How To Stop Premature Ejaculation
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A Psychotherapist with Clinical specialization, working for over seven years now. Areas of specialization range from Anxiety-related disorders, Mood-related disorders, Personality disorders, Sexual dysfunctions & other mental health issues.
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Updated on 22 April, 2024
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Premature ejaculation is a prevalent type of sexual dysfunction, with studies indicating that it impacts up to 39% of men. Symptoms of premature ejaculation include reaching orgasm and ejaculating quickly during sexual activity, often within one or two minutes.
Fortunately, the majority of cases of premature ejaculation, also known as “PE,” can be effectively treated, so there’s typically no need to be concerned about this common issue having a lasting impact on your sexual experiences. With proper treatment, you can have control over ejaculation in no time. So, make sure that you talk to a health care professional to find out the underlying cause of such issues.
What Can Cause Premature Ejaculation?
Premature ejaculation is a sexual dysfunction characterized by the inability to control or delay ejaculation during sexual activity. It is a common issue that affects many men and can lead to significant distress and dissatisfaction with sexual experiences. While the exact causes of rapid ejaculation are not fully understood, research has identified several potential contributing factors.
Psychological Issues
One possible cause of rapid ejaculation is psychological factors, such as anxiety or stress. Many men who experience premature ejaculation report feeling nervous or anxious before or during sexual activity, which can contribute to a loss of control, decreased level of arousal, and PE. Additionally, some men may experience performance anxiety and other sexual issues, which can further exacerbate premature ejaculation. Relationship issues are also a major contributing factor for PE.
Biological Reasons
Another potential cause of rapid orgasms is biological factors, such as an imbalance in hormone levels or genetic predisposition. Some studies have suggested that men with certain genetic variants may be more likely to experience premature ejaculation, while others have found associations between premature ejaculation and lower levels of certain hormones, such as serotonin or dopamine.
Medications
Additionally, certain medical conditions and medications may contribute to PE. For example, conditions that affect the prostate or urinary system, such as prostatitis or urethritis, can cause premature ejaculation. Similarly, certain medications, such as some antidepressants, may have side effects that include rapid orgasms.
Lifestyle Factors
Lifestyle factors may also play a role in rapid orgasms. For example, alcohol and drug use can affect sexual function and lead to rapid ejaculation. Additionally, poor overall health and fitness may contribute to PE, as men who are overweight or sedentary may have reduced sexual function.
Overall, while the exact causes of PE are not fully understood, a combination of psychological, biological, medical, and lifestyle factors may all contribute to this common sexual dysfunction. Understanding the potential causes of fast ejaculation can help men and their health care provider develop effective treatment plans to improve sexual function and satisfaction.
What Are The Treatment Options Available For PE?
Premature ejaculation (PE) is a common sexual dysfunction that can have a significant impact on the sexual satisfaction and well-being of affected men and their partners. Fortunately, several treatments are available to help men manage and even eliminate premature ejaculation. Treatment options range from behavioural changes to medications and devices, depending on the underlying causes of the condition and individual preferences.
Behavioural Methods
Behavioural techniques, such as the stop-start technique and pause-squeeze technique, are often the first-line treatment for premature ejaculation. These techniques aim to help premature ejaculation patients learn how to better control their ejaculation by increasing their awareness of the sensations that lead to ejaculation and learning how to interrupt or delay those sensations.
The start-stop technique involves stopping sexual activity before reaching the point of ejaculation and waiting until the urge to ejaculate subsides before resuming activity. This technique can be practised alone or with a partner and is typically repeated several times to help men learn how to control their ejaculation.
The squeeze technique involves the partner squeezing the base of the penis just before ejaculation to interrupt the process and help delay ejaculation. This technique can also be practised alone or with a partner and can be repeated several times to help men learn how to control their ejaculation.
Both techniques can be effective in helping men manage their premature ejaculation, but they require practice and patience to see results. Additionally, they may not be effective for men with more severe or persistent premature ejaculation.
Sexual Medicines
Several prescription medications are available to treat premature ejaculation, including selective serotonin reuptake inhibitors (SSRIs), topical anaesthetics, and phosphodiesterase-5 inhibitors (PDE-5 inhibitors).
SSRIs are a class of antidepressants that can also be effective in treating PE. These oral medications work by increasing the levels of serotonin in the brain, which can help delay ejaculation. However, they may take several weeks to become effective and may cause common conditions such as nausea, dizziness, decreased sexual performance, and decreased libido.
