Advice Health Sexuality
Ejaculating too soon is often considered to be the most common sexual disturbance in men, and has the clinical term Premature Ejaculation (PE). The disorder can be very troublesome, both for the person suffering from PE, and the partner. PE is often followed by psychological reactions and anxiety, depression and lowered self-esteem with more is not uncommon. Very few of the people who suffer from PE can help solve the problem.
What is considered to be premature ejaculation or PE slightly differs, definitions that are based on very different measures; it may be how long before ejaculation, or the number of “shocks” before ejaculation. Measures used are typically 1-7 minutes or 8-15 “shocks”, these measurements are so different that they seem to measure different degrees of PE. Another measure is to satisfy partner at least 50% of the time. Advice Health Sexuality
In Norway, PE is diagnostic test, without any clinical diagnostic test. If premature ejaculation is experienced often and is a problem – PE is the diagnosis.
With so different diagnosis and definitions when it comes to PE, there are also very different estimates of how widespread this disorder is. Worldwide, it is often estimated at 30% and between the ages of 18 and 65 between 20% and 23%. PE is the most common among younger men. If the criteria is for ejaculation to occur, the incidence of PE to around 5-6%, and persons in this group is probably experiencing the most severe problems. As a curiosity, it can be mentioned that from East Asia have the highest incidence of PE, while from the Middle East and Africa have the lowest incidence. Europeans are placed in the middle of the tree in this regard. Advice Health Sexuality
There is a study of 36 men. PE in this study was defined as triggering within 2 minutes of commencement of intercourse. Two groups received each type of treatment and there was a functional sexological approach, which was the “clamp-” or “start-stop-” technique. Both types of treatment is less than 1 minute to over 7 1/2 minutes. The control group did not change. Unfortunately, the study is not of the highest methodical quality, but the results seem to be somewhat reliable.
The functional sexological therapy of premature ejaculation is focused on recognizing the body’s signals when ejaculation approaches, then cognitive skills and strategies control the causes of triggering.
Functional-sexological therapy has been expanded, and is controlled by the body, and brain below the level of excitement that causes orgasm. This treatment can be summarized in some exercises:
1. Breathe with your stomach
2. Disconnect the pelvic movements from the upper body
3. DO NOT use the “buttock-musculature”
4. Breathe in when the pelvis is pulled backwards – breathe out when the pelvis is pushed forward
5. Exercise on relaxed pelvic movements in multiple positions, back, side, stomach etc.
6. Vary the speed of the pelvic movement
7. Vary the intensity of pelvic movement
8. Vary rash in pelvic movement
9. Find the pubococcygeal muscle and learn to relax the muscle when the ejaculation approaches
10. When ejaculation approaches – stop all movements, relax, breathe with your stomach
11. Breathe with open mouth and relaxed jaw
12. Spread your legs
13. Do not close your eyes
14. Experiments with different positions
Women do the same exercises as men
When it comes to behavioral therapy, it is also important for the man to listen to the body’s signals. The man must be aware when the ejaculation approaches, and be able to signal the partner about this. When triggering approaches, either a: “start-up technique” or b: “clamping technique” is used.
a: “start-stop technique”. When the ejaculation is approaching, a signal is given and the partner stops stimulation. Then one wait until the erection starts to resign, and start over again. This procedure is repeated four to five times. The treatment is then repeated with a gliding agent. The treatment can be performed with the woman on top. She stops when the man signals that release is approaching. The man does not move the pelvis, but with increasing control over ejaculation, the pelvis can also be involv Advice Health Sexuality