EPISODE · Oct 24, 2018 · 18 MIN
Ejaculatory Control: A Research-Based Guide for Husbands
from Normalize therapy.
What Is Ejaculatory Control? According to one source, 75% of men ejaculate within two minutes of penetration. Not surprisingly, 88% of men report some concern over ejaculating too quickly, and almost all men (99% in one study) use some kind of strategy to delay ejaculation. If you are searching for how to control orgasm timing during sex, you are far from alone. Ejaculatory control is the ability to influence when you reach orgasm during sex. The related term, ejaculatory latency, refers to the time between penetration and ejaculation. When that window feels too short, or when it is affecting the quality of sex for you and your wife, it becomes a problem worth addressing [i]. The clinical term is premature ejaculation, though it is not always cleanly defined. By one widely used definition, premature ejaculation is only a problem if you or your wife feel it is affecting your sex life. Given that 88% of men carry some concern about this, it is worth understanding what the research actually says about what works, what does not, and what most men are missing entirely. At the request of one of our patrons, we went into the research literature to find out whether ejaculatory latency can be reliably extended. The short answer is yes. But the longer answer, which we will get to, is that the most effective path may not be the one you expect. A Quick Physiological Primer Before we look at strategies, it helps to understand a little about how arousal and ejaculation work. Sexual arousal moves through roughly four stages: excitement, plateau, orgasm, and resolution [viii]. During the excitement phase, blood flow increases, muscles begin to tense, and heart rate rises. In the plateau phase, everything intensifies and you approach the point of no return. Orgasm is the peak: a series of nerve and muscle responses that produce ejaculation. Resolution is the return to baseline, including the refractory period where arousal is temporarily not possible. Most ejaculatory control strategies work by interrupting the transition from plateau to orgasm, giving you more time in the plateau phase. Understanding this helps explain why some strategies work better than others, and why the mental and emotional dimensions matter more than most men realize. Strategies That Research Actually Supports A couple of notes before we get into these. First, this is a complex issue. Think of this article as a primer. Sex therapy really is a specialty within the counseling field, and there are books, resources, and therapists who can go much deeper with you. We are aiming primarily at husbands who are doing reasonably well during sex but feel they could improve the sexual satisfaction in their marriage with better ejaculatory control. Second, while some of these strategies seem straightforward, the interaction between physical, psychological, and relational factors makes this more nuanced than most articles let on. Stay with us to the end, because we are going to go a couple of layers deeper on everything. Regular Sex and Ejaculatory Latency A research study in 1984 [ii] found a link between long periods of abstinence from sex and lower ejaculatory latency. Longer stretches without sex cause men to ejaculate at lower levels of arousal. More regular sexual activity can help with ejaculatory control. This is where it gets complex immediately. If sex has not been going well because of this issue, your wife probably does not want more of the same experience. While we titled this "A Husband's Guide," a problem like this is best faced as a couple. Talking through what is happening and finding a way forward together is part of the solution, not just a preliminary step. Medication for Ejaculatory Control Various medications exist to improve ejaculatory control, such as the pill vardenafil and the topical spray PSD502. Both have research showing they increase ejaculatory latency and overall sexual satisfaction [iii]. These medications can also reduce performance anxiety, which is often just as important as the direct physical effect. Minor side effects such as headaches or indigestion are sometimes reported. If this issue is significantly affecting your marriage, seeing a doctor about medication could be a practical first step while you work on the relational and psychological dimensions alongside it. Physical Techniques: Stop-Start, Squeeze, and What Research Found Most men attempt some form of physical strategy to delay ejaculation. The research catalogued a wide range of these, including trying different positions, withdrawing briefly, changing speed or intensity, drinking small amounts of alcohol before sex, doing pelvic floor relaxation exercises, and even applying ice (4% of the sample tried this) [v]. Two techniques have the most clinical support: The stop-start method, first described by James Semans in 1956, involves stimulating yourself (or being stimulated by your partner) until you are close to orgasm, then stopping all stimulation for about 30 