In this insightful session, Dr. Laryssa Martins, a specialist in physical therapy and psychology, dives into the nuanced approach to treating premature ejaculation. Premature ejaculation is a common but often distressing condition that affects many men and has profound implications for both the individual and their relationships. Dr. Martins shares practical and effective ways to approach treatment, combining medication with techniques to enhance physical and mental control, providing viewers with an in-depth look at comprehensive treatment methods.
1. Medication Option: Dr. Martins begins by explaining that medication is often an effective option for managing premature ejaculation. By prescribing selective serotonin reuptake inhibitors (SSRIs) or other on-demand options, patients can experience improvement in control during intimacy. These medications help to delay ejaculation, giving men more confidence and control.
2. Pelvic Floor Strengthening Exercises: Building on her expertise in physical therapy, Dr. Martins highlights the importance of pelvic floor exercises, which are crucial in strengthening the muscles associated with sexual control. Known as Kegel exercises, these strengthen the pelvic floor, helping men develop better control over their bodies. With regular practice, these exercises can lead to more sustained control, potentially reducing instances of premature ejaculation.
3. Mindfulness and Concentration Techniques: Dr. Martins also recommends practicing concentration techniques such as mindful breathing and visualization. These exercises help reduce anxiety, which is often a contributor to premature ejaculation. By calming the mind and focusing on breathing, patients can gain better control over their body’s responses. Meditation and yoga are also effective practices for those who want a holistic approach to managing stress and improving focus during intimate moments.
4. Behavioral Techniques for Intimacy: Specific techniques like the "Stop-Start" and "Squeeze" methods are introduced as valuable ways to control ejaculation. The Stop-Start technique involves pausing during sexual activity to regain control, while the Squeeze technique requires applying pressure to the glans to decrease arousal. Both techniques allow men to manage their arousal levels and can be incorporated into intimacy with practice.
5. Topical Anesthetics: Dr. Martins discusses the use of topical anesthetics, such as creams or sprays, that reduce sensitivity in the penis. While effective, she advises caution, as these products can sometimes reduce sensation too much, leading to potential discomfort for both partners. She recommends discussing options with a healthcare provider to determine if this approach is appropriate.
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