- PE
-
a nose spray.
-
The man is encouraged to masturbate alone.
-
He is asked to set time aside to be private and to masturbate with dry hands.
-
The man is encouraged to masturbate almost to the point of ejaculation and then stop.
-
He should do this three times.
-
On the fourth time, he is permitted to ejaculate.
Antidepressant drugs
In recent years, it has also proved possible to treat
PE
with antidepressant drugs taken a few hours before intercourse. The group that are mainly used for this purpose are the
SSRIs
(selective serotonin re-uptake inhibitors).
The use of these drugs may seem a little odd, but delaying male climax is a well-known side-effect of certain antidepressants. For most men, that side-effect is unwanted. But for guys with premature ejaculation, it’s highly desirable.
Antidepressants that are commonly used for this purpose include
clomipramine
(Anafranil),
fluoxetine
(Prozac) and
sertraline
(Lustral).
But please be warned: these are powerful drugs that can last a long time in the body, and have a considerable list of potential side-effects.
Before opting for one of them, talk it over carefully with your doctor.
In many countries antidepressants are now sold illegally in bars and on the street as ’last-longer pills’. We really do not recommend buying antidepressants in this casual fashion.
Antidepressants are prescription-only drugs, with a potential for causing you harm. If you want to try them for premature ejaculation, make an appointment to see your GP.
Drugs by nasal inhalation
At the end of 2008,
there was a good deal of controversy in Europe because a company started using large advertisement hoardings to promote its treatment for
In fact, the only point of the spray is to deliver a drug into the bloodstream more quickly than could be achieved through taking it by mouth.
The drug which is mainly being used in these new nose sprays is clomipramine – which, as we have mentioned above, is an antidepressant.
There have also been reports since 2009 of sex clinics suggesting the use of the major painkiller tramadol in a nose spray.
This does not strike us as a good idea, in view of the drug’s side-effects which include mental confusion and abdominal pain.
Tramadol is related to morphine, and is widely misused by people with drug problems. It is habit-forming.
jz sharin,
A special constriction device
In 2000, a clinical trial of a new technique for treating premature ejaculation was published in the medical press.
It was developed at St George’s Hospital, London, and involved wearing a slightly constricting ring below the head of the penis for 30 minutes each day. The theory was it would make the organ less sensitive.
Unfortunately, at the present time the inventors of the device have not been able to publish any results of large scale trials.
Don’t attempt any constriction techniques like this off your own bat. Such a method should only be prescribed by an expert at a sexual problem clinic. It may or may not turn out to be useful.
Another new device
The ‘Boots Pharmaceuticals Delay Device’ is an invention that was first revealed in the UK in 2004. It went on the British market in 2011.
It’s a battery-powered vibrating silicone ring which is designed to be worn just under the head of the penis.
The idea is that it causes continuous stimulation to a highly-sensitive area of the penis, thereby de-sensitising it.
Boots recommend that it is used in conjunction with the Masters-Johnson
‘stop-start
’ technique. Currently, it retails for around £15.
Release of a new medication
At a medical conference we attended in December 2004, it was announced that a new anti-
PE
medication should be launched during 2005.
However, it was not until 2010 that it was finally released for use in the UK – and even now it is available only on a very limited basis, and
NOT
on the Health Service.
But in recent months it has become widely available in Scandinavia, Australia and Malaysia.
The product is a tablet called dapoxetine. Its UK trade name is Priligy.
Essentially, it one of the ‘SSRI’ group of antidepressants – which, as noted above, do have the ability to lengthen the time between sexual arousal and climax. It is taken by mouth, in tablet form. The dose is either 30 mg or 60 mg. Dosage depends mainly on your body weight.
Please understand that Priligy is
NOT
a pill which will actually cure
PE
.
The idea is that you simply take it a couple of hours before you intend to have intercourse. With luck, you will last a good deal longer that day.
But of course, you will need to take another Priligy tablet before your next sexual encounter.
Newspaper reports appearing in Britain in late 2010 suggested that it helps 70 per cent of males.
