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Premature Ejaculation Solving the Problem



Every patient I have seen in forty years of practice presenting with the problem of premature ejaculation has tried distraction techniques and found them to be ineffective. This article looks at why these approaches should never be used to deal with premature ejaculation. Distraction techniques are employed to take your mind off the pleasurable physical sensations you experience during sex in order to prevent you from getting overly excited and ejaculating before you or your partner are ready. Men try these using these techniques quite naturally since it seems like a reasonable way to overcome the problem. By decreasing the stimulation you should be able to delay ejaculation. For some men, these techniques may in fact delay ejaculation for a few moments. Unfortunately there is a tremendous price to pay for those few seconds.

Many forms of distraction have been tried.

  • Thinking about something else – anything else! Repetitive things like counting backwards, unpleasant things like car accidents, people or things you don’t like, baseball statistics. The list is endless.
  • You can also distract yourself by making yourself physically uncomfortable. Digging your fingernails into the palm of your hand, biting your lip, clenching your teeth etc.
  • The use of one or more thick condoms can decrease sensation.
  • Sprays or creams can be purchased that contain anesthetics. Applied to the penis they will ‘freeze’ the nerves in the same way a dentist freezes your teeth.

There is even talk online of surgeons removing nerves in the head of the penis to decrease sensitivity. If this procedure is actually being performed, I personally believe those surgeons should lose their licenses. It sounds not unlike the barbaric practice of clitorectomy performed in some primitive African countries. All of the distraction techniques are designed to reduce the sensations you are receiving from your penis and they may do that. But, think about how crazy that is. You are having sex because it is enjoyable. You want to enhance sensation not decrease it. Unless you are altruistic enough to be having sex solely for your partne’rs satisfaction, you are defeating the purpose. So although it may delay ejaculation a bit, it is also decreasing your pleasure a lot.

Two other problems with using anesthetic sprays or creams are the result of these preparations being transferred to your partner. They can anesthetize her too which will reduce her sensation and pleasure. As well, she (or you) could have an allergic reaction resulting in weeks of pain, swelling and itchiness of the genitals.

In addition to the points just made, there is an even more important reason to avoid distraction techniques.

As pointed out in parts one and two of this series the solution to the problem of premature ejaculation lies in education not medication. No man is born with the ability to control ejaculation. It is something every man has to learn. Just as they had to learn to control bladder and bowel function. In order to learn to control ejaculation you have to learn to recognize the signals from your body which indicate that the ejaculatory reflex is about to be triggered.

You learn this in exactly the same way you learned to recognize the signals from your body that indicate the reflexes for urination and defecation are about to be triggered (you are about to urinate or have a bowel movement). That is what you learned when you were toilet-trained as a child.

Using distraction is the worst thing you can do. In order to learn you must pay close attention to the sensations not ignore them. Distraction techniques will make it virtually impossible to develop good control.