Premature ejaculation in men: what to do about it? Causes and treatment of rapid ejaculation in men.

Rapid ejaculation is a problem that plagues young and mature men. Some people have it initially, and in some representatives of the stronger sex it arises spontaneously, for example after stress. In this article, we will discuss how to safely but effectively delay ejaculation, as well as ways to not only deal with the problem, but also forget about it forever.

Problem Definition

Doctors call ejaculation rapid if it occurs before sexual intercourse or immediately after insertion of the penis into the vagina. At the same time, a man cannot delay orgasm on his own. Most representatives of the stronger sex confuse this problem with short sexual intercourse. The tips in this article will be relevant for both categories of men. To combat premature ejaculation, you need to find out its cause, and only after that choose a way to treat the problem.

Reason 1: inflammatory diseases

Rapid ejaculation that appears suddenly often indicates the occurrence of sexual problems in the form of infections or inflammations. Impaired ability to delay ejaculation may be associated with prostatitis, vesiculitis, epididymitis, hormonal disorders, the occurrence of tumors, accession venereal disease.

An accurately established diagnosis will help you effectively deal with the problem, for which you should definitely consult a doctor. He will conduct an examination, research, take necessary tests, will decide how to treat the problem. After a course of taking anti-inflammatory and antibacterial drugs, choosing tactics to combat chronic prostatitis (if any) to get rid of early ejaculation it will be much easier. It is important:

Notice in time a change in your own sensations during sexual intercourse, attempts to delay orgasm and do not lose attention to the symptoms.
Under no circumstances should you ignore the problem, but contact a specialist as soon as possible.
Completely follow the doctor’s recommendations, without stopping taking the medications prescribed by him until complete recovery.

Rapid ejaculation may occur as a result inflammatory diseases.

Reason 2: lack of experience

Early ejaculation is often present in young men with a lack of “bed experience”. The problem will go away with time, but the moral discomfort that it creates at the beginning of sexual activity can cause psychological complexes and the development of “ejaculation anticipation syndrome.” These disorders will be treated by a qualified psychologist, so it is better to get rid of premature ejaculation straightaway. They do this through banal training:

Masturbate without using lubricant for 15 minutes.
Masturbate with lubricant for 15 minutes, delaying premature ejaculation through distraction.
When you have a partner, masturbate with your hand for 15 minutes without lubrication, and then with lubrication. Next go to practical work during sexual intercourse.

The method is also suitable for experienced men who want to increase their endurance. We must remember that during each approach it is necessary to achieve ejaculation.

Reason 3: stressful situations

Premature ejaculation in men often occurs due to nervous tension. Emergency at work, depressive state, scandals at home - all this becomes the cause of emotional lability, which finds a way out in bed. Sedatives or antidepressants are prescribed by the attending physician, but folk wisdom helps treat the pathology in a safe manner herbal recipes:

Dried oregano, mint and motherwort are mixed in equal proportions. 15 g of the mixture is poured into a liter of boiling water and left for 20 minutes. Drink 1 glass twice a day for two weeks.
Angelica, rapeseed, rose hips are mixed in equal quantities. Pour 15 g of the mixture into 300 ml of boiling water and leave for half an hour. Drink half a glass twice a day for two months in a row.
Lovage, calendula flowers and yarrow are brewed using the same principle. Drink ¼ cup per day for up to a month.

The problem may arise due to nervous tension.

These teas have a slight calming effect, help improve sleep, fight stress, and help normalize sexual function. They can treat rapid ejaculation if you take courses twice a year.

Reason 4: hypersensitivity of the genital organ

The cause of rapid ejaculation is individual hypersensitivity of the male genital organ. It is associated with the presence of a large number of nerve endings on the head. There is no way to delay orgasm in this state of affairs. It is possible to get rid of premature ejaculation if you apply special anesthetic ointments half an hour before sexual intercourse:

Cartridge.
Emla.
Lidocaine solution.

These drugs have a pronounced dulling effect, so they can provoke the disappearance of an erection. You can also use anesthetic or cooling lubricants for sexual intercourse, which will act more gently, helping to delay ejaculation and combat early ejaculation without losing an erection.

Another way to get rid of hypersensitivity is circumcision of the foreskin. This small operation can significantly reduce the sensitivity of the head and completely get rid of the quick “approach to the finish line”.

Sometimes premature ejaculation becomes a temporary problem that requires an immediate solution. In this case, some tips will help:

A time-tested remedy – an ordinary condom – will help prevent early ejaculation, as well as prolong sexual intercourse. It reduces the sensitivity of the penis and also protects health. The method is perfect for men who do not have a regular partner.
You won't be able to buy pills to delay ejaculation, but there are drugs to improve erection (Viagra, Cialis, Levitra). They promote blood flow to the genital organ and also relax its muscles, due to which the duration of sexual intercourse increases significantly. Although these drugs are safe if the dosages are observed, it is better to leave them “on extreme case", and before using such a remedy, consult a specialist whether it can be used specifically in your case.
Men with rapid ejaculation can get rid of the problem using special techniques. For example, when feeling an approaching orgasm, a young man should stop intercourse and, forming a ring with two fingers at the base of the head, wait for the excitement to decrease.
Methods for mechanically delaying ejaculation include the following: before the onset of orgasm, you need to press three fingers on the area between the scrotum and perineum and wait until the wave of excitement recedes.
Treatment for rapid ejaculation can occur using distracting maneuvers, for example, men are advised to count frictions (10 superficial - 1 deep, 9 superficial - 2 deep), etc.
When a man has a rapid orgasm, sexologists recommend eliminating stimulating stimuli (watching erotic films, too long foreplay, sex in front of a mirror or with the light on).
An already cured man may again remember his problem if he behaves erratically. sex life or neglect own health. That's why healthy image life, moderate physical activity, timely preventive examinations are mandatory.
It must be remembered that the retained ejaculate should always be released subsequently. Any training and practical lessons, as well as an active fight against premature orgasm should end with full ejaculation. Otherwise, inflammation of the appendages will have to be treated.

An ordinary condom can help prevent early ejaculation.

If early ejaculation begins to bother a man more and more often, it should be considered not as a sexual problem, but as an important and serious symptom, which indicates the development of disorders in the sexual sphere. It is easier to fight it if you get rid of the cause of its appearance in time. Any disorders, including those of a sexual nature, are a reason to seek help, and not to cultivate complexes or embarrassment. Once the cause of the problem is determined, it can be eliminated easily and painlessly.

Let's talk about the main reasons for rapid ejaculation and the treatment of this disease in males.

Reasons for appearance

lack of normal experience;
feelings of guilt and other pushing beliefs in the head regarding the topic of sexual intercourse;
long absence of a girl and abstinence;
lumbar hernias, injuries spinal cord or spine;
fatigue;
alcoholism;
cigarettes;
fear that will fall;
increased sensitivity of the genital organ;
infectious and inflammatory diseases (vesiculitis, prostatitis and others);
imbalance hormones;
fear of being ridiculed;
insomnia;
uncomfortable situation;
excessively rapid breathing or air retention and lack of air during intercourse;
stagnation blood in the pelvis;
early age;
if you have previously had a rush to self-satisfy in childhood with the fear of being caught, then this rush could continue;
cold attraction in the room is disrupted;
tension in relationships;
new or a girl you know closely.

Diagnostics

Get tested for infectious diseases.
Ultrasound check for the presence of a hypertrophied seminal tubercle (if the fact is confirmed, it will be necessary to do urethroscopy and then an operation to cauterize the seminal tubercle).

Which doctor should I go to?

To the question of which doctor treats rapid ejaculation, there are 2 answer options.

Sex therapist.
Urologist.

19 techniques for treatment

1. Tighten your secret Kegel muscle

Kegel muscle is a secret muscle that, when squeezed, can make your male organ move.

Also, when you went to the toilet for a little while and someone opened the door without asking, you interrupt jet urine precisely by the tension of this muscle.

The strength of the Kegel muscle can also be checked by hanging it on a ready-to-fight manhood a light towel on top. If by squeezing a muscle you can make him jump with the towel several times, then you have a strong secret muscle.

