CBT, or cognitive behavioural therapy, commonly uses the 'stop-start technique' is a treatment for premature ejaculation. CBT attempts to change the man's thinking as well as his behaviour. The technique has been criticized for teaching the man unhelpful beliefs. The behavioural side of CBT focuses on de-sensitising the penis.
The man is told to masterbate alone and stop before climax. The man waits until the intense feeling subside then he will continue. This pattern is repeated four times when the man is allowed to ejaculate.
Once the man is 'used' to this he moves on to masterbating with a wet hand which is used to replicate the vagina. The same techniques are then applied.
The aims are to reduce sentisation of the penis by becoming used to the feelings associated with it. Because of the psychological, behavioural and mechanical components of PE this is a largely unsuccessful technique.
Pros;
It is a method that can be used without seeking a professional and one a man can use on his own. It does not use drugs.
Cons;
It is largely unsuccessful and does not address many of the core issues surrounding PE. The technique often teaches the wrong type of 'thoughts' and the technique does not accurately simulate sex.
Conclusion;
This is a method which a man can try on his own (and enjoy!) but the results are dissapointing in the short and long term with only minimal time being added to the length of sex.
Rating = 2/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
Thursday, 23 October 2008
PE treatment - 5: Drugs (pros and cons)
The most common drugs prescribed for PE are anti-depressants. They are typically taken before sexual intercourse. Anti-depressants work by altering the levels of serotonin (5-HT) in the brain. Anti-depressants also interfere with many other neurotransmitters and different drugs have different site-actions. Their influence on any one subject can vary greatly.
The most commonly prescribed anti-depressants for PE are Prozac, Lustral and Anafranil.
For drug specifics please see your GP.
A more recent drug named dapoxetine is related to prozac. The main difference with this drug is that it does not last as long as other anti-depressants. Dapoxetine was 45% successful in trials with results ranging from "fair" to "very good".
Results for anti-depressants vary. Some good results have been shown. It should be noted, that placebo trials have also shown good results. However in a few studies anti-depressants have been more significant to reduce PE than a placebo. In some cases men have reported an improvement in PE after stopping the medication.
Pros;
Some very promising results have been shown and this method shows better results than many of the other PE prevention techniques. You do not have to stop during sex like many of the other techniques. In some men PE has been reduced after stopping the anti-depressant method (although this may be due to an increase in confidence or a reduction in emotional stress and performance anxiety).
Cons;
Some cases produce failure to ejaculate. The type and dosage of any drug vary from person to person. Finding one that works and a dosage that works is generally a trial and error scenario. It may take some time before finding an anti-depressant which works.
The big downfall of anti-depressants are the side-effects. Nausea, vomiting, dry mouth, erectile dysfunction, weight gain, anxiety, and depression are just a few of the many side-effects associated with anti-depressants.
With the added task of having to get a doctor to prescribe drugs for PE many men don't choose this option. Some buy 'back-street' anti-depressants which should never be done.
Conclusion;
Anti-depressants appear to be effective in a large number of men. Their side-effects are a major problem and many people do not like taking drugs. Particularly when it effects brain chemicals. This is not the optimum solution as current drugs are not a permanent solution. A doctor should always be consulted if you consider anti-depressants.
Rating = 5/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
The most commonly prescribed anti-depressants for PE are Prozac, Lustral and Anafranil.
For drug specifics please see your GP.
A more recent drug named dapoxetine is related to prozac. The main difference with this drug is that it does not last as long as other anti-depressants. Dapoxetine was 45% successful in trials with results ranging from "fair" to "very good".
Results for anti-depressants vary. Some good results have been shown. It should be noted, that placebo trials have also shown good results. However in a few studies anti-depressants have been more significant to reduce PE than a placebo. In some cases men have reported an improvement in PE after stopping the medication.
Pros;
Some very promising results have been shown and this method shows better results than many of the other PE prevention techniques. You do not have to stop during sex like many of the other techniques. In some men PE has been reduced after stopping the anti-depressant method (although this may be due to an increase in confidence or a reduction in emotional stress and performance anxiety).
Cons;
Some cases produce failure to ejaculate. The type and dosage of any drug vary from person to person. Finding one that works and a dosage that works is generally a trial and error scenario. It may take some time before finding an anti-depressant which works.
The big downfall of anti-depressants are the side-effects. Nausea, vomiting, dry mouth, erectile dysfunction, weight gain, anxiety, and depression are just a few of the many side-effects associated with anti-depressants.
With the added task of having to get a doctor to prescribe drugs for PE many men don't choose this option. Some buy 'back-street' anti-depressants which should never be done.
