two people laid back-to-back in a bed annoyed at one another

Manage  Premature Ejaculation

 Premature Ejaculation (PE) can have a significant impact on a man's sexual experiences and overall well-being. Some experts define PE as ejaculating within one to three minutes of starting penetrative sex, but this may not fully reflect the challenges faced by many men. In our clinical experience, we've treated patients who experience ejaculation issues occurring in seconds, or even before penetration

 

 

 

 

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PE – Who does it effect?

Premature Ejaculation can affect a significant number of men during their lifetime, potentially leading to anxiety and feelings of inadequacy, as well as a reduced sense of self-esteem. This may sometimes result in hesitance towards intimacy. Partners might experience frustration, which can place a strain on relationships.

 

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 Improving Intimacy and Climax Between Partners

 Research indicates that many men seek counselling for PE, highlighting the need for effective solutions. While sexual counselling can address psychological factors, it may not directly target the physical aspects involved. Control over erections and the ability to climax within a satisfying timeframe depend on pelvic floor muscles and pudendal nerves, which require targeted interventions. If you are among the many men dealing with PE, know that you are not alone. Be cautious of the numerous solutions available online, as many may not provide lasting results."

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an illustration of a man undergoing a premature ejaculation treatment

 Premature Ejaculation Treatment

 MansMatters is a prominent non-invasive men's sexual health clinic in Europe, offering a comprehensive programme for treating Premature Ejaculation that utilises advanced technology. Our approach focuses on training pelvic floor muscles and nerves, helping you manage your ejaculatory reflex and potentially enhancing your experience during intercourse

The advanced technology we use enables you to perform up to 28,500 pelvic floor exercises in a 30-minute session, significantly exceeding the typical range of twenty to thirty repetitions most men manage. Our program is designed to engage all pelvic muscle fibres and support your nervous system, strengthening often-overlooked muscle groups. This may help you better manage your erections and enhance your ability to climax

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Types of Premature Ejaculation

As described, PE can occur at various stages during sexual activity. It may present as ejaculation occurring before penetration, which can leave both partners feeling unsatisfied. Additionally, PE can also happen shortly after penetration, potentially affecting the experience for both individual

 

 

a male patient holding his hands over his crotch as he talks with a medical professional

 

Primary Premature Ejaculation 

This can be influenced by various psychological factors such as conditioning, upbringing or traumatic sexual experiences and is commonly observed in men aged between 18 to 45 years. These experiences can contribute to the development of early ejaculation patterns and difficulties in maintaining control during sexual activity.

an illustration showing red blood cells flowing through a narrowed artery - which can be a factor in PE

 

Secondary Premature Ejaculation 

This can be linked to certain medical conditions, including diabetes, hypertension, hyperthyroidism, as well as lifestyle factors such as alcoholism or the use of recreational drugs. These underlying physical factors can disrupt the normal ejaculatory process and contribute to the onset of PE later in a man's life.

 

 

In both Primary and Secondary PE, patients often exhibit a weakened Pubeus-Coccygeus muscle, which plays a significant role in controlling the ejaculation process and the sensations just before orgasm. Intensive manual exercise programmes have shown promising results in Pelvic Muscle Floor Rehabilitation (PFM).

 

 

 

 

 

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Premature Ejaculation & Studies into Pelvic Floor Muscle Therapy

 A study published in the journal Therapeutic Advances in Urology in 2014 explored the role of pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation. The study found that a significant percentage of patients reported improvements in their ejaculatory reflex after treatment. Additionally, a follow-up evaluation at six months indicated that some patients maintained improvements in their IELT compared to their initial measurements. The authors suggest that pelvic floor muscle rehabilitation may serve as a promising therapeutic option for addressing premature ejaculation

 

 

 

an illustration showing the pelvis of a male, highlighting the pelvic floor area

Proven Effective for Treating Premature Ejaculation

 

A study published in the Archives of Italian Urology and Andrology in 2014 examined the effectiveness of a treatment focused on awareness of the pelvic floor muscles for patients with premature ejaculation. The study involved 78 patients with lifelong premature ejaculation who completed the training, which educated them about the pelvic floor's role. Participants practiced maintaining contractions during the pre-orgasmic phase to help manage their ejaculatory reflex. The findings suggested that a notable percentage of those who completed the training reported improvements in their condition.

