Premature Ejaculation is one of the most widespread sexual disorders among many men. PE actually means that you cannot ejaculate and achieve an orgasm too quickly during sex. This can cause the man and his girlfriend great pain and humiliation. Luckily, there are therapies that are usually effective in curing this condition in men and increasing sexual satisfaction. In this article, we will learn the workings of three of the best PE treatments.
1. Behavioral Techniques
Behavioural techniques depend on the notion that the man might achieve better control over his ejaculation by way of training and drills purposefully designed to foster consciousness and restraint. It provides men with coping mechanisms to better handle their sexual impulses, thus increasing their confidence and relationship satisfaction.
The Start-Stop Technique
The idea behind the Start-Stop method is that a man can learn to identify the sensations in his body that alert him to ejaculation. Here’s how it works:
Stimulation: A man inflames his penis by masturbating or sexually enfeebling it.
Recognising the No Return Zone: When it is time for an ejaculation, he discovers the warning signs that indicate he’s on the verge of an orgasm.
Quitting: Once these emotions are established, he ceases stimulation for about 30 seconds or until the urge to expel subsides.
Repeat: The cycle is repeated until a cycle is made in which he ejaculates at all.
This technique aims to allow a man to be aware of, and learn to regulate, the ejaculatory reflex. This way, with sufficient practice, you can prolong IELT, or the interval between vaginal insemination and ejaculation. There have, of course, been some significant gains, with some men up to doubling or tripling their IELT after regular practice.
Squeeze Technique
Another effective PE technique is the Squeeze method, which also involves the partner. Steps are as follows:
Stimulation: Like the Start-Stop method, the man initiates stimulation until he is ready to climax.
The Squeeze: This time, rather than relenting, his partner can gently but hard press the glans. This is supposed to be a pressure that must stave off the reflex associated with ejaculation without pain.
Stop: Following the squeeze, the man takes roughly 30 seconds or until after the need to ejaculate subsides before again engaging in stimulation.
Repetition: This is repeated many times, and can allow the man to become more sensitive to his sensations and triggers that induce ejaculation.
The technique does much for the partnership in terms of opening up, and is very close-knit in attempting to increase control over ejaculation.
Practice and Patience
Start-Stop and Squeeze both require practice. These are exercises that men are often told to undertake patiently, and progress will only be noticeable over time. Both alone and with a partner, routine use of these techniques will result in marked enhancements in sexual performance and self-esteem.
2. Medications
Selective Serotonin Reuptake Inhibitors (SSRIs)
SSRIs, a class of antidepressants, are often used to treat PE. These drugs work by raising the brain’s serotonin levels, slowing down ejaculation. SSRIs for PE include paroxetine, sertraline and fluoxetine, among the most commonly prescribed drugs.
Paroxetine is an extremely selective SSRI that is available in both immediate-release and controlled-release forms. Clinical trials demonstrate that paroxetine delays ejaculation and enhances sexual enjoyment in PE men. The controlled-release version of paroxetine works well for PE as it keeps the medication at a consistent level in the body, eliminating the need for daily administration.
The other SSRI widely prescribed for PE is sertraline. Sertraline works fast and comes in immediate and extended-release forms. Several clinical trials have demonstrated that sertraline slows down ejaculation and enhances sexual satisfaction in PE men. Extended-release sertraline can be particularly useful in treating PE because it helps to maintain a more constant amount of the drug in the body, eliminating the daily dosage.
Fluoxetine is a SSRI medication used to treat depression, obsessive-compulsive disorder, and bulimia. Fluoxetine works similarly in treating PE, with clinical trials indicating that it can postpone ejaculation and enhance sexual desire. Yet fluoxetine has a longer half-life than paroxetine and sertraline, and that can lead to enduring sexual side effects, including lower libido and poor orgasm production.
Topical Anesthetics
Another treatment option for PE is topical anesthetics. Topically administered anaesthetics cause the penis to become less sensitive and therefore delay ejaculation. The most widely prescribed topical anesthetics for PE are lidocaine and prilocaine.
Lidocaine is a local anesthetic that can be administered in a number of forms, including creams, gels, and sprays. Lidocaine interferes with sodium channels within nerve cells, thereby reducing nerve impulses and sensitivities. In a series of clinical trials, lidocaine was demonstrated to delay ejaculation and improve sexual pleasure in PE men.
Another local anaesthetic widely prescribed for PE is prilocaine. Prilocaine is sold in creams, gels, and sprays. Prilocaine acts by closing the sodium channels of nerve cells, dampening the flow of nerve impulses and reducing sensitivity. Patients with PE have shown that prilocaine delays ejaculation and enhances sexual satisfaction.
3. Counseling and Therapy
Cognitive-Behavioral Therapy (CBT)
Psychotherapy, Cognitive-Behavioral Therapy (CBT), is widely used to treat PE. The primary emphasis of CBT is to alter negative thoughts and actions that contribute to PE. In CBT, individuals learn how to manage anxiety and stress, gain self-esteem and confidence, and better communicate with their partner.
The majority of CBT is provided in an individual or group setting and by a qualified therapist or counsellor. CBT treatment is typically 12- 16 sessions long and significant PE changes are seen in about 1 in 4 of these patients. Clinical trials have demonstrated that CBT delays ejaculation and improves sexual satisfaction in PE men.
Sex Therapy
Another psychotherapy commonly applied to PE is sex therapy. Sex therapy seeks to optimise sex function and satisfaction by tackling psychological and emotional issues that lead to PE. Sex therapy sessions teach you how to cope with anxiety and stress, gain confidence and self-esteem, and better communicate with your partner.
Sex therapy usually occurs either through private or group sessions and can be done by a licensed therapist or counselor. Sex therapy typically takes 12-16 sessions for patients to see significant changes in PE. It has been demonstrated clinically that sex therapy delays ejaculation and enhances sexual satisfaction in PE men.
Conclusion:
Premature ejaculation can be treated in a variety of ways. Men may regulate their ejaculation using behavioural strategies to remove anxiety and stress. Some drugs, including SSRIs and topical anaesthetics, can slow men’s ejaculation. For men whose PE is triggered by psychological issues, counselling and therapy may provide some relief. This, in turn, necessitates crucial consultation with a medical professional to make an informed decision regarding the appropriate course of treatment for one’s condition. PE treatment can increase sexual satisfaction and quality of life in men.
