Premature ejaculation

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Coping and support

By Mayo Clinic staff

Many men who experience premature ejaculation feel frustrated and even ashamed. It may help you to know that this problem is common and often very treatable. Talk to your doctor if it's causing distress for you or your partner.

While you explore treatment options, consider lifting the pressure off the sexual side of your relationship. Some doctors recommend avoiding intercourse entirely for a short time and sharing other forms of physical pleasure and affection instead. Connecting in this way can help you re-establish a satisfying physical bond with your partner.

Taking the emphasis off intercourse can remove the worry about ejaculating too soon — and it can help lay the foundation for a more fulfilling sexual relationship.

References
  1. Lue TF, et al. Evaluation and nonsurgical management of erectile dysfunction and premature ejaculation. In: Wein AJ, et al, eds. Wein: Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007:756.
  2. Premature ejaculation. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Jan. 28, 2009.
  3. Waldinger, MD. Premature ejaculation: State of the art. Urologic Clinics of North America. 2007;34:591.
  4. McMahon CG. An evidence-based definition of lifelong premature ejaculation: Report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation. The Journal of Sexual Medicine. 2008;5:1590.
  5. Althof SE. Psychological approaches to the treatment of rapid ejaculation. The Journal of Men's Health & Gender. 2006;3:180.
  6. Park J, et al. Complementary and alternative medicine in men's health. Journal of Men's Health. 2008;5:305.
  7. Dhikav V. Yoga in premature ejaculation: A comparative trial with fluoxetine. The Journal of Sexual Medicine. 2007;4:1726.

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March 24, 2009

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