More recently, a study published in the Asian Journal of Andrology in 2018 evaluated the long-term outcomes of pelvic floor muscle rehabilitation in males with PE. Of the 122 patients who completed the training programme, many reported enhanced control over their ejaculation reflex.

 

 

 

 

Premature Ejaculation FAQs

What is Premature Ejaculation & How Common is It?

Premature Ejaculation is a sexual disorder where a man ejaculates sooner than desired during sexual activity, leading to distress and dissatisfaction. It is a common condition that affects a significant number of men, with estimates suggesting that it affects around 1 in 3 men at some point in their lives.

Can Premature Ejaculation be Treated with Pills and Medications?

You can try taking a number of pills that can be discussed at your free consultation. However, there are several side effects that you need to be aware of including erectile dysfunction, hair loss, nausea, dizziness, headache, and diarrhoea. Some pills are also not advisable over a certain age and if you suffer from a heart condition.

Can Premature Ejaculation be Treated with Delay Sprays and Wipes?

Although delay sprays and wipes are quite inexpensive and can take effect quickly, there are a number of drawbacks to using them including reducing sensation to both you and your partners sexual organ. They may not always be suitable for spontaneous sexual intercourse as you may have to interrupt foreplay to use them and explain to your partner why you are using them.

Can a Sex Therapist Help Overcome Premature Ejaculation Problems?

It’s difficult to say how many people have benefited from sex therapy because there has hardly been any good-quality research in this area, but it’s worth noting that PE is the most consulted sexual issue in the USA.

Can the Stop Start Method Help Me Overcome Premature Ejaculation?

Yes. The Stop-Start Method is one of two behavioural therapy exercises used to help build tolerance and delay ejaculation. The aim is to train your body to overcome Premature Ejaculation. An alternative is the Squeeze Technique. This involves masturbating or engaging in sexual intercourse until you are close to ejaculation and then putting a gentle squeeze on the head of your penis for ten to twenty seconds with your thumb and index finger at the point where the head joins the shaft and wait until the urge to ejaculate goes away.

How Effective are the Stop Start Method and the Squeeze Technique?

We have achieved good results in our clinic when clients have practiced these methods, but there is has been no quality research undertaken to ascertain how each method has helped to reduce premature ejaculation.

Can a TENS Device Help Me Overcome Premature Ejaculation?

Transcutaneous Electrical Nerve Stimulation (TENS) is an electronic device used to stimulate directly to your penis and is effective when used in conjunction with Functional Magnetic Stimulation and Kegel exercises.

With certain medical conditions and medicinal drug use you should not use a TENS machine. That is why we recommend you see a doctor before using this electronic device.

Can Selective Dorsal Neurectomy Help Me Overcome Premature Ejaculation?

Selective Dorsal Neurectomy (SDN) is an invasive penile surgery that may be recommended by surgeons for patients with lifelong Premature Ejaculation problems that have not been overcome by most other treatment options. It should only be considered if non-invasive methods have proven to be ineffective.

Can Cryoablation and Radiofrequency Help Me Overcome Premature Ejaculation?

Cryoablation is a medical procedure used primarily to treat medical conditions, including certain types of cancer and abnormal tissue growth. The technique involves using extremely cold temperatures to freeze and destroy targeted tissues. To overcome Premature Ejaculation, cryoablation focuses on the nerves responsible for ejaculatory control and targets the dorsal penile nerve, which plays a crucial role in ejaculatory control. It should only be considered if non-invasive methods have not been effective.

Radiofrequency therapy involves targeting the nerves and tissues responsible for ejaculatory control. Like cryoablation, the procedure is performed under local anaesthetic, with a specialised probe applied to the targeted area to deliver radiofrequency energy.

Can Hyaluronic Acid Injections Help Me Overcome Premature Ejaculation?