Conclusion;
Anti-depressants appear to be effective in a large number of men. Their side-effects are a major problem and many people do not like taking drugs. Particularly when it effects brain chemicals. This is not the optimum solution as current drugs are not a permanent solution. A doctor should always be consulted if you consider anti-depressants.
Rating = 5/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
PE treatment - 4: The Masters-Johnson Method (pros andcons)
The Masters-Johnson method is a grip technique used by both partners during sex. It was developed by the American therapists Masters and Johnson. The aim of the technique is to re-train the penis to remove the desire to climax.
When the man is close to climaxing he tells his partner. The partner will place her (or his) thumb on one side of the erect penis (under side) and the index and middle fingers on the other. The index finger is just above the ridge of the head of the penis while the middle finger is just below the ridge. The partner will squeeze the shaft of the penis firmly until the desire to climax has been removed.
Over the course of several weeks to months the penis can be re-trained to 'last longer'.
Pros;
Results have shown some men have gone from lasting 30 seconds to half an hour. It is a safe technique which does not use chemicals or drugs.
Cons;
The Masters and Johnson grip needs to be demonstrated to you personally by an expert. Most couples who try to learn it from the Internet or a book get it wrong. Progress also needs to be monitored by a professional and unless it is part of an organized program it is unlikely to work. The technique takes time to master and takes a long time to work effectively. Ideally your partner needs to implement the technique which creates problems for single men. Sex is also troublesome during the training process due to the stopping and starting process. As a result sexual enjoyment is reduced and the desire for sex is decreased in the partner. In fact many partners are unwilling or keen to cooperate in the process.
Conclusion;
The masters-johnson method has shown some promise and good results. Its main pitfalls are the time taken and organization needed to make it an effective strategy. The frustrations of both partners may be evident due to the constant interruption of the technique during intercourse.
Rating = 6/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
When the man is close to climaxing he tells his partner. The partner will place her (or his) thumb on one side of the erect penis (under side) and the index and middle fingers on the other. The index finger is just above the ridge of the head of the penis while the middle finger is just below the ridge. The partner will squeeze the shaft of the penis firmly until the desire to climax has been removed.
Over the course of several weeks to months the penis can be re-trained to 'last longer'.
Pros;
Results have shown some men have gone from lasting 30 seconds to half an hour. It is a safe technique which does not use chemicals or drugs.
Cons;
The Masters and Johnson grip needs to be demonstrated to you personally by an expert. Most couples who try to learn it from the Internet or a book get it wrong. Progress also needs to be monitored by a professional and unless it is part of an organized program it is unlikely to work. The technique takes time to master and takes a long time to work effectively. Ideally your partner needs to implement the technique which creates problems for single men. Sex is also troublesome during the training process due to the stopping and starting process. As a result sexual enjoyment is reduced and the desire for sex is decreased in the partner. In fact many partners are unwilling or keen to cooperate in the process.
Conclusion;
The masters-johnson method has shown some promise and good results. Its main pitfalls are the time taken and organization needed to make it an effective strategy. The frustrations of both partners may be evident due to the constant interruption of the technique during intercourse.
Rating = 6/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
PE treatment - 3: Special condoms (pros and cons)
Condoms in general can reduce sensitization a little due to the latex which covers the penis to reduce premature ejaculation. Some condoms are coated with an anaesthetic which works similarly to the anaesthetic gel described in my previous post. The local anaesthetic is called benzocaine and is used in the 'long love condom'.
Pros;
Does not reduce the sensitization of the partner any more than a regular condom. A few patients have reported longer lasting sex. Using a condom reduces the risk of STDs and pregnancy.
Cons;
Reduces the sexual enjoyment by reducing sensation. Has only acheived positive results in a small number of cases. Some people may be sensitive to benzocaine producing redness, itchiness and soreness. Unsuitable for those who do not like condoms.
Conclusion;
A more mainstream available solution but only works in a limited number of cases with minimal increases in duration of sex. Sensitivity to benzocaine is an issue while reduced penile sensation reduces overall enjoyment of sexual intercourse.
Rating = 3/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
Pros;
Does not reduce the sensitization of the partner any more than a regular condom. A few patients have reported longer lasting sex. Using a condom reduces the risk of STDs and pregnancy.
Cons;
Reduces the sexual enjoyment by reducing sensation. Has only acheived positive results in a small number of cases. Some people may be sensitive to benzocaine producing redness, itchiness and soreness. Unsuitable for those who do not like condoms.
Conclusion;
A more mainstream available solution but only works in a limited number of cases with minimal increases in duration of sex. Sensitivity to benzocaine is an issue while reduced penile sensation reduces overall enjoyment of sexual intercourse.
