Treatment For Premature Ejaculation

There are number of treatment for premature ejaculation available. What is the right premature ejaculation treatment for you depends on the cause of your problems, i.e. is it physical or psychological or combination of both?

Premature or early ejaculation is the most common penis health problem, believed to affect up to one third of all men at some point in their life. Few men though seek professional help.

Different stones piled up

It may because men are too embarrassed to talk about such a private problem. They might also not realize that there are ways to overcome premature ejaculation, i.e. from special behavioral techniques to medication.

Premature ejaculation treatments include the following:

  • Behavioral Techniques
  • Oral Medication
  • Topical Anesthetics
  • Erectile Dysfunction Treatment
  • Sex Therapy / Counseling

It can require the combination of two or more treatments to overcome premature ejaculation for good.

Behavioral Techniques

There are number of behavioral techniques that can help you to delay ejaculation. Some are self-help techniques that you can do on your own, others you will have to do with your sexual partner.

  • Simple self-help techniques you can do on your own include:
  • Masturbating 1-2 hours before having an intercourse
  • Use thick / couple of condoms to decrease the penis sensitivity
  • Use breathing techniques to shut down the ejaculatory reflex
  • Think of something unsexy when having sex
  • Take breaks during sex (and think of something unsexy)

The two most popular sexual behavioral techniques for couples are the so-called squeeze technique and stop-go technique.

The Squeeze Technique

You start your foreplay or ask your partner to masturbate you. Signal your partner to stop when you feel close to ejaculating. Your partner should not only stop but also squeeze the head of your penis for few seconds or until the urge to ejaculate has passed.

Wait for 30 seconds after releasing the squeeze and then continue what you were doing. Repeat as often as you like before allowing ejaculation to occur.

Practice makes perfect and you are likely to last longer the more your practice. Also knowing how to delay ejaculation (and that you can delay it) may really help you to last longer.

Stop-Go Technique

This technique is very similar to the squeeze technique except the partner does not squeeze the penis, i.e. you just stop what you were doing, wait until the urge to ejaculate has passed and then continue what you were doing.

Start by using the stop-go technique during foreplay or masturbation. Later you can use it during sexual intercourse, i.e. stop and start having sex as often as required.

These behavioral techniques may sound simple but they can really help you to delay the ejaculation. The more diligent you are the better results you are likely to get.

Behavioral techniques may not be enough to cure premature ejaculation but they can be very beneficial when used with other premature ejaculation treatments.

Oral Medication

There is currently no FDA approved oral medication treatment for premature ejaculation. However, certain antidepressants have the side effects of delayed orgasm and have therefore been used to treat early ejaculation problems.

Antidepressants that have been used as treatment for premature ejaculation include several selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac) as well as the tricyclic antidepressant clomipramine (Anafranil).

Does oral medication work as premature ejaculation cure? Is there any scientific support for using antidepressant as treatment for premature ejaculation?

Various studies have shown antidepressants to be beneficial when used to prevent premature ejaculation. One analysis that focused on eight randomized, placebo-controlled trials that included a stopwatch measurement found:

“the following order of average effectiveness in increasing time to ejaculation was: paroxetine (an 8.8-fold increase); clomipramine (4.6-fold increase); sertraline (4.1-fold increase); and fluoxetine (3.9-fold increase). Research suggests that clomipramine might cause more bothersome side effects than SSRIs, which could limit its use” (Consumer Reports)

Randomized study from 2007 examined the effect of three SSRI on premature ejaculation using a validated questionnaire and concluded:

All 100 (100%) patients experienced a significant increase in their AIPE total score after drug treatment. There was no significant difference regarding any of the 7 items of the AIPE between the 3 treatment groups. All 3 drugs were generally well tolerated.

Conclusions

Our relatively large study, using a validated questionnaire confirmed similar useful effect of paroxetine, fluoxetine and escitalopram on ejaculation time(Ther Clin Risk Manag. 2007) *

*AIPE = Arabic Index of Premature Ejaculation

Oral medication is not premature ejaculation cure, i.e. they only delay the ejaculation while you are taking them. It may however be sufficient to take low dose several hours before having sexual intercourse.

All medication includes some risk and there are other possible side effects from taking antidepressants, including nausea, sweating, fatigue, bowel disturbance and decreased sex drive (libido).

Topical Anesthetics

Topical anesthetics are another popular treatment for premature ejaculation and can come as cream, gel or spray. They contain lidocaine or prilocaine, which dulls the sensation of the penis (penis numbing) and as such help delay ejaculation.

Topical anesthetic creams are applied topically (on the skin) shortly before having intercourse (up to 30 minutes before) but you wipe it off when the penis has lost enough sensation to help you delay your ejaculation.

Some partners have reported reduced genital sensitivity and sexual pleasure (despite the cream being wiped off beforehand). Some couples therefore prefer to use condom to prevent any possible absorption by the sexual partner.

Some scientific studies have shown topical anesthetic creams to be efficient treatment for premature ejaculation. For example, this study showed intravaginal ejaculatory latency time (IELT) to have increased from 1.49 to 8.45 minutes and therefore suggested that anaesthetic cream might be effective treatment for premature ejaculation (Online Library Opens in new window symbol).

Topical anesthetic spray is the latest addition to topical anesthetics but it is sprayed on the penis glans few minutes before sexual intercourse. The anesthetic spray has been reported to increase the time to ejaculation more than six-fold (Medscape Opens in new window symbol).

Erectile Dysfunction Treatment

Men with erectile problems as well as ejaculations problems should have the erectile dysfunction treated first, it could be sufficient for them to overcome premature ejaculations.

Popular Erectile Dysfunction Treatments include oral medication (PDE5 inhibitors like Viagra, Cialis and Levitra) and the use of penis vacuum pumps (VED), while penis implant surgery is always the last option.

Sex Therapy / Counseling

Premature ejaculation is a sensitive topic for many men.

Drawing two men talking

Many men feel embarrassed about the condition and have problem talking about it. Their partners may also suffer, not least if they are not willing to talk about it.

Sex therapy can benefit all men with penis health problems but not least those that suffer from premature ejaculation due to performance anxiety.

Sex therapist can help you to identify the root of your anxiety and address the underlying issues.

Couples therapy can be helpful for those in long-term relationship. Not only can it help you to address any relationship issues. Sex therapy for couples can also help you both to understand what the problem is and how to deal with it as a couple.

Counseling as treatment for premature ejaculation is usually used in combination with other treatment options, e.g. medication and behavioral techniques.