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Sexual Health & Wellness
Question #26204
91 days ago
151

how to prevent premature ejaculation - #26204

Palak

I am really frustrated right now. I've been dealing with this issue for a while and don't know how to prevent premature ejaculation. It started a few months ago when my partner and I decided to take our relationship to the next level, and it’s just been a mess since. Like, I want to enjoy our intimate moments together, but I can never seem to last long enough. I mean the first time it happened, I was super embarrassed; we laughed it off but it’s gotten to the point where I dread the thought of intimacy because I’m practically a minute man. I did some research about how to prevent premature ejaculation and found some tips like kegel exercises and breathing techniques, but I’m not sure if they really work. I also read about desensitizing creams that might help, but part of me worries that they could affect my partner’s enjoyment too. Should I be talking to a doctor about this? Or is there other advice on how to prevent premature ejaculation that actually makes a difference? I really want things to change, but it feels overwhelming. Any real experiences or tips would help. Thanks!

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Doctors' responses

Premature ejaculation can be frustrating, but it’s more common than you might think, and fortunately, there are several evidence-based strategies that might help improve the situation. Firstly, regarding kegel exercises, they focus on strengthening the pelvic floor muscles, which can be beneficial. To practice, try to stop urination mid-flow to identify the right muscles, and then perform sets of contractions several times a day. Start with holding for a few seconds and gradually increase duration as your control improves. Secondly, breathing techniques can indeed help by reducing anxiety, which might be contributing to the issue. Practicing slow, deep breathing during intimate moments can help you stay more relaxed and control arousal levels.

Desensitizing creams could reduce sensitivity, but be cautious about side effects—some users might experience loss of sensation, and it could potentially affect a partner. Always read the label and consider testing the product alone beforehand. Additionally, there are systemic treatments like SSRIs (selective serotonin reuptake inhibitors) that have shown efficacy in delaying ejaculation, though they require a prescription and consulting with a healthcare provider. Now, it’s important to talk to a doctor about this, not just for prescribing options, but to rule out any underlying health conditions or discuss psychological factors that might be playing a role, like stress or relationship issues.

Other behavioral techniques like the start-stop method or the squeeze technique could also be worth a try; they focus on pausing stimulation to gain better control. Finally, addressing lifestyle factors such as regular exercise, good sleep, and minimizing alcohol might contribute positively. Each treatment can be considered individually or in combination, but always best to partner with a healthcare professional to find the optimal approach for you based on your specific context.

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