About one in three men will deal with premature ejaculation (PE) at some point. If it’s happening to you, it’s not a moral failure or a relationship death sentence — it’s a common medical issue with several effective fixes. Read on for practical steps you can try today and when to get professional help.
Causes usually fall into two groups: physical and psychological. Physical issues include hormone imbalances, prostatitis, nerve sensitivity, or medications. Psychological contributors include performance anxiety, stress, depression, or relationship conflict. Often it’s a mix of both — for example, anxiety makes you rush, which makes anxiety worse. Spotting what’s driving your PE helps pick the best treatment.
Simple signs to note: does it happen every time or only in new relationships? Did it start suddenly after illness or new meds? These clues guide the next steps.
Behavioral methods are low-risk and work for many men. The stop-start technique: slow or stop stimulation just before climax, wait until the urge drops, then resume. The squeeze method: gently squeeze the shaft at the head to ease arousal when you’re close. Practice during solo sex and with a partner — it takes practice and patience.
Pelvic floor exercises (Kegels) help too. Tighten the muscles you use to stop urine, hold 3–5 seconds, relax, repeat 10 times, three times a day. Stronger control can delay ejaculation over weeks.
Topical anesthetic creams or sprays (lidocaine/prilocaine) temporarily reduce penile sensitivity. Apply as directed, wipe off before intercourse if needed, and watch for partner numbness. Condoms — especially thicker or desensitizing ones — also reduce sensitivity and can help immediately.
Oral medications include short-acting SSRIs like dapoxetine (where available) or other SSRIs used off-label. These can raise the time to ejaculation but need a prescription and may cause side effects like nausea, drowsiness, or sexual side effects. PDE5 inhibitors (sildenafil/tadalafil) sometimes help when erectile problems or anxiety are involved. Always discuss risks with a clinician.
Sex therapy or couples counseling works well when anxiety, shame, or relationship issues are a big part of the problem. A therapist teaches communication, exercises, and coping skills your partner can join.
Practical lifestyle tips: reduce heavy alcohol use, get regular sleep, exercise, and manage stress. Try edging during masturbation to learn control, and use open talk with your partner about pacing and expectations.
When to see a doctor: if PE causes distress, appears suddenly, or follows an illness or new medication. See a urologist or sexual health specialist if topical or behavioral methods don’t help after a few months. A clinician can check for medical causes and help design a safe, combined treatment plan.
Small steps add up. Start with a technique you can try tonight, track changes, and don’t be afraid to get professional help if you need faster or stronger results.
Exploring options beyond Priligy, this article delves into five viable alternatives for treating premature ejaculation. We touch on Paroxetine, Clomipramine, Tramadol, Lidocaine/Prilocaine creams, and Behavioral Therapy, examining their efficacy, benefits, and drawbacks. Both pharmacological and non-pharmacological avenues are explored to provide a well-rounded understanding. Each option offers unique advantages tailored to individual needs and circumstances. The article highlights the importance of consulting healthcare providers to find the most appropriate treatment.
Callum Laird | Oct, 2 2024 Read More