Premature ejaculation has always been thought of as a psychological dysfunction. In general, the most effective treatment has always been seen as behavioral therapy combined with sexual psychotherapy. The first formal treatment of this kind goes back to 1956 when the urologist Dr J Semans invented the 'stop-start' technique, a new behavioral training system, involving the man's partner. Her role was to manually arouse him until the point of ejaculation was imminent and then stop. Once his arousal had ceased, then stimulation was resumed and the cycle repeated. In this way the man would learn to develop a measure of control over ejaculation. This method requires dedication and commitment by both the man and his partner but the results are worth the effort.
This still is one of the most effective techniques available, although it does require patience and commitment by both the man and his partner. Masters and Johnson introduced a similar technique, which involved squeezing the penis at the level of the frenulum tissue just as the man was ready to ejaculate. As the desire to ejaculate decreases when the penis is squeezed, the man's urge to ejaculate is controlled and he can continue sexual activity for much longer.
Some critics have objected that this technique works for a while although the effects are not long-lasting. Figures show that about three quarters of the men who initially succeed with these behavioral techniques find that three years later they are back in the same place. Sad to say some men who undergo training to overcome premature ejaculation are not motivated to maintain any improvement they have made. This is no surprise, because when you think about it, the urge to climax and the gratification that ejaculation produces are so great that they triumph over the partner's less compelling need for sexual satisfaction.
These men really need to continue with the training techniques after the initial training. Unfortunately we don't know how much training would be required because, as far as we know, no research has been done on the subject.
Ejaculation control is actually simple to learn just like the voluntary control of urinary function. The actual mechanism of ejaculation is just a spinal reflex modulated by higher brain centers, that is to say although partially involuntary, anyone can learn to control it. Moreover, an individual's degree of control is influenced by experience and context. So a man may have more control when he's with a regular, long-term partner than when has a one night stand.
Marcel Waldinger has demonstrated by statistics that men with a serious case of premature ejaculation are a very small minority. One interpretation of this fact is that there is a genetically inherited trait which determines a physiological brain response, probably concerning the serotonin receptor.
This conclusion is not universally accepted nor does it present an obvious treatment strategy. But it has led to great deal of speculation and some research on the idea of modifying serotonin levels in the brain, using artificial methods such as selective serotonin uptake inhibitors or SSRIs like Dapoxetine. The results of experiments, however, tend to indicate this is a blind alley, not least because of undesirable side-effects, and no positive results have really come from it. In particular, the drug has not been licenced for use in the USA by the FDA as a treatment for premature ejaculation. The better approach is obviously a combination of therapy including behavioral therapy using traditional methods, together with counseling and psychotherapy in order to reduce anxiety and find solutions for relationship issues.
This still is one of the most effective techniques available, although it does require patience and commitment by both the man and his partner. Masters and Johnson introduced a similar technique, which involved squeezing the penis at the level of the frenulum tissue just as the man was ready to ejaculate. As the desire to ejaculate decreases when the penis is squeezed, the man's urge to ejaculate is controlled and he can continue sexual activity for much longer.
Some critics have objected that this technique works for a while although the effects are not long-lasting. Figures show that about three quarters of the men who initially succeed with these behavioral techniques find that three years later they are back in the same place. Sad to say some men who undergo training to overcome premature ejaculation are not motivated to maintain any improvement they have made. This is no surprise, because when you think about it, the urge to climax and the gratification that ejaculation produces are so great that they triumph over the partner's less compelling need for sexual satisfaction.
These men really need to continue with the training techniques after the initial training. Unfortunately we don't know how much training would be required because, as far as we know, no research has been done on the subject.
Ejaculation control is actually simple to learn just like the voluntary control of urinary function. The actual mechanism of ejaculation is just a spinal reflex modulated by higher brain centers, that is to say although partially involuntary, anyone can learn to control it. Moreover, an individual's degree of control is influenced by experience and context. So a man may have more control when he's with a regular, long-term partner than when has a one night stand.
Marcel Waldinger has demonstrated by statistics that men with a serious case of premature ejaculation are a very small minority. One interpretation of this fact is that there is a genetically inherited trait which determines a physiological brain response, probably concerning the serotonin receptor.
This conclusion is not universally accepted nor does it present an obvious treatment strategy. But it has led to great deal of speculation and some research on the idea of modifying serotonin levels in the brain, using artificial methods such as selective serotonin uptake inhibitors or SSRIs like Dapoxetine. The results of experiments, however, tend to indicate this is a blind alley, not least because of undesirable side-effects, and no positive results have really come from it. In particular, the drug has not been licenced for use in the USA by the FDA as a treatment for premature ejaculation. The better approach is obviously a combination of therapy including behavioral therapy using traditional methods, together with counseling and psychotherapy in order to reduce anxiety and find solutions for relationship issues.
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Simple and straightforward treatments for rapid climax are explained here: Ways to control orgasm
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