Premature Ejaculation — Practical Help That Works

Premature ejaculation (PE) is common and treatable. If sex ends sooner than you want, you’re not alone and there are clear steps you can try right away.

PE can have physical causes like prostatitis or hormonal issues, psychological causes like anxiety or relationship stress, or a mix of both. Knowing the likely cause helps pick the best fix.

Simple at-home techniques

Start with behavioral methods. The stop-start technique means stopping stimulation just before climax, waiting 20–30 seconds, then starting again. Repeat this several times until you build more control.

The squeeze technique is similar: when you feel close, apply firm pressure to the head of the penis for a few seconds to reduce arousal. Practice with your partner until the timing feels natural.

Pelvic floor exercises (Kegels) strengthen muscles that control ejaculation. Tighten pelvic muscles for 3–5 seconds, relax for 5 seconds. Do 10–15 reps, three times a day. Over weeks you should notice better control.

Try to slow down during sex. Change positions, focus on the sensations instead of racing to finish, and use deep breathing to calm arousal. Small habit changes often help a lot.

Topical anesthetic creams or sprays with lidocaine or prilocaine reduce penile sensitivity. Apply per product instructions and wipe off excess to avoid numbing your partner. These can give quick results but use them carefully.

Medical and professional options

Oral medications can work well. Dapoxetine is a short-acting SSRI made for PE and can delay ejaculation for many men. Other SSRIs used off-label may help but ask your doctor about side effects and interactions.

If infection or a medical problem is suspected, your clinician may run tests and treat the cause. Treating prostatitis, thyroid issues, or hormonal imbalances can remove the root problem and restore natural control.

Sex therapy and counseling help when anxiety, performance fear, or relationship issues drive PE. Therapists give practical exercises for both partners and help change unhelpful patterns.

Combining treatments often works best: exercises, topical agents, and short-term meds plus therapy for lasting change. Work with a clinician to create a safe plan tailored to you.

When to see a doctor? If PE causes distress, affects your relationship, or doesn’t improve after trying basic techniques for several weeks, make an appointment. Also seek care if you notice pain, discharge, or other unusual symptoms.

Talk to your partner. Open conversations reduce pressure and let you try solutions together. Partner support speeds progress and cuts anxiety.

Small, focused steps usually improve control. Try one change at a time, track progress, and ask a clinician for help when needed. You can get better—and enjoy sex more—without complex treatments or endless worry.

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