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Is Buteyko Breathing actually helpful for men wanting to last in bed? Clinical studies have found that men with lifelong PE tend to have lower levels of nitric oxide in their blood, compared to men who don't struggle in the endurance department. So if we can get our nitric oxide levels up a bit, maybe that'll help us hold on? Buteyko has been around for decades. It puts emphasis on nasal breathing and breath holding (aka the 'control pause'). Buteyko teachers say this raises nitric oxide levels, and benefits our bloodflow and respiration. It has a calming, relaxing effect on the autonomic nervous system. Men are making this connection. I did a quick google and there are articles and posts on premature ejaculation forums saying when you get close to coming, do a full exhale and then hold your breath for 8 seconds or longer. Feel your excitement and sensitivity go down, then go again. They recommend taking up regular Buteyko practice to develop this ability. So if you experience PE and are looking for natural, non-medicated ways to last longer, could a bit of Buteyko breathing help you? On the positive side: Breathing definitely helps with ejaculatory control. It's one of the few ways we have of influencing our autonomic nervous system and our relaxation during sex - right there in the act - and leading up to sex, when were all anxious and/or overexcited. I recommend breathing techniques as part of working on your PE. And there are reports of athletes benefitting from Buteyko - especially when they breathe through their nose. They perform better. Well, sex is a physical activity that gets the blood pumping, is there some useful crossover here? I'm skeptical about the nitric oxide thing. Buteyko may well boost it, but does that actually help with arousal and ejaculation? Or should men with PE be looking into other breathing methods? Here's the thing: so men on the quicker side have lower levels of nitric oxide, but is that causing their PE? Research also found that when men took SSRI medication as a treatment for PE, they lasted longer and their nitric oxide levels measured higher. So there's correlation here. When serotonin levels are raised, and other complex neurological processes are affected - and you last longer - raised nitric oxide levels are a marker of this. Serotonin does affect ejaculation, no doubt about that, and it interacts with nitric oxide. But does this work the other way around? Probably not. Buteyko breathing has some evidence base for helping with asthma - which is what Dr Buteyko originally developed it for in the 1950s. My advice - look into Buteyko, give it a go if you're curious (and you don't suffer from hypertension or heart disease or some other condition where breath holding during activity isn't a good idea). You may well get some general relaxing effect. More info about Buteyko here: https://www.buteyko.co.uk/ But for helping with early ejaculation - and performance anxiety and stress and racing thoughts and all the things that speed us up - I'd suggest other breathing techniques. For example, the physiological sigh and simple 7-11 breathing. With the physiological sigh, you take a breath in, followed by a top-up breath, and then a big exhale, relaxing all the way down. See Andrew Huberman's video on that. 7-11 breathing is taking an in-breath for a gentle count of 7 and exhaling for - would you guess - a count of 11. And you can do these things as a regular practice, to really get the benefit. And you can do them during sex, with your partner. Just don't wait until right before the point of no return. Breathe sooner, when you notice that you're going up through the gears. Find out more about my practical self-help course for men: https://lastinglongerlab.com/self-help-course/ Bang On Time and the information provided by Jason Dean are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or sexual health conditions. Although Jason Dean is a psychotherapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your doctor before making any decisions related to your physical or mental health.