Premature and delayed ejaculation
You can turn to us for counselling and treatment for premature and delayed ejaculation.
Premature ejaculation is primarily a man's own perception that he cannot control his ejaculation as well as he would like to. Premature ejaculation can happen to anyone and sometimes it can be a problem for the man in question, for his partner or for them both. We usually work from the premise that premature ejaculation has a psychological background.
Premature ejaculation is usually experienced when having sex with a partner. However, even if ejaculation comes quickly, it does not have to be a problem. There are many ways of having sex; just because you have ejaculated, it does not have to mean that the sex is over.
The problem of premature ejaculation can be treated in a number of ways. One way is to work with sensory experience and relaxation. At our clinic, we sometimes use a method called the "stop-start" method. It can be compared to an exercise programme which is intended to give you control over your ejaculation. The principle behind the stop-start method is that you learn to recognise and regulate the level of your sexual excitement. You can use the method when you masturbate and when you have sex with a partner. It is important that there is mutual understanding and openness between you. Many men hope that premature ejaculation can be rectified quickly – something that is not usually the case. It may take a relatively long period of regular practice.
Another way of treating premature ejaculation is through medication. In 2009, a pharmaceutical form of treatment was launched which, quite simply, required the man to take a tablet before having sex. The manufacturers claim that this postpones ejaculation.
Finally, there are anaesthetic creams which can be put on the glans penis in order to reduce sensitivity. Some condoms contain these creams, but they can also be bought separately. They are easiest to find on the internet or in sex shops.
Sometimes you may find that your ejaculation is delayed, or entirely absent. If this happens too often, it can be perceived as a problem by oneself or by ones partners.
Often the delayed or absent ejaculation can have psychological and relational reasons. If this is the case, it may be necessary to talk to a sexologist and counsellor.
Non-existent or absent ejaculation can also have a medical cause. For instance, it can be linked to diabetes, spinal cord injury or prostate disease. It may be a side-effect of taking a certain type of medicine, for instance, anti-depressants. The sensitivity of a man's penis can vary, and certain men may feel that they are not being stimulated enough to be able to ejaculate. When you have sex, it is good to be relaxed and to let go of your inhibitions to some degree.