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Treatment of premature ejaculation



Treatment of premature ejaculation
In mundane cases, treatments are focused on gradually training and improving mental habituation to sex and physical development of stimulation control. In clinical cases, various medications are being tested to help slow down the speed of the arousal response.
Dapoxetine (Priligy) is a short-acting selective serotonin reuptake inhibitor (SSRI) marketed for the treatment of premature ejaculation. Dapoxetine is the only drug with regulatory approval for such an indication. Currently, it is approved in several European countries, including Finland, Sweden, Portugal, Austria and Germany. Dapoxetine is also being considered for approval in other European countries and in the United States, where it is currently in Phase III of the U.S. Food and Drug Administration (FDA) approval process.
The Masters and Johnson Method is a start and stop technique, where the man learns to feel and control the sensations that lead to orgasm. The method is to bring himself close to orgasm and then rest for a sufficient amount of time that he is below 'the point of no return'. Once adequately below this point, he can start thrusting again till he is close to orgasm and then rests again. With practice, this start and stop technique can be repeated many times to have a long period of intercourse, with ejaculation when the man chooses. The rest period may be for seconds or minutes, and men may be able to rest whilst inside the partner, and continue kissing or caressing so that intimacy continues (i.e. the partner may not even realise the man is resting his penis). The rest period may be simply slowing the rate of the thrusting rather than the a cessation of thrusting. Men can practice this start and stop technique with a partner or by themselves, and they could time themselves and see if they can improve the amount of time they can maintain an erection without ejaculation. They could even learn to rate their level of arousal on a ten-point scale to assess that their level of arousal is sufficiently high, but below ejaculation level. An arousal level of 7/10 is optimal, with rest if arousal is higher and increased thrusting if arousal is lower
Another method is control instead of prevention. Performing routines such as Kegel exercises, which, as mentioned above, relate to gaining voluntary control of the PC muscle and thus give a person more control over ejaculation. When ejaculating, the control of this muscle is said to be lost, and thus, learning to maintain control of it can be of aid to some
One more method is entitled intracavernous pharmacotherapy. This is a method of injecting a drug known as a vasodilator directly into the penis to help men control premature ejaculation and maintain their erection. It has been proven to be effective in over seventy percent of test patients.[citation needed] This method is used by companies such as Florida Men’s Medical Clinic, Boston Medical Group and others.
One simple method of prolonging intercourse is to wear one or even two condoms. This reduces the sensation received by the penis which results in greater orgasm control.
Management


This section contains instructions, advice, or how-to content. The purpose of Wikipedia is to present facts, not to train. Please help improve this article either by rewriting the how-to content or by moving it to Wikiversity or Wikibooks. (March 2011)
The solution not commonly known but practised by some men for longer lasting intercourse, is the pre-sex preparation. The process is to ejaculate either through masturbation or intercourse preferably briefly. Wait from approximately 30 minutes or longer (from when you first ejaculated) until you can gain your second erection. Once you have gained your second erection, this should allow you to have intercourse for longer without suffering from premature ejaculation.
To maximize the benefits of medications and behavioural techniques in the management of premature ejaculation it is important to have a comprehensive approach to the problem,[19] A thorough sexual history and assessment of general health and other sexual problems (if any) are very important. Assessing (performance) anxiety, guilt, treated inappropriately or sub-optimally, it is very likely that the condition will subside immediately but re-emerge after a while. When this cycle continues, it strongly reinforces failure that eventually make clients not to access any help and suffer it all their life. So, it is important to get a thorough assessment from professionals and therapists who are qualified to manage sexual problems. Internet-based information is good for gaining knowledge about sexual functioning and sexual problem but not for self-diagnosis and/or self-management.