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Understanding Male Sexual Problems -- Diagnosis and Treatment

What Are the Treatments for Male Sexual Problems? continued...

Treating Premature Ejaculation

Premature ejaculation is commonly curbed by the "squeeze" technique, a kind of biofeedback. This method has a high success rate, and repeated practice usually leads to better natural control. When you feel that orgasm is imminent, withdraw from your partner's vagina or anus or signal your partner to stop stimulation. You (or your partner) then squeezes gently on the head of the penis with the thumb and forefinger, halting the climax. After 20 or 30 seconds, begin lovemaking again. Repeat the process if necessary.

Promescent is a drug used to treat premature ejaculation. The topical spray is applied to the penis and contains lidocaine, reducing sensitivity and allowing for more ejaculation control.

Other medications may delay ejaculation, such as selective serotonin reuptake inhibitors (SSRIs) including Zoloft, Paxil, and Prozac. None of these drugs is specifically approved by the FDA to treat premature ejaculation. 

Premature ejaculation may signal a more complex disorder, and any psychological aspects should be explored in therapy. 

Erectile Dysfunction Treatments

Treatments for erectile dysfunction include any of the following:

  • The drugs Viagra, Cialis, Stendra, or Levitra and Staxyn
  • A vacuum inflation device that pulls blood into the penis
  • Prostaglandin urethral suppositories
  • Self-injection of medications directly into the penis
  • Vascular surgery to correct problems involving the veins of the penis (note: this procedure has not been found to be effective.)
  • Inflatable penile implants

Treating Retarded Ejaculation

This sexual problem is often treated by reducing anxiety and learning to control the timing of ejaculation. Sensate focus exercises may help; you should withhold penetration until you sense that ejaculation is inevitable. A common cause of retarded or delayed ejaculation is side effects from medication, especially antidepressant medications such as the SSRIs.

Treating Retrograde Ejaculation

Retrograde ejaculation may be corrected through medications or surgery that allows the valve at the base of the bladder to close. This is basically a harmless disorder, causing a problem only if pregnancy is a goal; in such situations, it may be possible to retrieve sperm from the bladder for artificial insemination.

Treating Environmental and Psychological Causes of Sexual Problems

Your health care provider may be able to help you outline strategies to address non-medical issues. If you have psychological barriers to sexual functioning, your health care provider may suggest that you seek individual psychotherapy, couples therapy with your partner, or consult a sex therapist. A number of techniques and therapies can help individuals, including those who have experience sexual trauma, become more comfortable with their sexuality. Similarly, if your health care provider feels that you may need more information about sexual functioning to help you achieve greater enjoyment, you may be referred to a sex therapist.

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WebMD Medical Reference

Reviewed by Varnada Karriem-Norwood, MD on April 02, 2013

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