Premature Ejaculation: How to last longer in bed

Premature Ejaculation: How to last longer in bed

The term Premature Ejaculation means different things to different people. Broadly speaking, it refers to a man ejaculating before he is ready or his partner is ready, with minimal sexual stimulation, and usually before or within a few minutes of vaginal penetration.

Only if it causes distress is it considered a problem.

Premature Ejaculation (or PE) is widely believed to be the most common sexual problem experienced by men, affecting about 20-30% of men at one time or another, and is very common with younger men in particular.

Some evolutionary theorists speculate that quick ejaculation evolved in our cave man era so that men could reduce the chances of being attacked by a predator while copulating. That’s efficiency!

Many meanings

It is important to understand that early ejaculation can have many different meanings, effects and consequences for the man and his partner. For example, many men with Premature ejaculation worry that they are letting their partners down, when in fact their partners are not bothered by it. So it is important to explore what it means for each partner.

Some men experience premature ejaculation only occasionally, while others live with it their whole lives. Premature Ejaculation can run in families: 91% of men with lifelong PE have an immediate male relative with lifelong PE. 

However, all is not lost. Most men who ejaculate too quickly can learn to extend their arousal to last longer and increase sexual pleasure for themselves and their partner.

Ejaculation normally results when sufficient physical and/or mental stimulation is present. Ejaculation is a spinal reflex, controlled by the sympathetic branch of the autonomic nervous system. A reflex is something that happens automatically without you having to think about it (such as heartbeat, breathing, and pupil dilation).

Ejaculation is usually accompanied by orgasm, which is what makes it a pleasurable sensation, however ejaculation can also occur without orgasm, and vice versa.

You can learn to slow it down

differing libidos

A man cannot force himself to ejaculate, just as a woman cannot force herself to reach orgasm.

However, men can learn to delay ejaculation by maintaining sexual stimulation below their critical threshold (ie. below the ‘point of no return’).

Learning where this ‘point of no return’ is and learning how to back off before reaching it is the key to delaying ejaculation.

Stress contributes a great deal

The sympathetic nervous system (that controls ejaculation) is also activated when we experience stress. So a man who is regularly anxious or stressed is more likely to experience premature ejaculation. Stress can also take the form of over-excitability. Young men especially can experience premature ejaculation due to getting over-excited.

Learning relaxation and breathing techniques to control stress and excitement levels can be a big help in extending lovemaking.

In my practice, I’ve seen many men with high powered or stressful lives who experience premature ejaculation. Doing things ‘quickly’ has become a habit, in all arenas of life. While this habit may serve its purpose in work situations, it’s not so useful in intimate lovemaking.

Fortunately all habits can be changed if there is sufficient motivation to change.

love relationship counsellingng

Here’s a list of health and lifestyle issues that can contribute to Premature Ejaculation:

Physical health:

  • Arteriosclerosis
  • Diabetes
  • Endocrine problems
  • Epilepsy
  • Multiple Sclerosis (MS)
  • Urinary tract infections
  • Prostate infections

Drugs, Alcohol & Pharmaceuticals:

  • Drug use, such as heroin and cocaine
  • Reliance on alcohol to dull sensation
  • Some prescription medications, such as tranquilizers

Mental health:

  • Anxiety disorders & depression
  • Anger, frustration
  • Poor self-image
  • Poor self confidence
  • Stressful events (divorce, death, financial or work-related)

Relationship issues:

  • Power struggles
  • Fear of intimacy
  • Demanding partner
  • Unrealistic expectations

Premature Ejaculation is primarily a learned behaviour. While many sufferers of PE often seek medical solutions, there is no magic pill for unhelpful habits.

As with any sexual challenge, it’s quite common for both partners to be contributing in some way to a pattern of premature ejaculation.  Consequently, sex therapists generally prefer to see both partners, since changing both people’s bad habits leads to the best outcomes.

What can you do?

If you would like to overcome your premature ejaculation and recreate a healthy and happy sex life again, come and talk with our Sex Therapist or Relationship Psychologists.

Enneagram relationship counselling

He/ she will explore what factors are contributing to your problem and give you strategiesthat will help.

Phone 1300 830 552 to enquire or make an appointment.

