How can I treat premature ejaculation?

Thank you for posting these sexual tips. I really find them helpful. I have a question about Premature Ejaculation. How can I treat this problem when I feel I am instantly at the point of no return as soon as I penetrate my wife’s vagina? I mean the moment I can feel her warmth and wetness enveloping my penis, I immediately feel I am past no return and the ejaculation begins. Lasting longer is not a concern in the sense that my wife needs me to in order for her to be pleasured. She cannot reach orgasm from regular intercourse. I have to manually stimulate her. My problem is that I used to have to really work at achieving orgasm myself, and that built up a great deal of tension which resulted in huge, powerful orgasms for me. Now, I ejaculate so quickly that there is no buildup and no big, powerful release. The quality and intensity of orgasm has diminished quite a bit for me over the years due to PE.

On a normalizing note: premature ejaculation (PE) is the most common sexual disorder. I am not an official sex therapist nor am I a physician (which is who I think you should talk with next) but here is some basic information that you may find useful:

• PE can be treated from many different perspectives: pharmacology (medicine), psychotherapy/behavioral therapy, topical creams, and alternative therapies. As with most disorders or dysfunctions, people usually find more success when they combine 2 or 3 different approaches.
• The two most popular behavioral exercises you and your wife can practice are the “start-stop” method and the “squeeze technique”. The “start-stop” method, is exactly that: as soon as you feel yourself moving towards climax, you stop all movement and wait for the climax sensation to diminish. You can even withdraw the penis from the vagina if that helps. You do this repeatedly in one setting and allow your mind and body to become more aware of the control you do have over your physical sensations. Breathe deeply. Relax. Then start again. The “squeeze technique” is when you and/or your wife squeeze the top part of your penis (right under the head) as soon as you feel like you are about to lose control. Hold the squeeze until the climax sensation passes. Wait for about 30 seconds before resuming sexual play. You may lose part of your erection, which should resume easily as you continue with stimulation. Again, breathe deeply and pay attention to the physical sensations.
• The main downside of both of these techniques is the fact that love making gets interrupted and feels less spontaneous. To be successful, you both need to see this as a playful part of your love-making, exercise patience and resist disappointment when you climax sooner than you had hoped for. In fact, just like you stimulate your wife manually, you may want to try these exercises just through manual stimulation/masturbation at first and then graduate yourself to vaginal penetration. You should note over time that you will last longer.
• If it’s the vaginal penetration that triggers immediate ejaculation, practice just pressing your penis against her clitoris and/or vaginal opening without actually inserting. This can be a teasing and playful way to provide your wife with foreplay and sexual stimulation while allowing you to stay under control. Once you do penetrate, do so in small, shallow movements – not heavy thrusting.
• Do Kegel exercises. These help tighten the pubococcygeal muscle. The best way to know you are doing these correctly is to contract your muscles so that you cut off the flow of urine. Tighten the muscle, count to 10, do this 10 times. Practice in sets of ten over the course of a regular day.
• Anxiety about a problem usually helps in that problem persisting. Relaxation exercises, deep breathing, self-patience and a sense of humor can all help with anxiety.
• It sounds like you are in a loving and committed sexual relationship where the two of you are open to fulfilling each others needs – this is pivotal in decreasing anxiety and having long-term success.
• Do not be embarrassed to discuss this issue with your primary care physician. You will want to rule out any medical issues that may be affecting this problem.

I wish you and your wife the best as you continue to move forward in your sexual journey together.

For more information on premature ejaculation I provide the following links:
PEhomepage.com
SS cream – An effective treatment for PE.