Zhonghua Nan Ke Xue. 2009 Oct; 15(10): 929-31
Chen GH, Song SQ, Zhang YQ

OBJECTIVE: To investigate the clinical efficacy of psycho-behavior therapy for premature ejaculation (PE). METHODS: A total of 58 PE patients that met the study criteria were treated by psycho-behavior therapy, 2-3 times a week, for a 6-time course. After the treatment, the therapeutic effect was assessed by observation of the changes in the patients’ CIPE-5 scores. RESULTS: The rates of cure, effectiveness, ineffectiveness and overall effectiveness were 46.55% (27/58), 32.76% (19/58), 20.69% (12/58) and 79.31%, respectively. The CIPE-5 scores of the patients were elevated from 7.97 +/- 2.30 before the treatment to 22.50 +/- 6.64 after it, and the differences were statistically significant. The psycho-behavior therapy obviously prolonged the ejaculation latency of the patients, increased the sexual satisfaction of both the patients and their spouses, lessened the patients’ sexual anxiety and nervousness, and decreased the difficulty in retarding ejaculation, with statistically significant differences from pretreatment. CONCLUSION: Psychobehavior therapy has remarkable therapeutic effect on premature ejaculation.

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Premature ejaculation is probably one of the most frustrating thing to happen to a man and his sex partner. Even before she can say "Oh My God!", you are already done. Not a very nice situation since both of you do not get to really enjoy the pleasures of sex.

Why does a man reach orgasm so much faster than a woman? Some men can hit a sexual climax in 1-2 minutes while most women need at least 10 minutes to work up a steam. The reasons are many :-

1. Its a natural thing. The male sex organs are external and more easily stimulated whereas the female genitalia is internal and harder to reach. That could be a reason.

2. Psychological factors can also bring about premature ejaculation in men. Some of these are guilt, anxiety (lack of experience), or fear of STDs, fear of pregnancy, etc.

3. Inexperience in controlling orgasm. Older, more experienced men are known to be able to last longer in bed. And this is not a coincidence either.

Now the question is : how can you prevent or stop premature ejaculation? Is it even possible? As mentioned above, older men are more able to control their orgasms so it is definitely possible to develop better sex stamina.

One way to prevent early ejaculation is to control your PC (pubococcygeus) muscle. The PC muscle is mainly involved with male sexual functions such as ejaculation and is the primary "sexual muscle" that forms part of the pelvis. With regular control exercise, the PC muscle can prevent premature ejaculation, give you harder and bigger erections, power up your ejaculations and climaxes.

Here is how to locate the PC muscle – urinate and then stop the flow midway. What happens? You have just used the PC muscle to stop the flow of your urine! The PC muscle is located somewhere between the anus and scrotum, is the one you contract when you try to stop the flow of your urine.

The PC muscle can also stop early ejaculation like it stop urine. But you need to practise and exercise this important muscle in order to use it properly. To exercise your PC muscles, :-

1) Clench and release the muscle in ten-second intervals. Do this three times.

2) Take a breather.

3) Now, try the clench-and-release technique for five seconds. Do ten sets of this exercise.

4) This time, tighten the muscle for 30 seconds and relax for 30 seconds. Do three sets of this.

Famous porn stars, with explosive orgasms, are said to perform these exercises routinely. If they can, so can you. It is not that difficult and can be done anywhere. Just remember to do it regularly like daily.

So, there you have it. The way to last longer in bed – have the sex stamina of a marathoner – is to control the PC muscle.

The next time you and your partner have sex, try to go inside her and pause for awhile. Freeze for several seconds; then try tightening and relaxing your PC muscle as per the exercises above.

Of course, if you are too lazy to practise the PC muscle, there are alternatives like creams, gel and pills that can also help you delay orgasms.

Gary T is the owner of http://www.AdultPenisGuide.com, a website dedicated to helping men improve their sex life. Get free adult ebooks, articles, reviews and resources plus read this special review of a top remedy for premature ejaculation .

