Treatment of Premature Ejaculation

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Dr. Nithin Jayan
Medically Reviewed by Dr. Nithin Jayan, MBBS
Last Updated on May 02, 2016
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Treatment of Premature Ejaculation

Premature ejaculation is treated with counselling, various exercises, positions and maneuvers, and medications.

An occasional instance of premature ejaculation is not cause for worry, but if it affects the relationship between the partners it has to be tackled.

The first step in the treatment of this sex problem is for the couple to understand that there is nothing seriously wrong with the male and reassurance that his performance can be enhanced and made satisfying to both partners.

A counselling session with both the partners can help in better understanding of the problem. Emphasizing the importance of relaxation techniques, foreplay, well lubricated vagina before penetration and letting go the first time but trying to delay the second time may help the couple overcome the problem without the need for medications.

Treatment of Premature Ejaculation: Counselling

Some of the techniques used to delay ejaculation are:

Squeeze Technique

When the man realizes he is going to ejaculate, his partner squeezes the glans penis (i.e. the head of the penis). This helps to delay the ejaculation process. Once a couple is familiar with this technique it enables them to enjoy a longer a longer period of erection before ejaculation.

Condoms

Condoms may be used to decrease the sensitivity of the penis.

Techniques Used to Delay Ejaculation: Condoms

Masturbate before sex

The male partner is asked to masturbate about two hours prior to intercourse, so that a second erection is delayed when he actually has sex with his partner.

Kegel’s Exercises

These exercises are recommended by some people to strengthen the muscles of the pelvic floor, so that the ejaculation is delayed. This exercise is performed as follows- the muscles of the pelvic floor are tightened and held in the taut position for at least 10 seconds. The exercise is repeated about 30 times every day. This is the same muscle one would tighten to stop the flow of urine midway after beginning to urinate.

Techniques Used to Delay Ejaculation: Kegel's Exercises

Woman on Top sexual position

“Woman on top” is a popular position and it is claimed to be helpful in delaying the ejaculation. An understanding partner has better control of the male organ in this position and can perform the act less vigorously and this results in delay in ejaculation.

Medications Used to Treat Premature Ejaculation Include:

Premature ejaculation or early ejaculation, a common sexual problem faced by men can be treated by using the following medications:

Selective Serotonin Reuptake Inhibitors (SSRIs) - Drugs like paroxetine, fluoxetine and sertraline act by inhibiting sexual arousal and help prevent premature ejaculation.

Tricyclic Antidepressants - Clomipramine is taken several hours before sexual intercourse to avoid early ejaculation. However usage of clomipramine may sometimes result in unwanted side effects which include fatigue, dizziness and reduced blood pressure.

Topical Anaesthetics - Drugs that cause numbness and relieve pain in a particular area without loss of consciousness like benzocaine, prilocaine, lidocaine are widely available in the form of creams and sprays. They are applied topically 15 minutes before intercourse to desensitize the penis thereby avoiding early ejaculation.

Phosphodiesterase Type 5 (PDE-5) Inhibitors - Phosphodiesterase 5 inhibitor drugs like Sildenafil, Vardenafil and Tadalafil can be used to treat erectile dysfunction or impotence. Erectile dysfunction is the inability to achieve or sustain an erection during sexual activity

Tramadol, a centrally acting opioid analgesic was found to show progressive sign in the treatment of premature ejaculation, reveal research studies.

References:

  1. http://www.issm.info/prod/system/main/print.asp?page=/prod/data/issir/committees/pedef.htm
  2. BJU intnl. 2008 aug; 102(3): 338-50
  3. Evidence for a genetic etiology to ejaculatory dysfunction Jern P, Santilla P.. Dept of Psychology, Centre of Excellence in behaviour genetics, Abo Akademi Univ, Turku, Finland
  4. Treatment benefit of Dapoxetine for premature ejaculation Kaufman Jm, rosen RC, BJY Int. 2008, nov 18
  5. A Case of Premature Ejaculation in Greek Mythology Otto F. Ehrentheil, The Journal of Sex Research, Vol. 10, No. 2 (May, 1974), pp. 128-131
  6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199591/
  7. https://www.nlm.nih.gov/medlineplus/ency/article/001524.htm
  8. http://www.nhs.uk/Conditions/Ejaculation-problems/Pages/Treatment.aspx
  9. http://www.mayoclinic.org/diseases-conditions/premature-ejaculation/basics/treatment/con-20031160

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The issue of Premature Ejaculation is basically popular among males which enable it to happen for several different aspects. However, no matter what the cause, it is extremely upsetting for the men as well as commonly depressing for both partners. There have been a number of different researches of the problem through the years, and while some time ago it was regarded as a purely psychological problem, health professionals now believe that it is a mixture of both psychological and biological factors.

Raja73

Hi Doc, my age 40 year. I think I am suffering from premature ejaculation. I ejaculate within 20-30 sec. is it a psychological disorder or I need doctor for consultation? I am having a habit of masturbation since,15 years old. Is it effecting on performance? Please, suggest which doctor to consult if, required.

Hi Doc, my age 30 year . I think I am suffering from premature ejaculation. I ejaculate within 20-30 sec. is it a psychological disorder or I need doctor for consultation? I am having a habit of masturbation since ,15 years old. Is it effecting on performance? Please, suggest which doctor to consult if, required.

bnmhrka123

During intercourse it is erecting and not sustaining more than 10-15 secs. kindly tell how to solve the PE poblem

Guest

I have this problem all my life I`m 60 now married 42 years ,we us stud 1000 spray to numb me. can go for 10-15 min. use condom with 1 drop tooth ache in it works great ora-gel

Hi Doc, my age 30 year . I think I am suffering from premature ejaculation. I ejaculate within 20-30 sec. is it a psychological disorder or I need doctor for consultation? I am having a habit of masturbation since ,15 years old. Is it effecting on performance? Please, suggest which doctor to consult if, required. I am going to marry in next couple of months.

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