Rapid ejaculation: Best Ejaculation treatment

Improving communication

Best Ejaculation Treatment - Improving communication is often one of the first steps in treating rapid ejaculation (RE). 

Forget about the shame and blame - they are barriers to attacking the problem openly and honestly. Remember to turn off that internal critic every time you hear it whispering in your head. If you have to, remind yourself that RE is a medical condition.
Secondly, talk to your partner. Better yet, listen. Don't forget, you are on the same team.

Communication and the "stop-start technique"

In terms of therapy, the best recommended treatment consists of the "stop-start technique." Basically, it's a form of physiotherapy/biofeedback, to identify and communicate your level of excitement or arousal with your partner, then learning to stop all motion just before reaching the point of "ejaculatory inevitability."

• Before reaching the point of ejaculation, STOP. Let all the excitement dissipate.
• Repeat 3 times (slowly).
• After the third time, just relax and enjoy the experience.

Start by practicing 3 times a week. Begin with self-stimulation, and graduate over time to exercises with your partner. Hold off on intercourse until you are sure you've mastered all the less stimulating techniques.
Start with dry stimulation, then progress to moist activity. Gradually, ejaculatory control will improve, but be patient. It requires about 30 minutes, 3 times a week, for 3 months to start to see some progress, so don't be discouraged.

 

Seeing a sex therapist

It is a good idea to see a sex therapist, a psychologist, or a family doctor who deals with sexual problems while you are on the program. If there are doubts, resistance, or communication barriers, seeing a therapist with your partner might be helpful. Don't be a martyr. These problems are readily solvable, and in the end, increased communication between partners can result in more intimacy.

The "squeeze technique"

The "squeeze technique" is similar to the "stop-start technique," but you are supposed to squeeze the penis firmly to stop ejaculation. 

This technique is generally not recommended any more as it can cause damage to the penis.
Additionally, with the "stop-start technique," the man and his partner are continuously monitoring and controlling the stimulation that is more naturally and effectively integrated into the practice of full lovemaking.

Other options

• Double condoms or numbing creams seem to help some people, but have never been properly evaluated in the medical literature.
• A class of antidepressants called SSRI's (selective serotonin reuptake inhibitors), like Prozac®, Paxil®, Zoloft®, etc., have been shown to have the side effects of altering sexual function, including the delaying of ejaculation. Somehow the medication resets the threshold for initiating the ejaculation reflex. This side effect can be used to advantage to delay ejaculation, but it is not a cure, only a treatment, so the problem returns whenever the medication is not used. The latest regimen calls for daily treatment for 2 weeks, followed by a dose at 5 pm on the day of planned intercourse. Another type of antidepressant, clomipramine, is preferred by some doctors.
  The one group of men who will often need to start with an SSRI at first, are those men with RE who don't have a regular partner. A lot of these men even tend to avoid relationships out of embarrassment over the problem. The pill will help them perform without RE early in a relationship, but at some later time, they should consider discussing the problem with their partner and embarking on a mutually rewarding course of stop-start therapy.

Future treatments for RE

Ejaculation involves a complicated and coordinated interaction between the nerves and muscles of the pelvic floor, the urethra, the vas deferens, as well as various adjacent glands, ducts, and vesicles. 

Researchers have also discovered some of the neurotransmitters which regulate ejaculation and how they work. New methods of studying the process in animal models are developing rapidly. Good medication treatments, and probably even better gene therapies are probably not more than a few years away.

Source : http://chealth.canoe.ca

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Ejaculation Dysfunction Treatment - Anejaculation

Best Ejaculation Treatment - Anejaculation is the inability to ejaculate semen despite stimulation of the penis by intercourse or masturbation. The causes can be psychological or physical and anejaculation can be situational or total. 

Situational anejaculation means that a man can ejaculate and attain orgasm in some situations but not in others. Typically, situational ejaculation is stressed induced and occurs selectively. For example, a man who is able to ejaculate at home may not be able to do so in order to provide a specimen in a clinic because he is self conscious and anxious. 

