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(Monday, 27th Apr, 2015)
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Premature ejaculation]

Premature ejaculation

What causes premature ejaculation?

Ejaculation is described as premature when it occurs before or very soon after penetration. It is the most common sexual problem in men and affects all age groups but is most common in young men. There are no definitive explanations, but the following may contribute to the problem:

  • Anxiety about sexual performance can become a vicious circle — you’re worried about premature ejaculation, and the more anxious you become, the less control you have, which makes you even more anxious. Premature ejaculation is often a bigger problem at the beginning of a relationship when sexual insecurity is highest.
  • Psychological pressures such as fear of impregnating your partner, contracting a sexually transmitted disease, or cultural or religious conflicts.
  • Relationship difficulties — your relationship with your partner may be going through a difficult patch and communication between you may be suffering.
  • Physical causes are extremely rare but can include unusual nerve sensitivity in the penis, prostate or urethra infections, or an overly tight uncircumcised foreskin.

What is the ‘usual’ time to ejaculation?

About five to nine minutes.

Can premature ejaculation be treated?

Yes, there are effective treatments for premature ejaculation.

Stop/start technique

This aims to help you gain control over ejaculation. It involves either masturbating or engaging in sexual intercourse until you reach the point of ejaculation. You then wait to regain control and start again. If you practise this exercise regularly, you should eventually increase your time to ejaculation. You could try practising the stop-start exercise while masturbating and then try it with a partner later on when you feel more comfortable.

Learn to relax

Agree in advance with your partner that you will not have full sexual intercourse on a given occasion, but instead you will caress and familiarise yourselves with the other’s body. The aim is to learn relaxed and pleasurable ways to touch each other and to reduce any shameful feelings you may harbour about sex.

Squeeze technique

In this exercise your partner squeezes your penis when you feel you are about to ejaculate. When this feeling passes, you can resume. This can be repeated as often as necessary until you can learn to control your ejaculation.

What can I do?

Talk to your partner and your doctor — premature ejaculation can be treated successfully and you shouldn’t feel embarrassed to ask for help.

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