Methods for controlling premature ejaculation and prevention of prostate cancer

> **The Good Man Ends**

Okay, now you know that premature ejaculation doesn't really have a definition, and you also know that premature ejaculation isn't a problem unless you or your sexual partner consider it a problem.

And you also know that even if premature ejaculation is considered a problem, it may only require some psychological adjustments to resolve. So, where to begin?

Practice, practice, and practice some more.

Dr. Cohen said, "Just as you learn to control your urination, you can learn to control your ejaculation, and there are many techniques you can use."

Here are some methods to deal with premature ejaculation.

**Communication before intercourse** Movies, television, and advertisements make it seem like we should all be sex addicts, but that's just wishful thinking.

Since most of us are not used to discussing private matters, such as disharmony in our sex lives, and therefore lack communication with our sexual partners, this actually exacerbates the problem.

Dr. Goldman said, "Good communication is the key to all these problems."

Through mutual communication, a couple can become their own sex therapist.

Talk to your sexual partner about your sex life.

Find out what you are all happy with and what is causing the problems.

For example, you can say directly that you have been struggling with premature ejaculation.

Suppressing these feelings will only make things worse, just like trying to hold back a fire only makes you angrier.

Acknowledging and discussing your sexual feelings is the first step in resolving the issue.

Try the Start/Stop Method. In 1995, Dr. James Seamans, a urologist at Duke University School of Medicine, improved the technique for prolonging ejaculation time and called it the "Start/Stop Method".

You can practice on your own first, and then practice with a same-sex partner.

The method is as follows: First, make the penis erect and continue to stimulate it until you feel that you are about to ejaculate, then stop and wait for the urge to ejaculate to pass.

If you succeed in this step, then stop for 1-2 minutes and start stimulating the penis again.

By repeatedly starting and stopping the process several times, the durability is gradually increased.

Using this technique can help you understand your body and know what stimulates you.

"You can try dividing your libido into 1 to 10 levels," Dr. Goldman suggests. "Men with premature ejaculation often unconsciously go from 1 to 10."

She said you could try to see if you can realize when you've reached a 6.

If you fail the first time, don't be discouraged.

As we've mentioned before, controlling ejaculation requires practice.

"If you fail, that's okay. You can wait a while or try again tomorrow," Dr. Goldman said. "Practice 3 to 4 times a week."

Don't forget, this skill takes time; it usually takes 3 to 5 months to see improvement.

This is not something that can be accomplished in a week.

Whether you're going solo or with a sexual partner, masturbation can greatly help control your orgasms.

Dr. Walker said, "Through masturbation, a man can learn what kind of touch, caresses, and positions help him maintain an erection."

Use masturbation to distinguish between "hot" stimulation that arouses your sexual desire and "cold" stimulation that has no effect.

Tell these things to your loved one.

In this way, when you are aroused, your partner can avoid physical stimulation, helping you control ejaculation and making intercourse more harmonious.

Here's another piece of advice: Some men masturbate an hour or two before intercourse because they feel that the second erection is stronger and more powerful.

Although some doctors still have doubts, some sex psychologists we have spoken with insist that it has proven feasible for some patients.

**The extrusion method was first developed by Dr. Masters and Dr. Johnson.**

This method is similar to the start/stop method, except that you or your sexual partner need to gently squeeze the underside of the glans to reduce the urge to ejaculate.

When squeezing, it is best to place the thumb on the upper side of the penis and the other two fingers on the lower side.

"This method can delay ejaculation," Dr. Walker said. "The significance of using this method correctly is not limited to this. If both men and women can master this method well, it can actually become a pleasure during sex."

**Avoid the top position** During intercourse, the traditional male-on-top position should be avoided because certain nerves in the glans penis are more sensitive to this position and can stimulate sexual desire more.

You can try the side position, which can help you and your partner have sex for longer.

Another good position is the woman-on-top position, which can also prolong the duration of intercourse.

**Do not use medications indiscriminately.** For example, delay creams can numb the penis, but they can also numb the hands or mouth.

There are also so-called aphrodisiacs, such as Spanish turnips, which can be dangerous.

We should forget about these things.

Dr. Walker said, "With these things, you attach yourself to something outside of yourself."

There are better ways to understand yourself and your body, and then you'll be more satisfied with yourself.

**Prostate Cancer**

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Early prevention can save you trouble.

Prostate cancer is rarely mentioned and rarely heard of.