In some instances, a man may be able to ejaculate and attain orgasm with one partner but not with another. This usually occurs when there is a psychological conflict in a relationship and difficulty with one partner. In total or complete anejaculation the man is never able to ejaculate, either during intercourse or through masturbation. In the absence of spinal cord injury or multiple sclerosis, deep-rooted psychological conflicts may be the cause for this scenario. Such men however, usually have normal nocturnal (night) sleep emissions of semen.  

Total anejaculation is further divided into anorgasmic premature ejaculation and orgasmic anejaculation. In anorgasmic anejaculation the man is never able to reach an orgasm in the waking state (either by masturbation or by intercourse) and does not ejaculate. This failure to reach an orgasm is sometimes attributed to psychological inhibitions, as was previously mentioned. 

Some may need a high amount of stimulation before they reach orgasm and do not get this stimulation during intercourse or masturbation. Low serum testosterone levels or psychotropic medications may also prevent men from reaching orgasm and ejaculation. Hormonal therapy for the treatment of prostate cancer can also render men anorgasmic. Most men following complete or incomplete spinal cord injury (SCI) will lose their ability to ejaculate and have an orgasm. 

Approximately 60% of spinal cord injured males will continue to be able to have erections however. In some instances, men taking medications known as serotonin re-uptake inhibitors (Paxil, Zoloft, Lexapro) will experience ejaculation without the sensation of orgasm.  

Men with orgasmic anejaculation reach and experience orgasm but they do not ejaculate semen, either because there is failure of emission of semen due to a block in the ejaculatory ducts or damage to ejaculatory nerves. Examples of conditions that cause this situation are diabetes, after trans-urethral (laser) resection of the prostate and following pelvic surgery for prostate, bladder or testicular cancer. 

Premature Ejaculation must not be confused with retrograde ejaculation (flow of semen back into the bladder due to weakness or surgery of the bladder neck). This occurs in men taking medications such as alpha-blockers (Flomax) that prevent closure of the bladder neck during orgasm. Another situation where retrograde ejaculation may be observed is in men following trans urethral resection (TURP) or laser surgery of the prostate. 

Anejaculation, however is more likely to occur in this situation, especially if complete trans urethral resection of the prostate occurred including the ejaculatory ducts, which carry semen from the seminal vesicles and testicles. A simple analysis of post orgasmic urine specimen will differentiate between retrograde and anejaculation. The presence of sperm in the urine specimen supports the diagnosis of retrograde ejaculation. Total absence of sperm in urine would indicate complete lack of ejaculation or anejaculation.

Anejaculation Treatment

Treatment depends on the causes and includes psychosexual counseling, drugs such as ephedrine and imipramine, vibrator therapy and electro ejaculation. If anejaculation is caused by a medication such as Flomax, stopping the medicine will most likely restore normal function. On rare occasions, medications that help to close the bladder neck (ephedrine, imipramine) may convert retrograde ejaculation to antegrade ejaculation.

The vibrator acts by providing a strong stimulus for a long duration to the penis. Vibrator stimulation results in ejaculation in about 60% of men suffering from a neurological (spinal cord) injury. This is a simple and quite effective way of retrieving semen in order to proceed with artificial insemination (inserting sperm directly into the uterus).

Electro ejaculation is a procedure in which an electrical current is applied to the ejaculatory nerve plexus thru the rectum to stimulate ejaculation. Success rates in retrieving sperm for insemination are a nearly 100% for men with anorgasmic anejaculation and in men with no physical defects. If nerves are damaged, vibratory stimulation and electro-ejaculation have an 80% success rate. In some rare instances medicines can help.   

Source.: urologicalcare.com

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'My husband has premature ejaculation: what pills will help him?'

Best Ejaculation Treatment - I have been reading online about premature ejaculation (PE) for the past few years, to try help my husband out. I can’t find any solid solution for this problem nor any genuine pills for PE. Recently he came to know about the pill called Dapoxetine. In some countries it’s already been recommended and available. Can you confirm this pill is ok for him to use and from which site to purchase online? 

