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An estimated 30% of men suffer from premature ejaculation (PE) at some point in their life, which can cause significant distress.
Ejaculation can be considered premature when it occurs 30 seconds to 4 minutes into sex, depending on different cultures, countries and experts. However, it seems that most tend to agree that any sexual intercourse lasting less than 2 minutes can be considered premature ejaculation.
Behavioural techniques can help you delay orgasm. These include the start-and-stop method and the squeeze technique.
A combination of these techniques along with sexual counselling and medication (either using an anaesthetic cream, such as EMLA or an oral tablet, such as Priligy) is recommended.
What Is Premature Ejaculation?
Premature ejaculation is ejaculation that happens too soon for a man and his partner to enjoy sex. There are two types of premature ejaculation: lifelong (or primary) and acquired (or secondary).
Lifelong PE starts early on, usually when you are a teenager experiencing first sexual contact. It is harder to treat and often has deeper psychological causes. Bad habits may also contribute (such as masturbating to ejaculate as fast as possible in order to avoid getting caught).
Acquired PE happens later in life and is usually triggered by either psychological (stress or relationship issues) or physical causes (diabetes or high blood pressure).
How Can I Delay Ejaculation?
There are a wide range of “home-made” remedies for premature ejaculation like frequent sex, masturbating a couple of hours before sex, or having sex with the woman on top.
Thicker condoms: a thicker wall can decrease the sensitivity of the penis
Behavioural strategies: “start-stop” and “squeeze techniques” often prove effective, but do not provide a long-term solution.
It can take a few months for you to overcome PE with these techniques and many men have to keep using them on a permanent basis.
On average, 50% to 95% of men using sexual techniques manage to overcome PE eventually. There is a risk of relapse if there are significant changes in your sexual life (e.g. new partner, stressful event), especially if you feel anxious. In general, the sooner in life you learn to master these techniques the better.
Men who are over-sensitive, rather than being excessively anxious, might not benefit from these behavioural methods because they suffer from a different cause of premature ejaculation.
For these patients, medications that reduce your sensitivity (for example, EMLA a cream, or Priligy an oral tablet) are recommended. are a better solution and eventually improve control over ejaculation. Whilst they can be taken as long-term solutions for premature ejaculation, they don’t fix the underlying causes of PE.