Premature Ejaculation (PE) is a common sexual concern in men, with about 30% of adults in the United States experiencing it at some point. It occurs when ejaculation happens sooner than desired, often leading to stress, frustration, or reduced sexual satisfaction.
PE can happen for many reasons, including both physical and psychological. This can not only affect your sex life, but also your confidence and emotional well-being.
Fortunately, PE is manageable. And if you live in Phoenix, Arizona, you have access to several treatment options, including medications like Dapoxetine, behavioral therapies such as the start-stop method, and counseling. These treatments are recommended after a thorough evaluation by a healthcare professional, based on the cause, severity, and your medical history, to identify the most suitable approach for you.
This article will define what PE is and highlight the treatment options available in Phoenix.
What is Premature Ejaculation?
Premature Ejaculation is when you ejaculate or climax sooner than you intend to during sexual activity. It often happens within 1 to 3 minutes of penetration, leaving one or both partners unsatisfied. While occasional early ejaculation can happen to any man, PE becomes a concern when it occurs consistently or causes distress.
It can affect males of all ages. Around 30% of men aged around 18 to 59 experience Premature Ejaculation at some point in their lives.
PE is classified into two primary types:
- Lifelong or Primary PE: This type starts from your first sexual experience.
- Acquired or Secondary PE: This type develops later after a period of normal ejaculation.
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What can cause Premature Ejaculation?
PE can result from a mix of physical and psychological factors. Below are the causes of PE that you should be aware of to choose the proper treatment and improve sexual performance.
- Hormonal imbalances: Abnormal testosterone or Thyroid levels can affect sexual response.
- Neurological conditions: Nerve damage or hypersensitivity of the penis can lead to early ejaculation.
- Medical conditions: Diabetes, High Blood Pressure, or prostate problems may increase the risk.
- Anxiety and stress: Sexual Performance Anxiety (SPA), relationship pressures, or general Anxiety can lead to episodes of early ejaculation.
- Depression: Mental health challenges are often linked to sexual difficulties, including PE.
- Early sexual experiences: Traumatic or rushed early sexual experiences can lead to the development of lasting patterns of PE.
What are the best Premature Ejaculation treatments in Phoenix?
Several PE treatment options are available in Phoenix, but the most suitable treatment depends on the underlying cause and overall health. Your doctor can recommend medications and therapies, depending on the severity of your situation and your body’s response to treatment.
Let’s look into the effective treatment options for PE.
Oral medications for PE
Several PE medications are commonly prescribed to help men delay ejaculation and gain better control. They include:
Selective Serotonin Reuptake Inhibitors (SSRIs)
SSRIs such as Dapoxetine, Paroxetine, Sertraline, and Fluoxetine were initially designed as antidepressants. However, a study published by the National Institute of Health in 2021 states that it can also prolong ejaculation by boosting serotonin levels in the brain. While they are not FDA-approved for the treatment of PE, a doctor can prescribe SSRI medications for off-label use.
Phosphodiesterase 5 (PDE5) inhibitors
Medications like Sildenafil (Viagra) and Tadalafil (Cialis) are mainly used for Erectile Dysfunction (ED), but can benefit if you are dealing with both ED and PE. They help improve blood flow to the penis and support firmer and longer-lasting erections. This can indirectly help you gain better control over ejaculation.
Tramadol
This opioid pain reliever can also help delay ejaculation and increase intravaginal ejaculatory latency time (IELT), that is, the amount of time between vaginal penetration and when you ejaculate, in men with Premature Ejaculation.
It helps delay ejaculation by increasing certain brain chemicals (serotonin and norepinephrine) that control the ejaculatory reflex. It can also slightly numb the nerves in the penis, reducing sensitivity and helping you last longer. However, it carries a risk of dependence (addiction) and should never be combined with SSRIs.
These medications are prescription-only and should be taken under the guidance of a healthcare professional. You should always obtain them from a certified pharmacy in Phoenix, presenting a valid prescription.
Other PE treatment options available in Phoenix
If you’re looking to manage Premature Ejaculation without oral pills, there are several effective options available in Phoenix. These include topical treatments that reduce sensitivity, behavioral therapies that help you gain better control over ejaculation and counselling to work on psychological factors.
Let’s look into such options in detail.
Topical treatments
Topical options, such as creams and delay sprays, are also available in Phoenix and can be purchased over-the-counter. These products typically contain Lidocaine or Prilocaine, which reduces penile sensitivity. Apply 10 to 15 minutes before intercourse and remove any excess to prevent numbing your partner.
Another effective option is medicated condoms that contain a numbing agent, usually Benzocaine, on the inside to help reduce sensitivity.
Behavioural therapies for PE

Behavioral therapies are non-medical approaches designed to help you gain better control over ejaculation and improve sexual satisfaction. These techniques often focus on retraining the body and mind to respond more gradually during sexual activity.
Standard behavioural therapies are:
- Stop-start method: This method involves sexual stimulation with your partner until you approach ejaculation, then pausing until the urge goes away. Repeating this cycle several times before climax helps develop better control and awareness.
- Kegel exercises: For PE, Kegel exercises help strengthen the pelvic floor muscles, improving control over ejaculation. They involve repeatedly tightening and releasing the pelvic floor muscles. It can help you delay climax, enhance sexual stamina, and reduce the risk of PE.