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The expression "premature ejaculation" can be interpreted in various ways, because it’s relative. Taking place within minutes does not cause anything tie-up in a relationship as long as the partner herself had orgasm too, but an ejaculation can be premature even after a long lasting sex, if her orgasm occurs later.

A friend of mine said so rightly once: expectations concerning a men’s performance in bed, can be compared to a dinner of a couple, which becomes perfect if they finish their meat simultaneously, they digest it together and also they use toilet in the same time.

Putting the joke away, premature ejaculation is being indeed around. The unpleasant form of it is the ejaculation "ante portas" (ejaculation before the gate), when ejaculation occurs before penetration.

Premature ejaculation, when the ejaculation comes quickly (within seconds or minutes) can be categorized in two types: the originally existing and the subsequently formed one.

Normal ejaculations take place when, inside your body due to sexual excitement glands are triggered, to begin a smooth release of human chemicals (hormones) into your blood stream. To understand the process we have to know that ejaculation can happen as a result of stimulation of the glans (penis head), either without erection or with semi-erection, if sexual excitement and the hormone production becomes too strong. As the body becomes "over stimulated" the penis head becomes extra sensitive and the poor man ejaculates almost immediately. There is absolutely no control.

The subsequently formed premature ejaculation is frequently associated with evolving erectile dysfunction. In this case the patient concentrates to maintain his erection, sexual excitement becomes stronger, the body becomes "over stimulated" and all these leads to premature ejaculation.

Possible causes:
- Psychic causes
- Innervation disorder (increased state of excitement)
- Inflammations (prostate, genitals)

How to cure premature ejaculation?

If we oppose inflammatory symptoms, the ejaculation will return to normal after proper medical treatment. If the cause is the above-mentioned evolving impotence, we have to treat the erectile dysfunction, which nowadays is perfectly remediable. More difficult is to cure the originally existing premature ejaculation because in this case the nervous system is need to be adjusted; fortunately more opportunities are arising this time too. One of these is the reduction of the stimulus using condoms, anesthetic gels or sprays. The last two options are contraindicated, because using these kinds of products both male and female sex organs, after contact becomes insensitive as well, leading to an un-enjoyable bed exercise.

There are medicines used in minor depression for rising the patient’s moral, which has few side effects, and usually one of these is the delayed ejaculation. Onto lengthening sexual intercourse and curing premature ejaculation Last Longer sex pills were proved well suitable.

Adam Kalloh is an associated editor to the website http://www.last5longer.com . He is committed to provide visitors with complete information on premature ejaculation and its treatment.

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The three most common sex positions that involve the woman being in control of the action are, of course, her on top facing you (cowgirl), her on top facing away from you (reverse cowgirl) and doggy style.

Doggy style might at first seem like a position in which the man is in control, but in reality, quite often the girl will start to move backwards and forwards, and well, you get the idea. She takes control and the guy stands or kneels as the action goes on. So, with these two positions in mind, how do you control your stimulation levels without stopping the action? Well, you don’t. You use the Distract and Direct technique. Here’s how. Let’s say your partner is on top of you, in cowgirl. She’d riding you and it’s all good. Then you start to feel yourself moving rapidly up the stimulation scale, past a 5 and towards a 7.

To clarify, the stimulation scale is something you can use in your head to identify how stimulated you are and therefore how close you are to reaching your climax. 0 is not stimulated at all. 3 is somewhat stimulated but still in total control. 6 is where you really start to feel stimulated. If you carried on with this level of stimulation, you’d rise to the next number on the scale: 7. 7 is where you’re very sexually stimulated. When you go above a 7 on the stimulation scale, you get close to the point of no return which is a 9. Passing the point of no return means you’re definitely going to ejaculate, no matter what you do.

By the time you reach 7 on this scale, you want to know that you’re going to be able to adjust the action in a such a way that will allow you to slowly bring your stimulation level back down. Here’s how. She’s riding you and has been doing so for a minute or two. You reach 7 on the scale. You say to her, "That feels so good. Come here, I want to kiss you." She’ll then bend down to kiss you, so instead of sitting up straight, she’s now on top of you, with her head near yours and her chest pretty much parallel to your torso. Start kissing her and slowly take over the action. Because she’s leaning forward so much, she’ll naturally stop or vastly slow down the amount of bouncing and grinding she’s doing.

