Treatment for Premature Ejaculation

Some of the common premature ejaculation treatments available are tablets, topical anaesthetics, and counselling. This is ONLY decided with the help of a professional because the cause behind the disorder needs to be established before treatment is determined. Here are some of the common treatments prescribed to men with PE.

Topical Anaesthetics

Doctors may recommend the use of anaesthetic sprays and creams such as lidocaine, prilocaine, or benzocaine. These are numbing agents that are to be applied to the penis, for around 30 minutes or more, before sex. It reduces the sensation over the penis and aids in delaying ejaculation.

Oral Medications

While most drugs don’t have approval for consumption by the FDA for treating PE, some specific ones have the license of use for the condition. These include antidepressants, phosphodiesterase-5 inhibitors (PDE-5), and analgesics. The medications have a particular prescription dosage and should be taken following the advice of a medical professional.

Stop-Start Technique

This is a technique which is also called ‘edging’ and is useful in learning to delay the ejaculation time In the beginning, the
man attempts to do this via a series of masturbation exercises. Once you understand where the ‘point of no return is’ (the point beyond which ejaculation seems inevitable), transfer this knowledge and understanding during sexual intercourse with your partner The following are the steps for this technique/

- Aim to do this exercise at least three times a week
- Try to do the exercise when you have some energy left and not as the last activity of the day when you're tired or after consuming a heavy meal, alcohol, etc
- Ensure that there is enough privacy and that you will not be disturbed
- Make sure you have minimal interruptions (ie shut off phones, alarms, etc)

Stop-Start Technique for premature ejaculation
Stop-Start Technique

- You need to start to stimulate (through masturbation) the penis until you get to a 5 on the scale, at this point, you stop stimulating. This may lead to the erection dropping down, when it gets to a 1 or 2, start stimulating again and this time get it to a 6 on the imaginary scale and allow it to drop down again. Start the stimulation and repeat it once or twice more before allowing yourself to cross the point of no return (8) and ejaculate. 
- Doing this exercise by yourself over a couple of weeks should give you an idea about your threshold for ejaculation. 
- This knowledge can then be transferred to sexual intercourse with your partner or during mutual masturbation with them. You can guide your partner into how the stimulation should be and at what point should they slow down so that you can delay the ejaculation time. 

Squeeze Technique

- Stimulate (through masturbation or sexual intercourse) the penis until the urge to orgasm occurs
- Squeeze (or ask your partner to) the penis head until the erection diminishes
- Start the stimulation again 

Repeat this process about 3-4 times before orgasming or ejaculating.

Squeeze Technique for premature ejaculation
Squeeze Technique

Psychological therapy

Not all cases have a medical cause - in other words, it isn’t always a “hardware” issue. Many patients experiencing PE, especially young males, have psychological causes behind their PE symptoms. These include mental health conditions such as anxiety, depression, stress, sexual pain disorders, etc.

The goal of psychological therapy to help rectify PE symptoms is to first determine the psychological cause behind the PE. The second step would be treating the mental health condition appropriately.

Various medical treatments help with premature ejaculation; however, there is no permanent cure for the condition in some. Individuals can learn to control their ejaculation for sexual satisfaction through medical remedies, supplements, and exercise. Surgical options such as dividing the nerves to reduce penile sensations are still considered experimental.

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Erectile Dysfunction
Erectile Dysfunction

Erectile Dysfunction is defined as the inability to sustain an erection sufficient for sexual intercourse. The condition can affect anyone at any age.

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Causes

Remember - the blood flow (BF), the nerve supply, and the balance of sex hormones - a concern in any of these can lead to Erectile Dysfunction. Erectile Dysfunction can be caused by a physical (a ‘hardware’ problem) or psychological (mental health effects) - mental health can play a huge part.

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Did you know that Erectile Dysfunction can be an indication of cardiovascular concerns? Chronic health conditions affecting blood flow can lead to Erectile Dysfunction.

Premature Ejaculation
Premature Ejaculation

If a man lasts less than 2 minutes after penetration (all or most of the time), and/or if it leads to frequent dissatisfaction for him or his partner, he may have Premature Ejaculation.

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Causes

The causes of Premature Ejaculation include:
(1) Physical Factors: Medical conditions, chronic health conditions, or sexual disorders are some physical causes of Premature Ejaculation.
(2) Psychological Factors: Depression, Anxiety 

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Fact Check

Did you know that Erectile Dysfunction can be a cause of Premature Ejaculation?

Premature Ejaculation can lead to other sexual dysfunctions, but that is not a wide-known fact.

Vaginismus
Vaginismus

Vaginismus is a condition in which the muscles in the vagina tighten up during penetration.

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Causes

Vaginismus is commonly caused by psychological factors. Women don't have control over the tightening, and it can be uncomfortable. Due to the physical discomfort, the anxiety or fear response gets worse, and this can lead to a cycle of avoidance.

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Fact Check

Did you know that there are four types of Vaginismus?

(1) Primary Vaginismus

(2) Secondary Vaginismus

(3) Situational Vaginismus

(4) Global Vaginismus

Low Sexual Desire
Low Sexual Desire

Low sexual desire, commonly referred to as low libido, is a decrease in sex drive.

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Causes

Individuals that experience low sexual desire due to various causes are impacted physically, mentally, and emotionally by the symptoms the condition can cause.

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Fact Check

Like other most common sexual disorders, low sexual desire can be influenced by many aspects, such as hormonal imbalance, increased age, side effects of medications, chronic illnesses, and addictive or compulsive behavior.

Couple Sex Problems
Couple Sex Problems

This would include concerns with infertility and/or conception. Sexual disorders such as Erectile Dysfunction, Premature Ejaculation, and Vaginismus can lead to challenges with pregnancy attempts.

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Causes

There could be various causes of infertility, such as sexual dysfunctions, chronic illnesses, and mental health conditions leading to low sexual desire and a low sperm count. A sexual health professional should evaluate the causes of failed pregnancy attempts because there can be a variety of causes.

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Porn Addiction
Porn Addiction

Porn addiction refers to a person becoming excessively dependent on pornography leading to a disruption in their everyday life. This could include their job, relationships and at times, their day-to-day lifestyle.

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Causes

The causes behind porn addiction could be:

(1) Negative sexual experiences

(2) Incorrect understanding of porn and its uses

(3) Initially trying to learn about sexual experiences, resulted in dependency

(4) Experiencing mental health disorders such as OCD (an anxiety disorder) or depression

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Fact Check

Watching porn isn’t a bad thing, nor should it be associated with any shame. However, compulsive porn watching can have negative effects on your sexual, physical and mental health.

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