How to upgrade it

Pull up no one will even suspect this muscle in any public place.
Do either short pull-ups of 3-4 seconds or long pull-ups of 10 seconds.
Train more often, success is consistency. But don't overdo it either.
Be at your own pace, he is the most useful. Take the time to train your Kegel muscle, and it will help you get rid of many worries about how to treat rapid ejaculation at home.

In our other article we already talked about that, right.

2. Find the “million gold coins” point and press on it

What is the essence of this technique for the treatment of rapid ejaculation:

Tighten the muscles around eye and about lips when everything below boils.
So that your woman is not afraid of bulging eyes, you can hide for a while face, turn away.
That is, you open your eyes as wide as possible and strain mouth. This can be done by tensing the muscles jaws.
This can be combined with muscle tension Kegel for greater effect.
Implement this principle in bed and see improvements.

4. Choose the correct arrangement of bodies for cooling

So, wise Taoists also talk about this.

If you want to relax and cool down, then the position of your bodies should be equally directed towards each other. Roughly speaking, symmetrically opposite each other.

This method will answer your questions about what to do if rapid ejaculation constantly takes you by surprise.

How to position yourself correctly with her in detail

Eyes in the eyes.
Lips look at her lips.
Hands opposite her hands (therefore, during intercourse, it is useful to take her in your hands and hold her).
Your genitals are also positioned in the same way.

The advantages of this location

This symmetrical arrangement promotes mutual energy exchange.
Thus, it will not stagnate in your organs, but will circulate.
It will pass through you like yours masculine energy(Yang), and her feminine energy ( Yin).

Which only increases stimulation

What only increases arousal is the position different parts bodies together towards each other.

Lips to ears.
Mouth to genitals and so on.

So watch how you sit and look at each other during foreplay and don’t ask any more questions about why men ejaculate quickly.

5. Perform proper self-pleasure

Self-satisfaction without a partner is useful technique developing your skills in bed.
But the point is that in a single simulation it is forbidden do everything quickly and even more so lower! This type of training will be a good addition to your lover's stamina arsenal.
But do not forget that self-satisfaction will never replace real love games with a woman.
The guys will find out about intimacy from watching adult films. These films contain a lot of illusions and misperceptions of the process of intimacy itself.
There is no need to force everything and rush somewhere while caressing yourself. There is no need to try to do everything quickly. Remember this and similar ones that we describe.
Habit to hurry up and do everything quickly was ingrained either in childhood out of fear of being noticed doing this, or out of the belief that “this is not possible.”
Take these away bad habits, and then you will take several steps forward in the topic of how to get rid of rapid ejaculation and stop frustration in bed.

6. Exercise for good blood circulation in the pelvis

This exercise pumps up muscles buttocks and has a good effect on endurance.

What is its essence:

Lie down back on the sofa. Your elbows, arms, back of your head, and legs will rest most on the sofa (see picture).
Pelvis you should raise and lower again, imitating the movements during mating games. You make similar up-and-down movements in a position where your pelvis seems to be suspended in the air.
Follow exercise for 3 minutes every day and you will have pumped up buttocks, which will be very useful in bed.

7. Do exercises to strengthen your buttocks

Let's look at another exercise for the muscles of the buttocks and posterior opening. Lack of tone and lethargy of these muscles is one of the reasons for rapid ejaculation in men.

So do the following:

Exhale nose and begin to tense and relax the muscles of your buttocks and buttocks.
Take a breath and relax.
Repeat the procedure, then tensing these muscles for a few seconds, and then relaxing again about 30 times.
A sign that the exercise has been completed successfully will be the appearance of warmth in the perineum. Similar methods have already been described in ours.

Pros of exercise

Relieves stress;
Energy appears;
Better control in bed;
Blood circulation in the pelvis improves.

8. Direct your thoughts to abstract images

Another method that can be found on many forums on the topic of how to treat rapid ejaculation without pills is to focus on abstract images.

What's the point:

The body always follows where it is directed thoughts.
And if you are thinking about how not to ruin everything and fail in front of your beloved, then this will most likely happen as a self-fulfilling prophecy.
If you only think about boiling energy at the bottom and no matter how she runs away, you are only making the situation worse.
So be distracted by inappropriate tops. For example, on thoughts about the sea, forests, interesting landscapes. Or if you really want to curb your ardor, imagine unpleasant Pictures. We also talked about this method.

9. Ask the girl to stroke your body more in other areas

The more your girlfriend will caress and stroke you in other safe areas of the body, the less you will focus on your male organ, and thus it will be easier for you to move energy to other parts of the body.

Otherwise, if your entire focus is only at the bottom of the body in the groin area, then the excess energy will find only one way out from there - that is outside.

For example, ask her to pet you in the following places:

back;
neck;
breast;
shoulders.

Let your wife adopt this method and always know everything about how to deal with the rapid ejaculation of her husband. We also described a similar technique on another site.

10. Talk to her

There is no need to try to hide your problems from a girl. This will all create superfluous voltage.
You can even speak not only about your problem, but also about any technique you use in bed to prevent an unexpected finish.
We need to approach all this with smile.
Techniques are fun to share, discuss and laugh about.
These techniques dispel seriousness and unnecessary drama.

11. Herbs and tinctures

Let's look at the point about how to cure rapid ejaculation using folk remedies.

What helps:

A decoction of rose hips, colza herb, root medicinal angelica and Lyubka bifolia.
Boil one tablespoon of hop cones and the same amount of motherwort herb, strain the broth.
A decoction of lovage root boiled in water.
A mixture of oregano and calendula flowers in a ratio of 1 to 2 is boiled and left to steep for 7 hours.
Boil lemongrass leaves and fruits and drink as tea.

12. Take it out at the right time

Another technique is take out your dignity and wait until he lets go.
You pause, don't move, and are you waiting until the excitement subsides.
Let the girl want to continue and exclaim “Why?” Believe me, this is for the benefit of for both of you. Remember this and follow ours.

13. Various drugs

Many people use pills and drugs for rapid ejaculation. And that's okay.

What can be used:

Products from our website.
Dapoxetine;
Sealex;
Levitra.

14. Watch your breathing

Usually, all men quickly surrender in bed due to too intense and frequent breathing.
The problem is that that the man literally swallows air, there is so little of it for him. He almost suffocates, and his partner continues to worry about it.
Your nervous system reads this as a signal of danger, and capitulation occurs.
Deceive your nervous system and start breathing very deeply.
You can even focus on and monitor your breathing.
Follow as you take each deep breath, then a relaxed pause, and exhale.
Exhalation occurs automatically on its own. The main thing is to pay attention to taking a deep breath.

15. Play sports

For long-term activity in bed, in addition to the Kegel muscle, you must keep your stomach, buttocks, and thighs in good shape. It is the inflated abs that will indicate a person’s great potential for sexual intercourse, but not a saggy, thick belly.

Correct physical exercise- the best medicine for rapid ejaculation.

The following activities are useful:

Jogging in the fresh air;
Health-improving physical education;
Exercises from yoga;
Pool.
Massage.
Gym.

16. Start eating the following foods

Avocado;
Tomatoes;
Lemon;
Parsley;
Dill;
Mint;
Chocolate;
Nuts;
Raisin;
Crabs;
Lobsters.

Eating such foods is a kind of treatment for rapid ejaculation using folk remedies and the reasons why they are useful to eat in the diet, a large number of.

They compensate perfectly shortage necessary vitamins in organism.

17. Don't forget to go a little before intimacy

When the bubble is full, it appears desire quickly throw away the seed and go to the toilet. This has been proven by scientists.

Before bed Be sure to make sure that this does not push you.

18. Don't contemplate her lovely curves

We men want to watch and enjoy what a beauty is with me now.

But this is contraindicated for rapid fire.

Stop looking on her body, be distracted by other objects in the room, watch your breathing, or use another article technique.

19. Have a steady girlfriend

If you are quick-firing, then find one girl for Serious relationships. It will help remove your worries about how to avoid very rapid ejaculation.
There is no need to chase several women or try to create harems.
Otherwise, your early termination of the session will be repeated with different girls, and it's strong will break you psychologically. Uncertainty will perpetuate.
Find one girl and train with her.
Gradually you will get to know each other, there will be a better understanding, confidence, stable marital games in bed, and you will get through this problem.

