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Overcoming Ejaculation Problems

Too fast? Too slow? Treating Ejaculation Problems
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What Causes Delayed Ejaculation?

There are lots of different reasons for delayed ejaculation. Some medicines -- like antidepressants -- are common culprits. For many men, it's age. As we grow older, the nerve endings in the penis become less sensitive, according to Barbara Keesling, PhD, author of All Night Long: How to Make Love to a Man Over 50, and a professor of human sexuality at the California State University, Fullerton.

"When the reflexes slow down, it takes longer," Keesling says. "Another thing that happens with age is that your erection ability goes down too, so it becomes more difficult to ejaculate without a full erection."

You may also have a hand in your delayed ejaculation problem. By adopting a masturbation technique that involves intense pressure, friction and speed, some men train themselves to respond to a level of stimulation no partner could duplicate -- at least not without coaching, which the man usually is reluctant to provide.

Michael A. Perelman, PhD, a sex and marital therapist in New York City says he sometimes tries to get men with delayed orgasm to agree to a masturbation moratorium. This does more than stop the practices that may be contributing to the problem. It also allows a build-up of sexual desire, which provides "a mechanism for reducing the threshold of arousal necessary for orgasm," he says.

But while masturbation can cause delayed ejaculation, it can also aid in the cure. If a guy won't agree to keep his hands off, Perelman will urge him at least to alter his masturbation style -- to switch hands, for example -- in order to break old habits. The problem is that your tried-and-true, quick-and-dirty masturbation style is probably terrible practice for sex with another person.

So instead of just masturbating efficiently to achieve orgasm, Perelman encourages men to fantasize about a sexual experience with their partners while they masturbate. He tells them to try "to approximate, in terms of speed, pressure and technique, the stimulation he likely will experience through manual, oral, or vaginal stimulation with his partner." It might take a little longer, but it makes masturbation more of a "dress rehearsal" for sex. You can also talk to your partner about your fantasy afterwards, Perelman suggests.

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