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Question:
I am 33 , I used to masturbate in a strange manner, I tried to forcedly ejaculate without erection while watching TV, for several years. Now I am going to marry and I am having a problem to ejaculate prematurely with or without erection. I tried squeeze technique but it wouldn't help as something triggers ejaculation from inside and orgasm is completed even if i don't let sperm to get out. I am not married and never did intercourse, I tried several time with some pros but failed to penetrate due to premature ejaculation. I went to the doctor and spt & sgot are slighthly higher.

Answer:
by Annette Owens:
(05/13/2004)
It sounds to me as if you are having two problems: 1) Premature ejaculation and 2) guilt feelings about masturbation. 1) “Premature” or “rapid ejaculation” is probably the most common male sexual problem. In most cases it can be treated. I encourage you to read chapter 22: “Developing Ejaculatory Control” in the book “The New Male Sexuality” by Bernie Zilbergeld. You can buy the book from the Amazon.com website, but I am not sure whether this also applies to your part of the world. You may get enough insights and help from reading that particular chapter in order to lengthen the time period before you ejaculate. Dr. Zilbergeld describes several exercises that you should follow, including the squeeze technique which you have already tried. Try the exercise again following his instructions. 2) About masturbation: Over centuries and in many different cultures, masturbation has been viewed as a sinful practice. Not too long ago, masturbation was associated with medical or even mental illness. For many individuals, it is difficult to escape these myths. I believe that masturbation is a healthy act of self-pleasuring. It is O.K. to masturbate. I share this view with many doctors and health professionals in the Western world. To give you an idea about how frequently people in the USA masturbate, I will cite a few numbers from a recent study, “The Social Organization of Sexuality. Sexual Practices in the United States” (1994) by Lauman, E.O. et al.; University of Chicago Press. A more popular version of this book is called “Sex in America. A Definitive Study” (1994) by Michael, R.T. et al.; Warner Books. The study involved 3,432 men and women from all social, educational, cultural, and religious backgrounds, and living all over the USA. Since participants in the study were chosen randomly by a computer program, the study population is highly representative of the entire nation. Following are the numbers of people who masturbate once a week or more: men 26.7%, women 7.6%; numbers of people who masturbate not at all: men 36.7%, women 58.3%. These numbers clearly show that masturbation is a common practice in our culture. However, it is interesting to note that 54.0% of men and 46.8% of women do feel guilty after masturbation. Finally, some advice for having intercourse when you are getting married: Do not only focus on intercourse, this will only make you nervous and make it difficult for you to perform the way you would like to. Take some time to get to know your wife’s body, give each other massages and just enjoy touching each other. You can probably stimulate your wife to orgasm orally or manually, you do not need an erect penis for her to enjoy sex with you. Once you are less nervous about the novelty of being with a partner, you may find it easier to control your ejaculation and have satisfying sex. All the best to you, Annette Owens, MD PhD

Reviewed by: Kathleen VanKirk DHS

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