Unfortunately, the trial results we’ve seen so far suggest that in fact only about 45 per cent of men reported that the drug gave them control that was ‘fair, good or very good’.
Possible side-effects of dapoxetine include dizziness, nausea, insomnia, headaches and diarrhoea.
However, if you have bad
PE
, Priligy (which may be the first of various such products) would probably be worth trying when it becomes available in your part of the world.
In the UK in 2011, the situation is that Priligy is NOT available from your GP or on the NHS. Some private doctors prescribe it. You can obtain it via the internet, but you should have an online ‘consultation’ with a doctor first.
At present, it is extremely expensive, costing £85 to £95 for just three tablets. Obviously, this works out at about £30 every time you want to make love.
jz sharin,
Cognitive behaviour treatment (stop-start technique)
In 2006, we attended a conference on sexual medicine in Vienna. One of the speakers, Dr Mehmet Sungur, claimed good results for the
cognitive behaviour
(CBT) method of treatment for
PE
.
The CBT method focuses on addressing the kind of thinking that has proved unhelpful.
For example, a man may believe that ‘real men’ must thrust endlessly to give a woman pleasure. Such thinking is not only damaging to the man, but wrong. Most women want penetration but also derive great pleasure from love play – often preferring fondling and
oral sex
to intercourse.
The CBT method also aims to alter the man’s behaviour: he is encouraged to
masturbate
using the stop-start technique to gain more control over his responses and his urge to ejaculate quickly.
The stop-start technique:
After he has achieved this measure of control, he can try masturbating with a wet hand, which will feel more like the inside of a vagina. He is encouraged to do the stop-start technique as before.
Obviously, this technique could possibly be adopted by a man who does not seek treatment from a therapist.
But because there are often psychological difficulties as well as behavioural and mechanical ones, most men will benefit more from seeking treatment rather than using the stop-start technique on their own.
jz sharin,
folks,
hw did u find d Premature ejaculation (PE) topic???
enlightening??
educational??
silly??
unheard of??
or any other comments??
do feel free to comment…………
for my upcomin title, it will b:
Having a great sex life – the importance of communication
jz sharin,
WHEN 3 PEOPLE HAVE SEX,
ITS CALLED A THREESOME.
WHEN 2 PEOPLE HAVE SEX,
ITS CALLED A TWOSOME.
NOW I UNDERSTAND WHY
THEY CALL YOU
HANDSOME!!!
jz sharin,
This section is intended to help you have a great sex life – and a safe one.
It’s important to remember that sex carries with it some real dangers, notably:
- unwanted pregnancy
- sexually transmitted infections (STIs)
- occasionally, cancer
- sometimes, severe emotional distress.
On the other hand, sex brings enormous satisfaction: comfort and happiness to millions of people.
So, we want you to be able to enjoy its benefits, whether you’re 18 or 80.
But whatever your age group, we’d like to stress to you that the key to a safe and rewarding sexual relationship with another person is communication.
For centuries, people haven’t communicated about sex!
ONLY recent years, they just
‘did it’
, and hoped for the best.
Very often, things went wrong and one or other partner ended up feeling frustrated and bitter. These days, things are rapidly changing. It’s now possible to communicate quite frankly with your partner about sexual matters – so it’s easy to work together to make everything more fulfilling, and safer too.
We’ll try and show you how you can communicate, and keep yourself safe, throughout the various age groups of your life.
jz sharin,
In your teenage years
The teenage years are not an easy time – especially if you don’t know much about sex.
Many people, both male and female, feel highly sexed at this time. In particular, males are likely to feel a desperate need to have climaxes.
Among teenage boys, the average number of orgasms per week is higher in this age group, than it is at any other period of life.
Masturbation
For a lot of teenagers, the answer to this burgeoning desire is to
masturbate
.
This is particularly so in
boys
, most of whom masturbate a great deal during the teen years.
