Premature ejaculation. Working for me.

There are many behavioural techniques that you can do to prolong the ejaculation. Behavioral and psychological therapies for PE include two main classes of therapy, with overlapping elements. The first consists of psychotherapy (such as psychosexual or relationship counselling) for men and/or couples, to address psychological and interpersonal issues that may be contributing to PE. The second consists of physical techniques to help men develop sexual skills to delay ejaculation and improve sexual self-confidence. Various types of BT either individually or in combination, including the squeeze and stop-start techniques, stop-start aided by a stimulation device, education on sensuality and movement, sensate focus, and pelvic floor muscle rehabilitation. Specific physical techniques include the following. The “stop-start” technique, developed by Semans, involves the man or his partner stimulating the penis until he feels the urge to ejaculate, then stopping until the sensation passes; this is repeated a few times before allowing ejaculation to occur. The aim is to learn to recognize the feelings of arousal in order to improve control over ejaculation. With the related “squeeze” technique, proposed by Masters and Johnson, the man's partner stimulates the penis until he feels the urge to ejaculate, then squeezes the glans of the penis until the sensation passes; this is repeated before allowing ejaculation to occur. Within sensate focus or sensate focusing, the man and his partner begin by focusing on touch, which excludes breasts, genitals, and intercourse, to encourage body awareness while reducing performance anxiety; this is followed by gradual reintroduction of genital touching and then full intercourse. Pelvic floor muscle rehabilitation exercises may also assist with ejaculatory control. In comparison with a pharmacological treatment, most BTs require a willingness of the man and his partner to engage with the therapy and practice the relevant techniques. The suitability of a BT is likely to depend on individual patient (and partner) preference. Combinations of medical and psychological approaches may be useful where there is a clear psychosocial or relationship issue.