- Squeeze technique: It involves applying gentle pressure to the head or base of the penis when you feel near ejaculation, helping to delay climax and increase awareness of timing.
- Sensate focus therapy: This therapy emphasizes pleasurable touch without intercourse, gradually reintroducing sexual activity to reduce performance anxiety and prevent overstimulation that can trigger Premature Ejaculation.
You can learn and practise these therapies at clinics like Oh My Pleasure (sex therapy and education), His Pelvic Doc (men’s pelvic health and rehabilitation), and Performance Medicine Institute (comprehensive pelvic health programs), where specialists guide you through exercises and techniques to manage PE.
Counselling for PE
Counselling for PE is essential when the condition is caused by psychological or emotional distress, such as Anxiety, stress, or relationship issues. Psychological counseling helps uncover and address these underlying causes, improving confidence and sexual performance.
It usually involves individualized sessions that focus on managing Performance Anxiety, understanding relationship dynamics, learning about PE, and practicing structured behavioral techniques to enhance ejaculatory control. Key elements of counselling are,
- Psychosexual therapy: This therapy focuses on behavioral techniques to delay ejaculation, like the stop-and-start and squeeze methods. It is combined with counseling to reduce performance anxiety, improve communication, and resolve relationship problems.
- Cognitive Behavioral Therapy (CBT): It helps men change negative thoughts and beliefs around sex and performance, reduce anxiety, and develop coping strategies. It can be delivered in person or through mobile-based platforms.
Where to get PE treatments in Phoenix
If you are in Phoenix and looking for places to get these treatments for PE, you have access to a variety of specialized clinics and urology centers. Your first step is to consult with a urologist, who can evaluate your condition and recommend the most suitable treatment for you.
Well-known urology centers in Phoenix, such as the Mayo Clinic Hospital and Arizona Urology Specialists, offer expert guidance throughout diagnosis and treatment, ensuring you receive personalized care for your specific situation.
Additionally, men’s health clinics such as Summit Male Medical and Phoenix Men’s Health Center specialize in men’s sexual health, including conditions like PE, providing focused support and personalized treatment options. You can also visit the Arizona Relationship Institute and the Scottsdale Center for Sex & Relationship Therapy, both of which provide behavioral therapy options specifically designed to treat PE.
If your doctor prescribes medication, you can fill your prescription at any licensed pharmacy in Phoenix or through a reputable online pharmacy that follows proper safety standards.
Local pharmacies
You can find your PE medication at many convenient local pharmacies in Phoenix, including CVS Pharmacy, Walgreens, Fry’s Pharmacy, Safeway Pharmacy, and Walmart Pharmacy. These pharmacies can help you safely fill your prescription and answer any queries you may have about your medication.
Online pharmacies
If you prefer the convenience of ordering from home, online pharmacies are a safe and reliable option for obtaining your PE medication, provided you submit a valid prescription. In Phoenix, reputable platforms like Cheap Medicine Shop offer lab-tested and authentic products with FDA-approved active salts, including both generic and brand-name options. Buying online is quick, convenient, and discreet, making it an ideal choice for those who value privacy and a hassle-free experience.
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Conclusion
Premature Ejaculation occurs when you climax earlier than you intend to. It can be frustrating, but it’s manageable. From topical creams and behavioral therapies to counseling and psychosexual therapy, there are multiple ways to regain control and improve sexual performance. In certain cases, doctors may also prescribe SSRIs like Dapoxetine off-label. These options are accessible under the guidance of qualified healthcare professionals in Phoenix.
For the appropriate treatment, you should visit a urology center, such as Arizona Urology Specialists, and consult with a urologist. They can evaluate your condition and formulate a personalized treatment plan to help you achieve better control, reduce anxiety, and enhance your sexual confidence. When obtaining medications, it is essential to opt for credible platforms such as Cheap Medicine Shop to ensure authenticity.
By adopting the right strategies, maintaining open communication with your partner, and following proper treatment, you can regain confidence, enhance intimacy, and enjoy a more fulfilling sexual experience.
Frequently Asked Questions
Does Premature Ejaculation go away on its own over time?
Yes, sometimes Premature Ejaculation improves on its own over weeks or months, primarily if stress or psychological issues are addressed. However, many men experience lasting difficulties and may need professional help.
What are the surgery options for Premature Ejaculation?
Surgical treatments for PE include the Inner Condom Technique, Selective Dorsal Neurectomy (SDN), and Hyaluronic Acid (HA) Gel Glans Penis Augmentation. Your doctor will only prescribe these procedures if medications or behavioral therapies have proven ineffective or are not suitable for you.
How is Premature Ejaculation diagnosed?
Doctors diagnose PE by reviewing your medical and sexual history, including how quickly ejaculation occurs and its impact on satisfaction or relationships. Sometimes, a physical exam or tests such as blood tests are done to rule out medical issues. Diagnosis mainly relies on your symptoms and a professional evaluation.
How can lifestyle changes help delay ejaculation?
Making lifestyle changes can help you gain better control over ejaculation. Regular exercise, stress management, a healthy diet, and adequate sleep can help reduce anxiety, improve stamina, and enhance sexual performance, allowing you to last longer and feel more confident during intimacy.
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