However, this gland, about the size of a walnut kernel, should not be taken lightly.

If it decides to cause you trouble, you're in for a world of hurt.

Of all the parts of the human body, the prostate is the most susceptible to cancer.

It is estimated that 40 to 400 men die from prostate cancer each year (a number close to the number of women who die from breast cancer).

The high mortality rate is partly due to the prevalence of the disease: one in 128 men in the 40-59 age group will develop prostate cancer, and the incidence increases with age.

By age 80, your chance of developing prostate cancer is 1 in 8.

There is no doubt that as men's life expectancy has increased, the incidence of prostate cancer has also risen in the past few decades.

Strictly speaking, however, it does not belong to age-related diseases.

"Autopsy studies have revealed that some men had prostate cancer as early as age 20," said Dr. Howard Scher, chief of the Genitourinary Oncology Division at Memorial Sloan Kettering Cancer Center in New York City.

However, these facts need to be viewed rationally.

The vast majority of men with prostate cancer do not die from prostate cancer; some are even completely unaware of it.

Prostate cancer has two characteristics: it develops extremely slowly and symptoms only appear in its late stages.

This means that prostate cancer may accompany you throughout your adult life without you even knowing you have it.

More than two-thirds of men diagnosed with prostate cancer die from other causes before the cancer becomes life-threatening.

"The real question isn't who gets the disease, but who gets affected by it," says Dr. Kenneth Goldberg, director of the Dallas Men's Health Center and author of "How Men Can Live as Long as Women."

**Latest Information**

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> • Commonality: At least 1 in 10 men may get it at some point.

Risk factors: age, family history, being African American, and a preference for high-fat foods.

> • Affected age group: 80% are diagnosed after age 65.

However, autopsy studies have found that tiny tumors may begin to develop as early as adulthood.

Gender differences: Only men have this problem; women do not have a prostate.

· Request for help: Urology specialist.

If you are able to receive treatment, you should try the second method (radiation therapy) before determining which treatment is right for you; the choice of treatment method may vary greatly from doctor to doctor.

**Deceptive Risk Factors**

The prostate is a sex organ, but its role is entirely behind the scenes: it produces proteins that liquefy sperm and releases these fluids during ejaculation.

It is not yet clear how prostate cancer develops, but genes seem to play a significant role: if your father or brother has prostate cancer, you are twice as likely to develop it as the average person.

Research into the human factors that contribute to prostate cancer has revealed that there are ways to prevent the disease or slow its progression.

**Eat less oily food** In countries like Japan, where low-fat foods are the main diet, the incidence of prostate cancer is lower than in Western countries like the United States, which tend to have a high-fat diet.

Studies have shown that while fat does not cause prostate cancer, it can induce prostate cancer or accelerate its growth.

Red meat appears to be even more dangerous: one study compared 120 men with prostate cancer to 120 men without prostate cancer, and the results showed that men who ate red meat five times a week were 2.5 times more likely to develop the disease than men who ate it at most once a week.

Soybeans are a recommended low-fat food (this can be in the form of tofu, soy flour, or soy milk).

Studies have found that soybeans can inhibit the growth of prostate cancer.

Other beneficial foods include high-fiber foods such as lentils, tomatoes, and peas.

**Increase your vitamin D intake** The human body mainly obtains vitamin D from sunlight and by consuming dairy products or fatty fish such as tuna and salmon.

Interestingly, people living in high-latitude regions, where they receive less ultraviolet radiation from sunlight, are more likely to develop prostate cancer: the difference between Maine and Florida is nearly 50%.

The implication is that consuming more vitamin D will prevent prostate cancer.

Laboratory experiments conducted at Stanford University and anthropological studies conducted at Duke University suggest that this claim is correct.

However, this has not yet been definitively proven.

The fundamental point, in the words of Dr. William Catarona, chief of urology at Barnes Hospital, Washington University in St. Louis, is: "Of course, there's no need to risk skin cancer by basking in strong sunlight, but eating more healthy foods is never a bad thing."

**Work out a sweat** A Harvard University study of 17,719 men found that those who burned more than 4,000 calories a week had a 47%-88% lower risk of prostate cancer than those who burned less than 1,000 calories a week.

To burn that many calories, you need to do a lot of exercise, at least one hour a day.

How can this effect be explained? Perhaps it's because exercise makes people eat better without gaining weight.