and patient education.
Here are two promising options for medical premature ejaculation that might soon be yours.
A pill for premature ejaculation is being developed, just as Viagra can be used to treat ED. Dapoxetine hydrochloride is an SSRI being developed and marketed as a treatment for premature ejaculation. Dapoxetine, like other SSRIs increases the ejaculatory threshold. It also delays orgasm. Dapoxetine is different from other SSRIs in that it is short-acting. You only need to take it “on the demand” about an hour before you have sex.
There is increasing evidence that dapoxetine may increase IELT in premature ejaculated men. For example, a large study published in October 2009’s Journal of Sexual Medicine found that men suffering from premature ejaculation could take dapoxetine for up to three to four hours more than those who received a placebo.
This increased their IELT by an average of 1.1 to 3.9 minutes and 4.2 minutes depending on the dosage. A 2009 study of men suffering from premature ejaculation found that dapoxetine significantly increased the IELT. Dapoxetine also has been shown to decrease distress and relationship problems associated with premature ejaculation. Side effects such as nausea, headaches, and sleepiness may not be severe and can be reduced if the drug is taken only when needed.
Despite these benefits, dapoxetine has not yet been made available in the United States. Johnson & Johnson makes the drug. It is also sold in nine countries under the name Priligy. Although the U.S. Food and Drug Administration denied its 2005 application, there has been an increase in research that may have helped dapoxetine to be granted approval again soon.
TEMPE spray (PSD502)
Topical desensitizing creams are said to make you feel more rested by numbing the penis. These products are sometimes effective for some men, but they can also be messy and ineffective. Researchers have now developed an anesthetic spray to treat premature ejaculation.
This spray is called PSD502 (Topical Eutectic Mixedture for Premature Ejaculation) and contains an aerosol version prilocaine and lidocaine, two numbing substances. These compounds seem to increase IELT when sprayed on your penis.
A study published in BJU International on April 23, 2009, found that men suffering from premature ejaculation who used TEMPE spray five to ten minutes before having their first period saw an improvement in IELT of approximately 15 to 3 minutes. Similar results have been reported in other research. They suggest that the spray has minimal side effects and causes little to no skin irritation. TEMPE spray, like Priligy is not currently available in the United States. However, its manufacturer plans on submitting it for FDA approval shortly.
Let me wrap up by stating again that there is no cure for premature ejaculation. Don’t let Internet advertisements or false marketing claims fool you. You can manage premature ejaculation to have a fulfilling sex experience. You will need to use a combination approach that combines the best of behavioral, medical and relationship methods to increase your IELT and work with your partner to address premature sexual desire.
This section explains what premature ejaculation looks like and what researchers think may be the cause. You will also learn which premature ejaculation treatment to avoid and which ones to keep in mind for the future. The next section of this article will give you the tools and techniques you need to prevent premature ejaculation.
- The Complete Guide To Premature Ejaculation (Part 1/5 – Quiz)
- The Complete Guide To Premature Ejaculation (Part 2/5 – Common Myths)
- The Complete Guide To Premature Ejaculation (Part 3/5 – Understanding Arousal)
- The Complete Guide To Premature Ejaculation (Part 4/5 – Treatment Options)
- The Complete Guide To Premature Ejaculation (Part 5/5 – Putting It All Together)