Posts Tagged ‘sex therapy’

Does Mind Over Body Delay Premature Ejaculation?

Premature ejaculation is a common sexual dysfunction found among men with infertility.

Between 50-75% of men with infertility report having problems maintaining an erection long enough to ejaculate.

Researchers have linked premature ejaculation to a variety of conditions, including anxiety, a malfunctioning ejaculation reflex, prostate disease, and chemical imbalances in the brain, as well as possibly to genetics.

Sex therapy can help couples with emotional issues about sex, and also teach “stop-start” techniques that help men learn more control.

While famous sex researchers Masters and Johnson reported early success with behavioral therapy, a new systematic review found it’s not so easy to teach men to control their bodies with their minds.

The new Cochrane Collaboration review of 4 trials involving 253 premature ejaculation patients finds the effectiveness of psychological interventions for the treatment of premature ejaculation to be “weak and inconsistent.”

Medical therapy may be a better way to go.

Selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft), paroxetine (Paxil), or fluoxetine (Prozac), can be effective in treating premature ejaculation.

That’s because one of the side effects of these drugs is to delay ejaculation.

A low dose of an SSRI several hours before sexual intercourse may be enough to improve a man’s symptoms.

However, SSRIs may have a negative impact on semen quality.

Studies at Weill Cornell Medical College in New York have shown that SSRIs can reduce semen volume and increase damage to the DNA in sperm, which is called DNA fragmentation.

Or you may prefer to use a topical anesthetic cream applied to the penis to delay ejaculation.

These creams contain lidocaine or prilocaine to dull sensations on the penis.

A man applies the cream just before intercourse and wipes it off when his penis has lost enough sensation to delay ejaculation, which can take up to 45 minutes, and puts on a condom.

However, some men and women say using topical anesthetic creams reduces their genital sensitivity and their sexual pleasure.

For fertility purposes, as long as the man is capable of ejaculating, the couple could also use artificial insemination to achieve a pregnancy.