Medical Q&As

Premature ejaculation - help?

My problem is of a sexual nature. I am not able to last very long without ejaculating?

The condition you describe is very common and is known by the medical name of premature ejaculation. It is described as an inability to delay ejaculation to a point where it is mutually satisfactory for both partners. It is unsatisfactory for the male because climax is achieved too quickly and it can be unsatisfactory for a female partner because the male climax has occurred before the woman has achieved a heightened state of sexual arousal. There is a fundamental difference between the sexes with regard to the length of time it takes for heightened sexual arousal to occur with females taking a longer period of time to become fully aroused. Premature ejaculation often occurs during early sexual experiences and is usually attributed to nervousness. However, most men eventually learn how to delay the onset of orgasm. In a minority of cases the problem can become more deep-seated and can persist. One technique that can be helpful is known as the squeeze technique, which has been fully described by Masters and Johnson in their popular book “Human Sexual Inadequacy”. The technique involves squeezing the base of the glans or head of penis just before the point of climax. This cancels the orgasm and also reduces the erection. The technique can be performed a number of times during intercourse and this prolongs the experience thereby deferring ejaculation until it is mutually satisfying. A full description of the squeeze technique is beyond the scope of this column but it is described in more detail in Masters and Johnson’s book. There are other techniques for dealing with the problem of premature ejaculation and these could be discussed either with your GP or a therapist with a specific interest in sexual problems. You can also learn more about premature ejaculation by reading our special feature on the subject, which can be accessed through the following link: http://www.irishhealth.com/index.html?level=4&id=129.