What is the correct method for Kegel exercises for men? And what are the methods to prevent premature ejaculation?
1.
I would like to ask the doctor if it is true that doing Kegel exercises regularly can effectively prevent premature ejaculation.
I currently have no experience, at most just self-stimulation, but I find that if I don't stop, I ejaculate in just a few minutes, and it comes out in a stream.
So, I am wondering if this qualifies as premature ejaculation.
2.
Is my method of performing Kegel exercises correct? When the penis is erect, should I contract it in a way that causes the penis to slightly rise, similar to the contraction felt during ejaculation?
3.
Should I practice the contraction and relaxation movements continuously, or should I hold for five seconds and then relax for five seconds, gradually increasing the duration? I am unsure which method is correct.
Some say I can practice stopping and starting while urinating, which I can do easily.
4.
Is it true that I can perform Kegel exercises just before ejaculation to make the sensation disappear? I find this impossible; as soon as I contract, I ejaculate.
Does this count as premature ejaculation?
5.
I also noticed that when I contract for 15-20 seconds in a relaxed state, my penis gradually becomes erect, and then I ejaculate without any physical stimulation.
The number of contractions during this process seems to be greater than when I masturbate.
Is this considered orgasm, and why does this happen? Does this count as premature ejaculation if I ejaculate after just one or two minutes of contraction?
6.
I have also observed that if I am contracting, even a slight touch on my penis can lead to ejaculation.
However, if I am in a relaxed state, I can last longer.
What could be the reason for this? Is it because the blood rushes to the glans during contraction, making it more sensitive?
7.
Should I see a doctor about this? Should I demonstrate my condition to the doctor, or are there other methods to test for premature ejaculation? Since I have no experience, I am not sure if the rule of ejaculating within one minute applies to me.
How would treatment proceed? Is it possible to avoid medication? Do all urologists teach patients how to control ejaculation? What methods are typically recommended?
8.
Are Kegel exercises the same as what martial artists refer to as "lifting the pelvis"? Why do they claim they can do this anywhere and anytime to retain energy in their bodies? They tell me to feel their glutes, which are very firm, but when I do Kegel exercises, my glutes are not firm unless I am actively lifting them.
My friends who frequently ride bikes or hike have firm glutes without needing to lift them.
9.
Lastly, why do I sometimes feel a burning sensation when urinating after consuming alcoholic beverages or after ejaculation? It feels similar to the burning sensation after eating spicy food, but it is not painful and goes away after a while.
Thank you very much for your answers, doctor.
I hope you can provide detailed responses as I am quite worried.
pp, 20~29 year old female. Ask Date: 2007/12/01
Dr. Lin Hexing reply Urology
Hello, sir: Thank you for your inquiry.
I would like to address your question and provide the following suggestions: I apologize, but I am unsure of the source of your information regarding Kegel exercises for the prevention of premature ejaculation.
Kegel exercises are not a treatment for premature ejaculation; they are designed to strengthen the pelvic floor muscles and are primarily used for treating urinary incontinence.
The behavioral treatment for premature ejaculation is the squeeze technique, which involves stopping stimulation of the penis or thrusting during the moment of impending ejaculation, and then withdrawing and squeezing the glans to suppress climax and ejaculation.
This method requires significant training to be effective.
Currently, the most effective treatments for premature ejaculation include: 1.
The use of selective serotonin reuptake inhibitors (SSRIs).
2.
The application of topical anesthetics.
As you mentioned from your own experience, Kegel exercises may inadvertently accelerate ejaculation; they are not a method for treating premature ejaculation.
It is possible to experience a burning sensation in the urine after ejaculation, especially after consuming irritant beverages, but this is not common and may vary based on individual sensitivity of the sensory nerves.
If you experience this sensation, I recommend drinking more water to dilute the urine and urinating within a short period, which can alleviate the symptoms.
Finally, I wish you peace and happiness!
Reply Date: 2007/12/01
More Info
Kegel exercises, traditionally associated with women, are indeed beneficial for men as well. These exercises focus on strengthening the pelvic floor muscles, which can lead to improvements in various aspects of sexual health and urinary control. Let's address your questions and concerns regarding Kegel exercises and their potential impact on early ejaculation and overall sexual performance.
1. Kegel Exercises and Early Ejaculation: There is some evidence suggesting that Kegel exercises can help men manage premature ejaculation (PE). By strengthening the pelvic floor muscles, men may gain better control over their ejaculation reflex. However, it’s important to note that while Kegel exercises can be part of a broader strategy to manage PE, they are not a guaranteed solution. If you find that you are ejaculating within a few minutes of stimulation, it may be indicative of early ejaculation, especially if this is a consistent pattern. Consulting a healthcare professional can provide clarity and guidance tailored to your situation.
2. Correct Technique for Kegel Exercises: To perform Kegel exercises correctly, you should focus on contracting the pelvic floor muscles, which can feel similar to the sensation of stopping urination. When you contract these muscles, you may notice a slight upward movement of the penis, which is normal. The key is to isolate the pelvic floor muscles without engaging the abdomen, thighs, or buttocks.
3. Frequency and Duration of Exercises: It’s generally recommended to perform Kegel exercises in sets. A common approach is to contract the muscles for 5 seconds, then relax for 5 seconds, gradually increasing the duration as you become more comfortable. You can do this multiple times a day. Some people find it helpful to practice during urination by stopping and starting the flow, but this should not be your only method of practice.
4. Using Kegel Exercises to Delay Ejaculation: While some men may attempt to use Kegel exercises to delay ejaculation during sexual activity, it can be challenging to execute effectively in the moment. If you find that you are unable to control your ejaculation even when trying to contract your pelvic muscles, it may be beneficial to explore other techniques or consult a professional for personalized strategies.
5. Erection and Ejaculation Response: It’s not uncommon for men to experience involuntary erections during Kegel exercises, especially if they are focusing on the pelvic floor muscles. This can happen due to increased blood flow to the area. If you find that you are ejaculating quickly during these exercises, it may be a sign of heightened sensitivity or arousal, which can be addressed through practice and possibly other techniques.
6. Sensitivity and External Stimulation: The increased sensitivity you experience when your pelvic muscles are contracted may be due to heightened blood flow and muscle tension in the area. This can lead to quicker ejaculation when stimulated. Understanding your body’s responses can help you develop better control over time.
7. Consulting a Doctor: If you are concerned about your sexual health or suspect you may have early ejaculation, it is advisable to consult a healthcare professional. They can provide a thorough evaluation and suggest appropriate treatments, which may include behavioral techniques, counseling, or medications if necessary. Not all urologists will focus on Kegel exercises, but many will offer strategies for managing ejaculation control.
8. Kegel Exercises and Athletic Training: The term "提缸" (ti gan) in martial arts refers to a similar concept of engaging the pelvic floor muscles. Athletes often emphasize core strength, which includes pelvic floor stability. The firmness of the buttocks can be influenced by various factors, including overall fitness and muscle engagement during physical activities.
9. Post-Ejaculation Sensations: Experiencing a burning sensation after ejaculation or urination can be due to several factors, including dehydration, irritation, or even dietary influences. If this sensation persists or is accompanied by pain, it’s essential to consult a healthcare provider to rule out any underlying issues.
In summary, Kegel exercises can be beneficial for men in managing premature ejaculation and improving pelvic floor strength. However, individual experiences may vary, and it’s crucial to approach these exercises with proper technique and realistic expectations. If you have ongoing concerns about your sexual health, seeking professional advice is always a wise step.
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