Premature ejaculation(ejaculation) is a disorder in the male reproductive system in which ejaculation occurs too early. This condition is one of the most common male diseases V different countries peace. Every man has experienced early ejaculation at least once in his life, and, as a rule, none of them attached any importance to a one-time failure. But if premature ejaculation occurs regularly, then men fall into panic, even aggravating the course of the main pathological process.

Types of premature ejaculation in men

Depending on the causes of premature ejaculation, medicine distinguishes two types of this male ailment:

Primary early ejaculation is congenital and is associated with the malfunction of some nerve centers of the brain responsible for normal functioning male reproductive system. This disorder is rare and is often caused by pathology of intrauterine development or birth trauma, and manifests itself as problems already during the very first sexual contact.
Secondary early ejaculation is the result of exposure to pathogenic factors (trauma, certain medications, infections). At adequate treatment sexual function is being restored.

Causes of premature ejaculation

All causes of this dysfunction can be divided into 4 groups:

Organic, that is, based on some organic (pathological) process (chronic vesiculitis, urological diseases, trauma of the lumbosacral spine, phimosis, balanoposthitis, hormonal disorders, poisoning harmful substances and so on.).
Physiological (individual increased sensitivity skin of the head of the penis, long-term sexual abstinence, a new partner, sex with a very beautiful woman, lack of magnesium in the diet).
Psychological (lack of trusting relationship with partner).
Genetic (if there was a history of this violation, then the risk of regular early ejaculation increases).

Diagnostics

For a long time there were problems in diagnosing premature ejaculation, since there were no uniform criteria for this disease. Some authors considered the duration of sexual intercourse important, others - specifically during intercourse, while others focused on the harmony of relationships in a couple. There is only one thing everyone agrees on: the onset of ejaculation before insertion of the penis into the vagina should be considered obvious early ejaculation.

Often men invent this pathology for themselves, based on their own fears and complexes or on the opinion of an incorrect partner. Fear of another failure disrupts normal sex life and leads to conflicts in the family, while the man is in a state of constant stress.

Andrologists and sexologists deal with the problem of premature ejaculation. Treatment for ejaculatory dysfunction usually involves both partners. The man is carefully examined for concomitant pathologies that may provoke or aggravate existing disorders. It is also important to establish the cause of premature ejaculation in a given man because treatment is prescribed purely individually, with monitoring and correction if necessary.

To date, the following criteria for this pathology have been identified:

The occurrence of ejaculation before inserting the penis into the vagina or when trying to hold it back. This takes into account age, concomitant pathology, physical state and other factors.
Early ejaculation causes discomfort family life men, causes him unpleasant experiences.
The disease arose independently without taking or stopping any medications.

Treatment of premature ejaculation (how to prolong sexual intercourse for a man)

Treatment of this “scourge” is possible only with a purely individual approach to the patient. To begin with, the reasons that provoked the appearance of this dysfunction are determined, and then treatment is prescribed.

Rare failures for no apparent reason

It is possible to increase sexual stamina, if early ejaculation in a man is rare without any particular reason, by using special techniques increasing the duration of sexual intercourse.

One such technique is "Start-Stop Method". In this case, the man “catches” the moment of ejaculation, removes the penis from the vagina and squeezes it tightly with his fingers at the base of the head. Then sexual intercourse can be continued. When premature ejaculation approaches again, the technique is repeated. Thus, the duration of sexual intercourse gradually increases.

Another technique for controlling ejaculation is Kegel method, which is based on the doctrine of impaired innervation of the pelvic organs in men suffering from rapid ejaculation. .

Exercises for premature ejaculation include: contraction and relaxation of the pubococcygeus muscle fifteen times, two to three times a day with free breathing. The load is constantly increased to fifty exercises at a time. You can do a complicated exercise by holding the muscle in a state of tension while inhaling, and resting while exhaling. Exercise "Elevator" is performed in several stages from minimum voltage to maximum and vice versa. Breathing is free.

Drug treatment for premature ejaculation

Drugs for the treatment of premature ejaculation include the following proven remedies, some of which are sometimes combined to achieve a quick effect:

anesthetic creams (Instilagel, Katajel, lidocaine, Emla, lidocaine-prilocaine gel 5-10 minutes before sexual intercourse).
antidepressants.
selective serotonin reuptake inhibitors (Fluoxetine, Diprivox and Paxil).
tablets (Levitra, Cialis, Viagra).
food supplement 5-hydroxytryptophan.
"Dapoxetine."
Ecado drug, developed and patented by Dr. N.E. Chernobaev.

These drugs are used to delay the onset of premature ejaculation in men. Concomitant pathology may require additional treatment. At genitourinary infection Antibacterial therapy is prescribed. For the treatment of diseases spinal column neuroprotectors, vitamins and vascular drugs are prescribed.

Often, in order to get rid of premature ejaculation, a married couple turns to a psychologist who early stages can help cope with depression, anxiety, self-doubt, and fear. Achieving psychological harmony in itself is the result of healing.

Your partner will help you avoid premature ejaculation

At relationships of trust with a partner good effect achieved from the use Simmans methods:

Masturbate with a dry hand for about fifteen minutes without ejaculating (three attempts).
Masturbate with lubricant (Vaseline) for about fifteen minutes without ejaculating (three attempts).
Masturbate with your wife's dry hand for about 15 minutes to maintain an erection without ejaculation.
Masturbate with your wife's hand with lubricant.
Sexual contact in the “Cowgirl” position with possible breaks, the duration of sexual intercourse is 15 minutes without ejaculation, up to three attempts.

Important: After each stage there should be ejaculation.

Alternative medicine in the fight against premature ejaculation

Acupuncture, massage, physiotherapy, yoga, breathing exercises, medicinal baths And Spa treatment help get rid of premature ejaculation.

Infusions help some medicinal herbs, for example, hops and motherwort or periwinkle, cooked in a steam bath, coriander, lemon balm, medicinal capsules and a number of others medicinal plants. Such treatment must be agreed with your doctor.

Orgasm Control Methods

Came down to us from ancient times Indian book Kama Sutra, in which all possible positions of lovers and types of kisses are described, and the art of love is extolled and placed above all. In addition, it describes techniques that allow you to achieve the duration of sexual intercourse that is necessary for both partners to achieve orgasm.

Tips on how to go longer without ejaculating can also be found in ancient Chinese teaching about Tao(method of deep and superficial frictions), and in many other countries of the East.

Three finger method consists of applying moderate pressure with three fingers to a point located in the middle of the perineum between the anus and testicles, before the climax. The fingers should be slightly bent.

Alternating types of caresses with sex allows you to somewhat reduce your arousal and.

Counting the number of frictions: Enter shallowly nine times and deep once, shallowly eight times and deep twice, shallowly seven times and deeply three times, and so on.

Surgical treatment for rapid ejaculation

Surgical treatment of premature ejaculation, which consists of neurosurgical transection of the nerves responsible for the sensitivity of the glans penis (selective neurotomy, conventional or microsurgical), often leads to a complete loss of sensitivity of the penis, and consequently to a deterioration in erection and weakening of orgasm. These operations are recognized as mutilating and are not used.

An improvement in the condition and an increase in the duration of sexual intercourse is achieved after treatment in patients with phimosis. In these men, premature ejaculation occurred due to inadequate sexual stimulation.

In conclusion

Treatment methods for premature ejaculation are not applied all at once. In each case, the doctor chooses the optimal combination of these drugs for each specific patient.

For achievement therapeutic effect You should provide yourself with a rational regime of work and rest, and nutrition. Promiscuous sexual intercourse must be excluded at least temporarily for the period of treatment.

To prevent such disorders, you should try to avoid prolonged stress and lead a healthy lifestyle. Food should contain large amounts of magnesium and zinc. Regular physical exercise not only improve the functioning of all organs and systems of our body, but also help relieve nervous tension.

Early ejaculation is one of the most common types of sexual disorders. Because of it, millions of men cannot satisfy their partners and enjoy sexual intercourse. However, this disease will not pose a great danger to intimate life couples, if the man turns to modern medical means in time. Because medications for the treatment of premature ejaculation will help in short time solve this delicate problem.

