Acupuncture may be an alternative treatment option for premature ejaculation new findings suggest.
Premature Ejaculation is defined by the majority of health care professionals as being ejaculation which occurs before the wishes of both sexual partners. Cited by The International Society of Sexual Medicine as one of the most common male dysfunctions, it may occur often in newer relationships when sexual excitement, anxiety and over stimulation are common. Premature ejaculation is rarely caused by underlying disease, anatomical or physical problems. To date, no prescription drug has been actually approved by the U.S. Food and Drug Administration FDA) for the treatment of PE.
It is characterized by:- Ejaculation which always or nearly always occurs prior to or within seconds of vaginal penetration; and the inability to delay ejaculation during all or nearly all vaginal penetrations with resulting negative psychological or emotional consequences, such as personal distress, disappointment, frustration and/or the avoidance of sexual intimacy..
In a study of 90 PE patients, the therapy proved superior to a sham treatment but less effective than Paroxetine, an anti-depressant of the selective serotonin-reuptake inhibitor type known to have a therapeutic effect on PE, according to an online report in European Urology.
Didem Sunay MD and colleagues at the Ministry of Health Ankara Training and Research Hospital in Ankara, Turkey, randomly assigned patients to receive Paroxetine 20 mg/day, or acupuncture or placebo acupuncture. Each group had 30 patients. Investigators evaluated the PE by measuring intravaginal ejaculation latency times (IELTs) and using the PE Diagnostic Tool (PEDT). IELTs were determined by using a partner-held stopwatch.
Median PEDT scores of Paroxetine, acupuncture and placebo groups were 17.0, 16.0 and 15.5, respectively before treatment, and 10.5, 11.0 and 16.0 after treatment. Paroxetine, acupuncture and placebo acupuncture increased IELTs by 82.7, 65.7 and 33.1 seconds, respectively. The extent of ejaculation delay caused by Paroxetine was able to be determined as greater than that of acupuncture, the researchers found.
However, the results of this recent study would indicate that real acupuncture was more effective than placebo acupuncture. This result seems to refute the hypothesis that acupuncture’s benefits are due to a placebo effect. Although acupuncture is less effective than daily Paroxetine, it had a significantly stronger ejaculation-delaying effect than placebo and would seems to be a worthy alternative option to drug or other treatments of PE.
*From the March 2011 issue of Renal and Urology News.
A Cochrane Review of four previously published studies of 253 men found insufficient evidence to support behavioral therapy for the premature ejaculation, despite small studies and anecdotal evidence proclaiming its success. But some experts maintain that the therapy, which aims to ease the anxiety surrounding the condition for both men and their partners can be useful when applied together with medication. The impulse to ejaculate is carried through the central nervous system that runs through the spine, so any central nervous system injury or spinal injury can result in a man having PE problems because the back is so closely tied to the central nervous system.
To compare therapeutic effects of acupuncture and medication on Primary Simple Premature Ejaculation, the Chinese Central Hospital of Sanmenxia City conducted research examining these treatments. One hundred and eleven cases were randomly divided into an acupuncture group (n=56) and a medication group(n=55). The n=56 group was treated by acupuncture with different acupoints selected on a daily basis.** The n=55 group was treated with oral administration of 20 mg Sailete (antidepressant) tablets each night. The researchers concluded that acupuncture has a better therapeutic effect on Primary Simple P E.
Reference: ZhongguoZhenjiu. 2009 Jan;29(1):13-5
"* Some selected acupoints daily, 60 minutes each timed needle insertion, best combined with massage, moxibustion therapy, enhanced nutrition and excersizes, etc."