Tuesday, January 13, 2015

Treatments of Premature ejaculation

Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, oral medications and counseling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you.

Behavioral techniques

In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. Your doctor also may recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters.

The pause-squeeze technique

Your doctor may instruct you and your partner in the use of a method called the pause-squeeze technique. This method works as follows:
  1. Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
  2. Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
  3. After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection.
  4. If you again feel you're about to ejaculate, have your partner repeat the squeeze process.
By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique.

Topical anesthetics

Anesthetic creams and sprays that contain a numbing agent, such as lidocaine or prilocaine, are sometimes used to treat premature ejaculation. These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation. A lidocaine spray for premature ejaculation (Promescent) is available over-the-counter.
Although topical anesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. In some cases, female partners also have reported these effects. In rare cases, lidocaine or prilocaine can cause an allergic reaction.

Oral medications

Many medications may delay orgasm. Although none of these drugs is specifically approved by the Food and Drug Administration to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors. These medications may be prescribed for either on-demand or daily use, and may be prescribed alone or in combination with other treatments.
  • Antidepressants. A side effect of certain antideph3essants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem), are used to help delay ejaculation. If SSRIs don't improve the timing of your ejaculation, your doctor may prescribe the tricyclic antidepressant clomipramine (Anafranil). Unwanted side effects of antidepressants may include nausea, dry mouth, drowsiness and decreased libido.
  • Analgesics. Tramadol (Ultram) is a medication commonly used to treat pain. It also has side effects that delay ejaculation. It may be prescribed when SSRIs haven't been effective. Unwanted side effects may include nausea, headache and dizziness.
  • Phosphodiesterase-5 inhibitors. Some medications used to treat erectile dysfunction, such as sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca) or vardenafil (Levitra, Staxyn), also may help premature ejaculation. Unwanted side effects may include headache, facial flushing, temporary visual changes and nasal congestion.

Counseling

This approach, also known as talk therapy, involves talking with a mental health provider about your relationships and experiences. These sessions can help you reduce performance anxiety and find better ways of coping with stress. Counseling is most likely to help when it's used in combination with drug therapy.

2 comments:

  1. I am 42 and my husband is 57 with ED. It’s been a 6 years journey to today. We’ve tried all the pills, lotions, injections, etc. Nothing worked anymore. His desire was there but it just doesn’t happen very often anymore. He had high blood pressure, cholesterol and diabetes (takes pills) He was thinking that surgery is the only option left to do. It was so permanent and I wasnt sure he’s ready for that. Nor I for that matter. I missed sex don’t get me wrong. But it’s really seperated us and made it uncomfortable to be intimate at all. UNTIL I MET DR AKIM on an internet website,people taking about his good works and his good native herbs and i also ordered for the herbs and i got it in two days and my husband used it and till today my husband has been active in the bed room with his ED cured.all thanks to Dr Akim.Anyone else with similar issue should order for his herbs at (bestspellhome@gmail.com)

    ReplyDelete
  2. I have suffered from quick ejaculation problem for two years, and i have took different medication,but no solution. i got the contact of a Doctor,(Dr ALLI) from the testimony of others on the net,i contacted him and told him my problems,and that was how he gave me the permanent cure to my quick ejaculation problem and now my ejaculation is normal, me and my wife are living happily,i really want any one with such problem to also contact him and get cured completely from it cause it's very embarrassing can contact him on +2348149158514 or allispellhelp1@gmail.com

    ReplyDelete