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Friday, May 22, 2009

The treatment of premature ejaculation

The researchers behind the report say premature ejaculation is a natural occurrence, especially among younger men, and that those affected can learn to control their response to stimulation themselves without recourse to any drugs or therapies.
They also point out that false assumptions about sexual intercourse aren't helping to dispel the idea that premature ejaculation is an illness to be treated.
"It is important for men to understand that in premature ejaculation the physiology of ejaculation and orgasm is not impaired, and that it is normal in adolescent males especially during their first sexual encounters," said report co-author Vincenzo Puppo. "Teens and men can understand their sexual response during masturbation and learn ejaculatory control without drug therapy."
The review goes on to say that penile-vaginal intercourse isn't important for a woman's orgasm, so in that respect it doesn't matter how long the sex lasts.
"In all women, orgasm is always possible if the female erectile organs are effectively stimulated during masturbation, cunnilingus, or partner masturbation, before and after male ejaculation, or during vaginal intercourse if the clitoris is simply stimulated with a finger," explains the report's other author, and Vincenzo's daughter, Giulia Puppo.
As many as one in three men may experience premature ejaculation during sex, though reliable statistics are hard to come by, and that means the report is likely to generate a lot of interest – especially one that says pills and surgery aren't necessary to help men last longer in bed.
According to Puppo and Puppo, couples shouldn't be embarrassed about premature ejaculation and can find natural ways around it, and those experiencing their first sexual encounters might find that idea more reassuring than most.
"Urologists, sexologists, and sexual medicine experts must acknowledge that PE is really normal in adolescent males, especially during their first sexual encounters," says the report, which has been published in the journal Clinical Anatomy.
http://www.sciencealert.com/premature-ejaculation-isn-t-an-illness-and-shouldn-t-be-treated-study-suggests

The treatment of premature ejaculation, using the "pause" and "squeeze" procedures developed by Semans and by Masters and Johnson, has been found to be highly effective. Research has demonstrated that such procedures work well in group as well as in individual treatment, and in self-help programs; they can be practiced in individual masturbation with relatively good transfer of therapeutic gains when sex with a partner is resumed. Success rates of 90 percent to 98 percent are reported.

In the stop-start or pause procedure, the penis is manually stimulated until the man is fairly highly aroused. The couple then pauses until his arousal subsides, at which time the stimulation is resumed. This sequence is repeated several times before stimulation is carried through to ejaculation, so the man ultimately experiences much more total time of stimulation than he ever has before and thus learns to have a higher threshold for ejaculation. The squeeze procedure is much like the stop-start procedure, with the addition that when stimulation stops, the woman firmly squeezes the penis between her thumb and forefinger, at the place where the glans of the penis joins the shaft. This squeeze seems to further reduce arousal. After a few weeks of this training, the necessity of pausing diminishes, with the man able to experience several minutes of continuous penile stimulation without ejaculating. Next, the couple progresses to putting the penis in the vagina but without any thrusting movements. If the man rapidly becomes highly aroused, the penis is withdrawn and the couple waits for arousal to subside, at which point the penis is reinserted. When good tolerance for inactive containment of the penis is achieved, the training procedure is repeated during active thrusting. Generally, two to three months of practice is sufficient for a man to be able to enjoy prolonged intercourse without any need for pauses or squeezes

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