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Psychological therapy, behavioral therapy and drugs are the main treatments for PE. You can talk with your health care provider to decide the best choice for you. More than one type of treatment may be used at the same time. Psychological therapy is a way to work through the feelings and emotions that may lead to problems with sexual relationships.
It can also help couples learn to grow closer. Psychological therapy can help you become less nervous about sexual performance. It can also give you greater sexual confidence and understanding to help your partner’s satisfaction. This type of therapy can be used as the only treatment, or it may be used along with medical or behavioral therapy.
The goal is to help you train your body away from PE. Some choices are the squeeze method and the stop-start method. Exercises work well, but they may not be a lasting answer. The Squeeze Method, With this method, you or your partner stimulates your penis until you are close to ejaculation.
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The goal is for you to become aware of the sensations leading to climax. The squeeze method may help you better control and delay climax on your own. The Stop-Start Method, In this method, you or your partner stimulates your penis until just before ejaculation. When you are about to climax, you or your partner stops until the urge to climax lets up.
This process is repeated 3 times. You ejaculate on the fourth time. You repeat this method 3 times a week until you have gained more control. No drugs have been approved in the U.S. to treat PE. Still, there are a number of drugs, numbing creams and numbing sprays that may slow ejaculation in men with PE.
Drugs for PE can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level. The best time to take the drug is not clear. Most doctors suggest from 2 to 6 hours before sex. PE can return if you stop taking these drugs.
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Numbing creams and sprays may be put on the head of the penis about 20 to 30 minutes before sex. If you leave the numbing cream/spray on your penis for longer than suggested, your erection may go away. Also, the numbing cream/spray should not be left on the exposed penis during vaginal sex because it may cause vaginal numbness.
Wearing a condom can also help dull sensation.
However, it’s up to each couple to decide if they’re happy with the time taken – there’s no definition of how long sex should last. Occasional episodes of premature ejaculation are common and are not a cause for concern. However, if you’re finding that around half of your attempts at sex result in premature ejaculation, it might help to get treatment.
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Common physical causes include:Common psychological causes include:anxiety about sexual performance (particularly at the start of a new relationship, or when a man has had previous problems with sexual performance)It’s possible, but less common, for a man to have always experienced premature ejaculation since becoming sexually active. A number of possible causes for this are:conditioning – it’s possible that early sexual experiences can influence future sexual behaviour.
They then let go and wait for another 30 seconds before resuming masturbation. This process is carried out several times before ejaculation is allowed to occur. The stop-go technique is similar, but your partner does not squeeze your penis. Once you feel more confident about delaying ejaculation, you and your partner can begin to have sex, stopping and starting as required.
Selective serotonin reuptake inhibitors (SSRIs) are designed to treat depression, but they also delay ejaculation. SSRIs used for this purpose include:Some men may experience an improvement as soon as treatment begins. However, you’ll usually need to take the medicine for 1 to 2 weeks before you notice the full effects.
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They include:Read more about the side effects of SSRIs. An SSRI specifically designed to treat premature ejaculation, known as dapoxetine (Priligy), has now been licensed in the UK. Local NHS authorities can choose to prescribe it on the NHS.It acts much faster than the SSRIs mentioned above and can be used “on demand”.
Your response to the treatment will then be reviewed after 4 weeks (or after 6), and again every 6 months. Dapoxetine is not suitable for all men diagnosed with premature ejaculation. For example, it is not recommended for some men with heart, kidney and liver problems. It can also interact with other medicines, such as other antidepressants.
Research has found that they may also help with premature ejaculation. Because of changes in regulations, you no longer need a prescription to get sildenafil. But you will have to have a consultation with the pharmacist to make sure it’s safe for you to take it. Read more about sildenafil including information on how and when to take it.
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For example, you may be able to ejaculate normally when masturbating, but not during sex. When ejaculation only occurs in certain situations, there’s usually a psychological cause. Sex therapy is a form of counselling that uses a combination of psychotherapy and structured changes in your sex life. This can help to increase your feeling of enjoyment during sex, and help make ejaculation easier.
Availability can vary widely depending on where you live. You can also pay privately. Prices per session are around £50 to £80. The College of Sexual and Relationship Therapists website provides information about private sex therapists and how to find a therapist in your local area. The relationship counselling service Relate also offers sex therapy at a number of its centres.
During sex therapy, you’ll have the opportunity to discuss any emotional or psychological issues related to your sexuality and relationship, in a non-judgemental way. Activities may also be recommended for you to try at home while you’re having sex with your partner (you should never be asked to take part in any sexual activities during a session with the therapist).
