Premature ejaculation can be very embarrassing for a man. He is just about to or has just started to have sex when he finds he is no longer able to control himself and he ejaculates his sperm. The penis then becomes soft and flaccid. This leaves his partner sexually frustrated, which may damage a relationship and makes pregnancy impossible.
About 30% of all men suffer from premature ejaculation at some time.
The most common cause is psychological stress, emotional upsets and performance anxiety. The more the man tries to please his partner, the more trouble he may have with the problem. The man may also be over stimulated, excited and foreplay may have been too intense.
There are virtually no diseases or physical conditions which cause this problem.
Therapists can teach appropriate techniques that involve the cooperation of the partner to overcome premature ejaculation.
One simple technique is the penis squeeze. If a man feels that ejaculation is imminent, he indicates this to his partner and all sexual activity ceases. The man or his partner uses the thumb and forefinger to squeeze the penis firmly from above and below, about one third the way down the shaft from the head of the penis. This will cause the sensation of imminent ejaculation to cease and the penis may start to become less rigid. Sexual activity can then recommence.
Increasing the frequency of ejaculation may also help. Masturbating to ejaculation 12 hours before sexual intercourse will often allow a longer period of intercourse before ejaculation.
Numerous medications are now available to help this problem including dapoxetine, clomipramine, anaesthetic gels and a class of antidepressants called the selective serotonin reuptake inhibitors (e.g. paroxetine), which have been found serendipitously to help.