• March 14, 2016
  • by White Pharmacy under 
  • Wellbeing, White Pharmacy, Premature Ejaculation
  • Premature ejaculation (PE) is when a man’s orgasm happens shortly before or after penetration. Although there is no precise ‘time limit’ that defines PE, depending on different places and cultures, it mostly means lasting less than two minutes. Although PE is more common in men under 35, it generally happens when starting a new relationship. It can also occur as a result of a new experience or a stressful situation within the relationship when there are tensions and conflict.

    Why me?

    Unfortunately, the causes of PE are not fully understood. This is partly due to a lack of research data but also because of the underlying psychological factors, which make it difficult to identify a clear cause. It has been suggestedthat it could be due to psychological causes and/or oversensitive nerves at the end of the penis. In general therefore, it seems that a combination of different techniques and treatments works best for men suffering from PE. It is useful to understand that:

    • Some men may have conditioned themselves to ejaculate quickly in their adolescence (to avoid getting caught)

    • Some men may have become overly anxious with sex, because of a childhood trauma related to sex

    • There may be a cultural aspect too, especially if sex is considered inappropriate or shameful

    • Stress and depression are common causes of PE as are relationship issues, conflict and performance-related anxiety

    • An oversensitivity of the skin close to the tip of the penis – in which case numbing creams or gels can help.

    The impact of relationship issues

    Among the relationship issues that can give rise to PE are:

    • Difference in a couple’s sexual needs

    • Fear of high expectations

    • Anxiety concerning sexual satisfaction

    • Lack of communication

    Some men may also feel overwhelmed by what they consider sexually demanding partners and a lack of preparation for sexual intercourse.

    In turn, PE can easily lead to relationship issues. According to a study published in the Journal of Sexual Medicine 79% of women reported a low sex drive and sexual dissatisfaction when they were with a man who suffered with PE. However, it wasn’t the short time that having sex took, it was lack of consideration. Nearly half of women said the real problem was that their partners weren’t paying attention to their needs (like kissing and caressing) and instead were more focused on boosting their performance or duration.

    This research came from a study of over 1,400 women in three different countries (Italy, South Korea and Mexico). The women were asked to fill out questionnaires about their sexual and relationship satisfaction with men who climaxed too quickly (defined in this study as under two minutes). While the researchers only got the female point of view, these women perceived their partners to be focusing less on them and more on going the distance. They felt as though the men were so focused on holding out that they were skimping on the important stuff – like actually pleasing their partner.

    Interestingly, PE can even affect relationship satisfaction. 40% of participants reported feeling more satisfied as a couple if the man didn’t have this problem and about 20% of women said PE was a major issue in a relationship. Overall women in a relationship with a man who suffered from PE were much more likely to want a separation.

    “As with erectile dysfunction, women will need to adopt a gentle approach to talk about PE”, says sex expert Debby Herbenick Ph.D., author of Sex Made Easy: Your Awkward Questions Answered – For Better, Smarter, Amazing Sex.

    Herbenick suggests that you start by complimenting his bedroom skills, and slowly suggest some ways to make sex better for both of you – like extending oral sex on you or bringing him to the brink of an orgasm during masturbation and cooling off for a bit. You can also try condoms designed to reduce sensation to the penis and help him last a few more minutes.

    Looking at treatments for an answer

    Which treatment might be beneficial for you depends on what causes PE in your case. Priligy, available in tablet form with a prescription, is often used to help men with PE. It was originally developed as an anti-depressant but has been found to be effective in relieving the symptoms of PE.

    The other possible treatment for PE is an anaesthetic cream that simply numbs the penis thus reducing sensitivity and prolonging your orgasm.

    There is no need to suffer alone. The best way to handle sexual health matters, such as PE, is to work at it together. It needs sensitive discussion and a combined approach for a satisfactory outcome.

  • January 30, 2015
  • by White Pharmacy under 
  • Premature Ejaculation
  • Premature ejaculation can be upsetting and stressful; it can knock your confidence and put strain on relationships. However, it's also very common and can be handled. Below are our five top tips for dealing with it.

    1) Calm down

    Very often the root cause of premature ejaculation can be psychological and it's very easy to get into a cycle of fearing it will happen again, and this becoming a self-fulfilling prophecy. So, work to reduce your anxiety in this area. Meditation, hypnosis and imagery techniques - where you envision what you want to happen - can all be helpful in helping you to alleviate stress, and take mental control of the situation.

    2) Adapt your sexual technique

    If you think your premature ejaculation might be down to having an overly-sensitive penis, you could try using thicker condoms, or topical products that will slightly numb the sensation (although be aware that these may also affect your partner.) Other tips include avoiding penetration and focusing on other sexual play to take the pressure off, and using the stop-start technique, where you have intercourse until you're at the point of orgasm and then stop for 30 seconds, and repeat until you are ready to ejaculate.

    3) Practise on your own

    Not only can masturbating an hour or two before intercourse help delay ejaculation during sex, but masturbation is also a good opportunity to try techniques such as the stop-start technique above.

    4) Do your exercises

    Exercises known as Kegel exercises can help strengthen the pubococcygeus (PC) muscle, which is the muscle that contracts during orgasm. If your PC muscle is stronger, this can give you more control over when you climax. To locate the muscle, try tensing up to interrupt the flow when you're urinating - the muscle you're using is the PC muscle. Learning how to both pause the flow of urine, and to speed it up (what some call a reverse Kegel) and practising these movements regularly can help.

    5) Try medication

    The first drug in the UK to tackle premature ejaculation was launched in November 2013. Called Priligy, it was originally developed for treating depression but discontinued due to lack of efficacy. However, some of those taking part in the initial trials reported that it seemed to delay ejaculation and that was why it was developed for this use. It works by altering levels of serotonin in the brain, which should give men more control over ejaculation. We at White Pharmacy are here to help so please call, or send us an email, to speak to one of our UK based customer service team. This is a professional and confidential service. To read more about White Pharmacy and the service we offer, please visit our About Us page.