How to Fix Premature Ejaculation
Premature ejaculation (PE) is the most common sexual problem in men. It affects about 1 in 3 men at some point in their lives. The good news is that it's treatable with several proven methods.
What Is Premature Ejaculation?
Premature ejaculation happens when you climax sooner than you or your partner would like during sex. Doctors typically diagnose PE when ejaculation occurs within one minute of penetration in most sexual encounters and causes distress.
Behavioral Techniques
Two simple techniques can help you gain better control:
Stop-Start Method: During sex or masturbation, stop all stimulation when you feel close to climax. Wait until the urge passes, then start again. Repeat this several times before allowing yourself to finish.
Squeeze Technique: When you feel close to climax, squeeze the tip of the penis where the head meets the shaft for 10-20 seconds. This reduces arousal and delays ejaculation.
Medications
Several medications can help delay ejaculation:
SSRIs: Antidepressants like paroxetine and sertraline have a side effect of delaying orgasm. Paroxetine is considered most effective, increasing time to ejaculation by about 8-9 times. These are taken daily and may take 2-3 weeks to show full effects.
Dapoxetine: A short-acting medication taken 1-3 hours before sex. It's approved in over 50 countries but not available in the United States.
Numbing Sprays and Creams: Lidocaine-based products applied to the penis can reduce sensitivity and help delay climax.
Counseling and Therapy
Since anxiety and stress often contribute to PE, talking with a therapist can help. Cognitive behavioral therapy (CBT) addresses performance anxiety and teaches coping skills. Research shows combining therapy with medication works better than either alone.
When to See a Doctor
Talk to your doctor if PE happens regularly and causes you or your partner distress. They can check for underlying causes like erectile dysfunction or prostate problems and recommend the best treatment plan for you.
Frequently Asked Questions
How common is premature ejaculation?
Can premature ejaculation be cured permanently?
What is the fastest treatment for premature ejaculation?
Do I need a prescription for premature ejaculation treatment?
References
- Premature Ejaculation: Causes, Diagnosis & Treatment. Available from: https://my.clevelandclinic.org/health/diseases/15627-premature-ejaculation
- Premature ejaculation - Diagnosis and treatment. Available from: https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905
- Comparison of Current International Guidelines on Premature Ejaculation: 2024 Update. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11353472/
- Behavioral Therapies for Management of Premature Ejaculation: A Systematic Review. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4599555/
- SSRIs and SNRIs for Premature Ejaculation in Adult Men. Available from: https://www.aafp.org/pubs/afp/issues/2022/0600/p591.html
Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before starting any new skincare treatment, especially if you have underlying health conditions, are pregnant, or are taking medications.