To Check which of our Psychologists are closest to you, please use our Find our Psychologist Search box on the right hand side of the page, or phone us on 1300830552 for more details and help.

Alison Rahn, Sex Therapist © Copyright 2012

References

Hertlein KM, Weeks G, & Gambescia N (Editors) (2008) Systemic Sex Therapy; Routledge

Leiblum SR (Editor) (2006) Principles and Practice of Sex Therapy; Guilford Publications, Inc.

Rathus S, Nevid J & Fichner-Rathus l (Editors) (2005) Human Sexuality in a World of Diversity, 6th edition, Boston : Pearson Allyn and Bacon

Waldinger MD, Hengeveld MW, Zwinderman AH, & Olivier B (1998) An empirical operationalization study of DSM-IV diagnostic criteria for premature ejaculation, International Journal of Psychiatry in Clinical Practice, 2:4, 287-293

How do you contribute to your relationship problems?

Your Enneagram Profile

If you really want to look in depth at why the two of you have the unique relationship and problems that you have, look no further than the Enneagram.

One of the most helpful ways to discover yourself and just as importantly, how you contribute to your relationship problems, is to look at your Enneagram profile.

What is the Enneagram?

The modern Enneagram is based on ancient Eastern wisdom combined with modern Psychological thought. There are 9 Personality types each with different patterns of thinking, feeling and acting. Each style has its own natural gifts, limitations, and blind spots.

When you know your Enneagram number, you can then be aware of the unconscious assumptions that drive the way you see yourself, do your work, and relate in your relationships.

And you can also understand why your partner seems to act in the bizarre, inconsiderate, intrusive, self-interested, seductive or charming ways that he or she does.

Enneagram relationship counselling

Once you know how he or she see things from the inside out, you can see why they do the things they do which makes perfect sense to them.

There are no types that are better than any other. Each is effective in their own way, but from a very different point of view.

  • Ones want to make things right.
  • Twos need to be of help.
  • Threes are driven to succeed.
  • Fours yearn to be special.
  • Fives want to be left alone to think.
  • Sixes seek safety and support.
  • Sevens are connoisseurs of life’s pleasures.
  • Eights are driven to dominate others.
  • Nines don’t want to make waves.

Ones. The Perfectionist

You are reliable, fair and honest. You earn love by being perfect and worry about getting it right. You seem right to be measuring up to the highest standards. Your thinking centre’s around what you “should” be doing. It feels honourable to dedicate yourself to doing good. You can’t help noticing when standards slip. You feel compelled to fix it. You very conscientiously monitor your own self actions. In self defence, you can feel morally superior by finding fault with others.

Ones in a relationship can contribute by being critical, judgemental, inflexible, argumentative, having too high standards, being uncompromising and overly serious.

Ones are helped by partners who accept differences of opinion, who soften the One Right Way thinking, and who bring pleasure to a relationship.

 

Twos. The Giver

You are loving, warm and generous. You are always focusing on other people, their wants, needs and potentials. You spend your life pleasing and supporting others and managing their lives. Your own needs are not important, you give to others and hope that they will care about you when you are in need. Other’s needs broadcast so loudly, that you find yourself moulding to please. Wanting approval, an association forms in which you become indispensable. You feel proud that you are so helpful.

Twos in a relationship can contribute by being overly accommodating, possessive, martyr-like, manipulative, insincere and hysterical.

Twos are helped by partners who are not seduced by your adaption, who love you separately from what you give, and who can see you through the crisis of having to stand alone and discover your own needs.

 

Threes. The Performer

You are energetic, industrious and practical. You win love through your achievement and your image. It is very important to be high profile and high powered at work. You are sensitive to status. You want to be first, to lead, and to be seen. You like to impress people. Work is the area of interest; your feelings are suspended while the job gets done. You believe people in love should look happy and productive, love shouldn’t be overwhelming or sad.

Threes in a relationship can contribute by being self centred, vain, superficial, overly competitive, deceptive and defensive.

Threes are helped by partners who love them for who they are rather than what they produce, or the image they project to the world.

