At Home with Dr Christian Jessen - 232

Always finish
first?
Premature ejaculation can be
devastating for a relationship.
Now there's a new device
that offers help for sufferers

S

even
million
men in
the UK
suffer from
premature
ejaculation,
where they
ejaculate
too quickly
during sexual
intercourse.
The Sexual Advice Association reports
that it affects more than 40% of men at
some stage in their lives. However, only
3% visit their GP about the problem.
This reluctance to confront the issue isn't
limited to British men. A study* of 11,000 men
in the US, Germany and Italy found only 10%
go to their doctor, and only 5% see a therapist.
Moreover, of those who do see their GP, only
9% improve; and of those who see a therapist,
a mere 5% see an improvement. The study also
found that 42% of men drink heavily to control
the problem, and 16% turn to street drugs.

The effect on relationships

'Some men with premature ejaculation are
unable to form relationships or, if they do, they
avoid sex because they feel ashamed,' says
consultant psychiatrist Dr Andy Zamar. 'As a
result, they may be accused by their partner
of not caring or not being interested in having
sex, which causes friction in the relationship
and, of course, compounds the problem.'
Treatment options for men with premature
ejaculation include visiting their GP, who can
check for physical or psychological causes
and suggest techniques; seeing a sex therapist;
taking antidepressants called selective serotonin
reuptake inhibitors (SSRIs); sprays and creams to
delay ejaculation (although there's no evidence
that these are effective); and self-help techniques
such as the 'stop-start' method (where the man
stops during intercourse) or squeeze technique.
However, many men aren't happy with these
options. 'This is because they'll either have

to take antidepressants for life, or use local
anaesthetics to numb everything, meaning
they lose sensation,' say Dr Zamar.
It's possible to use the stop-start technique
with therapy. However, as Dr Zamar points out,
therapy can cost between £600 and £5,000,
depending on the therapist and how many
sessions are needed. 'Plus it only works if you
have a partner to do it with you,' he adds.

A new treatment

So what options are available for men who
don't have a partner to practise techniques
with, are unable to afford therapy, or aren't
happy with the other options? There's now a
new device on the market designed to help.
The Prolong device, created by Dr Zamar
and distributed by Ergon Medical Ltd, is a
licensed treatment for premature ejaculation.
Approved by the Medicines and Healthcare
Products Regulatory Agency (MHRA), it's made
from medical grade silicone and contains
a vibrating unit that overstimulates the most
sensitive parts of the penis,
causing the nerve endings
to become less sensitive
and allowing the brain to
recognise the point at which
the man will ejaculate.
'It's the opposite of
masturbation in that, by using
this device, the man stimulates
himself with a view to not
ejaculating,' explains Dr Zamar.
'He applies the device to the
surface of the penis and does
the start-stop technique. When
he reaches the point when he's
about to ejaculate, he stops. He
then repeats the exercise three
times, then stops completely.
For the treatment to be effective,
he must use the device three
times a week, for no longer
than half an hour at a time,
over a six week period. Then
he can throw it away!'

The Prolong device
can be used alone
or with a partner



At Home with Dr Christian Jessen

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