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vvv Men have tried many techniques over the years, to delay their ejaculatory response; however, few of these methods have proven to be successful. The following are some techniques that have been tested in clinical trials and proven to be successful:

The Squeeze Technique

Bernie Zilbergeld, Ph.D., who wrote "The New Male Sexuality", interviewed men who could last a long time sexually to discover their methods. Unlike premature ejaculators, these men were better able to identify their point of "ejaculatory inevitability" (that point where ejaculation cannot be stopped), and take corrective action before that point is reached. In order to control your "ejaculatory inevitability" Master and Johnson developed one of the most popular techniques called the Squeeze Technique. The Masters and Johnson method requires a great deal of patience and practice, but is very effective. To make the technique work, you need to be prepared to set aside private and uninterrupted time at least three times per week. Do not be discouraged if this method does not work in the first few trials, it may take weeks of individual therapy to notice a change in your performance. The process involves self-manipulation until just before the point of no return, and then you stop the manipulation and apply the Squeeze Technique. Use the following guidelines to began your therapy:

1) Stroke and caress your whole genital area. This consists of the glans, the shaft of the penis, the testicles or balls, the area behind the gonads which is called the perineum, and the anal rim; 5 parts altogether.

2) Practice touching and pleasuring all these parts so you are very aware of how each part feels in the stages of arousal prior to ejaculation.

3) Now increase your pleasure to a high state of arousal. When you reach the point of no return, squeeze the penis firmly and hold it for at least 20 to 30 seconds. The place to squeeze is just below the glans, the rounded part at the top of the penis. If you have a foreskin, pull it back so the glans is uncovered. The erection may subside, but, with further manipulation you can achieve another erection..

4) Repeat this technique three times prior to allowing yourself to ejaculate. If you happen to stimulate yourself too much prior to the fourth trial, repeat the process again at a later date remembering to stop the manipulation earlier.

This exercise should be practiced at least three times per week. After a short period you should start to see some improvement in your ability to control your ejaculatory response.

For the best results men should practice the same technique by having their partner stimulate them and then apply the Squeeze Technique just prior to ejaculation. Having your partner assist in the exercises promotes communication between you and your partner to help you control your ejaculatory response.

Individuals should try to incorporate the Squeeze Technique into normal foreplay. Many couples have reported excellent results when combining the Squeeze Technique with the application of the Physicians' Select Climax Control Gel.

Once you have some success with the Squeeze Technique you can progress to sexual intercourse. For the best results, your partner should be on top and you should be on the bottom with minimal movement. You should continue to communicate with your partner when to slow down the thrusting or stimulation. If you become too excited, halt the intercourse and your partner can apply the Squeeze Technique. Eventually, you will be able to simply communicate to your partner to slow down and then start again once you have regained control.

Once you and your partner learn to communicate and identify your sexual responses, you will both experience more meaningful intercourse.

Climax Control Gel

Physicians' Select Climax Control Gel BottlePhysicians' Select Climax Control Gel reduces a man's penile sensation during intercourse while increasing his ejaculatory control. The gel contains a mild topical anesthetic (5.0 percent benzocaine) that provides a temporary numbing effect on the penis. The medication may be applied to the corona or head of the penis or to the entire penis, depending on the degree of ejaculatory control that is needed.
Physicians' Select Climax Control Gel is carefully formulated to contain just enough topical anesthetic to decrease the sensitivity of the region while allowing an individual to enjoy the normal sensations of intercourse. Individuals can also control the degree of treatment or sensitivity by using the following protocol:

  • Varying the amount of ointment applied: thicker application for severe cases and a lighter application for milder cases.

  • Varying the regions where the gel is applied: for severe cases the gel should be applied to the entire shaft and head of the penis, milder cases should limit the application to just the head of the penis.

  • Application time: for severe cases individuals should apply the medication within five minutes of intercourse; milder case can apply the ointment up to an hour before intercourse.

Physicians' Select Climax Control Gel is specifically designed with an Aloe Vera gel base to allow the numbing effect to gradually decrease as intercourse progresses. This allows you to experience normal sensations onceyou have engaged in intercourse for a varying amount of time based on your application of the ointment. Physicians' Select Climax Control Gel is water based, making it completely safe to use in conjunction with condoms.

Sexual Position

Sexual positions can affect a man's ability to control his ejaculation. The typical "missionary" position (on top of your partner) is not the best position while attempting to control ejaculation. Clinical studies have shown that men have a better ability to control their sexual response when their partner is on top during sexual intercourse.

Men should be positioned on their back with little or no movement to allow their partner to control the intercourse, secondary to the communicated instructions. In this position the male is more relaxed, and he can guide his partner with less stress.

Biofeedback Treatment

Biofeedback treatment involves using a machine that monitors your body's brain waves, muscle tension, skin temperature, heart rate, etc. in order to learn how to voluntarily control these areas. Premature ejaculation biofeedback training involves having an individual use a device that is placed in the rectum in conjunction with a home teaching monitor. This method has shown some significant success though, many individuals are reluctant to use this type of training.


Drug Therapy


Recently there have been reports in the urology literature of successful treatment of premature ejaculation through the use of low dose antidepressants including selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac),  sertraline (Zoloft), paroxetine (Paxil) and tricyclic antidepressants, such as clomipramine (Anafranil). Though, the systemic administration of these antidepressants has many undesired aspects including: vomiting, hair loss, dyspepsia, diarrhea, anorexia, anxiety, drowsiness, fatigue, nervousness, insomnia,  headache, tremor, dizziness, convulsions, sweating, skin rashes, etc.

Notably, the antidepressants also have a side effect of producing erectile dysfunction (inability to achieve an erection sufficient for intercourse) in a small percentage of men taking these medications, as a result, this form of treatment is not recommended for any patient who has a history of erectile dysfunction.  It should also be mentioned that antidepressant medications are not  approved by the Federal Drug Administration (FDA) for treatment of premature ejaculation.


Viagra

Men suffering from severe premature ejaculation are now using Viagra as a treatment option. Most men who suffer from premature ejaculation report that following their initial climax if they are able to achieve a second erection they are able to maintain an erection for a longer period.

Viagra can dramatically shorten the recovery stage i.e. the period of time between erections. Following climax, each male has a certain amount of time before he can achieve another erection. Thus, individuals taking Viagra can achieve a second erection quicker. The second erection is usually firmer secondary to the mechanism of action of Viagra, which allows more blood to engorge the penis. Individuals can now order Viagra online by completing a medical questionnaire, which is subsequently reviewed by a physician.  For more information concerning ordering Viagra online please visit http://www.lifestylemeds.com/


Condoms

Many individuals report some success when applying 1-2 condoms to decrease sensitivity. Condoms may help (and should be worn to promote safe sex), conversely, often in a long-term monogamous relationship, condoms may prove to be a nuisance unless being worn for contraceptive purposes.




Sexual Therapist

Treatments for rapid ejaculation or any other sexual problem may need to be addressed by a trained sexual therapist, psychologist, and/or psychiatrist. Certified sex therapists are available to help men and/or couples work on this problem. You can call AASECT, the American Association of Sex Educators, Counselors and Therapists, at (319) 895-8407 for a referral to someone in your area, or visit their web site:

http://www.aasect.org/






Please note: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. The information should not be construed to indicate that the use of the product is appropriate, safe, or effective for each individual's use. Individuals should consult their healthcare professional prior taking any new product.