 

Fours. The Romantic

relationship romantic

You are perceptive, expressive and individualistic. You feel a lifelong searching for a heart connection. You know all about attraction, hate, high drama and pain. You like an elegant lifestyle and to dress distinctively and uniquely. You often feel you are searching for love at a distance, then can feel disappointed when love is near at hand. We had it once. Where did it go? Emotional highs and lows are part of your life. You can feel deprived when you see others enjoy the happiness that you long for.

Fours in a relationship can contribute by being temperamental, self absorbed, emotionally needy, snobbish, depressed, and self indulgent.

Fours are helped by partners who can see the good in the here and now and who can stand fast during the intense emotional tides.

 

Fives. The Observer.

You are objective, calm and insightful. Your home is your castle where you like to withdraw to. You need low visibility, controlled contact with people, and uninterrupted private time. Your mind is your best companion and is also a refuge that is totally safe from invasion. Your needs are few as are your expectations of others. You detach from love and stay well away from any charged emotions in yourself or others.

Fives in a relationship can contribute by being contentious, arrogant, stingy, withdrawn, stubborn, withholding and alienated.

Fives are helped by partners who can make self disclosure safe, who can point out over-intellectualization and who respect your need for privacy time and space.

 

Sixes. The Trooper.

You are alert, witty and loyal. You question love and a rosy future. You are afraid to believe in love and be betrayed. You tend to be always wary, to question authority and to look for what others “really mean”. Your habit is to sceptical and cautious, and to look for hidden intentions. You are primed for opposition and doubtful of others support. When you’re flooded by apprehension, you go into thinking mode rather than doing. You can grow by regaining faith in people and learning to trust.

Sixes in a relationship can contribute by being anxious, paranoid, rigid, testy, suspicious, hypervigilant and cruel.

Sixes are helped by partners who offer reassurance, who remain steadfast when the future looks doubtful, and who are consistently fair in their dealings.

 

Sevens. The Epicure.

enneagram 7 relationship counselling

You are enthusiastic, fun-loving and spontaneous. Your life is an adventure and you are optimistic about it. Your world is full of options and ideas and plans to make the future bright. Everything’s alright when you’re looking ahead to a good time. Life’s OK when the energy starts to run.

Your life is like a banquet of experience, stuffing the weekly schedule and filling the mind with plans. Disappointments barely surface, suddenly there’s a whole new idea. You feel buoyed by a sense of personal worth and follow your interests. You don’t need to touch on the painful aspects of life.

Sevens in a relationship can contribute by being self centred, impulsive, rebellious, manic, restless, distractible and unreliable.

Sevens are helped by partners who encourage you to stay rather than move on to the next project and who can encourage you to touch on and deal with your pain.

 

Eights. The Boss.

You are energetic, brave and direct. You express your love through protection of your loved ones and respect for others is earned by power. You set the rules. A battle mentality is your normal mode. You know what you stand for, you know who stands against you, and you protect your position. You have a full bore approach to life. The energy switch is either on or off. When life is interesting, the energy comes on. You’re fully into it and you want to be in there first. You don’t often notice that others get stood on or forgotten.

Eights in a relationship can contribute by being insensitive, domineering, overly aggressive, combative, uncompromising and self centred.

Eights are helped by partners who stick to their own version of the truth, who hold ground under fire and who encourage you to allow the gentler and more sensitive parts of you to emerge.

 

Nines. The Mediator.

You are accepting, gentle and receptive. You tend to merge with your partner, losing your boundaries. You are so easy going, you forget your own priorities. You can take on another’s life as your own. There can be lots of energy for your partner’s agendas. You don’t feel you can say “No” to others but will get stubborn rather than get openly angry. You can relate to all sides of an argument, so it’s easy to forget your own agenda. It is so difficult to make decisions when you can see the benefits of all the options. You get sidetracked to incidental chores rather than do what’s important.

Nines in a relationship can contribute by being apathetic, stubborn, unassertive, spaced out, forgetful and overly accommodating.

Nines can be helped by partners who encourage you to have separate goals and to choose for yourself, and also support you to see your goals through to completion.

 

This is just a very small taste of what the Enneagram can show you about yourself, your partner and the dynamics in your relationship. If you would like to learn more about yourselves and each other, and why you have the unique relationship and problems you have,  call us.

Julie Hart

Love and Trust: the absolute essential ingredients of relationships

Have you thought about what is the key missing ingredient for you in your relationship when you are feeling very distressed about your relationship?