Rating = 3/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
PE treatment - 2: Anaesthetic gel (pros and cons)
There are gels available advertised to 'damp down' sexual sensation in the penis. This works by administering anaesthetic to the shaft of the penis shortly before intercourse. This 'numbs' the nerves to lessen sensation thus delaying excitement and the ejaculatory threshold.
Pros;
Works in a limited number of men. Reduces the sensation in the penis which prolongs intercourse.
Cons;
Interrupts the 'mood' of sex as the gel has to be applied before intercourse. The gel works for only a small number of men and duration of sex may only be lengthened by only a few minutes.
The gel dulls the sexual sensations for your partner. It can also cause a distressing skin reaction in either partner, with intense itching, redness and soreness.
Conclusion;
While extending sex for a few minutes the gel has the ability to produce undesirable side-effects and can greatly reduce sexual enjoyment for both partners.
Rating = 2/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
Pros;
Works in a limited number of men. Reduces the sensation in the penis which prolongs intercourse.
Cons;
Interrupts the 'mood' of sex as the gel has to be applied before intercourse. The gel works for only a small number of men and duration of sex may only be lengthened by only a few minutes.
The gel dulls the sexual sensations for your partner. It can also cause a distressing skin reaction in either partner, with intense itching, redness and soreness.
Conclusion;
While extending sex for a few minutes the gel has the ability to produce undesirable side-effects and can greatly reduce sexual enjoyment for both partners.
Rating = 2/10
Please visit my other posts for more information on premature ejaculation, treatment, causes and tips for longer and better sex.
Menshealthinfo provides a great site on PE and the best treatment available.
PE treatment - 1: Distraction Technique (pros and cons)
The distraction technique is a familiar and well known technique. During sex the man would switch his thoughts to something non-sexually related or concentrate on something in the room.
This might include doing maths sums in your head, making your weekly shopping list or staring at the flowers beside the bed.
Pros;
This method works in a few cases. May extend sex for a few seconds to a few minutes.
Cons;
Limited success. It only works in the short-term and is not a long-term or permanent solution. It may be extremely difficult to concentrate on other things during sex. Strength of erection may be reduced and may lead to loss of erection. Sexual enjoyment is inevitably reduced (defeats one of the main purposes of sex!).
Conclusion;
A very limited technique and not recommended. May work for men without PE in cases of sexual nervousness.
Rating = 2/10
Please visit my other posts for more information and PE prevention reviews. Or visit THIS LINK to an excellent and #1 PE prevention programme.
This might include doing maths sums in your head, making your weekly shopping list or staring at the flowers beside the bed.
Pros;
This method works in a few cases. May extend sex for a few seconds to a few minutes.
Cons;
Limited success. It only works in the short-term and is not a long-term or permanent solution. It may be extremely difficult to concentrate on other things during sex. Strength of erection may be reduced and may lead to loss of erection. Sexual enjoyment is inevitably reduced (defeats one of the main purposes of sex!).
Conclusion;
A very limited technique and not recommended. May work for men without PE in cases of sexual nervousness.
Rating = 2/10
Please visit my other posts for more information and PE prevention reviews. Or visit THIS LINK to an excellent and #1 PE prevention programme.
How do I stop/cure premature ejaculation (PE)? - Types of treatment
There are a lot of treatments available. Some delay climax, some reduce sensitivity, some distract the mind, others 're-train' the penis, others train the mind, use drugs, gels or devices.
Most methods for stopping PE simply don't work. Some delay climax for a few seconds or few minutes but don't put an end to PE. A lot require stopping during sex or applying techniques which break the flow of sexual activity. The use of drugs are dangerous due to their potent side-effects and many online programs are just scams.
The type of treatment you receive should be based on the cause of your PE and the level of your PE (information can be found in my previous posting "What level is your premature ejaculation (PE)?"). If your PE is caused by performance related anxiety, for example, then you should tackle your anxiety and avoid anti-depressants.
The main treatments for ending PE are;
Please also visit my other posts for causes of PE, treatment, techniques, tips and for a review of the Recovery Center Programme.
Most methods for stopping PE simply don't work. Some delay climax for a few seconds or few minutes but don't put an end to PE. A lot require stopping during sex or applying techniques which break the flow of sexual activity. The use of drugs are dangerous due to their potent side-effects and many online programs are just scams.
The type of treatment you receive should be based on the cause of your PE and the level of your PE (information can be found in my previous posting "What level is your premature ejaculation (PE)?"). If your PE is caused by performance related anxiety, for example, then you should tackle your anxiety and avoid anti-depressants.
The main treatments for ending PE are;
- Distraction
- Anesthetic gel
- Special condoms
- Masters-Johnson Method (grip technique)
- Drugs
- CBT (stop-start technique)
- Re-training the muscles
Please also visit my other posts for causes of PE, treatment, techniques, tips and for a review of the Recovery Center Programme.
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