There are certain preconceived notions with regards to premature ejaculation. Such myths often lead to misdirected treatments and unnecessary
reliance on sexual performance products. The sexual act
is an intimate relationship between two individuals, in which satisfaction of the partners is more relevant than timing. Some males are able to
maintain an erection for more than 20 minutes and still not be able to satisfy their partner who climaxes after, say, 35 minutes. In an another
example, a male may ejaculate within 7 minutes of intercourse and still not be termed as premature, as his partner has had her orgasm before him.
Moreover, many women are unable to orgasm with sexual intercourse alone.
If you have just attained puberty and have problems with timely ejaculation, there is a strong possibility that some underlying psychological problem you may or may not be aware of is troubling you. Maybe the previously instilled fear of discovery (e.g. while masturbating as a teenager) is still making you ejaculate early. In such cases, it is wise to consult a sex therapist or a counselor who can help in identifying and treating the problem.
If you have had satisfactory sex before and premature ejaculation is a recent phenomenon, you should have the condition assessed before your look for premature ejaculation treatment options. Such assessment is necessary because there are no known physiological causes associated with it.
Treatment mostly depends upon the evaluation. For proper evaluation of the condition, discuss the following points with a therapist:
- Detailed history - previous relationship in which premature ejaculation was not a problem.
- The current relationship - whether premature ejaculation was present right from the beginning or later after some episodes of satisfactory coitus.
- Quality of the present relationship - whether the relationship is smooth or beset with conflicts.
- If your partner considers it a problem that relates to both of you, take her along to the therapist. It will help in better understanding of the problem you are facing.
- Erectile dysfunction - if present, discuss whether the condition surfaced with premature ejaculation or after.
- The general timing from penetration to climax.
If your partner is unable to have an orgasm during sexual relations, then you do not need treatment.
Many times a change in sexual position, like woman on top, helps ejaculatory control. If your partner is prone to have late orgasms, try the start-stop or squeeze method. Your partner can help you in this effective therapy for preventing premature ejaculation.
If there is a big gap between two sexual acts, try to masturbate before you plan to have sex, presuming you are young and able to obtain a second erection.
Oral drugs and penile injections can help, but only to a certain extent. Moreover, there are side effects associated with them. Some herbs like shilajit, ashwagandha and Ayurvedic formulations can benefit you. You should look towards oral drugs, vacuum pumps, and implants only when the above methods do not work, as they have their own complications.