Topical anaesthetics, such as lidocaine or benzocaine, can be applied to the penis before sexual activity to help desensitize the area and delay ejaculation. These products are available over-the-counter or by prescription and can be effective in treating premature ejaculation. Numbing sprays and numbing creams are found in pharmacies near you. However, they can also cause physical conditions such as decreased sensation, which can affect sexual satisfaction.
PDE-5 inhibitors, such as sildenafil or tadalafil, are medications for erectile dysfunction, but may also be effective in treating premature ejaculation. These medical treatments work by increasing blood flow to the penis, which can help maintain an erection and delay ejaculation. However, medication options may not be effective for all men with premature ejaculation and may have side effects such as headache, flushing, and indigestion.
Devices
Some devices are excellent for the treatment of PE in men, including penile clamps, penis rings, and vibrators.
Penile clamps and rings work by compressing the base of the penis to help maintain an erection and delay ejaculation to improve sexual performance. These devices can be effective, but may also cause discomfort or pain, and should be used under the guidance of a healthcare provider.
Vibrators can also be effective in treating premature ejaculation by desensitizing the penis and delaying ejaculation. However, they may not be suitable for all men and should be used with caution to avoid causing discomfort or injury.
Psychological Counselling
For men with psychological factors contributing to their premature ejaculation, such as anxiety or depression, psychological counselling may be a helpful treatment option. Behavioral therapy can help men identify and address the underlying psychological factors that may be contributing to their premature ejaculation, and learn coping strategies to manage anxiety and stress.
Overall, the most effective treatment for premature ejaculation will depend on the underlying causes of the condition and individual preferences. Men experiencing premature ejaculation should speak with a healthcare provider to determine the most appropriate treatment options for their sexual health.
Alternate Methods of Treatment for Rapid Ejaculation
Performing pelvic floor exercises can have a significant impact on the time it takes for men to reach climax. A 2014 study revealed that pelvic floor exercises can help men who suffer from lifelong premature ejaculation control their ejaculatory reflexes and increase the time it takes for them to climax. To perform these exercises, men can follow these steps:
- You have to locate the muscles while urinating and stop while in the middle of the act.
- Lie down and then contract the muscles on the pelvic floor for three seconds before relaxing them for another three seconds. Repeat this process at least ten times in a row, three times a day.
- As your pelvic floor muscles become stronger, gradually increase the number of seconds you contract them. Experiment with different positions such as standing, walking, or sitting down.
- Concentrate on your pelvic floor muscles more while keeping breathing intact when you are doing these exercises. Avoid tightening your buttocks, abs, or thighs.
One of the best ways to delay a rapid ejaculation is to make sure that you masturbate an hour before the sexual activity actually takes place. Sexual release through masturbation can reduce the need to climax quickly during intercourse.
Taking a break from intercourse for a period of time can also help alleviate the pressure associated with sexual encounters. It’s important to remember that penetration is not the only way to experience sexual satisfaction. Exploring alternative methods of sexual pleasure with your partner can be an effective way to reduce frustration and distress during intercourse. Make sure to include sex therapy if you are having trouble with PE.
Is Surgery An Option For Treating PE?
Surgery is not a common treatment option for premature ejaculation (PE). In most cases, PE can be treated with non-surgical methods, such as behavioral techniques, medications, or a combination of both. However, in rare cases, surgery may be recommended as a last resort for men who have not responded to other treatments.
One surgical option for treating PE is a dorsal neurectomy, which involves removing a small piece of tissue from the dorsal nerve that runs along the penis. This can help to reduce the sensitivity of the penis and delay ejaculation. However, this procedure is not without risks, including the possibility of erectile dysfunction, loss of sensation in the penis, or damage to surrounding nerves.
Another surgical option is penile prosthesis implantation, which involves surgically inserting a device into the penis that can help to maintain an erection and delay ejaculation. This procedure is typically reserved for men who have both erectile dysfunction and PE and have not responded to other treatments.
It’s important to note that surgery for PE is not widely recommended and is typically reserved for men who have not responded to other treatments or have severe and persistent PE that significantly impacts their quality of life. As with any surgery, there are risks and potential complications, so it’s essential to discuss all available treatment options with a licensed healthcare provider before making a decision.
