Premature ejaculation is now considered to be a purely psychological dysfunction, and the proper treatment is seen as behavioral therapy and sexual psychotherapy. The first ever formal treatment of this kind was developed way back in 1956 by the urologist James Semans who developed the stop-start technique. This was basically a behavioral training format that required the co-operation of the man's partner. She would stimulate him manually until just before ejaculation and then stop. Once his arousal had fallen, she began again and then continually repeated the cycle. The various sensations taught the man to develop a voluntary control of his ejaculation.
This still remains one of the most effective techniques in use. Masters and Johnson created a similar technique, which involved squeezing the shaft of the penis at the level of the frenulum just before the man was ready to ejaculate. It proved an extremely effective treatment as the need to ejaculate dissipates when the penis is pressurized, and the erection declines. When timed properly, the impulse to ejaculate is considerably reduced, and the man can prolong sex further.
But the problem with this technique is that the sufferer is apt to relapse to his old ways. Some people say that the men who undergo training are just not motivated to maintain any improvement in their timing. When you think about it, it isn't too surprising, because the urge to achieve climax and the feelings of gratification that follow are so powerful that they overcome considerations of the partner's sexual requirements.
Statistics suggest that about three quarters of the men who initially succeed with these behavioral techniques find that three years later they have completely relapsed into their old sexual habits. This is probably because they have abandoned the training techniques they learned, having little or no motivation to continue with ejaculation control. It would seem that there is a need to reinforce the new behavioral pattern to maintain the man's control. How and when this should be done is unclear as, because so far as is known, no research has been done on the subject.
Control of ejaculation is like controlling the urine flow: an action which appears to be involuntary at first but over which control can be learned. The physiological mechanism of ejaculation is just a spinal reflex modulated by part of the brain. So control comes from learning and experience. Also, control can be influenced by the context in which sex takes place, for example a man may have more control with a long-term partner than when he encounters a woman he's just met.
Marcel Waldinger and others have shown that men with a serious case of rapid ejaculation are in the minority. This could be due to a genetically inherited trait which predetermines a physiological brain activity, probably concerned with serotonin receptor sensitivity.
A far better strategy is a combination of traditional behavioral therapy, together with counseling and a course of psychotherapy designed to reduce anxiety and resolve any relationship problems that are apparent. This is the traditional and effective method, and still seems to be the way forward as an approach to the treatment of premature ejaculation.
This still remains one of the most effective techniques in use. Masters and Johnson created a similar technique, which involved squeezing the shaft of the penis at the level of the frenulum just before the man was ready to ejaculate. It proved an extremely effective treatment as the need to ejaculate dissipates when the penis is pressurized, and the erection declines. When timed properly, the impulse to ejaculate is considerably reduced, and the man can prolong sex further.
But the problem with this technique is that the sufferer is apt to relapse to his old ways. Some people say that the men who undergo training are just not motivated to maintain any improvement in their timing. When you think about it, it isn't too surprising, because the urge to achieve climax and the feelings of gratification that follow are so powerful that they overcome considerations of the partner's sexual requirements.
Statistics suggest that about three quarters of the men who initially succeed with these behavioral techniques find that three years later they have completely relapsed into their old sexual habits. This is probably because they have abandoned the training techniques they learned, having little or no motivation to continue with ejaculation control. It would seem that there is a need to reinforce the new behavioral pattern to maintain the man's control. How and when this should be done is unclear as, because so far as is known, no research has been done on the subject.
Control of ejaculation is like controlling the urine flow: an action which appears to be involuntary at first but over which control can be learned. The physiological mechanism of ejaculation is just a spinal reflex modulated by part of the brain. So control comes from learning and experience. Also, control can be influenced by the context in which sex takes place, for example a man may have more control with a long-term partner than when he encounters a woman he's just met.
Marcel Waldinger and others have shown that men with a serious case of rapid ejaculation are in the minority. This could be due to a genetically inherited trait which predetermines a physiological brain activity, probably concerned with serotonin receptor sensitivity.
A far better strategy is a combination of traditional behavioral therapy, together with counseling and a course of psychotherapy designed to reduce anxiety and resolve any relationship problems that are apparent. This is the traditional and effective method, and still seems to be the way forward as an approach to the treatment of premature ejaculation.
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Quick and easy-to-use answers for quick ejaculation are described here: Ways to control orgasm
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