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  • Writer's pictureElena Cora

Beyond Quick Fixes: Comprehensive Treatment for Premature Ejaculation

Contacting a health provider about premature ejaculation is recommended in order to gain peace of mind and assess what may be causing it. They will offer support while working to identify its source.

Start-stop and squeeze techniques are two effective self-help measures for avoiding premature ejaculation, having been demonstrated in several small studies to extend the amount of time until ejaculation takes place.




Self-help techniques:


Premature ejaculation can be a very frustrating experience for both partners in a sexual relationship, often leading to reduced or no sex activity altogether. Luckily, there are ways to combat the issue and extend sex sessions longer - treatments include supplements, practices and products applied directly to skin such as ointments; herbal medicines like kaunch beej may reduce sensation in the penis tip and delay ejaculation as well. Speak to a healthcare professional first before trying any herbs or supplements as health professionals may advise before trying any herbs or products!


Men who struggle with PE may benefit from using a self-help technique called the Pause-squeeze Method for assistance. This involves letting their arousal level reduce just before orgasm and using two fingers to squeeze gently at the point where the head of their penis meets its shaft - repeating this procedure until they experience success postponing ejaculation.


If PE is due to an underlying medical condition, such as an enlarged prostate (prostatitis), treating that issue should help alleviate its symptoms. Otherwise, your GP can suggest various treatments that could alleviate PE symptoms; these might include on-demand topical anesthetics or daily doses of selective serotonin reuptake inhibitors (SSRIs), originally intended to treat depression but which have since been found effective against PE. Paroxetine (Paxil) and fluoxetine (Prozac) are commonly prescribed; other SSRIs like sertraline (Zoloft) and Habbe Mumsik Mushki Khas.


Medications:


Medication may help treat PE in several ways. Antidepressants called selective serotonin reuptake inhibitors (SSRI), including Citalopram, Escitalopram, Fluoxetine, Paroxetine or Sertraline may be effective; typically taken as tablets; their purpose is to increase the time it takes for orgasm to happen. Phosphodiesterase type-5 inhibitors such as Sildenafil (Viagra) and Dapoxetine specifically designed to delay ejaculation can also help - these can be used "on demand".


Other drugs used for PE treatment include tricyclic antidepressants like Clomipramine, Tetracycline or Anafranil that treat depression as well as being included as part of PE regimen.


If you’re PE stems from anxiety, depression, or relationship issues, a psychologist, psychiatrist or couples therapist might be advised. Your urologist can connect you with health professionals that can address the source of your discomfort as well as teach self-help techniques like sphincter control training, squeeze-pause exercises or distraction exercises that can be implemented into daily routine.

 

Studies published in 2021 demonstrated that patients suffering from PE who received both behavioral therapy and medical devices to train their sphincters had greater success reducing or stopping their episodes than those receiving just one or the other method alone. However, many current PE treatments are experimental or only available in limited settings, prompting further investigation of potential therapies' efficacy.


Counseling:


People suffering from PE issues may benefit from professional counseling to address underlying issues. Psychotherapy may teach an individual how to effectively deal with stress, anxiety and nervousness that contributes to the problem; patients will also be provided guidance regarding techniques designed to delay ejaculation and enhance sexual performance.


Counseling sessions typically cover an individual's relationships and sexual history as well as providing physical exams. A healthcare provider will need to determine whether they suffer from an erectile dysfunction (ED), which may qurs mumsik jadid.


Behavioral therapy can be used to teach patients how to slow the rate of ejaculation and reduce sexual tension and fear of losing an erection, as well as provide self-soothing techniques before engaging in sexual activity and strategies for using oral stimulation or manual stimulation techniques.


If at-home treatments fail to relieve impulsiveness and serotonin levels, physicians can prescribe medications that will decrease those factors. Selective serotonin reuptake inhibitors (SSRIs), like paroxetine (Paxil), fluoxetine, sertraline, citalopram and escitalopram have proven successful at delaying ejaculation when taken "on demand". Dapoxetine may even be specifically marketed for this use; such drugs may be combined with psychotherapy or sexual therapy treatments as well.


Sex therapy:


Early ejaculation usually does not pose serious health concerns for most individuals, however if it interferes with your sexual life it should be evaluated by a health care provider who specializes in sexual health problems to rule out potential medical causes and conduct a physical exam to rule them out. Your provider will ask questions regarding frequency and type of sexual relations you engage in with your partner to ascertain any possible medical solutions.


Behavioral techniques may help alleviate your sexual stimulation. Try employing "stop-start" and "stop-squeeze" strategies; both of these techniques retrain the brain to stop sexual stimulation when approaching orgasm. Or try thought distraction techniques like thinking of all of your favorite sports team players as a distraction strategy.


Antidepressant drugs can be an effective solution. Selective serotonin reuptake inhibitors (SSRIs), with their potential side effect of delayed orgasm, are frequently prescribed; Paxil (Paroxetine) is one such SSRI commonly prescribed, although other such as Celexa, Lexapro and Prozac may also prove helpful. Clomipramine (Anafranil) may also prove effective.


Psychotherapy can be an essential element in treating premature ejaculation, particularly if emotional or relationship issues lie at its heart. Sex therapists provide techniques that will help manage sexual anxiety and control responses during sex. Your sex therapist won't engage in sexual acts with you but instead will work alongside you to build up confidence and self-esteem around majun raig mahi.

 

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