You can now place your hands on her rear and take over the thrusting AT YOUR OWN SPEED. This gives you the chance to get back to where you want to be on the stimulation scale. So, kissing her is the distraction and taking over the thrusting and movement is the direction. When you’re ready for her to start again, stop kissing her and bring your hands back to your sides. She’ll naturally sit up again and take over once more. There’s no agreement or discussion here – it just works by itself because of the change in body positions. Now let’s imagine you’re in doggy and she’s controlling the back and forth movement. You realise you’re around the 7 mark on the scale.

You need to distract and direct. Distract by leaning forward a little, reaching around her waist and rubbing her clit. This will make her slow down her movement. Now slowly begin to take over the thrusting, until you’re going at a fair speed. At which point, lean back so you’re vertical again and carry on. When you’re ready for her to take over once more, stop thrusting and she’ll feel a natural urge take control again.

The Distract and Direct technique works so well because the girl always feels like she’s the one controlling the action, even when – for a minute or two – you take over. She doesn’t realise this happens because she gets distracted by kissing or rubbing or something. Before she knows it, she’s back controlling the action. This makes sex feel two-way, shared and therefore damn good, for you and for her.

For more tips on how to control premature ejaculation, please visit the How To Last Longer Having Sex Blog at http://how-to-last-longer-having-sex.blogspot.com/

Article Source: ArticleSpan

If you suffer from premature ejaculation and want to remove it from your sex life, the first thing you must do is ascertain how much of a problem it is for you. Which of the following sums up most closely how long you can last in the sack?

* Less than one minute
* Between one minute and two minutes
* Between three minutes and five minutes
* Between five minutes and ten minutes
* Always under 15 minutes

The higher your choice is on that list, the worse your problem with premature ejaculation is. But that’s okay, in fact, it’s a good thing. You now know what you’re dealing with. Now you need a technique to tackle the problem. The triple "S" technique is a perfect method to start with. Here’s how it works.

When you have sex with your partner, it starts out fine. You’re enjoying it and able to control your stimulation levels. However, as you continue, your stimulation levels grow rapidly and start to get out of hand. Finally, they get too high and make you ejaculate too quickly. The key to solving the problem is taking action before the process just described can complete itself. Here’s how.

Start having sex as normal. Carry on until you feel your stimulation levels growing to a point at which you know they’re becoming unmanageable. You now need to use the first "S" of this technique: slow down. It’s simple and easy. Just slow down the speed of your thrust action. Also alter the depth of your strokes, to make the penetration less intense.

Once your stimulation levels have dropped to a more manageable level, you can increase the speed and depth of your strokes again. Continue for as long as it takes for your stimulation levels to get out of hand once more. It does’t matter if this is 30 seconds or 3 minutes after you applied the first "S". Now you’re going to apply the second "S", which is "stop".

Stop the motion completely and deflect your attention onto another part of your partner’s body. Rub her cl*t, kiss her lips, massage her back…do whatever you want until your stimulation levels have dropped once more. When they’re back to normal, initiate penetration again. Keep going until you’re getting close to the edge. By this point, you’ll probably notice that even slowing down or stopping aren’t going to allow you to continue for much longer.

You need to apply the final "S", which is "squeeze". When your stimulation levels soar and push you close to the point of no return, withdraw your penis from your partner and squeeze it hard at the end, right on the head. This sounds a little brutal, but it really isn’t. Squeeze and pinch it until you feel the sensations subside, then carry on having sex.

By using all three of the S’s of this technique, you can effectively extend your sexual performance by up to 7 minutes…the first time you try it. Just imagine what the application of other sexual stamina building techniques could do for you.

For more answers to the question: how do I stop premature ejaculation, please visit the How To Last Longer Having Sex Blog at http://how-to-last-longer-having-sex.blogspot.com/

Article Source: ArticleSpan