Premature ejaculation is considered the most commonly experienced male sexual dysfunction in the world. It is defined as "the persistent or recurrent ejaculation with minimal sexual stimulation, on, before, upon, or shortly after penetration and before the person wishes it.
" There are some difficulties with this definition because the terms 'minimal sexual stimulation' and 'shortly after' are relative terms. However, many men are still troubled by their ejaculatory pattern, and this difficulty can have a destructive effect on a man, his partner and their relationship. This may cause difficulty in relationships between partners and create a lack of self-confidence.

• Depression or anxiety (especially about poor sexual performance)
• Rejection anxiety
• Anticipation of failure (especially if a man knows that he has ejaculated quickly on previous occasions)
• Anticipation of harm (a man may fear that penetration of his partner may cause some damage or injury)
• Adverse experiences with sex in childhood
• Religious beliefs (6)
• Financial concerns
• Job stress
• Relationship problems
• Some prescription drugs (as a side effect)

Throughout the centuries, men have tried many diversionary techniques during lovemaking to forestall orgasm. Usually they try to concentrate on something else like work details or anything non-erotic. Unfortunately, these techniques usually don't work and they also devoid the man of the sensual and erotic pleasure he needs to enjoy the sex experience. Here are some methods that have been found to work:

The Squeeze Technique: Originated by Masters and Johnson, it consists of similar exercises as in the "stop-start" technique, but ejaculation is controlled by applying pressure to the top and bottom of the penis. This technique was described by Masters, Johnson, & Kolodny

The Start Stop Technique: This technique was described by Zilbergeld. Essentially, it consists of a series of exercises starting with self-stimulation and ending with intercourse, to gradually increase ejaculatory control.

Change of thrusting: You can do this by slowing the tempo of thrusting to take the edge of your ardor, and, by changing the angle or depth of penile penetration.

Mental Work: Men who successfully last a long time report that they silently shift their fantasies or modify their "self-talk" to slow things down a bit or to decrease anxiety. Also, it is helpful for men to learn to "focus" more on the non-genital aspects of the sexual experience to distribute sexual energy to other parts of the body.

Medication: Can sometimes be helpful. Some anti-depressants are used to control this condition. A doctor specialized in treating sexual health conditions should be consulted for advice regarding such medicines. The drugs are usually used where psychological treatment has failed or been rejected, or when partners do not wish to comply with treatment. They work by increasing the time taken to ejaculate by slowing blood flow in the penis.