How to Control Premature Ejaculation: 8 Steps (with Images)

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How to Control Premature Ejaculation: 8 Steps (with Images)
How to Control Premature Ejaculation: 8 Steps (with Images)

Video: How to Control Premature Ejaculation: 8 Steps (with Images)

Video: How to Control Premature Ejaculation: 8 Steps (with Images)
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Premature ejaculation occurs when a man reaches orgasm before his partner during intercourse. The criterion for diagnosing this condition is that the man ejaculates within a minute of penetration or almost never manages to delay the expulsion of semen. For most men, the average time to ejaculation is about five minutes. This condition affects many, leading to feelings of frustration and shame; some even avoid sexual contact due to the condition. However, it can be treated through advice, sexual techniques to delay ejaculation and also through medication. By fighting the problem, the man and his partner can enjoy all the pleasures of sex.

Steps

Method 1 of 2: Using Behavioral Techniques

Control Premature Ejaculation Step 1
Control Premature Ejaculation Step 1

Step 1. Try the “stop and squeeze” method

If you and your partner are willing, this method is very helpful in delaying ejaculation.

  • Stimulate the penis without penetrating the partner. Pay attention to when you are about to ejaculate.
  • Ask your partner to squeeze the penis at the junction between the glans and the body of the member. She should keep her penis tight for several seconds until the urge to ejaculate subsides.
  • After 30 seconds, go back to foreplay and repeat as necessary. This will help the man regain control by preventing ejaculation during repeal.
  • There is a variation on this method. It works in the same way as “stop and squeeze” but the partner should not squeeze the penis.
Control Premature Ejaculation Step 2
Control Premature Ejaculation Step 2

Step 2. Use self-help techniques

Here are some ways to be able to delay ejaculation:

  • Masturbate yourself before having sex. If you plan to have sex later (at night, for example), try masturbating an hour or two earlier.
  • Use a thick condom, which reduces the amount of stimulation. This can make the man take longer to ejaculate; do not use condoms that are designed to increase stimuli.
  • Take a deep breath right before ejaculating. This can help you control the semen expulsion reflex, as well as allowing the man to think of something less exciting until the urge passes.
Control Premature Ejaculation Step 3
Control Premature Ejaculation Step 3

Step 3. Change position during intercourse

If you are usually on top, change places with your partner, allowing her to come off more easily if the man is about to ejaculate.

Enter it again as soon as the urge to ejaculate has passed

Control Premature Ejaculation Step 4
Control Premature Ejaculation Step 4

Step 4. Conduct counseling sessions

They can be done alone or with your partner, helping to deal with:

  • Performance anxiety in bed and other concerns. Sometimes men who are too preoccupied with getting an erection (or getting their penis erect) can end up developing a "custom" of premature ejaculation.
  • A traumatic sexual experience from when I was young. Psychologists believe that if the man felt guilt or fear of being found out during the first sexual intercourse, he may have “learned” to ejaculate very quickly.
  • If you and your partner have relationship problems, it can interfere with sexual intercourse. In certain cases, this gets in the way and causes premature ejaculation, if it's something recent and hasn't happened in previous relationships. Seeing a couples therapist might be a good idea.
Control Premature Ejaculation Step 5
Control Premature Ejaculation Step 5

Step 5. Try topical anesthetics

These over-the-counter medications can be used as creams or sprays, applying them to the penis before intercourse to reduce sensations, delaying orgasm. Some men, and occasionally partners, report that there is temporary loss of sensation and reduced pleasure. Some of these anesthetics are:

  • Lidocaine
  • Prilocaine

Method 2 of 2: Seeking Medical Help

Control Premature Ejaculation Step 6
Control Premature Ejaculation Step 6

Step 1. Go to the doctor if none of the above techniques worked

Sometimes premature ejaculation is a symptom of a hidden condition that must be treated. Some of the possibilities are:

  • Diabetes.
  • High blood pressure.
  • Alcohol or drug abuse.
  • Multiple sclerosis.
  • Prostate disease.
  • Depression.
  • Hormonal imbalance.
  • Problems with neurotransmitters. Neurotransmitters are chemicals that carry signals in the brain.
  • Abnormal reflexes of the ejaculatory system.
  • Thyroid problems.
  • Infection of the prostate or urethra.
  • Damage from trauma or surgery. This cause is unusual.
  • An inherited condition.
Control Premature Ejaculation Step 7
Control Premature Ejaculation Step 7

Step 2. Ask the doctor about dapoxetine (Priligy)

This drug works similarly to selective serotonin reuptake inhibitor (SSRI) antidepressants, but they are designed to treat premature ejaculation. It is a relatively new drug that must be taken one to three hours before intercourse.

  • Do not consume it more than once a day. It can cause side effects such as dizziness, headaches and feeling sick.
  • Men with heart, kidney and liver disease should not consume this medication. Also, dapoxetine can interact with other antidepressants.
Control Premature Ejaculation Step 8
Control Premature Ejaculation Step 8

Step 3. Talk to a doctor about other medications that delay orgasm

Be careful, as many are not approved by ANVISA; use only those prescribed by your doctor. Consume them whenever necessary or every day.

  • Antidepressants. Other SSRIs such as sertraline (Zoloft), paroxetine (Paxil), fluoxetine (Prozac, Sarafem) or clomipramine (tricyclic - Anafranil). Some of the side effects are: nausea, dry mouth, dizziness and decreased libido.
  • Tramadol (Tramal). This remedy is used to combat pain; one of the side effects is delayed ejaculation, as well as nausea, headaches and dizziness.
  • Phosphodiesterase-5 inhibitors. These remedies are generally used to treat erectile dysfunction. Sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca) and vardenafil (Levitra) are some of the options. Side effects include headaches, changes in vision, a burning sensation and a stuffy nose.

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