 

Before thinking about solutions it’s worth considering if he does have a problem. Misleading information about sex can make people think they have premature ejaculation when they don’t. ‘Good’ sex is presented by the mainstream media and porn as requiring lengthy periods of penetrative sex. Giving us limited ideas of sexual pleasure and overlooking most men last a matter of minutes between penetration and orgasm on average. 

Premature Ejaculation is defined by a number of factors consistently occurring over six months or more. Where men feel like they have no control over ejaculation (either during masturbation or when with a partner); that the time between penetration and ejaculation is too short (for example before a man is erect, before penetration has happened or within seconds after penetration has taken place); and this causes them distress and problems within or in starting relationships. 

Triggers for premature ejaculation include feeling anxious about sexual performance, not having had sex for a while, being with a new partner or a novel sexual experience, or a habit of masturbating to orgasm very rapidly. Some of these are situation specific and can resolve themselves over time.

If a man thinks he has a problem he could try: 

- Masturbating a few hours before you have sex
- Mindfulness (see this guide from Debbie Herbenick) and meditation can help him feel less anxious
- Sharing his sexual worries with you, his partner (this guide by Cory Silverberg gives pointers on how to do this)
- ‘Edging’ – where he gets close to orgasm, stop, then start being sexual again, it can make him feel in control
- The ‘squeeze’ technique – where he or you as his partner squeezes the tip of the penis for 10 seconds as he feels close to orgasm. After a minute he resumes sex again.
- Condoms designed to help him last longer (try Boots or Pasante Delay brands or Durex Performa)
- Avoiding sexual positions that really excite him until he knows he really wants to come
- Talking in confidence to the Sexual Advice Association
- Reading this chapter by Paul Joannides about premature ejaculation
- Rethinking how he defines and experiences sex. Sex doesn’t have to involve placing penetration as the main event, with orgasm as the final goal. Or involve him delaying orgasm until you, his partner, has come, or end with your orgasm. (A few ideas of what sex might be for you can be found in the range of self help books here)
- Asking his GP for a referral to a Psychosexual Therapist (available on the NHS, although waiting lists vary). Or he could self refer to a (paid for) therapist.

You’ll notice I have not yet mentioned pills for PE. People are attracted to pills for sex problems, assuming it lets them avoid having to talk about embarrassing issues or in the hope it will resolve problems more quickly than most of the techniques I’ve just outlined.

Despite the medicalsation of men’s sexual problems, pills to treat premature ejaculation are not necessarily any more effective than the other solutions outlined above. And most practitioners would not recommend a clinical solution without trying those other steps first.

The product you describe is an anti-depressant. Anti-depressants do help some men delay orgasm.
Dapoxetine (sold under the brand name Priligy) is not one that is licensed for use to treat PE in the UK at this time and is not available on the NHS. You can purchase it for treatment of PE which would involve an online consultation or telephone conversation to assess your suitability for the drug.

The effectiveness of these consultations vary dramatically and some may also involve sales consultants who use techniques to get you to buy products that can make you feel worse about your sexual problems. Other antidepressants could be prescribed by your doctor, but it is worth noting most have undesirable side effects including a lack of sex drive or problems getting and keeping an erection.

Most studies of anti-depressants to treat premature ejaculation show they only give men a matter of a minute or two more time between penetration and ejaculation as compared to placebo. Trials also do not usually compare against the other techniques outlined above which may also give him more time between penetration and orgasm.  

I remain cautious about buying Premature Ejaculation drugs online. At best you waste your money. At worst you could buy something that is harmful. Work through the suggestions above. If they don’t help then get him to see his doctor who can ensure if he is offered anti-depressants it is following a thorough health check and deemed appropriate to his situation.

Source : www.telegraph.co.uk

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When Is Ejaculation 'Premature,' and When Should a Penis Be Made Numb?

Best Ejaculation Treatment - How long is sex supposed to last? One consensus of sex therapists said 3 to 7 minutes of penis-in-vagina is "adequate," while 7 to 13 minutes is "desirable." 

If three minutes is adequate, then when does being a little quick on the trigger become an actual medical diagnosis?

