Premature Ejaculation
Ejaculation and orgasm are part of life’s greatest pleasures. Although most men sometimes ejaculate before they want to, it can interfere with their enjoyment when it happens often or all of the time. The feelings of embarrassment can lead men to avoid sex entirely, and many men with premature ejaculation even avoid dating for fear of not being able to please their potential partners. The problem is more common among young men, but it can happen at any age.
Research has shown ejaculation control exercises during masturbation to be extremely effective in treating the problem. In therapy, clients are taught how to perform these exercises, which they then practice at home. Men can attend sessions and practice the exercises alone, but it is often very helpful for both members of a couple to attend therapy together. Some medications or physical illnesses can cause make ejaculation happen faster, so initial sessions include a thorough discussion of your health and health history. When needed, we can coordinate with your GP and other doctors (with your permission only).
In rare cases when ejaculation control exercises do not work (or do not work enough), certain medications can help. The most effective of these are Paxil (paroxetine) and the Prozac (fluoxetine) family of anti-depressants. In fact, there are many men who use these drugs for depression, but decide to stop taking them exactly because the pills stop them from ejaculating at all! Because the effect goes away after a man stops taking the medication, this option entails staying on them throughout his sex life. Thus, many men opt for ejaculation control exercises as their first choice.
Some men with premature ejaculation also experience other sexual problems, the most common one being erectile disorder. Living for long periods of time, anxious about engaging in intercourse for long enough, leaves many men with substantial feelings of insecurity, feeling sexually inexperienced after having avoided sexual relationships altogether. Thus, even when the time to ejaculation has increased (either with medication or masturbation exercises), some men and couples benefit from support while developing experience and confidence.
Research has shown ejaculation control exercises during masturbation to be extremely effective in treating the problem. In therapy, clients are taught how to perform these exercises, which they then practice at home. Men can attend sessions and practice the exercises alone, but it is often very helpful for both members of a couple to attend therapy together. Some medications or physical illnesses can cause make ejaculation happen faster, so initial sessions include a thorough discussion of your health and health history. When needed, we can coordinate with your GP and other doctors (with your permission only).
In rare cases when ejaculation control exercises do not work (or do not work enough), certain medications can help. The most effective of these are Paxil (paroxetine) and the Prozac (fluoxetine) family of anti-depressants. In fact, there are many men who use these drugs for depression, but decide to stop taking them exactly because the pills stop them from ejaculating at all! Because the effect goes away after a man stops taking the medication, this option entails staying on them throughout his sex life. Thus, many men opt for ejaculation control exercises as their first choice.
Some men with premature ejaculation also experience other sexual problems, the most common one being erectile disorder. Living for long periods of time, anxious about engaging in intercourse for long enough, leaves many men with substantial feelings of insecurity, feeling sexually inexperienced after having avoided sexual relationships altogether. Thus, even when the time to ejaculation has increased (either with medication or masturbation exercises), some men and couples benefit from support while developing experience and confidence.