Definition of the term "Premature ejaculation"

Over the years, scientists havecharacterized premature ejaculation. Some of them did not consider it a sexual dysfunction at all, since all higher animals, which include humans, ejaculate almost immediately after penetration of the penis into the vagina. World Health Organizationdescribed early ejaculation as “...constant or repeated ejaculation with minimal stimulation before, after, or shortly after penetration and before the man desires it, over which the patient has little or no ability to control its occurrence.”

Over time, minutes were chosen as the unit of definition for early ejaculation. Some experts believe that early ejaculation is that which occurs 1 minute after penetration into the vagina. Others have different opinions, believing that ejaculation becomes early if ejaculation occurs through:

5.4 minutes;
6.5 minutes;
4.3 minutes;
3.7 minutes.

That is, there is no consensus regarding the time that would mean that ejaculation has become premature. The above definitions confirm three main factors that are key in determining the term “premature ejaculation”:

short periods of sex;
lack of control over ejaculation;
lack of sexual satisfaction.

In 2009, the International Society of Sexual Medicine issued its guidelines for the diagnosis and management of premature ejaculation. The organization defines early ejaculation as male sexual dysfunction if:

ejaculation always (or almost always) occurs before or within about 1 minute after vaginal penetration;
a man is unable to delay the onset of ejaculation in all or almost all vaginal penetrations;
a man feels negative emotions about such sexual intercourse (disappointment, anxiety, suffering, decreased self-esteem, anxiety), has no desire to have sex often, experiences difficulties in interpersonal relationships with women.

The latter definition is considered the most reliable to date due to its evidence-based nature; it has largely replaced previous definitions and is the standard definition of the term “premature ejaculation.”

Extent of early ejaculation

This disease is one of the most common male sexual disorders. According to various estimates, it is diagnosed in 4-39% of men in the world. So, in the study, carried out in 1986, it was stated that 35% of men had early ejaculation.

Research conducted in 1990, the Department of Psychology at Syracuse University of New York (USA) answered that 36-38% of men had this sexual dysfunction. In the US, the prevalence of rapid ejaculation was 31%. In the study took part 1410 men whose ages ranged from 18 to 59 years. Early ejaculation in Australia present in 21-31% of men.

Causes and classification of premature ejaculation

There are 2 main types of early ejaculation:

lifelong (exists from the beginning sexual activity and does not depend either on the conditions or on the environment in which sexual intercourse takes place);
acquired (develops in a man who previously could control the process of ejaculation. This type can appear either suddenly or develop gradually).

The reasons for early ejaculation remain unclear. Some experts call them psychogenic in origin, others – physiological. Psychogenic factors are associated with the following situations:

anxiety before sex;
a new partner or sexual intercourse in new conditions;
low regularity of sexual activity.

TO physiological reasons early ejaculation include:

Sometimes another cause of sexual dysfunction is identified - biogenic. It is associated with the following circumstances:

a man’s use of certain substances (alcohol, opiates);
disruption of the activity of the glands of the endocrine system;
chronic prostatitis.

Recommended medications for the treatment of premature ejaculation

Purpose of a certain type treatment is a bit of a problem for the doctor. This is due to the fact that the pathophysiology of premature ejaculation is not fully understood. Have been used for many years various methods treatments - some have been proven effective, while others have done nothing to help prolong sex. I bring to your attention the best drugs for the treatment of premature ejaculation, the effectiveness of which has been officially proven.

This remedy is the only licensed treatment for premature ejaculation. It was approved for sale in:

Spain;
Italy;
Portugal;
New Zealand;
Germany;
Finland;
Austria;
Sweden.

Dapoxetine is a drug specially designed specifically for the treatment of early ejaculation. Its effectiveness has been proven over fiveclinical trials , in which more than 6,000 men took part. In addition, the medicine helped the man get rid of from discomfort and interpersonal difficulties (which were caused by this sexual dysfunction), and also improved psychological well-being.

During the tests, it was found that the side effects from using Dapoxetine were:

dizziness;
nausea;
headache;
insomnia;
diarrhea.

However, such reactions were minor and gradually disappeared (after 2-3 weeks).

Order Dapoxetine with courier delivery in Moscow and St. Petersburg, fast delivery in the Russian Federation using the link:

Dapoxetine is a type of selective serotonin reuptake inhibitor (SSRI) maximum concentration the drug in the blood is observed approximately 2 hours after use. The effect lasts for about 6 hours. The drug was recognized effective remedy for the treatment of moderate and severe premature ejaculation. This was proven during a study that spent specialists from the University of Minnesota (USA). Over 12 weeks:

Patients used these drugs 1-3 hours before sexual intercourse. As a result, it was found that Dapoxetine significantly prolonged the time of sex (a dosage of 30 mg by 3.48 minutes, a dosage of 60 mg by 3.68 minutes), placebo tablets prolonged sex by 2.21 minutes. Side effects from using Dapoxetine were as follows:

nausea (8.7% for the 30 mg dosage, 20.1% for the 60 mg dosage);
diarrhea (3.9% and 6.8%, respectively);
dizziness (3% and 6.2%);
headache (5.9% and 6.8%).

Dapoxetine is also effective in the treatment of early ejaculation with concomitant erectile dysfunction. During research 429 men took placebo tablets and Dapoxetine 30 mg for 12 weeks. and 60 mg. In parallel, the experiment participants used phosphodiesterase inhibitors to treat erectile dysfunction. Based on the results of the study, it was established:

in men who took Dapoxetine, the time of sexual intercourse increased by 5.2 minutes compared to those who used placebo tablets;
men who took Dapoxetine were able to better control the process of ejaculation (56.5%) than those who took placebo (35.4%);
Side effects from taking Dapoxetine included nausea (9.2%), headache (4.4%), diarrhea (3.6%), dizziness (2.4%).

Thus, Dapoxetine provided a significant therapeutic effect and was generally well tolerated.

This drug should be taken no more than once a day, 1 hour before sexual intercourse. The initial dose of Dapoxetine is 30 mg; if necessary, it can be increased to 60 mg, but only after the doctor’s permission. Medicine Prohibited for use in the following situations:

epilepsy;
cardiovascular diseases;
anatomical deformation of the penis;
allergic reaction to product ingredients;
severe disorders of the kidneys and liver.

In addition, Dapoxetine should not be taken together with:

Ritonavir;
Ketoconazole;
Saquinavir;
Atazanavir;
antidepressants.

With the help of Dapoxetine, you can extend the time of sex 3 times longer. The advantage of the drug is the fact that eating food does not affect the rate of absorption of Dapoxetine. And although its concentration in the blood decreases slightly after eating a high-fat meal, this effect does not have any effect on the action of Dapoxetine. It is noteworthy that one of the side effects, nausea, is reduced after eating a high-fat meal.

Antidepressants for premature ejaculation

Some types of antidepressants have the property of delaying ejaculation. But we must remember that such an action refers to their side effects, therefore, these drugs can only be used under the supervision of a doctor, so as not to cause harm to sexual function. Such antidepressants inhibit the reuptake of serotonin, as a result of which it accumulates in the synaptic structures of the central nervous system and leads to increased physiological activity.

The most common antidepressants that help fight early ejaculation are:

Paroxetine;
Sertraline;
Fluoxetine.

However, the dosage and regimen of antidepressants for the treatment of early ejaculation have not been carefully designed. That is, they can be taken only with the approval of a specialist who will determine the portion needed for an individual person and the time of its intake.

Unlicensed selective serotonin reuptake inhibitors

The effect of SSRIs on delayed ejaculation was first noted in 1993 while treating people with depression. Similar drugs include:

Escitalopram;
Fluoxetine;
Fluvoxamine;
Paroxetine;
Sertraline;
Citalopram.

Their main difference from Dapoxetine is that the above-mentioned drugs were not created for the treatment of early ejaculation. Their main purpose is to treat depression and anxiety disorders. That is, these drugs are classified as antidepressants. They have a certain list of side effects, one of which is delayed ejaculation. In addition, SSRIs can cause erectile dysfunction.

However, through scientific experiments, the high effectiveness of these drugs for the treatment of early ejaculation has been proven.

Treating premature ejaculation with Paxil

Thus, Paroxetine is the most effective SSRI in delaying ejaculation.It increases the time of sexual intercourse by approximately 8.8 times. This was proven by specialists from the Sydney hospital complex (Australia). In the study took part 68 men.

