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Hold Your Fire!
by mike roger
Ever since the caveman invented the quickie—reputedly to avoid being mauled by a passing sabertooth while his backside was turned—sexual staying power has been a subject of some concern. But now that we have sabertooth-proof doors on our caves, the consensus is that you ain’t really making it unless you make it last. All the more irksome, then, that most of us will experience a lack of ejaculatory control at some point.
What is the definition of premature ejaculation? Frankly, there isn’t one. That is, it’s not a condition that can be truly defined by boundaries such as time, occurrence or even age. The famed Kinsey Report noted that nearly one-third of the American male population typically ejaculate within two minutes of penetration. And there’s nothing wrong with that—necessarily. Some of us are content with a brief bout of intercourse, and we have better halves who are only too happy for us to get off and then get off, please. But if your sexual timetable leaves you frustrated and your partner humming “Is That All There Is?,” you may want to get your control under control.
The first step is to pretty much forget all you ever heard about premature ejaculation. It is not the exclusive proclivity of the lazy, the careless or the selfish; in fact, fledgling studies are emerging that suggest some men are simply born with oversensitive and hyperactive orgasmic responses. Nor is premature ejaculation some sort of psychological disturbance that stems from an adolescent fear of being caught masturbating. While a so-called Victorian upbringing can contribute to control problems, so can pressures at work, a new baby at home or a deteriorating relationship.
Happily, control hurdles can almost always be conquered by simple mental and physical exercises. So if you move from thrill to spill faster than you’d like, don’t fret. There are solutions at hand.
Internal Affairs
“Of all the sexual maladies that can affect today’s male, premature ejaculation is the most easily treated,” asserts Bernie Zilbergeld, Ph.D., an Oakland, Calif.-based psychologist and author of The New Male Sexuality. “More than 90 percent of men who suffer from lack of ejaculatory control can overcome it within two to three months.” It’s a question of “interior focus,” he says. “Men who are good at ejaculatory control can’t account for this feat upon initial interview. However, when they concentrate more intently on their internal responses and technique, they are usually able to come up with specific, though subtle, behaviors they employ to maintain that control.”
Zilbergeld starts his clients out with sessions of guided imagery, then gives them masturbation techniques and, finally, exercises to be undertaken with a partner. At each stage, the idea is to become aware of the specific states of arousal and tension that lead to ejaculation, gaining more and more control through the understanding of interrelated reflexes and thresholds and the delay tactics that affect them. The process takes longer for men without steady partners, which is why Zilbergeld occasionally recommends the use of sexual surrogates.
Although it includes some of his own innovations, Zilbergeld’s “stop and go” program is based solidly on the work of pioneering sex therapists such as Masters and Johnson. However, he has discarded one of the most well-known approaches to the problem: the “squeeze maneuver,” where the head of the penis is pressed tightly just prior to ejaculation. “It’s not as effective as we once thought,” he explains. “Never mind that it can be painful, it doesn’t really instill the essence of internal control, and that’s what you’re aiming for.”
Pill Will
While the use of alcohol and other recreational drugs to “relax” a premature ejaculator almost always does more harm than good, certain medications have shown success in delaying orgasm. Low doses of Zoloft, Prozac and other antidepressants have proved an invaluable aid to men with more entrenched problems or for those in search of immediate assistance. “Increasingly, we are a pill-taking society, and many men today are looking for a quick fix,” says Allen Seftel, M.D., an associate professor of urology at Case Western Reserve University in Cleveland, Ohio. “These drugs have very few side effects, and they’re providing relief for most men who take them.”
Seftel also encourages the use of focus techniques. “Each man has his own individual circumstances, needs and goals that should be evaluated by a professional,” he says. And Zilbergeld cautions those who would rely solely on medication. “There is no demonstrated residual effect,” he observes. “Once you stop the drugs, you’re back to square one. Of course, even those who [only use the focus methods] can easily relapse if they don’t stay ‘tuned in’ to their own orgasmic process from time to time.” In turn, Seftel shares Zilbergeld’s optimistic prognosis. “Premature ejaculation is virtually never a marriage-buster,” he assures. “Virtually all couples work through this quickly and easily with a little practice as well as the right treatment approach.”
Article Suggested By: PEA editors
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