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‘Squeeze’ and ‘Stop and Start’ Techniques for PME

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Over the last two weeks we have been looking at the topical issue of premature ejaculation or PME. We have already established that PME is a largely psychological disease, grounded in genetics and learned behavior. We established that treatments like circumcisions and use of local anesthetics work temporarily but they are usually not a permanent solution.{{more}} I have emphasized the use of counselling or psychotherapy as the basis of all successful long term treatment, but have also looked at the limitations of a lack of counselors or the attitude of men towards counselling and just wanting a “pill to fix the problem.”

This week, I will look at two popular “natural” physical methods used to treat PME that have had long-term success. These are “the squeeze technique” and “the stop and start technique”.

The squeeze technique involves squeezing the penis just behind the head just before the man “comes”. This teaches the man to learn to delay ejaculation. It is usually done by sex therapists with his partner either present and looking or actually participating. Basically, the couple engages in sexual intercourse (obviously this can be done in the privacy of your bedroom). Just before the man comes, he withdraws or stops masturbating and squeezes the head of the penis. This causes a delay in ejaculation, unless he waits too late before he stops exciting himself. The repeated “teasing and squeezing” helps him to develop control and hence treats his PME. The technique is very successful if practised properly, but as you would expect it depends on a very patient partner.

The second technique called “the stop and start method” is like the squeeze technique except that the man withdraws or stops masturbating before he “comes”, waits for a period of time before he reinserts and starts re-exciting his partner. This is repeated several times until his partner is satisfied, then he allows himself to “come”. The period of insertion can coincide with for example the number of “strokes” or the number of seconds elapsed or just the feeling of “coming”. Likewise the stop period can be a predetermined time in seconds or when he feels he has controlled his feeling of “coming”. Both these techniques are effective if practiced with a cooperating partner over a period of time and in a trusting environment. This helps to reinforce the point that PME is a relationship issue and can recur if the man changes partners. In other words, a man who had PME treated with one of the above techniques with partner A can have the same problem if he changes to partner B.

Next week we look at medication which can be prescribed for PME.

For comments or question contact:

Dr. Rohan Deshong

Tel: (784) 456-2785

email:[email protected]

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