In the first group there were 26 patients, average age which was 39.5 years. Half of the group took placebo tablets, the other half took Paroxetine 20 mg. The drugs were taken 3-4 hours before sex. The second group included 42 men, their average age was 40.5 years. Half the group took 10 mg every day for 3 weeks. Paroxetine, the second - placebo tablets for 4 weeks. All participants in the experiment had early ejaculation.

The average ejaculation delay time was 0.3 minutes before the start of the experiment. In 3 weeks regular intake The ejaculation latency time was already 3.2 minutes for those who took Paroxetine daily and 5.8 minutes for those who used this drug as a necessary phase. As for the placebo pills, the ejaculation delay time for them was 0.9 minutes.

Side effects from Paroxetine were found in 7 of 42 men and included:

decreased libido;
disorder gastrointestinal tract;
anorexia.

As a result, experts came to the conclusion that daily use of Paroxetine helps a man better control the process of ejaculation.

The drug Paxil belongs to the group of selective serotonin reuptake inhibitors and is an antidepressant. Its main purpose is to treat depression, panic attacks, anxiety disorders of various origins. Please note that delayed ejaculation after taking Paxil is one of the side effects of the drug. Therefore, medication can be used to treat premature ejaculation only with the permission of a doctor.

The main ingredient in Paxil is a substance called Paroxetine. Paroxetine is sold under many trade names:

Paxil;
Paroxyl;
Paroxetine;
Seroxat;
Plizil and others.

Therefore, Paxil and Paroxetine are the same drug.

Paxil is available in the form of biconvex tablets, the dosage of which is 20 mg. You can use the drug no more than 1 time per day. The tablet should be taken with water in the morning; it should not be chewed.

Contraindications:

joint use of Tryptophan, Pimozide, Thioridazine, MAO inhibitors;
minor age;
lactation period in women;
hypersensitivity to Paroxetine.

Side effects:

swelling of the face;
dry mouth;
tremor;
decreased sex drive;
rhinitis;
aggression;
fainting;
nausea;
vomit;
sweating

Thus, Paroxetine prolongs sexual intercourse, but can cause problems in the psycho-emotional sphere. Paxil can be used to treat rapid ejaculation only under the supervision of a doctor, who will determine the required dosage and duration of treatment.

Treatment of premature ejaculation with Stimuloton

This is another drug from the group of selective serotonin reuptake inhibitors. The main ingredient is Sertraline, which is sold in pharmacies under different names:

Stimuloton;
Zoloft;
Misol;
Surlift;
Emoton;
Serenata and others.

The main purpose of Stimuloton is the treatment of depression, panic attacks, and social phobias. As in the case of Paxil, Stimuloton delays the time of ejaculation, but only as one of the side effects.

The medicine comes in the form of tablets that can be taken no more than once a day. Sertraline should only be used under the supervision of a physician.

Contraindications:

epilepsy;
use of MAO inhibitors;
pregnancy;
hypersensitivity to ingredients.

Side effects:

psychosis;
fatigue;
weakening libido;
vomit;
tremor;
insomnia;
decreased sensitivity during sexual intercourse (delayed ejaculation);
convulsions;
itchy skin;
anxiety.

The use of Sertraline also helps to prolong the time of sex. It was proven specialists from the same Sydney hospital complex. The experiment involved 37 men whose ages ranged from 19 to 70 years. They took 50 mg daily. Sertraline for 4 weeks. The drug extended the time of sex by 3.2 minutes. Side effects included anorexia, slight drowsiness and mild gastrointestinal upset. Therefore doctors consider him useful drug in the treatment of premature ejaculation.

Specialists from Firat University (Türkiye) during the experiment have proven that Citalopram has the ability to have a beneficial effect on men with early ejaculation. 26 men were divided into 2 groups. The first group of 13 people received Citalopram, the second group received placebo tablets. According to the results of the study, it became clear that men taking Citalopram had more time to have sex compared to those taking placebo. Also, 5 men from the first group described their feelings from using the drug as “very good”, 4 men – “considerably good”.

Fluoxetine and premature ejaculation

Fluoxetine is used as a medicine against:

depression;
difficult life situations experienced in the past (violence, stress, bulimia nervosa);
psychosis;
bipolar disorder.

But besides this, Fluoxetine can also be used to treat early ejaculation. However, it is worth noting that delayed ejaculation is one of the side effects of this drug. In addition, Fluoxetine can:

cause the development of erectile dysfunction;
cause loss of interest in sex;
reduce the sensitivity of erogenous zones.

These antidepressant side effects are reversible, meaning they go away over time. But this requires time, which is calculated in months, up to 1 year. Therefore, fluoxetine can only be used to treat early ejaculation under the close supervision of a physician. On the other hand, there is more optimistic news at the scientific level.

Fluoxetine can be considered safe and effective drug for the treatment of premature ejaculation - such a statement done Turkish specialists from the University of Van. 17 patients with premature ejaculation were divided into groups. In the first group, Fluoxetine was taken every day for 1 week, 20 mg, in the second - 40 mg, in the third - 1 placebo capsule once a day for 1 week, in the fourth - 2 capsules. According to the results of the experiment, it was found that this medicine significantly extended the time of sex. The following side effects were found:

insomnia;
headache;
nausea.

This way you can approve that SSRIs can be used to treat early ejaculation. However, delayed ejaculation will not be observed immediately, but after about 5-10 days. maximum effect from the drugs will be observed after 2-3 weeks of regular use. Side effects are mostly mild and disappear over time. These include:

mild nausea;
diarrhea;
fatigue;
yawn;
sweating;
slight weakening of erection;
decreased sperm motility.

Contraindications for use:

glaucoma;
severe forms of liver and kidney failure;
minor age.

You can take any of the SSRIs only after your doctor's permission. As for the daily dosage, it is as follows:

Paroxetine – 20-40 mg;
Sertraline – 50-100 mg;
Fluoxetine – 20-40 mg.

Anesthetic drugs

These are creams, gels and aerosols, which include:

Benzocaine;
Prilocaine;
Lidocaine.

By their composition, these are anesthetic substances that reduce sensitivity of the penis and prolong the time of sex. So, usage an aerosol based on lidocaine-prilocaine, according to research at the Royal Belfast Hospital (UK), allows a man to have much better control over the process of ejaculation.

Emla cream is highly effective. It should be applied in a small amount to the genital organ 20 minutes before sex. However, the drug may reduce sensitivity female vagina, so it is advisable to use a condom. STUD 5000 spray, made with lidocaine, should be sprayed onto the head of the penis 10 minutes before sex.

Side effects from the use of anesthetics may include allergies to the ingredients of the drugs. They manifest themselves in the form of burning and itching. Therefore, it is recommended to rinse the genital organ with water 5-10 minutes after treating the penis with them.

Wipes to delay ejaculation

According to these data, in the US and UK, more than 40% of men experience premature ejaculation. To solve this problem, special wipes were created that reduce the sensitivity of the skin on the genitals and allow a man to have sex longer. This is reported by experts from Cornell University. PREBOOST is a disposable wipe pre-moistened with benzocaine.

Benzocaine is a local anesthetic that slows the passage of nerve impulses to the brain. This gives a man the opportunity to have sex for 5 minutes longer. The effectiveness of PREBOOST wipes was proven in a study in which 21 men suffering from premature ejaculation took part.

15 men used PREBOOST wipes, while the remaining 6 used placebo wipes without benzocaine. After 2 months, men who used PREBOOST reported significant improvements in ejaculation control.

However, benzocaine can be uncomfortable for women because it is absorbed through the vaginal wall. Therefore, after using napkins, it is advisable to use a condom. In addition, benzocaine can cause weakened erections because it makes the penis numb.

How to use PREBOOST wipes

Wipe the head and shaft of the penis with a napkin. After this, after 10 minutes you can rinse the penis warm water and join intimate relationships. You can also use a condom to prevent vaginal numbness. Benzocaine is a safe substance for health. However, it may cause skin rashes or irritation. If these reactions persist for a long time, you should seek help from a doctor. Be careful not to get benzocaine in your eyes.

Diprofen for rapid ejaculation

Diprofen is prescribed for spasms blood vessels And smooth muscle internal organs. He belongs to the type cardiovascular drugs. The drug can be used to treat early ejaculation. This became possible because Diprofen blocks the passage nerve impulse through clusters of nerve cells.