The important thing to realise is that this is perfectly normal. We can assure you that if you consult medical textbooks,
you’ll find that – contrary to what many young people imagine – there’s no disease or health problem that can be caused by masturbation.
It’s a totally harmless activity that relieves frustration and
helps you relax and sleep well.
Most importantly, masturbation is virtually the only form of sexual activity that can’t give you a sexually transmitted infection!
Also, it can’t make anyone pregnant. So, it’s a safe form of sex.
Orientation
During the mid-teenage years, the subject of sexual orientation begins to rear its head.
In other words:
- are you ‘straight’ (heterosexual)?
- are you gay?
- are you bisexual?
Our advice to you on this topic is simple. Don’t let anyone ‘railroad’ you into any decisions. Your parents, and other adults, will almost invariably expect you to be ‘straight’. But that might not be the right solution for you.
So, if you have any uncertainties about your orientation, talk to your friends about it, provided you feel that they will respect your confidence.
Don’t hesitate to go and consult experienced advisors.
Above all, take your time, and don’t be rushed.
Many people don’t decide on their sexual orientation until they’re well past 20.
jz sharin,
Virginity
At some time in your teens, you’re probably going to feel that you should make a decision about losing your virginity.
At present the average age for first having sex is about 18. But again, please don’t be rushed into this – for instance, by ‘peer pressure’ (in other words, pressure from friends, classmates and others of your age).
There’s nothing dreadful about deciding to postpone sexual intercourse for a while!
By putting it off, you achieve the following:
- you protect yourself against STIs
- you avoid any risk of pregnancy
- if you’re a girl, you reduce the risk of
getting cancer of the cervix
.
So, before you decide to embark on your first sexual relationship, think things over and obtain as much information as you can about the benefits and the dangers of sex.
Please remember that it’s well known that teenagers who are poorly educated about sexual matters are more likely to have unwanted pregnancies!
Very importantly, when you first meet someone that you really want to have sex with – do talk over the possibilities with them.
Discuss
whether you should postpone intercourse for a while.
Remember: there’s a great deal of pretty harmless pleasure to be had from kissing and
petting
.
Incidentally, don’t fall into the common trap of deciding to have your first sexual experience, whilst you’re under the influence of alcohol or other drugs.
You shouldn’t be making this vital decision, while your brain is effected with alcohol or drugs.
When you do decide to have sex for the first time, make sure that it’s safe sex.
Remember two simple facts:
- these days, there are many STIs around, particularly
chlamydia
- large numbers of teenage girls are still getting pregnant, despite the Government’s attempts to reduce the teen pregnancy rate.
We strongly recommend that you and your partner agree to use
condoms
to begin with.
There’s nothing wrong with the other methods of contraception, but they don’t protect you against STIs.
jz sharin,
In your 20s
As people move into their 20s, there’s a strong tendency for people to start forming a relationship.
Occasionally, these relationships last a lifetime. But we have to be realistic and say that mostly they don’t.
So, try not to be heartbroken if your relationship only goes on for a few months, or even a few weeks.
At the moment, that’s how the world is. And don’t expect sexual miracles. Both of you are likely to be ‘feeling your way’ – literally!
So, there may be difficulties in bed, with sex turning out to be not as brilliant as you’d hoped.
In particular:
- the young woman may have
difficulty in having an orgasm
- she may find sex uncomfortable
- the couple may well find it impossible to
synchronise their climaxes
- the young man may
ejaculate
far too soon
- he may not be able to get a get a
good enough erection
to achieve satisfactory intercourse – or he may ’lose it’ half way through.
The most important thing when trying to cope with all these difficulties is to talk about them.
Discuss your needs or frustrations with your partner.
And if necessary, seek help from really useful organisations.
Finally, a word of caution:
during the early years of this century, ‘one-night stands’ have become almost routine for many people who are in their 20s.
This applies to females as well as males.
And although the idea of a one-night stand is superficially attractive, the fact is that it’s madness.
If you do it a few times, you’ll almost certainly catch
chlamydia
or something worse. And there’s of course a high chance of an
unwanted pregnancy
, perhaps with no one knowing who the father is.
