15/06/2025
Premature ej*******on (PE) is a common concern, and thankfully, there are many strategies and treatments that can help you gain more control. It's important to remember that occasionally losing control is normal, and PE can be influenced by a complex interplay of psychological and biological factors.
Here are some tips and techniques you can try, ranging from behavioral methods to lifestyle adjustments and potential medical interventions:
Behavioral Techniques:
* Stop-Start Technique (Edging): This involves stimulating yourself or having your partner stimulate you until you feel you are very close to ej*******ng. Then, you stop all stimulation until the intense urge subsides. Once it has, you can resume stimulation. Repeat this cycle several times, with the goal of ej*******ng on the third or fourth resumption. This helps you recognize and control your arousal levels.
* Squeeze Technique: Similar to the stop-start method, but when you feel close to ej*******ng, you or your partner firmly squeezes the head of your p***s for 10-20 seconds until the urge to ej*****te diminishes. Then, resume stimulation. This helps desensitize and regain control.
* Ma******te before s*x: Some men find that ma********ng an hour or two before in*******se can help them delay ej*******on during s*x with a partner. This can reduce overall sensitivity.
* Condoms: Using thicker condoms or those designed with numbing agents can help reduce sensation and therefore delay ej*******on.
* Change positions: Certain s*xual positions might allow you more control. For example, having your partner on top can allow them to pull away if you are nearing climax.
* Slow down: Try to pace yourself during s*x. Faster, harder thrusts can lead to quicker climax. A slower, more measured pace can help you maintain control.
* Focus on foreplay and non-penetrative s*x: Spend more time on other forms of intimacy and pleasure with your partner before or during pe*******on. This can take the focus off ej*******on and enhance overall satisfaction.
Physical & Lifestyle Approaches:
* Kegel Exercises (Pelvic Floor Exercises): Strengthening your pelvic floor muscles can improve control over ej*******on. To find these muscles, try to stop urinating midstream or tighten the muscles that prevent you from passing gas. Once you've identified them, practice tightening them, holding for a few seconds, and then relaxing. Aim for three sets of 10 repetitions daily.
* Maintain healthy habits: Overall wellness impacts s*xual health. Regular exercise, a balanced diet, limiting alcohol, and quitting smoking can improve blood flow and endurance, which can indirectly help with PE.
* Manage stress and anxiety: Stress, anxiety (especially performance anxiety), and relationship issues can contribute to PE. Techniques like mindfulness, meditation, deep breathing, and counseling can help reduce these factors.
* Communication with your partner: Openly discussing your concerns with your partner can reduce anxiety and allow them to support you in trying different techniques.
Medical & Professional Help:
* Topical Anesthetics: Creams, gels, or sprays containing lidocaine or prilocaine can be applied to the p***s to reduce sensitivity and delay ej*******on. Be aware they can potentially transfer to your partner and reduce their sensation.
* Medications (Prescription):
* SSRIs (Selective Serotonin Reuptake Inhibitors): These antidepressants, such as dapoxetine (specifically approved for PE in some regions), paroxetine, sertraline, or fluoxetine, can be prescribed off-label to delay ej*******on. They work by affecting brain chemicals.
* Tramadol: This pain medication can also have a side effect of delaying ej*******on and may be prescribed for PE.
* Psychological Therapy/Counseling: A s*x therapist or counselor can help you explore underlying psychological factors (like anxiety, guilt, or past experiences), improve communication with your partner, and learn behavioral techniques in a structured way.
Important Considerations:
* Consult a doctor: If premature ej*******on is a persistent concern, it's highly recommended to see a doctor or a urologist. They can help identify any underlying physical causes (like hormonal imbalances or prostate issues) and discuss the most suitable treatment options for your individual situation.
* PE can be lifelong or acquired: Some men have always experienced PE (lifelong), while others develop it later in life (acquired). The approach to treatment might vary depending on this.
* Be patient and persistent: Finding what works best for you might take some trial and error. Consistency with techniques and open communication with your partner are key.
Remember, you don't have to deal with premature ej*******on alone. Professional help and various strategies are available to help you gain more control and improve your s*xual well-being.
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Dr Ravindra Borade
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