The International Society of Sexual Medicine defines premature ejaculation as meeting all of three criteria: finishing most of the time within one minute and having it result in personal distress.

It's difficult to imagine a situation in which that wouldn't result in distress, personal and otherwise. What relationship could smilingly endure it? But there's also clearly a continuum, on the side beyond a minute but short of ideal -- often well within the ranges therapists might consider adequate or desirable -- where distress may be milder but still entirely relevant to confidence and relationships. 

Luckily, medical science is on the case. I spoke with Dr. John Mulhall, a urologist and the director of the Male Sexual and Reproductive Medicine Program at Memorial Sloan-Kettering in Manhattan. According to him, when we talk casually about premature ejaculation (people talk casually about premature ejaculation, right?) we're usually talking about what the medical community would consider "premature-ejaculatory-like syndrome," or simply "rapid ejaculation." It's not as severe as the strict premature ejaculation diagnosis, but it can have the same divisive result. About one in four guys experience it regularly. 

Looking for a down-to-the-minute definition of rapid ejaculation is a natural impulse, but not an ideal way of looking at it. Mulhall says it comes down to whether the guy lasts long enough. If his partner is made wholly replete in 90 seconds, then a man who lasts 95 seconds can be fine. But if another guy lasts 15 minutes, and that's not cutting it, then it's a problem and can be considered rapid. 

***

In the late 1980s, when physicians started prescribing SSRI medications to treat depression (now known as Zoloft, Paxil, Prozac, etc.), some patients taking them noticed that they were also taking longer to ejaculate. So doctors started prescribing SSRIs for non-depressed patients, to treat premature ejaculation. And, largely, it worked. 

Still a lot of people don't like the idea of taking a pill. Costs, side effects -- especially for people tangentially on the rapid ejaculation spectrum, it's not always easy to justify being on an SSRI. That's where topical numbing treatments can come in.

Dr. Ronald Gilbert, a urologist in Newport Beach, California, is the Chief Medical Officer of a company that makes a lidocaine spray used in situations like these. Gilbert personally sees it beyond that, as a first-line therapy for premature ejaculation.

The concept isn't new, and these lidocaine sprays have received a thoroughly mixed bag of reviews. That may be because they don't address the psychological component of the problem (which, some argue, is the only component). But Gilbert believes that his formula, called Promescent, works. He told me about it in flowing jargon involving binary eutectic, a pKa very near the pH of lidocaine, and a two-phase meld system that drives lidocaine through the stratum corneum of the skin of the penis.

The numbing spray idea immediately struck me as one that makes perfect sense to scientifically-minded people but sounds absurd to everyone else. It's a coldly rational approach. But the problem is nuanced, and this solution involves making a man who already feels insecure in sexual situations excuse himself during a heated moment, get out a (secret) vial of penis spray, and numb up his genitals -- all in anticipation of a sexual endeavor that, even if it goes well, may still leave him conflicted in the way Lance Armstrong must have felt in a yellow jersey on the Champs-Élysées. 

It's a suboptimal scenario, but so is an unsatisfying sexual relationship. Gilbert recommends the topical treatment to his patients before he prescribes an SSRI, and so does Mulhall.

 ***

In the interest of science and curiosity, I tried the lidocaine spray on one of my hands. A few points of note: 

It makes you smell like a new iPhone. This seems like it would be a giveaway -- a numb penis tell, if you will. It does feel strange, but not at all like you're existentially detached from yourself. If you're envisioning a total numbness (which I was -- like your unfeeling lip after a dental procedure, or Krang remotely operating a detached body), you'll be disappointed. You do lose fine sensory details. If someone lightly brushed your penis with a feather, you probably wouldn't know it. It could be likened to wearing two condoms -- or, as the proverb goes, eating a steak with a balloon on your tongue. 

When I was going around the office showing off my numb hand, shaking other people's hands, some asked about the possibility of the numbing liquid rubbing off onto one's partner. That's entirely valid. The options of wiping it off after giving it time for some to absorb into your skin or, more hastily, hooding it under a condom come to mind as possible solutions.

