If you do this often enough, you will learn to recognise your 'point of no return' the Masters and Johnson technique named after the famed sex researchers involves squeezing the end of the penis just before ejaculation to lessen the urge to ejaculate.
These exercises can be done alone or with a partner Kegel exercises — these exercises are designed to strengthen the pelvic floor. To identify the muscles of your pelvic floor, stop yourself from urinating in midstream.
This is the action you need to practice when your bladder is empty. Tightly contract the muscles and hold for 10 seconds. Repeat 10 times, three times a day psychotherapy and counselling — with the guidance of an experienced sex therapist, any underlying anxieties about sex can be explored and eased reducing penile sensation — local anaesthetic sprays and creams can be used to reduce penile sensation and should be applied 30 minutes before sexual intercourse.
Use these treatments with a condom to prevent absorption by your partner. Using two condoms may also help to reduce sensation SSRIs selective serotonin reuptake inhibitors and tricyclic antidepressants — a side effect of these medications is to slow ejaculation when used in men with depression. This effect may be helpful in men with premature ejaculation, and these medicines can be used in conjunction with counselling.
Taking SSRIs can have other side effects such as decreased libido sex drive , nausea, sweating, bowel disturbance and fatigue. Where to get help Your doctor GP Sex therapist. Premature ejaculation , , Healthymale Andrology Australia. Give feedback about this page. Was this page helpful?
Yes No. View all sexual health. Related information. Page last reviewed: 21 July Next review due: 21 July Home Common health questions Sexual health Back to Sexual health. Can premature ejaculation be controlled? What is premature ejaculation? Types of premature ejaculation There are 2 types of premature ejaculation: primary premature ejaculation — where you have always had the problem secondary premature ejaculation or "acquired premature ejaculation" — where you recently developed the problem The causes of primary premature ejaculation are often psychological, such as having a traumatic sexual experience at an early age.
Treatment If your premature ejaculation is caused by a physical condition, treating the underlying condition should help. Self-help There are a number of self-help techniques you can try before getting medical help. These include: masturbating 1 to 2 hours before having sex using a thick condom to help decrease sensation taking a deep breath to briefly shut down the ejaculatory reflex an automatic reflex of the body, during which you ejaculate having sex with your partner on top to allow them to pull away when you're close to ejaculating taking breaks during sex and distracting yourself by thinking about something completely different If you're in a long-term relationship, you may benefit from having couples therapy.
Medicine Selective serotonin reuptake inhibitors SSRIs can be used if self-help techniques do not improve the problem. Pseudoephedrine tablets may be tried, but these will need to be prescribed "off-label". This means the medicine shows promise in treating delayed ejaculation but it has not been licensed for this particular use pseudoephedrine is normally used as a decongestant.
Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra the tube that urine passes through. Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health. However, it can affect the ability to father a child. Retrograde ejaculation is caused by damage to the nerves or muscles that surround the neck of the bladder the point where the urethra connects to the bladder.
Usually when you ejaculate, semen is pushed out of your urethra. It is prevented from entering your bladder by the muscles around the neck of the bladder, which close tightly at the moment of orgasm.
However, damage to the surrounding muscles or nerves can stop the bladder neck closing, causing the semen to move into the bladder rather than up through the urethra. Prostate gland surgery or bladder surgery is the most common cause of retrograde ejaculation. Other causes are diabetes , multiple sclerosis , and a class of medicines known as alpha blockers, which are often used to treat high blood pressure hypertension. Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health.
But if treatment is required usually because of wanting to father a child , there are options to try. For example, pseudoephedrine commonly used as a decongestant has proved effective in treating retrograde ejaculation caused by diabetes or surgery.
If retrograde ejaculation is caused by using a certain medicine, then normal ejaculation will usually return once medicine is stopped. Speak to your GP before stopping any prescribed medicine. However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible.
Men who want to have children can have sperm taken from their urine for use in artificial insemination or in-vitro fertilisation IVF. If you're having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible. Communicating your concerns can often go a long way to helping to resolve them. And, in some cases, your partner may also have their own problems that are contributing towards problems with your sex life.
For example, some women are unable to reach climax during "normal" intercourse and require manual or oral stimulation. Read more about why talking about sex is important. Finding blood in your semen haematospermia can be alarming. However, in most cases it's not serious and will pass within a few days. The most likely cause is infection of your urethra urethritis or prostate prostatitis. See your GP or visit your local genito-urinary medicine GUM clinic if the symptoms persist, because the causes may be more serious.
This may help your partner understand what's going on and help you talk openly about any feelings of frustration. Once communication is open with your partner, you can discuss exactly what triggers your orgasm and try practicing the following methods. Since premature ejaculation may be a result of hypersensitivity, using a condom is a simple solution that may make sex last longer. The condom forms a barrier around the penis that dulls sensation and may lead to delayed ejaculation.
Then, pulling out and squeezing the tip of your penis for several seconds, or until the need to ejaculate passes. Brahmbatt says that this can be one of the more difficult treatments for premature ejaculation because it takes a lot of self-control.
Practicing repeatedly and communicating clearly with your partner may help ease the process. Your pelvic floor muscles lie just below your prostate and your rectum and just like other muscles, they can be strengthened through exercise.
Experts believe that if pelvic floor muscles are too weak, it may be harder for you to delay your ejaculation. To flex your pelvic floor muscles, act as if you are trying to stop yourself from peeing or passing gas and feel which muscles move. To tone these muscles, follow these steps:.
Tighten the pelvic floor muscles — you can lie down or sit if this makes it easier. To get good results, you should try to do three sets of 10 repetitions each day. Thrusting quickly creates intense stimulation and may make you more likely to orgasm after a short time. Thrusting quickly can also make it harder to recognize more subtle sensations in your body, and you may not realize that you're getting close to orgasm, Marin says.
You may be surprised that some partners might like slower movement, especially at the start of sex. Positions that limit your movement, like having your partner on top, can also be helpful because you aren't able to lose control and start thrusting too quickly.
When you change positions, it requires you to take a bit of a break and slow your movements.
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