How to Prevent and Manage Premature Ejaculation: Tips and Resources - Urology

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Premature ejaculation (PE) is a common sexual dysfunction that affects many men at some point in their lives. It is characterized by ejaculation that occurs sooner than desired, either before or shortly after penetration, leading to distress for both partners. Understanding how to prevent and manage this condition is crucial for improving sexual satisfaction and overall quality of life.


Understanding Premature Ejaculation
PE can be classified into two types: lifelong (primary) and acquired (secondary). Lifelong PE occurs from the first sexual experience, while acquired PE develops after a period of normal sexual function. The causes of PE can be multifactorial, including psychological factors (such as anxiety or stress), biological factors (such as hormonal imbalances or neurological conditions), and relationship issues.


Tips for Prevention and Management
1. Behavioral Techniques:
- Start-Stop Technique: This involves stimulating the penis until you feel close to ejaculation, then stopping until the urge decreases. Repeat this process several times before allowing ejaculation.

- Squeeze Technique: Similar to the start-stop method, but involves squeezing the base of the penis to reduce the urge to ejaculate.

2. Pelvic Floor Exercises:
- Strengthening the pelvic floor muscles can help improve control over ejaculation. Kegel exercises, which involve contracting and relaxing the pelvic muscles, can be beneficial. To perform Kegels, identify the muscles you use to stop urination, contract them for a few seconds, and then relax. Aim for three sets of 10-15 repetitions daily.

3. Desensitizing Products:
- Over-the-counter creams or sprays containing numbing agents (like lidocaine or benzocaine) can help reduce sensitivity and delay ejaculation. However, use these products cautiously and follow the instructions to avoid transferring the numbing effect to your partner.

4. Communication with Partner:
- Open discussions with your partner about sexual preferences and concerns can alleviate anxiety and improve intimacy. This can also help both partners understand each other’s needs better.

5. Mindfulness and Relaxation Techniques:
- Practices such as meditation, deep breathing, or yoga can help reduce anxiety and improve focus during sexual activity, which may help in managing PE.

6. Professional Help:
- If self-help strategies do not yield satisfactory results, consulting a healthcare professional is advisable. A urologist or a sexual health specialist can provide tailored advice and treatment options. They may suggest therapy, medications (like selective serotonin reuptake inhibitors), or other interventions based on individual needs.


Seeking Medical Help in Taipei
If you are located in Taipei and wish to consult a doctor regarding premature ejaculation, you can consider visiting the following hospitals and clinics known for their urology and sexual health departments:
1. National Taiwan University Hospital: This is one of the leading hospitals in Taipei, offering comprehensive urological services.

2. Taipei Medical University Hospital: Known for its focus on sexual health and urology, this hospital provides specialized care.

3. Chung Shan Medical University Hospital: Offers a range of services, including sexual health consultations.

When visiting a healthcare provider, be prepared to discuss your symptoms openly, including the duration and frequency of the issue, any psychological factors, and your overall health history. This information will help the doctor provide the most effective treatment plan.


Conclusion
Managing premature ejaculation involves a combination of behavioral techniques, communication, and possibly medical intervention. By taking proactive steps and seeking professional help when necessary, individuals can significantly improve their sexual health and relationship satisfaction. Remember, you are not alone in this, and many resources are available to help you navigate this common issue.