Canadian Health&Care Mall – Premature ejaculation: ‘Roger and Out’

There are a few products around designed to be applied to or smeared on the upstanding member in order to prevent premature ejaculation. The common ingredient of all of these is a local anaesthetic intended to diminish sensation in the skin. Our colleague Dr Cohen assures us that he has had success in prescribing this treatment, with the gel being smeared on thinly as soon as Oscar begins to strut his stuff. A word of warning: the emphasis is on thinly. Sex under anaesthesia? Seems to us it could be a case of throwing the baby out with the bathwater, particularly if some gets smeared on the female partner as well… Canadian health and care mall

The only methods that are really helpful enlist both partners to be part of the solution. Masters and Johnson, in their book The Pleasure Bond, emphasise the need for intimacy in a sexual relationship — which means time to talk, holding each other, pleasuring each other in ways that are sensual without necessarily being sexual, and not making sexuality a goal-oriented exercise, with mutual penetrative orgasm as the goal. This is not only wise, it is eminently practical advice. More time should be spent in foreplay and mutual exploration. Initially, a pact may be made not to attempt penetration at all, but rather to bring each other to orgasm by manual or oral stimulation or the use of sex toys like vibrators or dildos. If this attempt to alleviate performance anxiety and increase intimacy is not adequate, the couple should seek the help of a credentialled sex therapist.

Such a therapist will start by taking a full history and will want to eliminate any medical problems causing premature ejaculation. If he or she is not a physician, the couple will be referred to their doctor for this purpose. Depression is one condition that can make a man quick to trigger. In this case, the use of antidepressants for a few months may help. (It’s also worth noting that some of the more recently introduced antidepressants have proved helpful for men with premature ejaculation, even when depression didn’t seem to be a problem. But these should only be used after consultation with your family doctor and/or a sex counsellor.) – canadian pharmacy viagra

Next, the program of increasing intimacy and communication that we’ve mentioned begins. Once the couple are very comfortable with each other’s bodies and in communicating with each other about their needs, the therapist will begin teaching them a squeeze technique. This involves the couple sitting facing each other. The woman stimulates the man’s penis with her hand and, as his penis visibly engorges and rises, she squeezes him firmly just below the glans — her thumb on the underside, two fingers on the top—maintaining pressure for about five seconds. This doesn’t hurt and the pressure can be quite firm. The urge to ejaculate is lost and then, after a few seconds, the couple repeat the process, continuing several times before ejaculation is permitted. This technique is practised repeatedly over several weeks before any vaginal penetration is attempted and, initially, vaginal penetration is done without any thrusting. Finally, the couple move on to full intercourse. During all of this, the man may stimulate the woman’s clitoris or vagina. This technique ‘unlearns’ premature ejaculation and has a good success rate.