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October 20, 2009

We're here to find out if premature ejaculation is an issue

http://www.nhs.uk/video/pages/medialibrary.aspx?Id={20E6F690-EFB2-4775-9240-E625A8D5F9BC}&Uri=video/2009/April/Pages/Prematureejaculation.aspx

We're here to find out
if premature ejaculation is an issue.

Why does it happen,

do men find it embarrassing
and what do their partners think?

How would you feel
if someone ejaculated prematurely?

I would feel understanding of it.
I know it's a common problem.

As long as the quality's good,
I wouldn't be disappointed.

- Has it ever happened to you?
- I've been too keen a few times.

It's a bit taboo still, I'd say.

Why are men embarrassed
about premature ejaculation?

You don't need to talk
about any past experiences.

What actually is premature ejaculation?

Well, let's start with ejaculation.

Technically that's
the squirting of semen from the penis

during orgasm, sexual climax.

In everyday language
it's when a guy comes.

So premature ejaculation
is when a guy comes too quickly.

Premature ejaculation,
is that just very quickly or before?

How do classify what premature is?

For every guy, how long it takes
to climax is different.

If it was five minutes
I think that's quite good.

A guy may have entered his partner,
he may be getting ready to enter

or he may not have even
got his clothes off before he climaxes.

If it goes on past 10, 15 minutes
it drags on a bit.

Why do you think it matters...

But if it's really good,
time isn't really a matter.

It's only if that's a problem for him
that he needs to seek some help.

- What do you think causes it sometimes?
- Too excited.

Pressure, trying too hard.

You're there before the race is over.

Just getting a bit excited, overexcited.

You're just in the moment, you just want
to get straight to that point.

What are the causes?

Well, for the most part
it's a psychological problem.

But it's a very common problem. Most men
will suffer this from time to time.

If it's happened to a man once
and worried them, it could get worse?

If it happens once and a guy
gets into this downward spiral,

"It'll happen again,"
and it does happen again,

then yes, it's likely to get worse.

It's not something they're in control
of, so I guess they should seek help.

Maybe... Is it like an illness?

If there's an underlying medical problem
that's responsible,

diabetes, hypertension,

it might be because he's drinking
too much, using recreational drugs,

or it might be because he's stressed.

If it's down to lifestyle,

cut down the alcohol
and don't use recreational drugs.

If it's down to anxiety
and problems within the relationship,

couples counselling
might be a good idea.

It is something that I know
is embarrassing for men

and it is seen as a problem

because obviously
then sex doesn't last as long

and they feel
they haven't satisfied the woman.

Why do you think you'd be embarrassed?

Because nothing's happened yet
and it's all over before it's started,

so it would be embarrassing.

Would you be embarrassed
to admit it had?

I wouldn't be... I mean,
if it's happening now I would be.

It's not something they'd discuss
with their friends.

You wouldn't discuss that
with your male friends.

This is something men find embarrassing
and that makes matters worse.

It affects all men
at some stage in their lives,

and if it gets to be a problem

a guy shouldn't be embarrassed
about asking for help.

The GP isn't going to be embarrassed.

I wouldn't berate them for it
or anything.

It's obviously an issue that they
probably feel quite bad about anyway.

I feel quite complimented
because I'm that hot.

When things are new
you get a bit excited.

Just chill out a bit.

If you are going to do it
in the first five seconds,

just make sure you build up again.

Just have a go with themselves
before they go out.

- That's a trick.
- That's a bit of a trick, yes.

It might make them stay a bit longer.

Do you know of any tricks men can do
to stop getting so excited?

All the TV programmes say you should
think of really dull subjects.

For anybody watching this
who's worried about it

and thinking it may be a problem,
what can they do?

If you worry about it
it's likely to get worse.

There are some self-help tips.

If you're using condoms,
try and use a thicker condom

because that will decrease the sensation
and make things last longer.

The squeeze technique,
where a partner is masturbating the guy

to the point where he indicates
that he's about to climax.

He or she then squeezes the head
of the penis for 10 to 20 seconds

and then resumes masturbation
about 30 seconds later.

Essentially that calms down
the ejaculation reflex.

Sometimes all it needs
is to be told that everything's normal

and how to deal with it.

I wouldn't be too bothered. It would be
something to work out as a couple.

- Has it ever happened to you?
- It might have done.

(laughing)

Yes.

It's not anything you can't get over in
20 minutes, when you've both recovered.

You just get up and do it again,
don't you? It's not an issue.