Premature ejaculation: treatment and tips for a longer intercourse

The treatment of premature ejaculation is based on examination and identification of the cause. In the case of a short frenulum, a small surgical procedure under local anesthesia is performed. The frenulum is cut free in a short procedure that lasts about 5 minutes. The frenulum can also be extended, which takes about 30 minutes.

If the problem is caused by inflammation, it must be treated.

If the cause is low self-esteem or inexperience, a form of psychotherapy and relaxation is recommended. It reduces stress reduction or breathing exercises. A special group consists of Kegel exercises that help train the pelvic floor muscles.

This can help improve both male and female sexuality.

TIP: Learn more about the topic in the article Kegel exercise - Wikipedia.

Lifestyle adjustment is appropriate for overall health. Smoking is just as harmful as alcoholism.

A small dose of alcohol is known for helping the drinker relax and delay ejaculation. However, this is not a recommended treatment method. If the sufferer is in great mental distress, stress relief, and R&R will help. Professional help is recommended.

Communication with the female partner and her willingness to solve difficulties is important. A gel or cream with a local numbing effect can help prior to engaging in sexual intercourse. It is also found on condoms and in lubricants. Note that the local anesthetic acts on both partners.

Without adequate regular sexual activity, no improvement of the issue can be achieved.

There are various treatment methods, such as the Stop-start technique, i.e. stopping sex when the man feels he is just about to ejaculate. Regular practice of these techniques can have a positive effect, and eventually one hopes to have the ability to control ejaculation.

Techniques to delay ejaculation:

• Stop-start technique developed by James Semans
  • interruption of contact at the time of impending ejaculation
  • training should lead to a gradual improvement and control over ejaculation
• Stop-technique developed by Masters and Johnson
  • Squeeze-technique
  • squeezing the penis before climaxing
  • the frenulum area
  • risk of penile numbness is 10 - 30%
  • also scrotal pull, i.e. gently pulling down on the scrotal sac before orgasm
• muscle relaxation, exercises, such as Kegel exercises
• masturbation before the expected sexual intercourse
• higher frequency of ejaculation
• Karezza, insert the penis as deep as possible into the vagina immediately prior to ejaculation
  • stop the movements
  • stimulate other erogenous zones
  • wait until the sensation of imminnet ejaculation is gone
• asexual stimulation of the partner
  • sexual games and foreplay
  • release the tension before penetration
• penile numbness
• nutritional supplements of another form (beware of unapproved products)

Each person is an individual; if the issues persist for a longer time, proper treatment, examination by a mental health professional, and an individual approach will be needed.

Data on the frequency of sexual activity, associated illnesses and other difficulties, as well as the mental state of the person, are taken into account.

Pharmacological treatments include drugs such as antidepressants and medications for erectile dysfunction. They affect the brain centre for ejaculation control. The treatment is not permanent, but temporary. As a first step, medications (antidepressants) are taken for a month or two.

Antidepressants are combined with products that help the man to stay erect before intercourse. A longer erection makes for a longer intercourse, which helps both partners.

Antidepressants are taken only a few hours before the planned sexual intercourse.