No wonder that sales of the morning-after pill (post-coital pill) are soaring…….
jz sharin,
不管是男人还是女人，你们都要清楚，自己的女人自己不哄，总有喜欢哄她的男人；自己的男人自己不捧，也总有 乐意捧他的女人。看看生活中的现实，很多 出轨的夫妻，其实仅仅只是想找一个哄她或捧他的人而已。由此看来，在婚姻生活中，男人务必要懂得一点儿哄女 人的技巧，女人也一定要学一点捧男人的方法。这 不叫虚伪，这叫智慧。。
1.家是讲情的地方、不是讲理的地方
这句话是我 与老婆吵了多年的架后明白的一个道理。夫妻之间不可能不吵架的，但是千万不要因一点小事纠缠不休，非要讲清 楚不可，有些事情是不需要说清楚的，说清楚反而 效果不好。同时，更别叫对方认错，即便道理在你的一边。因为夫妻之间吵架没有胜负的，不必分出输赢。反而要 睁只眼闭只眼；不但如此，还需要用你的真情去维 护才能保持一个真正的家。.
2.诚实很重要
男人们在外应酬时，有时总是喜欢隐瞒实情，说一些谎话来对付老婆。其实，只要不涉及工作，就没必要编什么“ 在开会”、“在加班”之类的幌子哄骗老婆。因为，说一句谎言往往要用十句话才能掩盖，还难免出 错，多累啊。
3.巧做“妻管严”
适当的“妻管严”没什么不好的，“妻管严”的家庭往往能长久。同时，这种男人往往心里明白，老婆承担了很多 的苦和累，所以甘愿被“妻管严”，他们很多时候，拒绝了一些非重要的聚会，而是下班回家帮助妻子做饭、炒菜 、洗碗等家务事。不仅如此，这种男人往往不会斤斤计较。
4.不指责老婆的唠叨
女 人一般来说只有在自己喜欢的男人面前才比较爱说话，爱唠叨的。也许男人那天因工作不顺，或刚好与同事闹了矛 盾，而此时老婆却像一只不知疲倦的小鸟一样，在 你面前叽叽喳喳的，使你的心情更加烦躁。但你千万不过多指责她，你只需要和她说：亲爱的，我很疲累，让我单 独休息一会儿。
5.男人要有承担养家的责任感
男 人勇敢地担负起养家的责任，不论老婆是独立型还是小鸟依人型的，即使老婆现在同你一样工作着，每月拿或多或 少的薪水，你也要把自己当作家里的顶梁柱！看到 老婆回家累了还要做饭的时候，男人要说：“这么辛苦，我来养你吧！”明智的老婆也会想到你的辛苦，得到了关 心和承认，老婆的工作干劲会更大！
6.纪念日一定要记牢
老 婆的生日，各种节日，纪念日，你不大张旗鼓庆贺也罢，但是要记得送礼物给她；你不送礼物也罢，但是要请她与 你共度晚餐；你不请她吃饭也罢，但要记得带束花 给她；你嫌送花浪费也罢，那就给她买点她喜欢的小零食；你不买零食也罢，但要记得电话问候一下，最不济也要 发个有意义的短信给她。你忘了发短信也罢，那就 等着她埋怨你吧.
7.对老婆要心细
在她生理周期的那几天，男人一定要心细，注意老婆的饮食，适当的给她做一些补血的食品，她一定会感觉自己很 幸福。.
8.要懂得赞美
男人一定要赞美自己的老婆，你不赞美自己的老婆还能去赞美谁呢？除非你脑子进水了。
9.君子动口不动手
如果因为两口子吵架，男人动手的话，会遭到所有人的鄙视的，那样的话，你的婚姻就危险了。
10.双方共同进步
女人要学习充实自己，男人一定要鼓励。这样能长期保持二人的某种平衡，不至于差距拉的过大。你能想象一个研 究生和一个小学还没毕业的人生活在一起吗？
jz sharin,
Torch