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    Behavioural techniques for treating premature ejaculation

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    1. 1. Squeeze technique
    2. 2. Stop-start technique
    3. What should I do if these techniques don’t work for me?

    There are various techniques and treatments used to stop premature ejaculation. Lots of people try behavioural techniques (also known as “self control “techniques) to help them manage the condition. 

    We have listed the two most common behavioural techniques for preventing premature ejaculation below. The techniques are intended to be used by a couple to help the man to ‘unlearn’ the habit of premature ejaculation.

    1. Squeeze technique

     

    Premature ejaculation squeeze technique - Picture

    Aim of the squeeze technique
    This involves squeezing the end of the penis when you are just about to ejaculate. Doing this  will help you to learn to recognise the “point of no return”, i.e. the point when ejaculation is inevitable and can’t be stopped, no matter how hard you try.  Recognizing how this feels and “doing the squeeze” just before you reach that moment can delay ejaculation. This will take time, but practice makes perfect!
    How to use the squeeze technique
    After practicing for a couple of times, you will be able to get a feel of what works best for you. In general the squeeze technique works best if you follow these steps:

    • Moments before you think you are going to ejaculate, yourself or your partner squeezes the head of your penis. You can place your thumb either under or above the penis (see diagram above).
    • Maintain the squeeze for 10 to 20 seconds until you feel your impulse to ejaculate pass. After you release the squeeze, wait for around 30 seconds, before returning to stimulation. You may find that your penis becomes less erect during this period – this is normal.
    • For optimal results, this process is carried out several times before ejaculation is allowed to occur.

    It can also be helpful to practise the squeeze technique whilst masturbating.

    2. Stop-start technique

    Aim of the stop-start technique
    By stopping sex or reducing stimulation when you feel you are just about to ejaculate, your impulse to ejaculate will be reduced. This works in a similar way to the squeeze technique, in that the more you practise this technique, the more confident you will feel about delaying ejaculation. Over time, you should be able to build control during sex without stopping.

    Practising the stop-start technique when masturbating
    As with the squeeze technique, it can be helpful to practise the stop-start technique when masturbating. Some men find it helpful to masturbate almost to the point of ejaculation and then to stop. Repeating this two or three times before ejaculating can help build control.

    What should I do if these techniques don’t work for me?

    The first thing to remember is not to worry. Premature ejaculation is one of the most common types of sexual dysfunction amongst men, and can be due to multiple factors, including psychological causes. Worrying about your condition, therefore, can increase your emotional stress and this could in turn make your PE worse.

    The best thing to do is try to work out what the root cause of your PE is, enabling you to make a decision about the best way to treat it. If you have tried behavioural techniques and found they haven’t worked, then seeking medical help might be the next best step. 

    One place to start is consulting a GP or one of clinicians. Here at Online Doctor we can prescribe both a local anaesthetic cream (EMLA) and a tablet (Priligy), both of which can help prevent premature ejaculation. Medicines such as Priligy and EMLA do not provide a permanent solution for PE, however using one of them in combination with behavioural techniques may help to provide a longer term solution.

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