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Usual cure
In general, practice and relaxation will help you deal with the
problem. Some men try to distract themselves by thinking non-sexual
thoughts (such as naming baseball players and records) to avoid
becoming excited too fast. Some helpful techniques include the
following:
The "stop and start" method:
· This involves sexual stimulation until
the man recognizes that he is about to ejaculate. The stimulation
is then removed for about thirty seconds and then may be resumed.
The sequence is repeated until ejaculation is desired, the final
time allowing the stimulation to continue until ejaculation occurs.
The "squeeze" method:
· This involves sexual stimulation until the man recognizes
that he is about to ejaculate. At that point, the man or his partner
gently squeezes the end of the penis where the glans meets the
shaft for several seconds, withholding further sexual stimulation
for about 30 seconds, and then resuming stimulation.
The sequence may be repeated by the person or couple
until ejaculation is desired, the final time allowing the stimulation
to continue until ejaculation occurs.
There is no prevention for this disorder, though
relaxation can reduce the likelihood of its occurrence. In most
cases, the man is able to learn ejaculatory control through education
and practice of the simple techniques outlined. Chronic premature
ejaculation may be a sign of anxiety or depression, both of which
could be helped by psychiatric intervention.
Antidepressants such as Prozac and other selective
serotonin reuptake inhibitors (SSRIs) may be helpful, as they
have a common side effect of prolonging sexual stimulation before
ejaculation. Make sure you consult your doctor before taking any
of these drugs.
Local anesthetic creams may be applied to the penis
to decrease stimulation. Decreased feeling in the penis may prolong
the time before ejaculation. Condom use may also have this effect
for some men.
Call for an appointment with your health care provider
if premature ejaculation is causing a problem and does not respond
to traditional methods.
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