The internet has been a marvellous, freeing experience. What was once a topic of embarrassment, like premature ejaculation, is now so thoroughly advertised no man should feel embarrassed to seek advice. For example, are there legitimate medicines that could help? Are there exercises for premature ejaculation? What, exactly, is premature ejaculation?
What is Premature Ejaculation?
As the NHS defines it, premature ejaculation is a condition in which the male ejaculates too quickly during intercourse. “Too quickly” is in the eye of the couple dealing with the issue, though, since the average ejaculation time is around 5.5 minutes. If you are hoping to prolong your pleasure into hours-long lovemaking, that may qualify as “premature.” If, on the other hand, you and your partner are trying to squeeze a few intimate moments in while juggling jobs, children, and housekeeping, 5.5 minutes may be more than enough for both of you.
If you feel you ejaculate too quickly, you can examine and possibly resolve some causes, both on your own and in consultation with your physician.
Causes and Prevention
Physical causes (which may be more easily remedied than psychological causes) could be:
- Prostate problems
- Underactive or overactive thyroid
- Recreational drug use
Many times, a doctor’s advice and help can remedy the situation to the satisfaction of you and your sexual partner. For example, a doctor may be able to prescribe a selective serotonin reuptake inhibitor (SSRI), which has the side-effect of delaying ejaculation. The NHS permits prescribing dapoxetine, which goes under the brand name Priligy.
More immediate, practical steps you can take include exercises for premature ejaculation, applying a topical desensitizing cream to your penis, decreasing sensitivity with a thick condom, and taking breaks during sexual activity to increase your staying power.
Additional strategies you and your partner can try include:
- Masturbating to completion at least an hour before intimate partner activity
- Having your partner squeeze the head of your penis for 10 to 20 seconds to help you “unlearn” the behaviour of ejaculating quickly
- Having your partner be positioned on top to pull away before you ejaculate
- Delaying ejaculation by starting and abruptly stopping stimulation, repeating frequently to build up a tolerance for stimulation
Psychological causes for premature ejaculation could be:
- Performance anxiety
- Strict upbringing that instils a negative view of sex
- Problems in the relationship
Therapy may be helpful in patients with psychological causes for premature ejaculation.
Some of the self-administered remedies mentioned above are more or less “natural”, while prescription medications, topical creams and the like are artificial solutions. One popular, easily learned natural remedy is to practice exercises for premature ejaculation. Prescription Doctor say “Pelvic floor musculature is linked to the sexual role, and a natural assumption is that improving muscle strength will improve sexual performance.”
Improving muscle tone in the pelvic floor can help men prolong sexual pleasure so that, in one study, the average time quintupled (from around 32 seconds to over 2.5 minutes). The pelvic floor exercises involve training men to tighten and loosen the involved muscles at will, so that the entire pelvis is more toned.
Though more involved than Kegel exercises used to combat erectile dysfunction, the pelvic floor exercises can lead to improvement in as little as 12 weeks. According to Reuters, the exercises taught in the original study involved teaching the men to tighten and loosen perineal muscles, increasing awareness of the muscles while strengthening them.
The Pelvic Floor
Thousands of webpages exist explaining the mysteries of the pelvic floor — in women. For men, information is far more scant. Briefly, as explained by Newcastle Upon Tyne Hospitals, the pelvic floor muscles in men bridge from the front of the pelvic bone to the base of your spine. They help hold in place a few critical organs:
In addition, they help open and close your urethra and your anus. Strengthening these muscles means greater control, an increase in confidence, and a heightened awareness throughout sexual activity.
One natural method is to sit upright in a chair with your feet on the floor, then clench and tighten the muscles as if you were trying to prevent yourself from passing gas. Repeat slowly and as many times as you feel comfortable. When you gain confidence in that position, you can continue the exercises while lying down or standing, in any setting. Unless you are wearing extremely tight pants, no one around you will be aware you are exercising your pelvic floor.
Even the heralded study that gave hope to many men was not a perfect success. Out of the small group of forty men, five showed no improvement after 12 weeks. If you attempt to tone and tighten your pelvic floor muscles, yet you still struggle with premature ejaculation, consult your doctor for further treatment possibilities, including pharmaceuticals such as dapoxetine, also known as Priligy.