PE Treatment - Masters and Johnson Squeeze Technique

After Masters and Johnson had pioneered a successful treatment for premature ejaculation in the form of the so-called squeeze technique, which was in fact in itself an adaptation of an earlier technique called the stop-start technique published by Dr J Semans in 1956, it was widely assumed that premature ejaculation was the result of men learning to ejaculate quickly because their initial attempts at masturbation or intercourse had to be hurried or lacked privacy.

Masters and Johnson suggested that premature ejaculation is a learned behavior. It is not correct to assume that the squeeze technique is ineffective and should be dismissed, simply because there is no evidence in its favor. Far from it; the effectiveness of this technique depends on the dedication of the man using it, and it neither proves nor disprove the theory that PE is a learned behavior. The first treatment of choice remains, in the opinion of the current authors, psychotherapy and sensate focus, combined in a program which is designed to awaken a man to the sensations in his body so that with greater awareness and skills of ejaculation control he can exert some kind of control over the speed with which he reaches the point of ejaculatory inevitability. It's a complete fallacy to suggest that the only reason why a man would find psychotherapy beneficial is that it would help him to come to terms with his rapid ejaculation.

Masters and Johnson used a definition of premature ejaculation which spoke in terms of subjective satisfaction of the partners. Masters and Johnson claimed a 97% success rate for slowing down a man's ejaculation using the behavioral squeeze technique, but it is fair to say that this high percentage has not been replicated in subsequent studies or clinics -- a rate of around 80% is more usual. Perhaps because premature ejaculation is an area that scientists were (and remain) reluctant to investigate, very little critical analysis of Masters and Johnson's methodology or results has been presented. Without going into these objections in detail, it's certainly true that M & J did not follow the scientific method, but it's important to remember that this does not in itself invalidate their treatment, and subjecting their reports to critical scientific analysis does not diminish the influence they had on the field of premature ejaculation treatment.

How To Carry Out The Squeeze Technique

The squeeze technique was formulated by Masters and Johnson in the late 1960s and early 70s. It's a technique during which the man or his female partner squeeze the head of the penis just underneath the frenulum where it joins the shaft when the man is aware that he is nearing the point of ejaculation. He may lose a degree of erection hardness, but the squeeze reduces his arousal so that he is in no danger of ejaculating. Timing is crucial, of course; if the squeeze is left too late then he may well ejaculate anyway. This technique is disruptive to intercourse, and a man must have the co-operation of a willing partner. Intercourse is resumed after the man's arousal has dropped. The squeeze technique produces reasonable results in the short term, but some exerts believe it does not appear to produce long lasting change.


The squeeze technique essentially works because pressure applied between the dorsal and ventral surfaces of the coronal rim of the glans penis will both reduce erection hardness and lower sexual arousal.

If your partner is squeezing your penis, she (assuming your partner is female - this technique can be used by all sexual orientations) is likely to be very cautious about applying too much pressure in case she hurts you, not understanding that the penis can take a fair amount of pressure in this way before it becomes too uncomfortable.

You should therefore ensure that the squeeze is hard enough and long enough you can establish this because you'll feel the desire to ejaculate dissipating. After the squeeze has been released, you can wait for around 30 seconds before continuing sexual activity.

Any reduction in erection rigidity is quite normal. The theory is that this will enable you to not only identify the point at which ejaculation is imminent which I actually think most men with premature ejaculation are well aware of anyway but also to build greater staying power, that is to say, giving you greater control of ejaculation without squeezing. In other words, it appears to be a technique that passively increases your ability to extend the duration of sexual stimulation without ejaculation.

The exact method of using it is as follows, assuming that you're doing it with a partner, and not on your own during masturbation:

One; establish a series of signals so that you and your partner can communicate very clearly about what's going on during the squeeze technique. The obvious signals to use are the words "stop" and "start", and if necessary, "hold on".

Two; have your partner stimulate you with a hand or perhaps even orally. As you approach the point of no return, but definitely before you feel you're going to ejaculate, give her the key to stop stimulating you.

Three; have her place her hand so that the coronal rim of your penis is between her thumb and two fingers. On the underside of the penis, her thumb or fingers, depending on which side she's got them, should be on the frenulum. She now needs to squeeze firmly for up to 20 seconds make sure this is not painful.

Four; when you tell her to let go, she should wait for another half minute until you tell her to start stimulating you again. By the time that she starts, your urge to ejaculate should have diminished.

Five; basically repeat this as often as necessary for the next 15 minutes.

Six; allow yourself to ejaculate freely and naturally on the final period of stimulation.

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