seconds. Once the urgency passes, you resume. This trains your body to spend more time in the plateau phase without tipping into orgasm. You may also hear this called "edging," though in a marriage context the purpose is not just sensation control but learning to stay present and connected during sex rather than racing toward a finish line. The squeeze method works similarly. When you feel close to orgasm, you or your wife firmly squeeze just below the head of the penis for several seconds. This reduces the urge to ejaculate. After the sensation subsides, stimulation resumes. Pelvic floor exercises (sometimes called Kegels for men) have some evidence suggesting they can help with ejaculatory control by strengthening the muscles involved in ejaculation. The research on this is less robust than for the stop-start and squeeze methods, but some men find it helpful as a supplementary practice. Interestingly, the research found very little correlation between which strategies men thought were helpful and which ones actually helped [vi]. It is one of those situations where nobody really wants to talk about it, so men end up using whatever strategies they happen to hear about. The physical strategies with the most reliable evidence were: The stop-start method (withdrawing briefly during intercourse, then continuing) Drinking small amounts of alcohol before sex Experimenting with different positions Using a condom Thrusting in a circular motion Even among these, there was high variance. What helps one man may not help another, suggesting personal circumstances matter a great deal. And here is the important part: the overall effect sizes for physical strategies were much smaller than for the psychological and relational factors. That tells us something. Why Distracting Thoughts Do Not Work Perhaps on the more humorous end of the spectrum are distracting thoughts. A 1997 study [iv] found that 74% of men used mental distractions to delay ejaculation. Most used "sex neutral" thoughts (thinking about work, for example). One participant reported singing the national anthem in his head. Some used "sex negative" thoughts, including thinking about unpleasant scenarios, to reduce arousal. Here is the clinical reframe on this: when you are doing mental gymnastics to avoid ejaculating, you are not present with your wife. You have left the room mentally. You are managing your body as a mechanical problem rather than engaging with the person in front of you. This disconnection is not just a side effect of the strategy; it may actually be making things worse by feeding the cycle of performance anxiety. The Real Driver: Where You Put Your Attention During Sex This is where we get closer to the heart of the issue, and where the research tells us something most men are not hearing anywhere else. A 2005 study by Hartmann, Schedlowski, and Kruger [vii] examined the thought patterns of men during sex, specifically comparing men who struggled with ejaculatory control and men who reported good control. The findings were striking. Men who struggled with ejaculatory control were preoccupied with anxiety about trying to delay the orgasm, monitoring their own arousal level, and worrying about performance. Their attention was turned inward, focused on control and fear of failure. Men who reported good ejaculatory control had a completely different mental posture. Their thoughts were focused on their own arousal (in a present, engaged way, not an anxious monitoring way) and on their wife's experience: what she was feeling, how to meet her needs, how to connect more deeply during the encounter. What this means in practice is counterintuitive but clinically consistent with what we see in our work with couples: the more a man fixates on trying not to ejaculate, the harder it becomes to control. The more he shifts his focus toward his wife, toward connection, toward being present in the moment, the more naturally ejaculatory control follows. This makes physiological sense. Performance anxiety activates the sympathetic nervous system, your body's fight-or-flight response. When the sympathetic system is running, everything accelerates, including ejaculation. Shifting your attention to connection and pleasure activates the parasympathetic nervous system, which slows things down and allows you to stay in the plateau phase longer. In our practice, the men who make the most lasting progress with ejaculatory control tend to be the ones who make a relational shift, not just a technique shift. They stop treating sex as a performance and start treating it as an encounter with another person. That change in orientation does more than any single technique we have seen. Pulling It All Together Technique has a place in this. If you are only having sex a couple of times a month and you are middle-aged or younger and in good health, yes, it is going to go fast when you do have sex. The stop-start method can help....
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Ejaculatory Control: A Research-Based Guide for Husbands
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