To extend the time of sex, this drug must be taken orally 2 times a day, 0.025 g. Gradually, the portion can be increased to 3 times a day, 0.05 g. Contraindications for taking Diprofen:

high level sensitivity to ingredients;
glaucoma;
kidney and liver diseases;
organic heart lesions.

Side effects:

nausea;
vomit;
dizziness;
numbness of the oral mucosa;
headache.

Phosphodiesterase type 5 inhibitors

This:

Cialis;
Levitra.

And although these drugs were created to treat erectile dysfunction, some experts point to theirhigh efficiency in terms of eliminating early ejaculation. They attribute this to the fact that such drugs give a man the opportunity to quickly restore strength after sexual intercourse and continue having sex again. Particularly effective will be drugs that include:

one of the selective phosphodiesterase inhibitors;

On this moment There are several drugs of this type:

Super P-force (one tablet contains 60 mg of Dapoxetine and 100 mg of Viagra);

Super Zhewitra (60 mg Dapoxetine and 20 mg Levitra);

Super Tadarise (60 mg Dapoxetine and 20 mg Cialis).

Thanks to them, a man gets the opportunity to solve two problems at once:

cure early ejaculation;
get rid of erectile dysfunction.

You can take no more than one tablet of any of the drugs per day. And the drug You can purchase on our website.

Natural drug for the treatment of early ejaculation

One of best products This category is Laveron. It includes:

horny weed extract;
American raspberry fruits;
mango fruit;
ginkgo biloba leaves;
Eucommia vyazolifolia bark;
cinnamon tree bark.

With its help, a man has the opportunity to:

prolong the time of sexual intercourse;
increase potency;
improve sensations during sex.

The dosage of the tablet is 250 mg. You can take no more than 1 tablet per day with water. Laveron is taken 50 minutes before sex. The duration of action of the drug is about 8 hours. However, there is no proven data on its effectiveness for treating early ejaculation.

Maca Peruviana

Available in powder form, which is made from only herbal ingredients. So, the composition of the dietary supplement includes:

zinc;
selenium;
fatty acid;
manganese;
potassium;
calcium.

Peruvian Maca helps a man:

strengthen erection;
extend the time of sexual intercourse to 40-45 minutes;
improve metabolism;
strengthen protective functions body.

The dietary supplement must be consumed 2 times a day. To do this, the powder in the amount of 1 teaspoon should be mixed in a glass with any non-alcoholic drink and drunk.

Peruvian Maca should not be taken in quantities of more than 1 teaspoon, because the drug has a pronounced stimulating effect.

Homeopathic medicines for the treatment of early ejaculation

Most famous homeopathic medicine to help a man with early ejaculation is Impaza. Its advantages:

no side effects;
non-toxic;
does not complicate existing diseases.

The medicine increases blood flow to the genitals, gives a man the opportunity to quickly restore strength after sex and improves sensations.

Treatment for rapid ejaculation consists of a course of Impaza. For 3 months, a man needs to take 1 tablet of the drug every other day. It is advisable to consult a doctor before use.

Thor's Hammer - a Russian drug for the treatment of premature ejaculation

This tool also allows you to:

strengthen erection;
increase libido;
improve sensations during orgasm.

Product ingredients:

red root extract;
vitamin C;
pantohematogen;
Antarctic krill.

The drug is available in capsule form. To treat early ejaculation, you need to take 1 capsule of Thor's Hammer every day for 2 months. This product has almost no side effects except allergic reaction body into ingredients.

How much will it cost to cure early ejaculation?

The course of treatment for rapid ejaculation is strictly individual. It aims to eliminate the factors that led to the onset of the disease:

anxiety;
nervousness;
irregular sex life;
chronic prostatitis;
hypersensitivity of the head of the penis and others.

IN modern clinics Treatment for premature ejaculation includes:

comprehensive examination;
specialist consultations;
doctor's appointments;
recommendations.

Its cost may vary depending on the complexity of each individual case of illness and the patient’s health condition. The doctor names the final price after examination and diagnosis. The table below shows the average prices in Moscow for the treatment of premature ejaculation.

Fast ejaculation - reviews from men and women

Victor: Do these drugs, like dapoxetine, help at all if I finish quickly? How to deal with this disorder?

Igor: I know for sure that Cialis helps. I have personally used it more than once.

Alexander: In the early stages, I used discharge 2 hours before sex. As for the drugs, almost all of them are effective. This is written about them everywhere, but the manufacturers won’t lie.

Tolik: I used Levitra a week ago. I had problems with potency, I did not have an erection. All due to stress at work. And then fast ejaculation said “hello.” I took a Levitra tablet, and in 1 hour there was only 1 ejaculation. And before that, the orgasm was a maximum of 10 minutes. I'm still impressed. I could control the progress of sex very easily. But my head felt heavy, as if I had drunk cognac.

Valentin: I have about the same thing - I use Levitra and Cialis. A 5 mg tablet is enough. But I haven’t taken Viagra yet.

Natalya: My husband and I had a problem, sex lasted 3 minutes at most. And there was no way they could correct the situation. And he’s only 26. The second time he simply didn’t have the strength left. Although my husband works a lot, he sleeps no more than 6 hours. Cialis helped my husband. The drug is effective, but expensive. It’s also not very pleasant to buy at a pharmacy.

Irina: Yes, my boyfriend also took Cialis. My sex was quick and my erection was weak. But we did not buy at the pharmacy, but via the Internet. Now there are a lot of analogues, and they are cheap. The Cialis that we bought worked just very well - my husband could not shoot for about 30 minutes.

Veronica: The guy had a problem in bed, he couldn’t satisfy me for a long time. And then I noticed that sex became longer. I started asking him how this happened. He said that Dapoxetine helped him. He thought that I would be offended by him or laugh at him. I don’t understand men who do nothing to improve their abilities. And I don’t understand some women who look at drugs that are intended for men as something disgusting. And then there are those who say “if you take Viagra, that means you’re not a man.”

Premature ejaculation is quite common. It prevents partners from living a normal sex life. Men do not always like to seek help from doctors with such a diagnosis. However, they must remember that modern drugs for the treatment of premature ejaculation will always come to their aid to solve such a delicate problem.

What is early ejaculation - all the details of the problem

Ejaculation is complex in terms of physiological process, which consists of 2 phases: emission and ejaculation. The emission phase is a reflex response from the nervous system, the onset of which is influenced by erotic stimulation.

During the emission phase, contractions of the seminal vesicles, vas deferens, and prostate gland cause sperm to enter the lumen of the urethra. The man feels the sensation that orgasm is approaching; in parallel with this, the degree of his volitional control decreases and he approaches a point at which it is no longer possible to stop the onset of ejaculation.

After the emission phase, the phase of sperm expulsion from the urethra occurs, that is, ejaculation. Internal sphincter Bladder closes to prevent semen from getting back in. Then the external sphincter opens and the sperm comes out under the action of the contracting muscles of the pelvic floor.

If the process of onset of ejaculation is examined even more closely, from the point of view of biochemistry, then it is even more difficult process. We will not analyze it in detail so as not to go into details that are very difficult for most people to remember.

The cause of early ejaculation may be:

increased levels of female sex hormones in a man’s body;
lack of the male hormone testosterone;
dysfunction of the thyroid gland (an excess of its hormones causes premature ejaculation, while their deficiency impairs erection).

When does ejaculation become premature?

But the truth is how to distinguish normal ejaculation from premature ejaculation, if for one man 30 minutes is not enough to obtain pleasure, while for others 4 minutes is quite enough. The medical literature offers several different terms for "premature ejaculation."

For example, B. Shapiro in 1943 made a proposal to divide premature ejaculation into primary and secondary (acquired).

The primary type refers to the onset of ejaculation in the interval from 30 seconds to 2 minutes after penetration of the penis into the vagina. Moreover, this is typical for every sexual contact from the very beginning. sex life.

