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In premature ejaculation, the point of no return arrives too soon. In the s, a man was said to be a premature ejaculator if he lasted less than a certain time say 2 minutes or a certain number of strokes say before ejaculating. These arbitrary definitions are rubbish; they were based on ignorance of how long most men actually take to climax.

The best definition of premature ejaculation is climaxing before you or your partner wish you to. This common-sense definition means that climaxing speedily after penetration is not necessarily a problem for example, if a man pleasures his partner for a long time beforehand until she reaches orgasm. Some men climax even before they enter their partner.

If this is the case, you have the most severe type of premature ejaculation. Is it a physical problem? It used to be thought that premature ejaculation was the result of a physical problem, such as irritation or inflammation of the urethra the tube in the penis for urine and semen or prostate gland, and there were nasty treatments such as squirting silver nitrate into the opening.

There is no evidence that premature ejaculation is caused by such conditions. In almost every case, the man is physically normal; very rarely, it can be the result of a neurological condition such as multiple sclerosis.

Is it in the genes? Most men with premature ejaculation have a close relative father, brother or son with the same problem, which suggests that genes may be involved in some men. Scientists think that a brain chemical, serotonin, helps to control the speed of ejaculation. There are three types of the gene, and men with one of the types tend to ejaculate more quickly than men who have the other types.

Is the penis hypersensitive? There is no evidence that it happens because the penis is hypersensitive. Researchers tested the sensitivity of the skin of the penis in men who considered themselves premature ejaculators and men who were not, and found no difference.

It also seems to be a myth that circumcision makes a difference; the American sex researchers Masters and Johnson tested the sensitivity of the glans head of the penis in circumcised and non-circumcised men and found them to be the same.

Premature ejaculation is more likely when the level of sexual excitement and arousal is high. This why it is more likely with a new partner, and why it is common in young men during their first sexual relationships. Is it just a habit? In some men, the time of ejaculation is simply a habit, starting early when a youth learns to masturbate or have sex as quickly as possible for fear of being caught.

It is certainly more common in younger men. Like all habits, it can be unlearnt. If you have erectile dysfunction , premature ejaculation may occur. It is very important to discuss the problem with your partner.

Otherwise, your partner may wonder what is happening, or think it is their fault. The main methods are the so-called squeeze technique and stop—go technique.

They involve stimulating the penis almost to the point of ejaculation and then stopping. The idea is to train the man to remain in a state of high arousal without actually ejaculating. These techniques are not as easy as they sound. They also require a good relationship with your partner, because they need require patience and they interfere with having sex spontaneously. The usual problems are that you go too far and ejaculate, or you lose your erection and cannot regain it.

If these occur, do not worry — just try again another day. It may take several weeks to master the techniques. The next step is to do exactly the same, but using a lubricant jelly such as KY jelly to increase sensation and more closely resemble the situation of being in the vagina. When you find that you are beginning to be able to delay ejaculation, you can start to have intercourse with the woman on top.

She lowers herself backwards and downwards onto the erect penis and makes gentle coital movements. You signal to her when ejaculation is about to happen. She then remains perfectly still, or lifts herself off and either does nothing or applies the squeeze, before resuming intercourse in the same position. If the glans head of the penis becomes less sensitive, ejaculation may be delayed. There are various ways of reducing sensation. The main problem with the local anaesthetic products is that numbness may cause you to lose your erection.

Using a condom is the most obvious method. You spray it onto the head and shaft of the penis 3—6 sprays up to 10 minutes before intercourse. A problem is that some of the local anaesthetic may rub off onto the female partner, causing her genital area to lose some feeling temporarily.

To prevent this, use a condom after applying the spray. Although it has been used for 25 years, there have been no good scientific studies to determine how effective it really is Medical Journal of Australia ; It can help to delay ejaculation Medical Journal of Australia ; Apply it thinly to the head of the penis and end of the shaft, and cover it with a condom for minutes.

If you remove the condom before having sex, wash off any extra cream. Dapoxetine is a new medication for premature ejaculation. On average, it increases the time before ejaculation by 3—4 times, that is from less than 1 minute to about 3 minutes Lance t ; In the research studies, the men using it and their partners said that sex was more satisfying. It is taken 1—3 hours before sex whenever you need to; it does not have to be taken every day.

Some men noticed nausea, diarrhoea, headache or dizziness, especially with the higher strength tablets. Dapoxetine is from the same family as SSRI antidepressants selective serotonin reuptake inhibitors , but is weaker and shorter-acting, and has been specially tailored for premature ejaculation. SSRI-type antidepressants , such as sertraline and paroxetine, delay ejaculation as a side effect, and some doctors used to prescribe them for this purpose although they are not officially licensed for this use.

However, dapoxetine now seems a better option. Clomipramine is an antidepressant drug that has a good effect on premature ejaculation, but it has side-effects such as dry mouth, constipation, nausea, sleep disturbance and dizziness Medical Journal of Australia ; Premature ejaculation may occur if you have an erection problem, so look at the section on erectile dysfunction [LINK]. This may sometimes be the case, and you are likely to know whether there is a stress in your life that is causing the sexual problem.

If you have always had premature ejaculation, it is more likely that any psychological problems are the result rather than the cause of premature ejaculation. In this situation, counselling can be useful in helping to improve self-esteem, but will not cure the premature ejaculation. Margaret Stearn Edited by: Margaret Stearn Last updated: Thursday, November 23rd Please note we cannot answer your questions directly.

If you are concerned, please talk to your doctor. Share your stories, tips and solutions here to help others tackle it, move on. As all comments are moderated, there will be a delay before your comment appears. Discussion content reflects the view of individual participants only.

Health Press Limited bear no responsibility for accuracy of participant comments and will bear no legal liability for discussion results. Comments will be moderated before posting and Health Press Limited reserves the right to delete any material. See About our site for our moderation policy.

Hi I'm 31 year old I have sexual problem when I want to do sex with my girlfriend I'm cumming in 10 or 15 scond after sex I'm not feeling good for 3 or 4 days. I've been a premature ejaculator since I was a teenager. When I masturbate, I last about minutes.

Intercourse usually lasts 30 seconds to a minute. I think my main problem is that I like ejaculating quickly. Premature ejaculation feels normal to me. It is more enjoyable than lasting longer. I quickly ejaculate whenever i try making love with my girl friend please help me with solution because am afraid to loose my girlfriend because i love her so much.

I had an appendectomy two months ago and before the surgery I used to last longer than 5mins before ejaculating. But after the surgery I don't last 30seconds from the time I enter into my partner. Could the surgery be the result of my premature ejaculation? A friend told me before the surgery that it will affect my sex life. Because right now I feel very lazy to even have sex with my partner.

Have had this problem for about six months now. Can not seem to link it to anything that I've done or not done. Once I insert my penis into my wife, I cum instantly. Fear that my prostate has enlarged and has taken away my control over the matter. Sorry to hear about your problems, but glad to know that I'm not alone. I m a married man of 34 and my wife is Yesterday going to have sex with my girlfrnd but during rubbing smooching and pressing boobs and fingering her vagina I come in condom before start real intercouse even I unable to put my dick in vagina.

Hello I have been with a number of girls and never had this problem before I usually last rather a long time, however my ex fiance really knocked my confidence and I did not have sex for over a year I finally got over it all and found my dream girl but the problem is the two times we have had sex I have reached orgasm in 30 seconds I feel like there is something wrong with me and very bad and guilty towards my partner: Is this something that is a common problem?

Can Suhagra mg be used for this problem?

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