***

Treatments like this are widely known in the urology community, but they're not commonly discussed among people who don't have an extreme problem or clinical diagnosis -- and are far from consulting a urologist -- but could benefit from a few extra sex minutes. They are increasingly available over the counter at most pharmacies. 

Gilbert concedes that we do not have major clinical studies to attest to whether or how well topical sprays work, but the risk of side effects and adverse reactions is remote. The medical community has safely used topical lidocaine in various ways for decades -- it's effectively used all the time to treat the pain of zoster -- it's not expensive, it's FDA-approved under the "genital desensitization" monograph, and it's easier (for some) than a prescription pill. 

In any case, it is worth knowing this is out there as an option. If you or your partner fall somewhere on the rapid spectrum, and penis numbing spray makes a positive difference in your relationship, that's great. If you just use it as a novelty -- so you can endure some sort of Pompeiian love fest, or as an extremely awkward stocking stuffer for your teenager -- that's probably fine, too. 

Source : theatlantic.com

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Premature ejaculation, a genetic disorder

Best ejaculation Treatment - A Finnish study suggests that premature ejaculation may be a genetic disorder.

Researchers from Turku came to this conclusion after interviewing more than three thousand men—all pairs of male twins and their older or younger brothers—about the first time they had sex.

Most of the persons surveyed revealed that they had suffered from erectile dysfunction and premature ejaculation at their first sexual encounter

The research confirms the belief that these common problems are often related to external factors like intoxication or nervousness due to peer pressure.

However, according to the researchers, premature ejaculation also appears to be strongly linked to genetic factors, and is not just psychological.
A previous study conducted by researchers in The Netherlands also linked premature ejaculation to a gene for serotonin regulation in a group of two hundred men.

The current study independently shows a genetic link to premature ejaculation in a much larger group, and rule out environmental factors.

Lead researcher David Goldmeier says that the increasing evidence for a genetic cause of premature ejaculation opens the way for the development of new drug treatments, something that many men might benefit from.

He and reviewer Taylor Segraves, however, insist that medicines will not be the only solution. They say that psychotherapy will continue to be a valuable and useful form of treatment for sexual dysfunctions, even for those with a genetic cause.

The study has been published in the Journal of Sex & Marital Therapy.

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Topical Spray Helped Men With Premature Ejaculation

Best Ejaculation Treatment - A new spray enabled men with premature ejaculation to delay their orgasm six times longer than before, according to a study that included 300 European men.

The men, with clinically diagnosed premature ejaculation, were randomly selected to receive a placebo spray with no active ingredients (100 men) or the PSD502 spray, which contains 7.5 milligrams of lidocaine and 2.5 mg of prilocaine (200 men).

During the three-month study, the men used either the placebo or the PSD502 spray five minutes before intercourse. The men and their partners then used a stopwatch to record the time from vaginal penetration to ejaculation. The men were instructed to abstain from sexual activity or masturbation for 24 hours before each recorded episode of intercourse.

The men who used the PSD502 spray (treatment group) delayed their orgasm from an average of 0.6 minutes to 3.8 minutes, compared to just over 1 minute for those who used the placebo spray. 

That means the PSD502 spray helped men last 6.3 times longer than normal, compared to 1.7 times longer than normal for those who used the placebo, the study authors said.

The study found that after three months of treatment:

• 90 percent of the men in the treatment group were able to delay ejaculation for more than 1 minute following vaginal penetration, compared with 54 percent of those in the placebo group.
• 74 percent of men in the treatment group were able to last 2 minutes before ejaculation, compared with 22 percent of those in the placebo group.
• 62 percent of men in the treatment group said their orgasms were “good” or “very good” after three months, compared with 20 percent before the start of the study. For men in the placebo group, the figures were 19 percent at the end of the study and 21 percent before the start of the study.
• More patients and partners in the treatment group reported improvements in perceived control, personal distress, satisfaction with sexual intercourse, and interpersonal problems.

The most common problems noted in the study were loss of erection and a burning sensation in the vagina.