In turn, secondary premature ejaculation does not appear immediately, but several years after a normal intimate life. The development of acquired premature ejaculation is influenced by the following reasons:

psychological difficulties in communicating with a partner;
prostatitis;
thyroid diseases;
erectile disfunction;
lack of testosterone;
the use of medications or psychoactive drugs that disrupt the mechanisms of ejaculation.

the onset of ejaculation within the first minute after penetration into the vagina;
the inability of a man to delay the moment of ejaculation either in all or almost all cases;
the appearance in a man as a result of this disorder negative reactions(anxiety, stress, refusal of sexual intercourse).

How common is premature ejaculation?

In Italy, Germany and the USA, as a result of a survey of 12,000 men aged 18 to 70 years, experts came to the conclusion that rapid onset of ejaculation is typical for every 4th man. To be even more precise, 22% of the experiment participants had premature ejaculation.

In addition, it was found that men with this problem also face:

weakening of sexual desire;
impotence;
depression;
anxiety;
orgasm disorder.

Only every 10th man seeks medical help. Of this number of men, about 90% were dissatisfied with the results of treatment.

At what age does a man have problems with ejaculation?

Based on a survey of 12,133 men, it became known that this sexual disorder can appear in men at any age. Only men aged 18 to 24 experience premature ejaculation slightly less frequently.

Does marital status affect the disease?

Research has revealed that married men (or those with a regular partner) are more likely to experience rapid ejaculation (by about 7%). However, they live longer.

The influence of lifestyle on premature ejaculation

If a man plays sports in the form of regular physical education several times a month (or even less often), then he has Great chance development of the disease. Therefore, we can conclude that weak physical activity negatively affects a man’s sexual health.

Smoking contributes to the appearance of premature ejaculation. Smoking marijuana is especially dangerous.

Does prostate adenoma affect the appearance of premature ejaculation?

According to statistical data, no, no such influence was found.

Are premature ejaculation and erectile dysfunction the same disease?

According to statistics, men with rapid ejaculation are 3 times more likely to experience erectile dysfunction. Therefore, if a person has all the factors, causing weakening erections (diabetes mellitus, excess weight, atherosclerosis, high blood pressure), then the risk of “quick sex” increases. In this regard, it is necessary to prevent the appearance and development of impotence.

How to start treating premature ejaculation?

There are a few simple tips that will help a man solve his sexual problem:

give an answer to the question “When exactly did I feel that I could not control the process of the onset of ejaculation”? If a man from the very beginning of his sexual life could not delay the onset of orgasm, then this is most likely the primary type of premature ejaculation. In this case, consultation with a sex therapist is necessary;
with the secondary type of premature ejaculation, it is necessary to look for answers to the following questions: “What has changed in my life?”, “What is the relationship with my partner?”, “Do I have excess weight?”, “How often and how much do I move?”, “Do I smoke a lot of cigarettes”? If the answers are mostly positive, the first thing you need to do is not take medications, but just change your lifestyle;
if the above circumstances are not typical for a man (or he has eliminated possible risk factors), then it is necessary to seek medical help. In this case great importance The doctor's qualifications play a role. If he talks about the use of expensive drugs during treatment, most likely you need to change the doctor;
Before starting treatment, the doctor must do certain laboratory tests (primarily to determine hormone levels), conduct a general examination and a special one (examination of the prostate gland and genitals), and refer for tests;
treatment of premature ejaculation, including the use of tablets.

Are there any medications against rapid ejaculation?

The main cause of the disorder is a lack of serotonin in the body. In this regard, many experts call antidepressants from the group of selective serotonin reuptake inhibitors (SSRIs) the best drugs for the treatment of premature ejaculation.

They increase the level of serotonin, due to which the moment of ejaculation is inhibited. SSRIs include:

Paroxetine;
Sertraline;
Fluoxetine.

They can only be purchased with a prescription and should not be taken on your own.

If premature ejaculation develops under the influence of a weak erection, then the latter problem must be solved first. Phosphodiesterase type 5 inhibitors are best suited for this purpose. These are Viagra, Levitra, Cialis. But it is better not to use dietary supplements (dietary supplements) to treat impotence.

Is it advisable to use phosphodiesterase inhibitors to treat early ejaculation if erections are normal?

These drugs are designed to treat impotence, but not rapid ejaculation. However, you can try them for the reason that the strong erection that occurs under the influence of these drugs makes it possible to extend the time of sex.

What to do if low testosterone levels are detected?

In this case, you need to increase its concentration in the body. However, this can only be done under the supervision of a doctor. For this purpose, testosterone-based drugs are used.

Why don't doctors always prescribe SSRIs to treat early ejaculation?

These antidepressants have a completely different purpose - treatment alarming situations, depression, nervous breakdowns. In turn, delayed ejaculation is one of the side effects these drugs. Therefore, you simply cannot use a side effect of a drug to treat any disease or disorder.

However, both the American Urological Association and their European colleagues recommend using SSRIs as the main drugs to prolong sex. Side effects of these antidepressants include insomnia, headache, nausea, fatigue, tremor, and drowsiness.

But their main danger is that a man’s erection may weaken and his libido level may decrease. Therefore, not all doctors prescribe SSRIs to eliminate early ejaculation.

What to do if the doctor still prescribed an SSRI?

In this case, you need to follow absolutely all the specialist’s recommendations. As a rule, he first prescribes a minimum dosage of drugs, which needs to be increased over time. Usually the course of such treatment does not exceed 3 months. This period is due to the fact that after 3 months the effect of using the drug will no longer increase.

Sources

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5001998/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2671940/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199591/

https://www.ncbi.nlm.nih.gov/pubmed/26484490

https://www.ncbi.nlm.nih.gov/pubmed/3493350

https://www.ncbi.nlm.nih.gov/pubmed/2205172

https://www.ncbi.nlm.nih.gov/pubmed/10022110

https://www.ncbi.nlm.nih.gov/pubmed/20614950

https://www.ncbi.nlm.nih.gov/pubmed/19021601/

https://www.ncbi.nlm.nih.gov/pubmed/26077706

https://www.ncbi.nlm.nih.gov/pubmed/16962882

https://www.ncbi.nlm.nih.gov/pubmed/23845016

https://www.ncbi.nlm.nih.gov/pubmed/10332446

https://www.ncbi.nlm.nih.gov/pubmed/9598491

https://www.ncbi.nlm.nih.gov/pubmed/12494286

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https://www.ncbi.nlm.nih.gov/pubmed/21791006

Fast finish and problems with stamina in bed - this is when a man ejaculates very quickly during intercourse, due to which the partner remains unsatisfied, which brings psychological discomfort to both.

Other signs

a man ends intimacy earlier than he would like;
in terms of time, a man is forced to interrupt intimacy in less than 2 minutes;
his partner remains unsatisfied or, as a rule, both are disappointed;
there is no stability, usually everything happens either very quickly, or takes longer, but not for long.

Usually a woman needs 15-20 minutes to achieve real pleasures from intimacy.

Therefore, the average 5-6 minutes will not help here.

Let us examine in more detail the topic about the treatment of premature ejaculation and the causes of the disease.

Reasons for appearance

prostate problems;
fear end everything too early;
time limit;
guilt;
weak pelvic floor muscles;
cardiopalmus;
increased blood flow;
pressure and excitement;
stress and any psychological stress;
little experience and illiteracy in intimacy;
it was a long time abstinence and it just wasn’t there for a long time;
this has been preserved since ancient times, when cavemen needed to quickly reproduce so as not to be eaten by a predator;
short bridle;
tense muscles;
excessive sensitivity of manhood;
wrong pose(in some positions you will not be able to hold on for long, no matter how hard you try).

If you are very been gone for a long time girls or it was the first time, then it is absolutely normal that your session ended ahead of time.

Now many are looking for a method of treating premature ejaculation at home and reasons to solve all these resulting problems are quite justified.

After all, if you encounter this problem every time and nothing changes, then this is already a serious obstacle, and it threatens to undermine your relationship with any woman.

Rumors that you will live with this problem forever are just a myth. You can upgrade any aspect of love intimacy to the level of mastery, including control over time and duration in bed.

Treatment options

1. Pump up your pelvic floor muscles (PFM) with Kegel exercises

Trained MTD ( pelvic floor muscles) will help you prevent the moment of early termination of the session.

Everything comes from the prostate. It is when it begins to contract that orgasm occurs. The pelvic floor muscles surround the prostate.

Learn to consciously tense and compress their.

