PREMATURE EJACULaTION – MANAGEMENT

Is it treatable ?

  • Many persons, with experience, evolve certain methods to delay the ejaculation and learn to control ejaculation. As they succeed to hold ejaculation they gain confidence and their  sexual life goes on smoothly. Those who can’t, can easily be guided to have satisfactory sexual life. The condition is for sure treatable.

What is the remedy ?

  • Proper understanding of sexual interaction and good communication with the sexual partner is the key to have a satisfactory sexual life.
  • One should note the feelings and sensations during the ejaculation. Gradually one recognizes that there is point of inevitability beyond which ejaculation has to occur. Once you master to predict this ejaculatory inevitability, you can easily control the ejaculation by adopting means prior to this point of no return.
  • Now what are the means one should adopt so that he can avoid ejaculation. There are certain methods which can be tried initially, for instance
    • Start and stop technique:Basically the excessive stimulation is responsible for ejaculation. So one has to stop the copulation (for a few moments) as soon as he senses that he is about to ejaculate. Once the ejaculation is aborted one can again start the copulation. This technique requires proper coordination and cooperation from the partner. Partner is also told about the technique so that she can cooperate.
    • Change of Posture:One can stop thrusting and change the position when he recognizes the verge of ejaculation.
    • Squeeze technique:In this method the individual is advised to squeeze the tip of the penis as soon as he senses that he is going to ejaculated. By squeezing, the process of ejaculation (reflex) is stopped and one can again indulge in intercourse after a few moments.
  • Drugs: There are certain class of drugs that help in delaying the ejaculation. One should take those drug under supervision of a competent psychiatrist.

Whom to consult ?

  • If the above techniques do not help, one should feel free to learn it from an expert.
  • A qualified psychiatrist is the right person for the purpose. He may also explore various other factors contributing to the problem and help to solve them.
  • It is always advisable that both the partners should visit the therapist because it is considered that early ejaculation is the problem of couple and it is not the man who needs treatment (rather it is the couple who require the treatment).