It is a relatively taboo subject, like all problems related to sexual "performance". However, nearly a third of men are affected by a problem of premature ejaculation. After erectile dysfunction, it is the most common disorder encountered by men during their sexual life. Because it causes unsatisfactory sexual relations, sources of tension between partners, it is important to remedy the problem.
We speak of premature or premature ejaculation when ejaculation appears shortly after (or even sometimes before) penetration, before the individual wishes it and without the possibility of controlling it. If the patient's health is rarely in question, this disorder often leads to a feeling of frustration in both partners, which can cause tension in the couple. Namely, behavioral therapy, whether or not associated with drug treatment, can help delay ejaculation.
Specialists agree that this disorder is often linked to psychological causes:anxiety, intense stress or low libido can lead to faster ejaculation. Some also mention an increased sensitivity of the penis. On the other hand, it is rare for the problem to be of pathological origin – an inflammation of the prostate or a dysfunction of the thyroid can however favor its appearance. Note that premature ejaculation often goes hand in hand with erectile dysfunction - some men prefer to ejaculate as soon as possible for fear that their erection will fall.
The consultation with a urologist makes it possible to determine whether the premature ejaculation is primary — which means that it has been present since the beginning of an active sexual life, regardless of the partner — or secondary, occurring after a period of active sexual life. "normal". Note that at the beginning of sexual life, premature ejaculation is common due to lack of experience; a man should only worry about it if the problem persists over time and he and his/her partner suffer from it.
Apart from psychological support, simple exercises generally achieve good results. For example, 3 exercises to last in bed are particularly recommended:the first is to strengthen your perineum. How ? It is enough to interrupt you several times when you urinate, an act which solicits precisely this muscle. The perineum plays a role in sexual function, in maintaining erection and at the time of ejaculation:learning to relax the perineum helps delay ejaculation. And as with women, a stronger perineum prevents urinary incontinence. The advantages are therefore twofold.
Another reflex to adopt to last longer in bed:the squeeze technique. It consists of making a pressure point at the level of the perineum, between the scrotum and the anus, at the time of ejaculation, in order to block the exit of sperm. The muscles behind ejaculation contract, but the semen remains in the prostate and the penis remains erect. Finally, the last unstoppable technique to prolong the pleasure:change position during the sexual act. This for two reasons:on the one hand, certain positions are less stimulating than others, which will have the effect of delaying ejaculation; on the other hand, the change of position makes it possible to interrupt the act and therefore to bring down the level of excitement for a time.
If these exercises prove to be effective, behavioral therapy is still recommended in the event that the disorder has a psychological origin. Premature ejaculation can lead to loss of self-esteem and depressive symptoms, which in turn only exacerbate the problem. It is therefore important to talk about it as soon as possible with a health professional.
Premature ejaculation can also be successfully treated with tricyclic antidepressants (clomipramine) or selective serotonin reuptake inhibitors, such as fluoxetine, paroxetine, or sertraline; it should be noted that these treatments, which have been formulated to treat characterized depressive states, are often prescribed off-label (marketing authorisation), which means that they are not used in the context intended by their manufacturer. Dapoxetine, which arrived on the European market in 2013, is the first drug intended specifically for the treatment of premature ejaculation.
The use of a local anesthetic on the penis (in the form of a cream or a spray), or even the use of condoms, soaked or not in anesthetic products (generally lidocaine), can also help to delay ejaculation. .
Namely that a new wearable device to put an end to premature ejaculation was presented at the Consumer Electronics Show 2022 in Las Vegas. The device in question, a patch called Mor, is to be worn between the scrotum and anus during sex and allows the user to eliminate the urge to ejaculate with just the press of a button. The device is based on a wireless transdermal electrical neuromodulation unit, which delivers small electrical impulses on demand, directly to the genitals – immediately interrupting any desire to ejaculate. Market launch of Mor is planned for the first quarter of 2023.
