Premature Ejaculation

Premature ejaculation is considered a rapid ejaculation of semen over which the man lacks reasonable control. Reasonable control depends on many factors such as:

  • Age
  • Newness of sexual partner
  • Frequency of intercourse
  • How long a session of intercourse lasts

This web page provides information and links to resources about premature ejaculation.

Is premature ejaculation normal?

  • Premature ejaculation is very normal. However most men wish to have some control over when they ejaculate so they can satisfy their partner.
  • Failure to control ejaculation can cause feelings of inadequacy, guilt and conflict within a relationship.

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Why does it happen?

  • Sometimes, premature ejaculation happens because of youth, inexperience, or a physical hypersensitivity to erotic stimulation.
  • For some men, their first sexual experience, either with a partner or through masturbation, occurred under pressure or in less than ideal situations.
  • He may have felt guilt or fear of getting caught that caused him to ejaculate quickly.
  • Frequent repetition of such events makes it a difficult but not impossible habit to break.

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What can you do?

  • The goal of treatment is to train the man to focus on the sensations leading up to ejaculation.
  • Focusing teaches the man to anticipate orgasm and to gain control over the timing of his ejaculation. There are two common methods used to treat premature ejaculation. They are:

The squeeze technique:

  • In this technique the man’s partner, or the man himself, circles the tip of the penis with her/his hand.
  • The man is stimulated until he is ready to ejaculate.
  • Before ejaculation can occur, the tip of the penis is firmly squeezed for three to four seconds.
  • 15 - 30 seconds later the penis is stimulated again.
  • When ejaculation is close to occurring again, the procedure is repeated.
  • During penile-vaginal intercourse, the penis can be held at the base, closest to the scrotum, so that it can be squeezed without removing it from the vagina before ejaculation can occur.

The stop-start technique:

  • This technique is very similar to the squeeze method.
  • In this technique the person stimulating the man's penis simply stops the stimulation just prior to ejaculation (for 30 - 60 seconds) and resumes stimulation again only when the man can control his ejaculation.
  • The sequence is repeated several times before ejaculation and orgasm are triggered.
  • Either of these techniques can be practised over several days or weeks until the man feels he can identify and control his feelings of arousal and ejaculation.

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Resources

  • Dimensions of Human Sexuality. Third Edition. Curtis O. Byer & Louis W. Shainberg. Wm. C. Brown Publishers. 1991.
  • Sex: A Man's Guide. Stefan Bechtel, Laurence Roy Stains and the editors of Men’s Health Books. Rodale Press, Inc. 1996.

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