Premature Ejaculation Treatment
Men are frequently promised a one-stop solution to sexual and reproductive issues such as premature ejaculation and erectile dysfunction. Unfortunately, the problems are usually more complex and seldom have a “quick fix”. That’s because the ultimate goal of PE treatment is to gratify both the patient and his partner while also achieving long-term outcomes in their sex life. There are a multitude of premature ejaculation treatments available, from ICP to the squeeze method. But the true solution is a comprehensive strategy required for successful PE therapy, which no one treatment can supply. But there’s no need to worry, as premature ejaculation is treated in a step-by-step manner at Clinic for Him.
After confirming premature ejaculation symptoms but before recommending a specific treatment plan, we must adequately review your medical history to diagnose the underlying cause of Premature Ejaculation. Effective Premature Ejaculation treatment will help you gradually overcome sensitivity issues and performance anxiety frequently connected with PE.
Also, if you follow the treatment regimen, you will be able to control your ejaculation independently, with no additional therapy required.
During a physical exam, the ICP process is done by injecting a tiny amount of a predetermined combination of vasodilators into the spongy tissue of the penis while painlessly using an auto-applicator minutes before sex. The FDA-approved vasodilators are papaverine, phentolamine, atropine, and prostaglandin E1. The induced erection will happen after a few minutes of administration and feel completely natural. The main difference is that it does not disappear soon after ejaculation. The prescription combination is uniquely developed to allow the erection to endure between 30 and 60 minutes, regardless of the man’s mental state or the incidence of premature ejaculation. This treatment works dependably and predictably with an adequate dose, resulting in a great erection during sexual encounters that lasts until the medication’s effect wears off. ICP has been utilized around the globe for over two decades due to its confined effect and high success rate. It is a safe and extensively used therapy method for premature ejaculation and general erectile dysfunction since it has no risk factors.
The pause-squeeze technique is either retracting the penis or stopping the motion right before the so-called “point of no return” to delay ejaculation. The “squeeze” technique requires the sexual partner to squeeze the head of the penis again, right before the “point of no return” during sexual intercourse. These tactics need the partner’s constancy, patience, and constant support. The erection is lost once the ejaculation happens early, as it frequently does during the initial part of the practice, making it unable to continue. Due to this, it might be humiliating for the male and depressing for his companion the first time they try but do not succeed. However, with the correct instruction from a trained Sex Therapist, these strategies can be beneficial to regain your sexual function. Otherwise, they appear to be having minimal success.
Another option is Kegel exercises, or just Kegels, which are pelvic floor exercises that include repeated contractions of the pelvic muscles that govern urinary flow, improving the ejaculatory control that’s also aided by strengthening these muscles. One common way of finding the pelvic floor muscles and learning how it should feel to exercise them is by urinating and then suddenly stopping. The squeeze method essentially replicates this movement, helping a man have control over his ejaculatory reflex. This exercise, also called the pause-squeeze technique, has a limited effect on its own, but it can be boosted when paired with other treatments, such as ICP.
Local anesthetic products (such as lidocaine, prilocaine, and combinations) have been actively promoted. They are typically topical anesthetic creams with the goal of numbing the head of the penis and minimizing the penile feeling, lowering the possibility of uncontrollable and premature ejaculation. This approach aims to alleviate the hypersensitivity associated with Premature Ejaculation. The effect of anesthetic creams is modest in actuality, inconsistent, and only transitory because anesthetics do not address the psychological or behavioral aspects of Premature Ejaculation.
Moreover, making the penis numb prevents it from becoming accustomed to the experience of sexual stimulation. It would be nearly impossible for a man to learn control over ejaculation if he was unaware of the sensation. Local anesthetic use is further limited by its own anesthetic effect, which diminishes feeling on the penis and vagina, reducing enjoyment for both partners.
Selective Serotonin Reuptake Inhibitors (SSRIs)—sertraline, paroxetine, and fluoxetine— are the most often used CNS suppressants. The main goal of these suppressants is to correct a neurotransmitter imbalance in the brain involving serotonin levels. These medicines have an inhibiting effect on ejaculation as a side effect. These medications are not approved for the treatment of premature ejaculation; however, they are occasionally used off-label. Adverse effects include nausea, dry mouth, dry eyes, sleepiness, decreased libido, erectile dysfunction, and even cases of retrograde ejaculation. Isolated reports of more serious problems—such as mania and withdrawal symptoms, as well as potential medication interactions— have also been linked to SSRI use.
Innovative Oral Premature Ejaculation Pills: Imperex And Imperex Plus
Imperex contains two active substances, and Imperex Plus contains these two chemicals, as well as sildenafil.
Each active ingredient in these so-called premature ejaculation pills has been approved by the FDA and is listed in the US Pharmacopoeias. The usage of this new chemical is classified as “off label.” Imperex pills act by modulating specific receptors and central nervous system processes involved in the ejaculatory process, resulting in delayed ejaculation. It can entirely suppress the ejaculatory response at larger doses. Our team at Clinic For Him will determine if these premature ejaculation pills are the best option for you and make sure there are no unrealistic expectations with these pills.
Behavioral Therapy for Premature Ejaculation
In a few cases, behavioral therapy or psychological therapy might be an option to complement other treatment methods for premature ejaculation. Psychotherapy can help individuals address any underlying psychological issues or mental disorders that might be contributing to the sexual dysfunction problem.
This can include exploring and understanding any negative thoughts or beliefs that they might have about sex, any anxiety they might have about sexual performance or any relationship and emotional issues that may be affecting their performance. Additionally, therapy can help individuals develop behavioral techniques to manage or extend the time to ejaculation. This could include teaching them relaxation techniques, developing an awareness of their arousal level, and experimenting with different sexual positions or activities. Ultimately, through psychotherapy, individuals can gain insight into their own behavior and develop the skills to better manage the problem. Thus, behavioral therapy or psychological therapy can be an important part of treating premature ejaculation and can help individuals gain back control over their sexual performance.
Lifestyle Changes
As mentioned at the beginning, Clinic For Him will look at your medical history, sexual history, and lifestyle to first determine the best course of action. No treatment will work well if you’re lifestyle is contributing to premature or rapid ejaculation in your sex life. That means you will likely be told to avoid alcohol or any recreational drugs that might be interfering with ejaculatory control and the efficacy of drug treatment.
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