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Prevention
By Mayo Clinic staffIn some cases, premature ejaculation may be caused by poor communication between partners or a lack of understanding of the differences between male and female sexual functioning. Women typically require more-prolonged stimulation than men do to reach orgasm, and this difference can cause sexual resentment between partners and add pressure to sexual encounters. For many men, feeling pressure during sexual intercourse increases the risk of premature ejaculation.
Open communication between sexual partners, as well as a willingness to try a variety of approaches to help both partners achieve satisfaction, can help reduce conflict and performance anxiety. If you're not satisfied with your sexual relationship, talk with your partner about your concerns. Try to approach the topic in a loving way and to avoid blaming your partner for your dissatisfaction.
If you're not able to resolve sexual problems on your own, talk with your doctor. He or she may recommend seeing a therapist who can help you and your partner achieve a fulfilling sexual relationship.
- 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.
- 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.
- Waldinger, MD. Premature ejaculation: State of the art. Urologic Clinics of North America. 2007;34:591.
- 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.
- Althof SE. Psychological approaches to the treatment of rapid ejaculation. The Journal of Men's Health & Gender. 2006;3:180.
- Park J, et al. Complementary and alternative medicine in men's health. Journal of Men's Health. 2008;5:305.
- Dhikav V. Yoga in premature ejaculation: A comparative trial with fluoxetine. The Journal of Sexual Medicine. 2007;4:1726.
