Premature ejaculation, simply put, is a condition resulting in a man ejaculating just before sexual intercourse, or right after penetration. Healthcommunities.com explains it typically happens to men between the ages of 18 and 30, affecting 30 to 70 percent of men in their lifetime. For some men, it is a problem they deal with since puberty, making it a primary condition. For others, it is a secondary condition, occurring in men who once were able to control their ability to ejaculate. Regardless of the type, premature ejaculation can cause a number of problems for both the man and his mate.
Step 1
Use the squeeze technique. Both MayoClinic.com and Healthcommunities.com suggest using the squeeze technique. This method is part of sexual therapy and teaches a man to delay his ejaculation. A man can either perform this alone or with his partner. Sexual stimulation begins as usual until the man feels as if he is going to ejaculate. Either he or his partner squeezes his penis between the head and the shaft until his urge to ejaculate ends. Wait 30 seconds and repeat the process, and while squeezing results in a less erect penis, stimulation helps a full erection to return. MayoClinic.com states that men can repeat this process as many times as necessary until entering the partner without ejaculating is no longer a problem.
Step 2
Remove the sensation from the penis. The Cleveland Clinic notes that removing the sensation from the penis helps prolong the urge to ejaculate for some men. While using a condom is the easiest means of accomplishing this, topical creams containing medications such as lidocaine or prilocaine also work. Men choosing to use the creams should apply them 20 to 30 minutes prior to intercourse, wiping it off completely just prior to entering his partner. MayoClinic.com warns that a man can desensitize his partner's genitals if he does not completely clean the cream from his penis.
Step 3
Focus on various types of sexual foreplay. During sexual therapy the doctor may encourage the man to focus on foreplay to take the pressure off performing during intercourse, one of the causes of premature ejaculation. One option is to masturbate one to two hours prior to intercourse, while another is to avoid intercourse completely for a short period of time and experiment with new ways for he and his partner to pleasure one another.
Step 4
Speak to the doctor about antidepressants. MayoClinic.com points out that certain antidepressants delay orgasms in the patients taking them. While the Food and Drug Administration has not given these drugs specific approval for this purpose, doctors may use selective serotonin reuptake inhibitors or tricyclic antidepressants to help men with premature ejaculation. The site adds that it may take time before the right dose is found, and in some cases, a combination of medications is necessary.
Step 5
Go to psychotherapy sessions. Premature ejaculation affects not only the man, but his mate as well. Psychotherapy gives both the opportunity to discuss their relationship and the possible issues responsible for this condition. The therapist can offer coping techniques to reduce the man's anxiety when it comes to performance, and MayoClinic.com points out that the best results are achieved when both partners attend these sessions together.
