Premature Ejaculation

PE is a stressful and an at times an embarrassing problem that is defined as  when a man ejaculates during sexual intercourse sooner than he or his partner would like. It occurs in as many as 1 out of 3 men at some point in their life.

Serotonin is a neurotransmitter secreted by nerves in the brain and high amounts of it can prolong the time to ejaculation. The opposite situation, low serotonin, can lead to PE.

A modern class of antidepressants, known as SSRIs  (selective serotonin re-uptake inhibitors) have been prescribed off label for many years by urologists to treat Premature Ejaculation. The key is to try it at the lowest dose possible and find  the brand that can achieve success with little or no side effects.

Treatments

The Squeeze Method

With this method, your partner stimulates your penis until you are close to ejaculation. When you are close, your partner firmly squeezes your penis so your erection partly goes away. The goal is for you to become aware of the sensations leading to climax. Then you can better control and delay climax on your own.

The Stop-Start Method

In this method your partner stimulates your penis until just before reaching orgasm. Your partner then stops until the urge to climax goes away. As you regain control, you ask your partner to start stimulating your penis again. This process is repeated 3 times. You ejaculate on the fourth time. You repeat this method 3 times a week with your partner until you have gained more control.

Numbing Creams or Sprays

These are applied on the head of the penis between 20 to 30 minutes before sex. If you leave the numbing cream/spray on your penis for too long, your erection may go away. Also, the numbing cream/spray should not be left on the exposed penis during vaginal sex because it may cause vaginal numbness. Wash the cream off your penis 5 to 10 minutes before sex. Wearing a condom can also help dull sensation.

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