Treatment and prevention of premature ejaculation

Premature ejaculation is a clinical entity which is often seen in young adults while erectile dysfunction is more seen with increasing age. Majority of cases of premature ejaculation may have some psychological factors associated. Treatment consists of some exercise, some behavioural therapy and some medications. Premature ejaculation may be mild to severe depending upon the time of sustainment and treatment largely depend on that.

Treatment of mild premature ejaculation

If a man has mild premature ejaculation and he ejaucualte within five minutes, then a simple distraction method may be sufficient, which means to distract the mind or divert the mind during the peak. Some behavioural therapy may be useful.

Behavioural therapy for treating premature ejaculation

Apart from distraction theory, some behavioural therapy may be required if the person is hyperactive, gets easily excited or suffer from anxiety or depression. A simple counselling may give the better result.

Local anaesthetic gel

In some cases local anaesthetic gel is applied to the male sex organ to get less sensation and stimulation so that ejaculation may be delayed. Most of the products advertising in market are made up of this only.

The main drawback of this treatment is that it dampen the pleasure to self as well to the partner. As it is locally applied some may find it irritating skin reactions and mucosal irritation to female sex partner.

Now a days love condom is available in the market which is advertise to increase the duration, it is nothing but a condom where a local anaesthtic benzocaine in it. The benefit of love condom is that the local anaesthetic does not come in contact to mucosa of vagina of females so there is no vaginal irritation.

Treatment of severe premature ejaculation

Severe cases needs some medications as well a very effective technique called squeeze technique is helpful in this case.

Masters-Johnson method or squeeze technique

This is the most acceptable treatment method for premature ejaculation and was discovered by Master and Johnson. In this technique the cooperation of partner is necessary and just at the time of climax the base of the glans is squeezed by keeping index finger at top and thumb at the ridge.

It has been seen that a man ejaculating within 30 seconds could hold even upto 30 minutes by this technique if it is done by proper way.

Antidepressants for premature ejaculation

The most common used antidepressants for premature ejaculation is fluoxetine(Prodep), other which are prescribed are sertraline, amitryptiline and clomipramine. Anti depressants should be taken only after prescribed by a comptant psychiatrist which usually prescribe them only when behavioural therapy fails. Dry mouth, nausea and irritation and dizziness may be the common side effects of these drugs.

Now a days clomipramine is also available as a nasal spray, this route is used for quicker action and to avoid the gastric side effects.

The latest drug which is used for premature ejaculation is another seroronin uptake inhibitor called dapoxetine marketed in the name of prozac. This tablet when taken orally is intended to lengthen the time between a man’s arousal and his climax.

Newer technique for treatment of premature ejaculation
In some Countries a newer technique has been implemented for treatment of premature ejaculation. In this technique a constricted ring is given and is advised to put it at the base of the head of sex organ for 30 minutes daily. However this techniques should be opted only under supervision of expert sex therapists.

Prevention of premature ejaculation

As in most of the cases psycholgical factor is the main culprit for premature ejaculation, thus a proper comunication, trust and understanding is necessary before performing sexual act.

There are some yoga which cn increase the celibecy and also helps in preventing premature ejaculation. Among yoga matsyasana, sharvangasana are the main. Apart from that kapalbhati pranayama should be performed regularly.

Thus the conclusion is that its in our hand to get rid of this disorder and if you follow the above instructions we can have an enjoyable life.