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Premature Ejaculation
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What are the treatments for the condition?
There are three general types of treatment. These include counseling, behavioral modification, and medical therapy. Psychological issues are often part of the cause. Therefore, counseling by a sex therapist is often advised. Therapy may involve both partners becoming more aware of their own and each other's bodies. Partner may be encouraged to caresses the other's body without intercourse. Instead, they are to focus on the pleasures of touch.
Another method involves a squeeze technique. In this exercise, the couple engages sexual activity including penile stimulation without intercourse until the man is almost ready to ejaculate. The partner then squeezes the head of the penis. Squeezing should be sustained for several seconds. After the pressure is released, the couple should wait about a half a minute. After that, they may continue foreplay. This process is repeated until it both partners are ready to climax. The goal of this technique is for the man to become accustomed to the feeling of delayed ejaculation. After several sessions, regular intercourse may be tried without the squeeze technique.
Antidepressant medications have had good results in slowing ejaculation. Treatment with medications is an excellent choice when behavioral therapy or counseling is rejected or fails. It is also a choice when partners are unwilling to cooperate in treatment.
What are the side effects of the treatments?
Side effects of antidepressants include:
sleep disorders
drowsiness
jittery feeling or anxiety
What happens after treatment for the condition?
During and after treatment it is important for a man to:
maintain a positive self-image
remember that this is a common condition
keep in mind that the condition does not reflect on masculinity
remember that the condition is reversible
How is the condition monitored?
If the condition improves, there is no need for further monitoring. If symptoms recur, the same techniques are used.
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Author: Stuart Wolf, MD Reviewer: Eileen McLaughlin, RN, BSN Date Reviewed: 06/01/01
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