Premature ejaculation is without a doubt one of the biggest sexual health concerns that men have. Most questions in the sex category of our Q&A section deal either with premature ejaculation (PE) or erectile dysfunction(ED). However, men suffering from PE shouldn’t fret. There are techniques to solve the issues. Here are some tips by 
Dr Vijaysarathi Ramanathan, Sexual Health Physician and Medical Sex Therapist who has done a lot of research on the topic gives us some tips to beat it for real.
1. Squeeze technique (Masters and Johnson technique)
When you are sexually excited and have an erect penis, squeeze the tip of the penis where the skin joins with the tip of the penis (frenulum). Use your thumb to squeeze the frenulum against your index finger. The squeeze has to be firm but not too painful and should last for only 10-15 seconds. For this technique to work, you should be able to feel the approaching point of inevitability (i.e. the point beyond which you can’t control ejaculation). When you are about to reach that point, you or your partner can squeeze and then start again. Read more about the squeeze technique.
Read: Penis size: Does it really matter?
2. Stop-start technique – Seman’s manoeuvre
A simple training procedure is to stimulate your penis (either yourself or by your partner) but stop stimulation before you reach the point. Then rest for 30 to 60 seconds and then start stimulating your penis again stopping short of point of inevitability. You should repeat this cycle of stimulation- rest- further stimulation five or six times before allowing yourself to ejaculate every time you masturbate on your own or have sex with a partner. There are three stages you can try this technique and you should ideally go from one to the other:
- Dry/normal hand
- Wet hand with some form of lubrication
- During vaginal intercourse or penetration
Note: The aforementioned techniques are simple to read but may not be easy to practice. It might not work in one or two attempts. This is a way of adapting to the technique so that you gradually get rid of the PE issue. You could also try kegel exercises to improve your sexual health.
3. Masturbation
This is another technique that has proved successful. It also helps you appreciate your body more and trains your mind as well. Also there’s no pressure of actually having a partner. You can learn the above techniques (start-stop and squeeze) by masturbating yourself instead of sexual intercourse. This is an excellent opportunity to learn, make errors and practice your mind before you have sexual intercourse with another person. If your partner is co-operative, then it is even better to involve your partner (if applicable) in this exercise.
Many men have moral and health concerns about masturbation. However there is nothing wrong with the practice and it actually has health benefits and can also help you learn about your sexual responses in a better way. If you want further information or seek expert help you can contact Dr Vijaysarathi Ramanathan on his website. Also, check out our male sex problems mega-guide.
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