Treat Premature Ejaculation Effectively and Quickly! 

Treatment for premature ejaculation

Stop PE

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Premature Ejaculation (PE)

The loss of ejaculatory control, or the inability to exert ejaculatory control, is a significant factor in a man's quality of life. This is particularly true when it stops a couple from gaining meaningful enjoyment during sex (or even, in the worst cases, reduces the likelihood of conception). Premature ejaculation (also called rapid ejaculation) has been thought of as a psychological problem related to performance anxiety around sex. However, despite disagreement regarding the relative importance of neurobiology and psychology as causative factors in PE, an approach which accounts for both neurobiological and psychological factors is probably most useful.

Defining Premature Ejaculation

Clinical definitions of premature ejaculation are inconsistent. Originally, definitions of PE were focused on objective criteria like the number of penile thrusts or the time between penetration and ejaculation. More recently, criteria have become more subjective, and include such things as simply ejaculating before the couple wish it, a lack of voluntary control over the man's ejaculatory response, and his partner's dissatisfaction with the length of sexual intercourse. The American Psychiatric Association have produced diagnostic standards for PE which focus on objective criteria and rely to some extent on the judgment of the clinician.

Prevalence of premature ejaculation

Something like 30% of men between 18 and 59 believe that they reach orgasm too soon; back in 1958, Kinsey found that fully 75% of men could last only two minutes before they ejaculated; but because definitions of premature ejaculation are in part subjective and have been so diversely applied in various research studies, it is hard to estimate the real prevalence of PE. Estimates of PE range from 4% to 30%. IN a way it doesn't rally matter what the number actually is - we know there are a lot of dissatisfied men and women out there.

Diagnostic Criteria for Premature Ejaculation

1. Persistently or repeatedly ejaculating after minimal sexual stimulation before, at the moment of, or shortly after intromission (penetration) and before a man or his partner wishes it.  
2. This habit of ejaculating too soon causes marked distress or interpersonal difficulty. (This is an interesting one - I mean, how can it not be premature ejaculation if the couple don't feel dissatisfied? The definition has to be objective to some extent.)
3. Premature ejaculation must not be due only to the direct effects of a drug or other substance (e.g., withdrawal symptoms from opiods) or some general medical condition (e.g. erectile dysfunction).

Causes of Premature Ejaculation

As noted above, the etiology of premature ejaculation is a combination of  psychogenic and neurobiological influences. As far as the psychological issues are concerned, premature ejaculation usually involves a psychological interplay between a couple with individual patterns of sexual response where one or both partners are dissatisfied with the length of intercourse. A whole range of neurobiological or biological factors have been proposed as having some effect on the duration of intercourse, such as low testosterone, low semen plasma magnesium, hyperthyroxinemia, short frenulum of prepuce, penile hypersensitivity, chronic reflex hyperexcitability, prostate gland inflammation or infections such as chronic prostatitis, and even serious neurological disorders (which would include multiple sclerosis, spina bifida, and cancerous tumour of the spinal cord).

Treating premature ejaculation

The degree to which a doctor will wish to become involved in the treatment of premature ejaculation depends on how he sees his role in the condition. Many think that their responsibility ends when they have ruled out underlying medical conditions - especially in young men who complain of the sudden and unexpected onset of premature ejaculation. Education and counseling for premature ejaculation often require that the doctor see  a man and his partner together; when this is impossible, the physician must consider a referral to a qualified sexual therapist. Even so, there are many pieces of information which may be helpful to a man with this condition:

1. Premature ejaculation is a very common issue for men. About one man in three thinks he ejaculates (comes) too soon.
    
2. A good approach is to focus on how much enjoyment and pleasure you can get from sex in one way or another, rather than thinking about how long you are going to last when you have sex - this turns sex into a performance (and that can produce stage fright - otherwise known as performance anxiety!).
    
3. Discussing your worries about premature ejaculation with your partner can reduce the pressure that you feel about the need to last longer, and if you don't discuss it, this pressure will only grow greater as time goes by. This will make sex more of a challenge than ever.
    
4. Talking about sex openly is helpful because you can explore your  partner's sexual needs and interests. If you think that her pleasure comes from having you inside her for a long time, thrusting vigorously and continuously, until she has an orgasm, then you need to think again - for women, penetration and thrusting may be arousing, exciting and even satisfying, but it isn't necessary for most women to get to orgasm (in fact most women will never come this way). For many women, oral sex is the most desired sexual activity.
    
5. You may find you last longer if you masturbate and ejaculate several hours before you have sex with your partner.
    
6. Try the exercises on this website - they can be a source of fun and pleasure when a couple work on them together.

Cognitive behavioral techniques to control premature ejaculation such as the squeeze and stop-start regimes are most likely to work when both partners are very motivated and in a good relationship. Men who have multiple partners and those whose relationship is not emotionally intimate may find these techniques less successful.

Recent advances in the treatment of premature ejaculation has led to the use of drugs such as SSRIs such as paroxetine as a treatment for PE: and nowadays, drug and non drug options in combination are often seen as a first-line approach to the treatment of premature ejaculation.

[ Home ] [ Notes on treating rapid ejaculation ] [ Thinking about treatments for rapid ejaculation? ] [ Treatment for quick ejaculation - 1 ] [ Treatments for too-early ejaculation - 2 ] [ Treatment for PE - 3 ] [ Treatment for PE - 4 ] [ Drug treatment for PE ] [ More on drug treatments for PE ] [ Drug treatment for PE - page 3 ] [ Drug treatment for PE - 4 ] [ New treatments for PE ]
[ Find out how to last longer during sex ] [ Controlling premature ejaculation with hypnosis ]

Drug treatment for PE

Effect of early ejaculation on a man and woman's sex life

Rapid ejaculation and your relationship

What is an ejaculation - the physiology of ejaculation

The medical view of PE

Drugs and PE

New ways to prevent PE