Hyaluronic Acid (HA) gel penile injections are being proposed as a treatment for Premature Ejaculation. The proponents of the treatment say that it remains effective for up to five years following treatment.

Some patients have reported swelling and/or bruising after the treatment, while others have complained of a pimple effect across the head of their penis at the points where the hyaluronic acid injections were made.

We recommend that you explore a less invasive approach to your PE problems.

Can the Inner Condom Technique Help Me Overcome Premature Ejaculation?

The Inner Condom Technique is a relatively new and innovative approach to managing premature ejaculation. The method involves the use of an inner condom to reduce sensitivity and prolong sexual intercourse.

Given the novel surgical nature of this technique problems after the surgery are still being found. There is a risk that the implant may break plus the procedure cannot be undone once completed. Thus, we believe that more satisfactory non-invasive therapies may be best for you.

Can the Tesla Chair & Functional Magnetic Stimulation Help Me Overcome Premature Ejaculation?

The Tesla Chair is a device developed by Dr George Tesla, a urologist, and inventor. It operates on the principle of electromagnetic therapy and is designed to deliver targeted electromagnetic pulses to the pelvic region. These pulses stimulate and modulate the nerves and muscles involved in ejaculation control, with the goal of increasing ejaculatory latency and improving overall ejaculatory control.

While the Tesla Chair using Functional Magnetic Stimulation (FMS) is a relatively new treatment for Premature Ejaculation hundreds of men have benefited from the therapy to overcome Erectile Dysfunction and PE after failing to overcome their problems with other treatments and therapies.

Can Kegel Exercises Help Me Overcome Premature Ejaculation?

Kegel exercises are a series of pelvic floor muscle exercises initially developed by Dr Arnold Kegel in the 1940’s to treat urinary incontinence. Since then, they have been recognised as providing benefit in overcoming other sexual issues, including premature ejaculation. Kegel exercises work very well in conjunction with the Tesla Chair, and Functional magnetic stimulation.

Can Functional Magnetic Stimulation Help Me Overcome Premature Ejaculation?

Functional Magnetic Stimulation (FMS) is an extremely effective stimulation therapy for Premature Ejaculation and has many advantages that help overcome men’s PE problems. The FMS pulses generated by the device create magnetic fields deep inside the body that stimulate muscles and cause the muscles of the pelvic floor to contract without the need for any direct electrode contact. The magnetic fields pass through clothes, tissue, and bone on the way to otherwise inaccessible areas.

Is Premature Ejaculation a permanent condition?

Premature Ejaculation can be a temporary or chronic condition. With appropriate treatment, many men experience significant improvement or resolution of symptoms.

Can anxiety contribute to Premature Ejaculation?

Yes, anxiety is a common psychological factor that can contribute to Premature Ejaculation. Feelings of performance anxiety, stress, or nervousness can disrupt the normal ejaculatory response and lead to early ejaculation.

When should I seek professional help for Premature Ejaculation?

It is advisable to seek professional help for Premature Ejaculation if it causes distress, affects your sexual satisfaction, or creates difficulties in your relationships.

How can pelvic floor muscle exercises like Kegel exercises help with Premature Ejaculation?

By enhancing the strength and endurance of their pelvic floor muscles, men can gain better control over their ejaculatory reflex, potentially improving Premature Ejaculation symptoms.

How long does it take to see results from pelvic floor muscle exercises?

The timeline for seeing results from pelvic floor muscle exercises can vary among individuals. Some men may experience improvements within a few weeks of consistent exercise, while others may require a longer period of time. You can accelerate the improvement by using the regime created by MansMatters that allows you to undertake an astonishing 28,500 pelvic floor exercises within a 30-minute session.

Can pelvic floor muscle exercises improve other aspects of sexual health besides Premature Ejaculation?

Yes, pelvic floor muscle exercises can have additional benefits for sexual health. Strengthening these muscles can lead to improved erectile function, increased sexual stamina, enhanced orgasm control, and potentially even heightened sexual pleasure for both the individual and their partner.

 

 

 

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