The study findings were published in the April issue of the journal BJU International.

“Premature ejaculation can be a very distressing condition for men and can cause distress, frustration and make them avoid sexual intimacy,” lead researcher Professor W. Wallace Dinsmore, of the Royal Victoria Hospital in Belfast, U.K., said in a news release.

“Our study shows that when the PSD502 spray was applied to the man’s penis five minutes before intercourse it improved both sexual performance and sexual satisfaction, which are key factors in treating premature ejaculation.”

More information :

The U.S. National Library of Medicine has more about premature ejaculation. - Robert Preidt

SOURCE: BJU International, news release, April 6, 2009

Others information :

Click Here!,  Click Here!,  Click Here!



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Tips For Curing Premature Ejaculation

"Because premature ejaculation is associated with infrequent sex, men with low frequencies of sexual activity often get extra excited and aroused, which can manifest as performance anxiety when sex presents itself"

What’s the No. 1 sexual issue that men face today? OK, the guy who said finding a sexual partner wins -- I’ll give you that one. What’s the second then? Chances are most of you said premature ejaculation, and most of you likely had a reaction to that term -- you felt some anxiety or thought about clicking back to your streaming porn that’s taking forever to download. It’s time to stop avoiding the issue and look at it. Why? For the simple reason that we only live once and having the best possible sex life should be an item on our bucket lists.  

The Diagnostic Statistical Manual of Mental Disorders (DSM IV) defines premature ejaculation as a persistent or recurrent ejaculation with minimal sexual stimulation before, on or shortly after penetration and before a person wishes. 

Wow, that’s not a sexy definition. Personally, I define it as you come quicker than you or your partner wants.

How often does this occur in different age groups for men? According to the 1999 NHSLS survey by Laumann et al., 30% of men ages 18-29, 32% ages 30-39, 28% ages 40-49, and 31% ages 50-59 stated climaxing too early was an issue. I know some of you were hoping age would slow things down. If men were asked if they’ve ever had at least one experience of premature ejaculation, almost every guy would get in line for their membership card.

What causes premature ejaculation? There’s not one cause; it’s a combination of factors. Some believe anxiety is the culprit, repetitive learned behaviors, excessive or insufficient arousal, or muscular tension. They’re all associated, and addressing each of them is the key to curing premature ejaculation. Evolutionary psychology suggests men learned to ejaculate quickly to ensure they completed the sex act before a predator attacked, a female escaped, a male interrupted, or to increase the chance of procreation. Maybe we can blame the cavemen? For our purposes, let’s leave the scientists to figure out the causes and let’s focus on tips for curing premature ejaculation.

premature ejaculation: anxiety reduction

Let’s start with what we can do before our penis comes into play. First, you need to learn to calm yourself down and lower your performance anxiety levels. Because premature ejaculation is associated with infrequent sex, men with low frequencies of sexual activity often get extra excited and aroused, which can manifest as performance anxiety when sex presents itself. Even men with frequent sex can get extra aroused. Reducing anxiety is different for everyone. Meditation, hypnosis or imagery exercises may help for some. Just like an athlete works with the sports psychologist to envision their performance, you can do the same sexual imagery for the bedroom. How many of you imagine positive sexual scenarios, envision your interactions and what behaviors you would engage in? Imagery can be like a positive mental plan, something you can fall back on that can help you manage your anxiety beforehand -- and in the moment.

Communicating your anxiety is also helpful. We hear the expression, “a big relief to get that off my chest,” yet it’s rarely used for premature ejaculation. Talking with a partner, friend or therapist opens the door for anxiety relief and can help address and alleviate some of our fears. Men are notorious for keeping things inside and it’s no different for a delicate subject like this. Things like our penis size, body image, relationship difficulties, and stressors in life (work, financial, family, health) can all add to our anxiety levels in the bedroom. Lastly, pick up some sex education books/DVDs on sex technique and sexual expression. 

There are thousands out there and the more sex education you have, the more competent, confident and less anxious you’ll feel.  Source : Askmen.com 

Click  Here!   and  Here!  to find out the Cure

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