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Premature ejaculation is considered the most common sexual problem for men younger than 40 years. Requirements for the length of sexual intercourse vary from individual, so the term premature ejaculation is very controversial. For example, a man can ejaculate after 8 minutes of sexual intercourse. If a woman needs only 5 minutes for orgasm, both partners will be satisfied and it is not considered as premature ejaculation. However, if he delays ejaculation for 20 minutes, and for woman's orgasm is necessary 35 minutes, the woman will consider this as premature ejaculation. Given that many women aren’t able to experience orgasm, it is necessary to check whether the woman has a problem with delaying orgasm. Therefore, in the treatment of premature ejaculation it is necessary to start from the sexual histories of both partners. In any case, if sexual intercourse takes a few minutes before ejaculating and if this situation repeats in more than 50% of sexual attempts, there is a problem with premature ejaculation.

It isn’t yet established what specifically causes premature ejaculation, although most attention is paid to psychological factors. Premature ejaculation may be primary - which appears at the beginning of sexual maturity, and secondary - that is, for unknown reasons, occurs later in life.

Treatment of premature ejaculation involves the exclusion of all other serious health problems, so that premature ejaculation is considered as the only problem that should be treated. There are several ways of overcoming this problem:

1. He should be released of the pressure

If premature ejaculation occurs shortly after the attempted sexual intercourse, the couple shouldn’t continue to try sex until premature ejaculation is treated. In the meantime, he can satisfy a woman orally or by manual stimulation. If ejaculation occurs prior to the sex attempting, even during foreplay, it indicates the seriousness of the problem. Then, this disorder should be treated by specific psychotherapy.

2. Couple can jointly apply certain techniques of sexual therapy such as the stop-start or squeeze-pause method.

Woman stops sexual stimulation when she feels he is close to ejaculate. Then she compresses the penis just below the glans. When an urgent need to ejaculation passes, stimulation can continue. If such process is repeated 10 or more times men will gradually extend ejaculation time. After that, women and men can sit on opposite another, legs crossed. Woman's legs are over men’s. Then a woman can stimulate the penis rubbing it of her vulval area. When she feels that the man’s excitement increases, she should stop the friction and squeeze the penis until the excitement has past. This technique has shown effectiveness in a large number of couples. Considering that this technique extends foreplay, it can shorten the time of experiencing orgasm in women.

3. Application of desensitizing and anesthetic cream on the penis

SS-cream in the Far East is proven as very effective in reducing sexual irritability and postponing ejaculation. Although this cream is made mostly from plant compounds, it hasn’t been approved by the FDA, so the American area mainly uses lidocaine which has a similar effect.

4. Masturbation 1-2 hours before anticipated sexual intercourse

This is recommended for young men that can achieve new erection soon after premature ejaculation. It is noted that the second time, men have better control over ejaculation.

5. Use of antidepressants

Since delayed sexual climax occurs as a side effect of antidepressants (drugs from the selective serotonin reuptake inhibitors (SSRIs) class, some tricyclic antidepressants), this side effect can be very effective in treating premature ejaculation.

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