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Retrograde ejaculation is caused by damage to the nerves or muscles that surround the neck of the bladder (the point where the urethra connects to the bladder). Usually when you ejaculate, semen is pushed out of your urethra. It is prevented from entering your bladder by the muscles around the neck of the bladder, which close tightly at the moment of orgasm.
If you’re having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible. Communicating your concerns can often go a long way to helping to resolve them. And, in some cases, your partner may also have their own problems that are contributing towards problems with your sex life.
The use of topical EMLA-cream-only seems to be an effective treatment of premature ejaculation. Copyright © 2006 Elsevier Inc. All rights reserved..
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Medically reviewed by Last updated on Feb 15, 2022. Premature ejaculation occurs when a man reaches orgasm and ejaculates too quickly and without control. In other words, ejaculation occurs before a man wants it to happen. It may occur before or after beginning foreplay or intercourse. Some men experience a lot of personal distress because of this condition.
When premature ejaculation happens so frequently that it interferes with the sexual pleasure of a man or his partner, it becomes a medical problem. Several factors may contribute to premature ejaculation. Psychological problems such as stress, depression and other factors that affect mental and emotional health can aggravate this condition.
Working to relieve stress or other psychological issues may help the situation to improve. Other men have lasting difficulties with premature ejaculation, and require professional help. Some men respond to treatment promptly, while others struggle with this problem over a prolonged period. Effective treatment is available. There is no known way to prevent premature ejaculation.
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Most commonly, the “squeeze technique” is used. If a man senses that he is about to experience premature orgasm, he interrupts sexual relations. Then the man or his partner squeezes the shaft of his penis between a thumb and two fingers. The man or his partner applies light pressure just below the head of the penis for about 20 seconds, lets go, and then sexual relations can be resumed.
When this technique is successful, it enables the man to learn to delay ejaculation with the squeeze, and eventually, to gain control over ejaculation without the squeeze. Behavioral therapy helps 60% to 90% of men with premature ejaculation. However, it requires the cooperation of both partners. Also, premature ejaculation often returns, and additional behavioral therapy may be needed.
Some men with premature ejaculation may benefit from drugs called phosphodiesterase inhibitors, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). A phosphodiesterase inhibitor can be used alone or in combination with an SSRI. One drug should be started at a time, preferably at a low dose. Some men with premature ejaculation also benefit from reducing the stimulation they experience during sex.
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Another option is to use one or more condoms. However, these techniques may interfere with the pleasure experienced during sex. The following list of medications are in some way related to or used in the treatment of this condition. Speak with your doctor if you consistently ejaculate before you want to.
On one occasion a volunteer was able to control ejaculation for 7 minutes and 40 seconds after taking Viagra. The researchers measured “vibrotactile stimulation ejaculatory latency time” in the man’s penis as their measurement of time to ejaculate. They actually measured vibration, not ejaculation, so their times were much higher than the couples would have reported if they had been operating a stopwatch.
Men who took Viagra reported they felt more in control of their ejaculations. Men who took Viagra reported greater satisfaction from sex. Men who took Viagra reported they were able to get it up and go again on average in 3 minutes and 12 seconds after ejaculation when they were on Viagra.
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With that said Cialis does have it’s own list of potential side effect: Headache Upset stomach Back pain Stuffy nose Flushing Dizziness Another reason for taking Cialis instead of Viagra is that Cialis is a drug you can take once a day on a regular schedule, and Viagra is a medication you take when you think your partner is going to be in the mood.
Levitra has to be taken right before sex and it can also be helpful in helping you maintain an erection after ejaculation. Levitra is a medication that works best if it is taken about 60 minutes before sex. One of the same researchers who studied Cialis as a muscle relaxant also did stopwatch tests of couples having sex after the man took Levitra.
Frank Sommer reported that the average time to climax with no treatment was less than 90 seconds. During the first 4-weeks of the study, each man was taught at home exercises and techniques to help better control ejaculation, such as: About half of the men found this sufficient enough to not proceed with the remainder of the study.
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It’s hard to determine the efficacy of Levitra on PE considering that other ejaculatory control methods were introduced into the study. However, men in the study reported that with Levitra they usually lasted long enough that both partners enjoyed sex more. A follow-up to this study found that men get good results with Levitra for premature ejaculation if they take it once a day, but it also works if they just take it an hour or less before they have sex and skip the pill on days they known they won’t be having sex.