Men afflicted with sexual disorders like premature ejaculation often suffer in silence, even though between 20 and 30 percent of the male population shares their plight, according to the American Urological Association Foundation, or AUA. Such suffering can worsen the problem and lead to erectile dysfunction and depression, according to the World Psychiatric Association, so attacking the problem by means of communication with your partner and a few recommended exercises is really a broader health issue rather than a targeted treatment of a singular problem.
Squeezing
One of the two recommended behavioral therapies to combat premature ejaculation is the "squeeze method." It is often proposed as a mitigation strategy, and it has shown little effect at solving the problem long term, according to the AUA. It can help to improve sexual relations, however, although it does require the cooperation of your partner.
During foreplay, the partner stimulates the penis until ejaculation is imminent, and then squeezes hard enough to block ejaculation and cause the erection to diminish. The exercise is meant to help the sufferer identify the feelings leading up to ejaculation and learn to recognize and control them.
Start And Stop
Another method used to teach control is the start and stop technique. It also requires the cooperation of the partner, although a similar effect can be achieved during masturbation. In the start and stop technique, stimulation is interrupted at the critical moment, but in this case, the partner ceases all contact rather than initiating the squeeze. When the man regains control and prevents ejaculation, the exercise should be repeated at least three times total, allowing release on the fourth.
The start and stop method should be used several times a week until control is improved.
Masturbation
In an effort to reduce sensitivity during intercourse, the affected male can masturbate to completion no more than an hour before contact. While the masturbation method can lend a certain measure of control in the ensuing sexual partnership, it can also decrease the sexual appetite for such contact so soon after masturbation is complete.
PSD 502
While behavioral therapies like the squeeze and the start and stop techniques are mitigation strategies and can help to control the issue, they are not cures. Premature ejaculation has deep roots in the psychology of the sufferer, but there are physiological factors at play as well, according to the AUA. Medical therapies like anesthetic creams and anti-depressants can help, but a spray announced in 2010 called PSD 502 demonstrated encouraging results in clinical trials.
The spray is a mix of lidocaine and prilocaine, and its efficacy was detailed at the AUA annual meetings. Subjects using the spray showed ejaculation times that were five times as long as the control group who used a placebo spray, according to AUA researchers.
