Premature ejaculation is a very common sexual dysfunction, so much so that it is estimated that up to a 40% of men They may suffer from it at some point in their lives. Although it is relatively common to have an episode of premature ejaculation, this condition becomes a very serious problem when it comes to developing a normal sexual life.
Even so, there is a solution, that is, you can stop being precocious by applying .
What does it mean to be precocious?
Being precocious means having recurrent rapid ejaculations in response to minimal sexual stimulation during or shortly after penetration, and always before desired.
According to the DSM-V, it occurs approximately 1 minute after vaginal penetrationalthough it can also be applied to non-vaginal sexual activities, and this condition must persist for at least 6 months and in 75-100% of cases.
exist 2 types premature ejaculation which we will see next:
- Primary: This has a very early onset (from the first sexual relationship) and occurs practically in every sexual relationship, with any partner. In most cases within 30 seconds (70%), 60 seconds (90%) or between 1-2 minutes (10%).
- Secondary or acquired: This occurs at some point in life, having previously had normal ejaculatory experiences, and can have a sudden or progressive onset.
How to know if you are precocious
The most widespread criterion among professionals to determine if you are precocious is ejaculate quicklywith minimal stimulation and no feeling of having control.
Time criteria also have their usefulness, but they can lead to considering that some people suffer from dysfunction simply because at some point in their life the orgasm occurs earlier.
It is important that the other factors of little stimulation and of no sense of control about the processes that lead to ejaculation.
Why premature ejaculation occurs
The causes of premature ejaculation can be physical or psychological. The latter are the most frequent, so much so that the latest research considers that more than 90% of cases have this origin. Below, we analyze these two factors.
Physical causes of premature ejaculation
- Age: Primary premature ejaculation especially affects young men, starting with the first sexual relations, progressively gaining control. In this case, factors related to the arousal phase also influence such as the novelty of the partner or situation, frequency of sexual activity, etc. Secondary premature ejaculation usually occurs after the age of 40.
- Genetics: Primary premature ejaculation may be due to a gene, specifically one of the genotypes of the 5-HTTLPR gene, which causes ejaculations twice as fast as normal.
Psychological causes of premature ejaculation
- Problems with your partner (rejection, repulsion, anger…). Here you will find information about the.
- Fears related to morality, acquired during childhood/adolescence.
- Poor sexual practices due to lack of information, feelings of guilt, etc.
- Bad sexual learning: during sex you can learn to control ejaculation. The normal thing is to learn to delay it, but it may be the case that the practice has always focused on the discharge and not on self-knowledge.
How to stop being precocious: exercises
How to control premature ejaculation? As we have already said, during masturbation you can learn to control ejaculation. In fact, many behavioral techniques focus on this practice as the main method to treat PD and stop it being precocious. Below, we describe the two most used techniques that you can do at home alone or with your partner.
Sermans’ stop-start technique
This technique to treat premature ejaculation consists of stimulating the penis by the same person or the partner until a sensation close to orgasm is felt. At that moment it must stop stimulation until this sensation is inhibited. Then, repeat the sequence again until you can voluntarily control ejaculation.
The “compression technique” of Masters and Johnson
This technique includes two phases:
- The first consists of tighten the frenulum of the penis for a few seconds once you have achieved full erection and feel the need to ejaculate. Once the compression is released, wait about 30 seconds and repeat the first action until you can hold on and delay ejaculation for at least a minute and a half.
- In the second phase intercourse is attempted, first with the partner on top without her moving and trying to control and hold back ejaculation. Later, with the same posture, but with movement, she also tried to control ejaculation. If you cannot control the discharge for the desired time, you must return to the first phase.
Premature ejaculation remedies
Other remedies that you can try at home are: local anesthetics, such as creams with lidocaine or condoms with benzocaine, which delay ejaculation time. The problem is that they do not solve the root cause and the problem persists when they are not used. In addition, they also affect the couple by reducing their sensitivity or even irritating the vaginal area.
Here you will find others.
Treatment to stop being premature
The treatment used to intervene in premature ejaculation may include:
- Psychological treatment: are techniques that include the treatments explained in the previous section, complemented with cognitive behavioral therapy and/or support therapy focused on counseling, solving difficulties in the relationship, etc. The important thing is to go to a specialist to determine the causes and the best type of treatment in each case.
- Pharmacotherapy: some antidepressant drugs or Viagra are capable of delaying ejaculation, but their intake should be always prescribed by a doctor after carefully studying each particular case. This is important, since these types of drugs directly affect and can have contraindications and severe side effects.
This article is merely informative, at Psychology-Online we do not have the power to make a diagnosis or recommend a treatment. We invite you to go to a psychologist to treat your particular case.
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Bibliography
- American Psychiatric Association (2014). Diagnostic and Statistical Manual of Mental Disorders. 5th edition. Panamericana Medical Publishing House
- Janssen, PK, Bakker, SC, Réthelyi, J., Zwinderman, AH, Touw, DJ, Olivier, B., & Waldinger, MD (2009). Serotonin Transporter Promoter Region (5-HTTLPR) Polymorphism is Associated with the Intravaginal Ejaculation Latency Time in Dutch Men with Lifelong Premature Ejaculation. The Journal of Sexual Medicine, 6(1), 276-284. doi:10.1111/j.1743-6109.2008.01033.x
- Masters, WH, Johnson, VE, Kolodny, RC, Andreu, R., & Falcón, D. (1995). Human sexuality.
- Melnik T, Althof S, Atallah ÁN, Puga MEDS, Glina S, Riera R. (2011) Psychosocial interventions for premature ejaculation. Cochrane Database of Systematic Reviews, 8. DOI:10.1002/14651858.CD008195.pub2.