Treatment options for premature ejaculation may include medications, pelvic floor exercises and counseling. It's essential that you open up to your health care provider about any concerns and discuss ways that both you and your partner can address them together.
Combining therapy with SSRI drugs, ejaculatory delay techniques and local desensitization methods often has the best outcomes. Psychological (sex) therapy may also be useful for addressing relationship issues and emotional/psychological factors which contribute to sexual disorder.
Medications:
Some individuals suffering from PE may need to take medications such as antidepressants and sedatives in order to alleviate their symptoms. The exact medication taken will depend on its cause - for instance, those who experience low levels of serotonin (a chemical found in the brain that regulates ejaculatory response) may experience PE and might benefit from taking antidepressants or sedatives that increase serotonin in their system; such treatments might help those living with PE as well.
Behavior therapy methods, including squeezing the penis and interrupting sexual activity to build tolerance to pleasurable sensations, may also provide assistance. Creams or sprays designed to numb the head of the penis may reduce sensitivity and delay orgasm, while mental distractions like thinking of sports team players might provide added relief.
PE can seriously interfere with intimate relationships, so those suffering should visit their physician as soon as they notice symptoms of PE. A doctor can offer comforting reassurance while conducting necessary diagnostic testing in order to identify what's causing their issue.
Physical examination and review of medical history is usually sufficient to diagnose PE. Your physician might ask about its frequency, duration and effect on sexual activities and relationships; additionally they might test for hypogonadism - lower testosterone is linked with PE in some men - as well as perform tests such as penile biothesiometry, somatosensory nerve latency tests or hormonal labub kabir ajmali (testosterone, FSH, LH and prolactin levels).
Pelvic floor exercises:
Early ejaculation may be caused by weak pelvic floor muscles. Strengthening these muscles through Kegel exercises - often called Kegel exercises - may help alleviate this problem. These exercises involve squeezing and relaxing of pelvic floor muscles - this technique can be performed sitting, standing or lying down -
initially it may be difficult to locate which ones to squeeze; try visualizing trying to stop passing gas or experiencing an unpleasant pulling sensation in the anus (back passage) until you identify which ones need strengthening; once identified you can perform these exercises multiple times per day - helping you and alleviating your precoilaria.
These exercises may take weeks or even months to produce any positive result, and aren't a permanent solution to PE; therefore they won't work for everyone.
Behavioral therapy can also be effective at helping some individuals overcome PE through various techniques like the "squeeze method." Your partner stimulates your penis until close to climax, then gently squeezes your penis firmly so the erection partially disappears, thus helping you become aware of sensations leading up to climax and postpone ejaculation.
Implementing pelvic floor exercises on a regular basis will strengthen muscles and enhance control over ejaculation, but it must be conducted in an area free from distractions that allows you to focus solely on doing these exercises.
Counseling:
PE can cause extreme distress, often associated with psychological pain, depression, anxiety or marital discord. When this is the case for someone, therapy with a mental health provider who specializes in sexual or relationship issues should be sought - additionally the individual suffering may benefit from sex therapy or thought deflection techniques.
Urologists specialize in conditions affecting the urinary system and are typically sought out to evaluate and treat such conditions. A doctor will typically review a patient's medical history, such as their prior sexual and masturbation experiences. They will also ask about any physical or emotional problems as well as medications they take such as over-the-counter drugs, supplements and herbal products that might contribute to their condition.
Medication options available to treat PE include antidepressants, sex hormones and local topical anesthetics. Antidepressant selective serotonin reuptake inhibitors (SSRIs), such as paroxetine (Paxil), fluoxetine (Prozac), sertraline (Zoloft) and citalopram (Lexapro) are often preferred because of their ability to reduce ejaculation; Dapoxetine may be available in certain countries but is currently not available here in America.
Behavior modification techniques offer another effective means of delaying ejaculation by teaching patients a "squeeze technique" using light pressure with two fingers on either end of their penis shaft, followed by waiting a few seconds, releasing pressure and continuing qalab-e-rawan.
Sex therapy:
Sexual therapy offers an option for individuals experiencing sexual dysfunction. During a session, your therapist will ask questions about your past sexual experience and conduct a physical exam in order to rule out physical causes. They may also inquire into your sex life and relationship issues in a safe setting without judgement from others.
Sex therapy helps individuals develop new ways of thinking and responding to sexuality, including ways to delay ejaculation by teaching techniques such as masturbating prior to intercourse in order to increase sexual pleasure while decreasing the need for ejaculating. They may also recommend purchasing over-the-counter anesthetic sprays which can be sprayed directly onto the head of the penis before sexual activity to reduce sensation.
Sexual problems are a widespread affliction that many individuals face, yet few feel comfortable discussing. Treatment options exist to address sexual disorders like behavioral therapy, counseling and medications; and participation in sexual majun salab your odds of successfully managing them.