Health corner: Premature ejaculation

 

men can only beat their chest to say yes i can satisfy my lady,if they can last long during sex, some men find it really difficult to last up to 10mins or more during sex, thereby leaving their ladies high and dry/unsatisfied.

experts have given some tips on how to prevent and treat premature ejaculation

Treatment for mild cases

For men who last between 4-5 minutes but would like to last longer can practice some techniques such as:

Relaxation/Distraction technique: This method helps to delay ejaculation.

This means turning your mind to something else when you sense that climax is near, like thinking about something totally unconcerned with sex.

Lifestyle changes: For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve their ability to control ejaculation.

Use of condoms: Other options include using a condom to reduce sensation.

Another kind of condom contains a local anaesthetic (benzocaine or lidocaine) inside it. This has been shown to be effective in a couple of men with premature ejaculation, though some men may react to the local anaesthetic.

Local anaesthetic gel: A local anaesthetic gel that's applied to the shaft of the penis shortly before intercourse can help reduce sensitivity of the penis and help in PE.

This method has some disadvantages of dulling the partners’ sexual sensation as well as producing side effects such as intense itching, redness and soreness.

Local anaesthetic spray: This is a spray that contains a local anaesthetic, which is sprayed on the penis within 15-20 minutes of initiation of sexual intercourse. This has been shown to be effective in many men presenting with ED.

Treatment for more severe cases

If PE is causing you significant problems, it is best to consult an expert for treatment. For more severe cases, the following may be used.

The “penis grip” method

This technique is based on a special 'penis grip' and has been shown to cure the majority of men with premature ejaculation. It involves adequate co-operation from their partners and works like this:

· Your partner places her hand so that her thumb is on one side of the man's erect penis

· Her index and middle fingers are on the other side

· The index finger is just above the ridge of the glans (the 'head'), while the middle finger is just below the ridge

· When the man feels that he's near to a climax, he tells his partner

· She then squeezes his shaft firmly between her thumb and the other two fingers

This is continued until the man is then able to control his own ejaculation.

Use of medications

Antidepressants:

A group of antidepressant medicines called selective serotonin reuptake inhibitors (SSRIs) are sometimes used to treat premature ejaculation. These medicines are used because a side effect of SSRIs is inhibited orgasm, which helps delay ejaculation.

Antidepressants that are commonly used for this purpose include

· Clomipramine

· Fluoxetine

· Sertraline

· Paroxetine

Tramadol

This belongs to the group of drugs called analgesics, and used for the treatment of pains. Tramadol, to a reasonable extent exhibit some characteristics of an anti-depressant in that it increases levels of serotonin and norepinephrine. Tramadol also has few side effects, and safe to use.

In management of premature ejaculation, it is shown to be very effective, having the potential to cause an increase in intravaginal ejaculation latency time (IELT) of 4-20 folds in greater than 90% of men.

Dapoxetine

This drug is a short-acting selective serotonin reuptake inhibitor (SSRI) that is used to treat premature ejaculation.

A study using dapoxetine showed it significantly improved all aspects of PE. It is taken by mouth, in tablet form. The dose is either 30 mg or 60 mg. Dosage depends mainly on your body weight.

Possible side-effects of dapoxetine include:

· Dizziness

· Nausea

· Insomnia

· Headaches

· Diarrhoea

Intracavernous pharmacotherapy

This is another method of treating PE. 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

A special constriction device

This is another technique that is potentially useful for treating premature ejaculation. It involves wearing a slightly constricting ring below the head of the penis for 30 minutes each day. The assumption is that it would make the organ less sensitive.

This method was developed over a decade ago but there is yet to be more convincing study on the efficacy. It is advisable that such technique should only be used when prescribed by an expert.

Cognitive behaviour treatment (CBT)

This is another method of treating PE.

The CBT method focuses firstly, on addressing thought patterns that are detrimental to sexual performance and satisfaction.

This method also aims to alter the man’s behaviour. In this instance the man is encouraged to masturbate using the stop-start technique to gain more control over his responses and his urge to ejaculate quickly.

The stop-start technique

1. The man is encouraged to masturbate alone.

2. He is asked to set time aside to be private and to masturbate with dry hands.

3. The man is encouraged to masturbate almost to the point of ejaculation and then stop.

4. He should do this three times.

5. On the fourth time, he is permitted to ejaculate

After he has achieved this measure of control, he can try masturbating with a wet hand, which will feel more like the inside of a vagina. He is encouraged to do the stop-start technique as before.

This method can be practiced at home, or preferably with the help of a sex therapist.

Herbal medicines

Some of herbal products have been shown to help in premature ejaculation.

A product that has been shown to be very useful is panax ginseng, especially the red ginseng. These are actually useful in treating secondary PE.

 

culled from noble doctors