From the many thousands of couples I have counselled, I have found that beneath their specific problem in their relationship, it is that they feel that their partner doesn’t love them, can’t be trusted, or isn’t there for them.

And then, over time, the emotional injuries they sustain from a lack of trust & love build a huge gulf of emotional distance between them, leading to an eventual betrayal or the gradual loss of love.

For Happy Couplesrelationship romantic couple

Happy couples, however, who experience love and trust between each other, describe the concept of “trust” as something that  creates safety, security, and openness for both of them.

Trust and love makes their relationship safe, that makes it possible for them to be vulnerable with each other, and thereby deepen their love beyond the first passionate infatuations and illusions of courtship.

As love and trust matures, these couples feel their relationship ripens to a sense of mutual nurturance and moral responsibility for building a life together.

For them, love and trust are intertwined and grows together into a lasting relationship where friendship and intimacy blossoms.  Partners accept each other despite perpetual personality issues, and romance and sexual intimacy is possible because of it.

The BIG LOVE questions

The Big Love & Trust Questions are:

Love:

-Do you really care about me/Do I really matter to you?

-Am I valued and accepted by you?

-Do you care as much about me as you do about yourself?

-Can I count on you to put me first over others in your life?

Trust:

-Can I count on you to be who you say you are?

-Can I count on you to follow through on your promises?

-Can I count on you to be there for me when I need you?

LOVE and TRUST are the Bedrock Foundation of a Healthy Loving relationship.

If you are feeling these are missing ingredients in your relationship, we can help.

Both Relationship and Individual Counselling is available by our trained Psychologists in 70 locations Australia wide, either In-house, by Phone or Skype Sessions – 50 mins

Cost: $155  ($175 for after hours sessions)

Phone 1300 830 552 to enquire or make an appointment.
Private Health Insurance Rebates apply and Medicare Rebates may apply (please check for details)

Sexual power struggles: Man wants sex; woman says “no”.

As I listen to people’s stories each week I am constantly made aware of how little understanding men and women have of their differences.

sexual problems

It’s not surprising. We’re not taught about relationships. It’s natural to assume the other person experiences the world the same way you do. But it simply not true. Men’s and women’s brains and bodies are wired very differently.

A common theme from women is ‘he just wants to have sex all the time’ vs. her male partner who’s saying ‘she’s never interested’.

There is often a grain of truth here, since men are designed to think sexual thoughts more frequently than women.  However, it’s important to understand:

  • most adult women feel sexual desire AFTER sexual activity has begun (the foreplay stage). So talking’s often not good enough.
  • loving men want sex and need a sexual connection in order to feel emotionally connected with their partner
  • women report needing to feel emotionally connected in order to feel sexually interested
  • women need considerably more time than men to become fully aroused, and
  • both partners are equal players in the process

Tips For Women
sexual connection

Understand that men do not feel loved by you unless you connect with them sexually. Sex helps men to access their hearts. It doesn’t matter how good a cook you are, or how beautiful the house looks.  If you reject him sexually, he doesn’t feel loved.

If saying ‘no’ is your default position, catch yourself before you do. Be willing to be open and receptive to him. Tell him (gently) what you need in order to respond to him. Create the conditions you need in order to relax.

Tips for Men

Understand that women do not feel loved (or sexually aroused) if you pester, whinge, complain, blame or pounce on them.

Criticising your partner’s appearance or body shape will also not endear her to you. Why would she let you in to that same body you’ve just criticised?

If you blame her for your lack of sex, look at yourself first. Where are you going wrong? Here’s a hint…She needs a loving approach and she needs to trust you. Take your time. Be mysterious, not predictable. Don’t reach straight for her breasts or genitals.

differing libidos

Offer her something she likes. Respect her wishes.

One woman who’s helping men and women understand each other is Alison Armstrong. She’s developed great tools for couples to learn how to work together as a team and communicate more effectively so you both get your needs met. To learn more, go to: Alison Armstrong

To Check which of our Psychologists are closest to you, please use our Find our Psychologist Search box on the right hand side of the page, or phone us on 1300830552 for more details and help.

Alison Rahn © Copyright 2010