Advice on preventing premature ejaculation
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Premature ejaculation is where the male ejaculates too quickly during sexual intercourse. The problem is common in the UK, a new survey suggests. LloydsPharmacy Online Doctor recently surveyed over 1000 Britons about their experiences of sex and 16 percent of respondents reported experiencing premature ejaculation. While it is easy to grow despondent, there are simple fixes for premature ejaculation.
According to doctor Sameer Sanghvi, Clinical Technology Lead at LloydsPharmacy Online Doctor, masturbating prior to having sex can resolve issues.
He explained: “Some people may find masturbating a couple of hours before they have sex can help improve performance – it can help you de-stress and may allow you to go on for longer when you do have sex with a partner.”
According to doctor Sanghvi, exercise before sex can also help relieve performance stress by releasing endorphins, which can improve your mood and reduce stress.
“Exercise can also make all your muscles perform better too which can help during sex.”
Adapting to your current circumstances can also give you a sexual boost, he said.
“If you haven’t been sexually active for a while and feel out of shape – which may be triggering your concern, you could come up with a sexual routine that is less physically intensive, such as side-by-side or extended foreplay.”
Doctor Sanghvi continues: “Equally, if you’re concerned that you’re not pleasing your sexual partner, be direct and ask what pleasures them, this will give you newfound confidence and knowledge.”
Certain causes of premature ejaculation also require a more specialist response.
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For example, premature ejaculation is also “found to be highly prevalent in people living with diabetes compared to those that are not”, explained doctor Sanghvi.
He explained: “This can be due to poorly controlled blood sugar levels causing damage to the nerves, which control muscles for sexual arousal, and damage to the blood vessels, which reduces blood flow for sexual activity.”
Taking steps to reduce the risk of type 2 diabetes may also improve sexual performance.
“Regular exercise, along with a good diet can reduce the risk of type 2 diabetes and in fact also help to reduce the risk of premature ejaculation,” noted doctor Sanghvi.
Other treatment options
According to the NHS, selective serotonin reuptake inhibitors (SSRIs) can be used if self-help techniques do not improve the problem.
SSRIs are mainly used to treat depression, but one of their side effects is delaying ejaculation.
“Dapoxetine is an SSRI specifically designed to treat premature ejaculation. It can be used ‘on demand’,” explains the NHS.
“You’ll usually be advised to take it between one and three hours before sex, but not more than once a day.
What’s considered “premature”?
A study involving 500 couples found the average time for ejaculation was about five-and-a-half minutes after starting sex.
This time could be longer for men who have sex with men.
International guidelines define premature ejaculation as regularly ejaculating within one minute of entering your partner.
“However, it’s up to you and your partner to decide if you’re happy with the time it takes you to ejaculate,” adds the NHS.
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