We expect men to have some control over early discharge while having sexual intercourse, and masturbation. If a man feels he has no control over ejaculation when it occurs, Premature Ejaculation may be present.
When PE prevents you from enjoying the sexual pleasure, you deserve and are born for then it is time to consult a Sexologist. The diagnosis will identify whether your ejaculation occurs earlier than normal. Some men may no ejaculation at all.
The sexologist will begin the diagnosis by
talking to you, understanding the health condition you are experiencing.
Medical examination to identify premature ejaculation may follow if the doctor
feels the need.
Therapy for Premature Ejaculation
There are primarily three types of early discharge treatments, Psychological therapy & Behavioural Therapy for Premature Ejaculation, and drugs. The doctor’s at his/her discretion may include one or more types of treatments of PE. You can discuss openly with your sexologist if you are not comfortable with the line of treatment.
Psychological Therapy for Premature Ejaculation works through your
feelings and emotions that may have led to the early ejection problems and it
involves sexual relationships counseling as well. The aim is to arrive at the
root cause of problems and find solutions to mitigate early discharge. It helps
couples affected by premature ejection to learn to resolve the relationship
problems and help each other during the treatment.
Psychological therapy can help gain the lost
confidence about sexual performance and understanding to help you achieve your
partner’s satisfaction. Doctors begin with this type of therapy.
A sexologist may use this as the only
treatment, or he/she may combine it with medication or behavioral therapy
Behavioral therapy exercises help gain
tolerance to delay the discharge. Some techniques like the squeeze method and
the stop-start method are a part of behavioral therapy.
With this method, you reach the brink of ejaculation but do not ejaculate. You or your partner stimulates your penis until you reach the brink of ejaculation. As you are close, you or your partner firmly squeezes your penis so you lose the erection partially.
This technique aims to make you aware of the
process of sensations leading to climax. With the squeeze method, you may learn
to be in better control and delay climax without drugs or medication.
In the stop-start method, you or your
partner stimulates your penis until you reach the point of ejaculation. When
you are about to ejaculate, you or your partner stops and you do not reach the
climax. Once you feel the urge for sex and regain control, you or your partner
again starts stimulating the penis.
You or your partner need to repeat his
process thrice and you ejaculate for the fourth time after reaching the climax.
You need to practice this method thrice a week until you realize that you have
successfully gained more control over ejaculation.
Questionnaire to detect the presence & impact of PE
We present a brief questionnaire the doctor
may put forward for you to answer. These questions are indicative and the
actual the doctor may ask:
- How often do you experience PE?
- Since how long have you had PE?
- Is it the case with one partner or happens with all partners?
- Do you have to face PE for every sex/intercourse attempt?
- What type of sexual activity in which you face PE, is it during foreplay, masturbation, intercourse, visual stimulation)?
- Which type of sex you take part in causes PE the most, and how often?
- Is the PE severe that affects your sexual activity and if yes, can you explain how?
- Did PE change your relationships between you and your partner?
- Any other factors you feel make the PE worse or better, like the use of drugs, alcohol, etc.?
A doctor would recommend Lab testing only if the sexologist finds a sign of PE during the physical examination.
We will discuss more on these techniques and include counseling, medication, and a few more exercises to control early ejaculation in our next Blog. Watch this space for more such blogs in the pipeline.