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Overcoming Ejaculation Problems

Too fast? Too slow? Treating Ejaculation Problems
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Premature Ejaculation Cure: Self-Love continued...

Perelman helps men last longer by teaching them a variation of the Masters and Johnson technique. It involves slowing themselves down and altering their movements in a way that maximizes their partner's pleasure. They do this while maintaining their erection but without overexciting themselves.

Antidepressants for Premature Ejaculation?

For men who aren't helped by any of these techniques, there's a pharmaceutical option. Since some antidepressants -- selective serotonin reuptake inhibitors, or SSRIs -- are known to cause delayed ejaculation, researchers tried them as a way to treat premature ejaculation. Your doctor may prescribe an antidepressant for you to take four to six hours before intercourse, men prone to premature ejaculation can last longer.

Not surprisingly, drug companies were quick to take notice. A short-acting SSRI called dapoxetine has already been developed specifically for premature ejaculation. According to a 2006 study published in The Lancet, when taken one to three hours before sex, the drug increased the time from penetration to ejaculation from 1.75 minutes to 2.78 minutes for men treated with 30 milligrams of the drug. Men who got 60 milligrams lasted 3.32 minutes.

"A couple of minutes may not sound like much, but for these guys it was huge," said the lead author of the study, Jon L. Pryor, MD, when the results were published in September 2006. However, dapoxetine has not yet been approved by the FDA and is not available in the United States.

Although they also have not been FDA approved for use to treat premature ejaculation , the antihistamine cyproheptadine and the anti-flu drug amantadine have been used with moderate success to treat delayed ejaculation, McMahon says.

Instead of drugs, some men use a desensitizing cream to delay orgasm. There's an even simpler solution: double up your condoms to reduce your stimulation.

Treating Ejaculation Problems

Whatever your ejaculation problem, there are solutions. The key is to get help. And we don't just mean from a doctor, although that's important -- ejaculation problems can be signs of more serious medical issues, after all.

But you also need to talk openly with your partner -- something that many men are loath to do.

"Almost universally, men [with ejaculation problems] fail to communicate their preferences for stimulation to either their doctor or their partners, because of shame, embarrassment, or ignorance," Perelman tells WebMD.

So don't stay mum and let shame or male pride ruin your sex life (and your partner's). Letting that tension build up will just make things worse. With some openness, some discussion, and maybe a few fun new techniques in the bedroom, you can overcome your ejaculation problem. That means less worry and more sex.

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Reviewed on December 09, 2010
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