Sexual intimacy should be a source of pleasure and connection, but for many, Premature Ejaculation (PE) can turn it into a source of anxiety. It can occur at any age and is not limited to inexperienced individuals or those under stress.
For many men, ejaculating sooner than desired can lead to frustration, embarrassment, and relationship problems. The good news is that it can be treated. With the right combination of therapy, medication, and behavioral techniques, men can regain control over their sexual response and experience greater satisfaction in intimate relationships.
This article discusses various evidence-based Premature Ejaculation treatment options.
Premature Ejaculation treatment options
Premature Ejaculation happens when a man ejaculates very quickly during sexual activity, usually within one minute of penetration, and feels unable to delay ejaculation. It becomes a medical concern when it happens frequently and causes personal or interpersonal distress.
The treatment for PE depends on its cause and severity. Most treatment plans involve a mix of behavioral methods, psychological therapy, medication, and, in some cases, medical procedures.
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Below is a detailed overview of each method:
Behavioral techniques
Several practical techniques can help men delay ejaculation and improve control during sexual activity. These include:
- Start-stop method: It involves sexual stimulation until the man feels close to ejaculating. Then, stimulation is paused for 30 seconds or until the sensation fades. This process is repeated several times before ejaculating. Over time, this helps in increasing control.
- Squeeze technique: When the man feels he is about to ejaculate, pressure is applied to the penis head for a few seconds to reduce arousal. This can delay ejaculation and improve awareness of timing.
- Pelvic floor exercises (Kegel Exercises): Strengthening the pelvic muscles helps in better control of ejaculation. Kegel exercises involve continuously contracting and relaxing the muscles of the pelvic floor. These exercises should be done regularly for a few weeks to see results.
- Use of condoms: Some condoms are designed to reduce penis sensitivity. Using such condoms can help prolong the duration of intercourse.
Psychological therapy
For many men, PE is rooted in emotional or psychological problems. As per a controlled trial published in Plos One in December 2023, Cognitive Behavioral Therapy (CBT) is a common method used to help improve satisfaction for those with PE.
A trained therapist helps in:
- Identifying negative thought patterns
- Reducing performance anxiety
- Improving self-confidence
- Addressing relationship conflicts
Therapy may involve both individual and couple sessions, depending on the situation.
Medications for PE
There are several prescription medications used to delay ejaculation. These should always be taken under medical supervision.
Topical numbing agents
This includes Lidocaine creams or sprays. It is applied to the penis before intercourse to reduce sensitivity. It should be applied 10–15 minutes before sex and wiped off before penetration to avoid numbing the partner.
Oral medications
Oral medicines include Selective Serotonin Reuptake Inhibitors (SSRIs) like Dapoxetine, Paroxetine, Sertraline, and Fluoxetine. Originally used to treat depression, SSRIs can delay ejaculation by increasing serotonin levels.
Sometimes, Tramadol, a pain medication that has ejaculation-delaying effects, is also used. It is generally used when SSRIs are not effective or suitable.
Phosphodiesterase-5 (PDE5) inhibitors like Sildenafil (Viagra) and Tadalafil (Cialis) are used primarily for Erectile Dysfunction (ED) but may help men who have both PE and ED.
All medications have side effects, and long-term use should be monitored by a healthcare provider.
Premature Ejaculation natural treatment
Some men prefer natural alternatives to medical treatment for Premature Ejaculation. While not all natural methods are backed by strong evidence, they may still help in mild cases.
- Ashwagandha is an over-the-counter PE treatment. It is an Ayurvedic herb that is believed to reduce anxiety and improve stamina.
- Panax Ginseng may enhance sexual function and delay ejaculation.
- Zinc supplements are recommended because low zinc levels have been linked to sexual dysfunction.
Always consult a doctor before taking any medicines or supplements, especially if you are taking other medications.
Lifestyle changes
Healthy habits can improve sexual health and overall well-being. Some tips include:
- Regular exercise, especially Yoga, enhances blood flow, improves stamina, and reduces stress.
- Nutrient-rich food supports hormonal balance and energy levels.
- Limiting alcohol and tobacco because these substances can interfere with nerve function and performance.
- Good sleep hygiene helps restore mental and physical health.
Communication with Partner
Open communication between partners can reduce anxiety and improve sexual satisfaction. Discussing preferences, timing, and comfort can help reduce pressure and lead to a more relaxed sexual experience.
When to see a doctor
Men should consider getting medical help if:
- PE occurs almost every time they have sex
- It causes emotional distress or relationship problems
- Behavioral methods have not worked
- There are signs of other sexual issues, like Erectile Dysfunction
A urologist or sex therapist can provide a diagnosis and develop a personalized treatment plan.
Conclusion
Premature Ejaculation is not a permanent problem; it is a medical issue that can be managed and treated easily. Whether it arises because of psychological factors, biological causes, or lifestyle, understanding the cause of the issue is the first step toward recovery.
With the right Premature Ejaculation treatment, be it behavioral techniques, therapy, medications, or lifestyle changes, men can gain better control over ejaculation and enjoy more fulfilling intimate relationships.
If PE is affecting your quality of life or relationship, do not hesitate to consult a qualified healthcare provider. Timely treatment and the right guidance can make a significant
difference. Effective treatment is available, and improvement is possible.
Frequently Asked Questions
Are there any devices available to manage PE?
Yes, delay devices like constriction rings or vibrating tools may help improve control. Some reduce sensitivity, while others promote blood flow. These are best used with guidance and are not substitutes for medical treatment or therapy.
Does PE go away on its own over time?
In some cases, especially when caused by temporary stress or Anxiety, PE may resolve without treatment. However, if it becomes frequent or causes distress, it usually needs behavioral techniques, therapy, or medication to improve long-term control.
Is there a connection between PE and porn addiction?
Yes, excessive pornography use can train the brain to respond quickly to stimulation, which may contribute to PE. It can also increase Anxiety and unrealistic expectations. Reducing or moderating porn consumption may help retrain sexual response and improve endurance over time.
How long does it take for treatment to show results?
It depends on the method. Behavioral techniques and therapy may take a few weeks of consistent practice. Medications like Dapoxetine work within an hour. Natural remedies and pelvic exercises may take longer, often requiring 4 to 6 weeks for noticeable improvement.
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