How to find these MTD

The very muscles thanks to which you can sharply interrupt urination, and are the pelvic floor muscles (PFM). You also strain them when you go to the toilet small and squeeze out last drops. They were invented by a doctor named Kegel.
Second method find them. When your instrument of pleasure is fully erect, make it jump by tensing the muscles in the pelvic area. The very muscles that will tense up are the ones you need.
The Kegel exercise is used in bed with your beloved by squeezing the MTD if you come “close”. Therefore, train these muscles in your free time.
Know how to tense your pelvic floor muscles in isolation from other parts of the body, separately from muscle groups such as: press, legs, buttocks.
At first it won’t be entirely successful, but gradually you will learn to do it and get rid of worries about how to treat premature ejaculation. We previously wrote about doing Kegel exercises in another.

As you approach the hot boiling point during lovemaking, you can do either one set of long MTD muscle tension for 10-15 seconds, or 2-3 sets of short MTD tension for 5 seconds. This is an individual approach, depending on who is more effective.

2. During the act, make sure there is no tension in the most dangerous muscle groups

Make sure that your position does not put pressure on dangerous muscle groups.

The most dangerous muscle groups

pelvic floor muscles;
buttocks;
legs;
press;
hips;
hands;
shoulders.

An uncomfortable position with strong tension in dangerous muscle groups is one of the main reasons for premature ejaculation in men.

These muscle groups should be fully relaxed.

3. Control the level of arousal during the act and be aware of what stage you are at

Create your own scale from 1 to 10 and during the process, understand and be mentally aware of where you are on the scale from 1 to 10.
Hold on on a scale closer to 5-6. Focus on the neutral middle and you will be happy.
From the very beginning foreplay, from the very first seconds you should already control your state, focusing on the scale.
Always ask yourself: “How close am I to the point of no return?”
Always stay away from 9.

Learn to recognize how your body works and the mechanics of arousal. This way, you will know the answers to many questions about that or an adult man.

4. If a wave comes, learn to slow down, stop and reach

If you feel a wave of excitement coming over you, you can always stop and get it.

The wave of excitement has subsided, you can continue again.

So by following this advice and doing pauses, you will be less worried about problems on how to get rid of premature ejaculation.

5. Use the 1000 punch technique

Before you make love, you prepare yourself for the next one. thought: “I won’t let myself finish until I do 1k back-and-forth movements.”

So, psychologically you are setting yourself up for a longer act.

Other advantages of technology:

The countdown prevents you from releasing early;
You change your focus from your lower body to counting in your head;
In time, 1 thousand will be enough for the partners to be satisfied, and the issue is closed.

6. Choose the right position

Choose a position where there is less arousal and there is not as much pressure on the genital area.

Few people know that in the missionary position you press the gas as hard as possible.

Which position is better? This is "The Woman Upstairs".

7. Various tablets

Here are some pills for premature ejaculation and cures for this disease.

Kapikachhu;
Speman;
Cialis and many others.

8. Think about shocking things during the act.

If you feel that during the process it begins to creep in, start thinking about all sorts of unpleasant or logical things.

For example, the grumpy and nasty grandmother next door is sitting in the toilet.

9. You must have proper breathing: breathe from your stomach, not from your chest.

Rapid, intense breathing during lovemaking is a mistake and will be like a gas pedal for you.

How fast, rapid breathing ruins everything

When breathing quickly and shallowly, the body receives signals from the general anxiety.
The body views rapid breathing as a sign that the body is receiving few oxygen.
Semen is released so that you calmed down and the anxiety disappeared.

Sometimes a man’s habit of breathing through his chest or holding his breath becomes a reason to search for various forums about the treatment of premature ejaculation and the reasons for such rapid capitulation.

What is the essence of proper breathing?

Don't breathe top part lungs, breathe belly.
There must be a conscious, slow and deep breath.
Approximately: inhale for 3 seconds, hold for 3 seconds, exhale for 3 seconds.
Total 9 seconds.

These are the rules for those who want to know everything about the disease thanks to proper breathing techniques.

10. Relax and slow down: Do everything much more slowly.

Do everything much slower, going nowhere take your time and slow down.

Don't be shy to ask your partner to stop if she's starting to move.

Just say if your partner is moving very energetically: “ Wait, please. Stop a little, let's slow down».

And yes, you're still in it, but the friction has stopped for a while and you've retained your potential for the long evening.

Many shy talk during intimacy. Well, in vain! We have already written about this on the site.

Let's move on to the treatment of premature ejaculation with folk remedies.

What herbs help:

decoctions and tinctures of valerian herbs;
calendula herbs;
motherwort grass;
periwinkle;
lemon balm herb.

It will also be beneficial to eat bee products(honey, bee bread and others).

Methods for preparing tinctures

Pour 1 cup of boiling water over 20 g of periwinkle and let it brew for about 20 minutes. Then you can open the lid and let it cool. Strain and take 2 times a day, 10 drops. Take a break of 3 days and repeat the dose.
Rosehip berries, calendula herbs, three-leaf leaves and motherwort herb are taken in equal parts and proportions. Wash and all this together can be crushed and brewed in boiling water like in a bag. Drink the decoction 1/4 cup a day for about 3 months. Ready. We also talked about other similar tinctures.

12. Treat everything with humor, do not feel guilty or ashamed

Correct psychological setting:

Don't set too high demands on yourself.
Don't make a drama out of it.
Learn to laugh at yourself.
Don't put pressure on yourself and don't get overwhelmed.
There must be self-irony.

These points will remove the anxiety and fear that prevent you from enjoying the process with a girl. They will take away your worries about how to deal with premature ejaculation and overcome this boiling point.

13. Engage and practice meditation 2 times a day: use breathing techniques

The essence of breathing-focused meditation techniques

The essence of breathing techniques when meditation- this is to monitor your breathing.
It should be smooth, deep and calm.
All yours focus must be on the breath.
Not in thoughts, not in the past, not in the future.
If thoughts they try to carry you away, you come back again and focus on your breathing.
Take deep, relaxed breaths in and out.
You feel your lungs filling, your diaphragm expanding and contracting.
Follow this procedure 2 times a day in the morning and evening before bed.

In this way, you will learn to control your breathing during sexual intercourse.

This technique will affect your overall relaxation, steady heartbeat and will answer questions about which medications for premature ejaculation are best to use.

Exactly not correct breathing- a common reason and answer to the question of being with your beloved.

14. Shift your focus and allow energy to circulate freely in your body

Where is your attention— your energy is there.
Learn to change your focus from the genitals to the whole body during intercourse.
Let the energy flow freely circulate throughout your body.
Otherwise, in a tense state, all channels for energy will be closed.
Then she's going in the genital area and there it will try to come out, because there is nowhere else for it to go.

This way, you give space for the energy in your body and don't force it into one place where it can escape.

15. Use the super eye trick

A good remedy for premature ejaculation is to monitor your eyes.

If you feel it starting to come, open your eyes wide.
Nature has taught us the opposite: when it comes up, roll them up and close them.
You are doing the complete opposite.
Open your eyes Look ahead broadly and intentionally.
No need to stare at your partner. For example, you can simply look away.

16. Realize that her organs are not made of gold.

Useful realizations:

Realize that her genitals are not made of gold.
This is just a part of her body, and not some kind of divine charm or nirvana zone.
The process itself intimacy does not require any religious approach.
Making love is a normal natural process that does not require dancing with a tambourine and fireworks with fanfare.
Don't give everything is unnecessarily important.

17. Use the pull-out technique

The next treatment method for premature ejaculation due to a short frenulum or from many others psychological factors consists of retracting the testicles Push when it comes.

They usually pull closer to the body when it starts to approach.

We do the opposite and do not allow the reflexes to work, drawing energy away from your accessories.

It's like we're fooling our reflexes bodies.

Everything is done smoothly and without sudden movements.
You will need to stop and pull back early, and not at the point where control has already been lost.
Usually pulled back with the index finger and thumb.

18. Don't forget about exercise

A healthy and active lifestyle has not been canceled.

This is especially true for those who have a sedentary job, or if you move little during the day.

For example, the following lessons will be useful:

Running (blood circulates better in the pelvis and lower part).
Yoga (the ability to control the approaching energy below).
Gymnastics.
Going to saunas and baths.