11 Best Premature Ejaculation Treatments

Premature ejaculation (PE) is a common concern among men, and is defined as the inability to delay ejaculation during sexual activity. It can be caused by physical or psychological factors, or a combination of both. PE can be a source of distress for men and their partners, and can affect the overall enjoyment of the sexual experience. In this article, we will review 10 best premature ejaculation treatments that have been shown to be effective in managing PE.

It is important to note that the treatment of premature ejaculation should be tailored to the individual, and may involve a combination of approaches. It is always a good idea to consult with a healthcare provider for personalized advice on managing premature ejaculation.

1. Pelvic floor muscle exercises

Pelvic floor muscle exercises, also known as Kegel exercises, involve contracting and relaxing the muscles of the pelvic floor. These muscles support the bladder, uterus, and rectum, and are important for maintaining bladder and bowel control, as well as sexual function. Strengthening the pelvic floor muscles can help to improve ejaculatory control and delay ejaculation.

Kegel exercises can be performed anywhere, at any time, and do not require any special equipment. To perform Kegel exercises, men should:

  • Identify the pelvic floor muscles by stopping the flow of urine mid-stream.
  • Tighten these muscles for a count of three, then relax for a count of three.
  • Repeat this process for a total of 10-20 repetitions, three times per day.

It is important to note that Kegel exercises should be performed correctly in order to be effective. Men may want to seek the guidance of a healthcare provider or a pelvic floor physical therapist to learn how to properly perform these exercises.

2. Squeeze technique

The squeeze technique is a behavioral treatment for premature ejaculation that

involves interrupting sexual activity just before ejaculation and squeezing the head of the penis for several seconds until the urge to ejaculate subsides. This technique can be used alone or in combination with other treatments, such as pelvic floor muscle exercises.

To use the squeeze technique, men should:

  • Identify the point of no return, or the point at which ejaculation becomes inevitable.
  • Squeeze the head of the penis until the urge to ejaculate subsides.
  • Repeat this process as needed until ejaculation is delayed.

It is important to note that the squeeze technique should be used with caution, as it may cause discomfort or pain if performed incorrectly. Men may want to seek the guidance of a healthcare provider or a sex therapist to learn how to properly use this technique.

3. Start-stop technique

The start-stop technique is a behavioral treatment for premature ejaculation that involves interrupting sexual activity just before ejaculation and waiting for the urge to ejaculate to subside before resuming sexual activity. This technique can be used alone or in combination with other treatments, such as pelvic floor muscle exercises.

To use the start-stop technique, men should:

  • Identify the point of no return, or the point at which ejaculation becomes inevitable.
  • Stop all sexual activity and wait for the urge to ejaculate to subside.
  • Resume sexual activity when the urge to ejaculate has subsided.
  • Repeat this process as needed until ejaculation is delayed.

Like the squeeze technique, the start-stop technique should be used with caution and may be more effective when used in combination with other treatments. Men may want to seek the guidance of a healthcare provider or a sex therapist to learn how to properly use this technique.

4. Delay sprays and creams

Delay sprays and creams are topical agents that can be applied to the head of the penis to reduce sensation and delay ejaculation. These products usually contain anesthetic agents, such as lidocaine or prilocaine, which work by numbing the sensation in the genital area.

Delay sprays and creams are available over the counter and do not require a prescription. They are easy to use and can be effective in delaying ejaculation, although they may cause side effects, such as numbness or decreased sensitivity, which can affect the overall enjoyment of the sexual experience.

5. Medications For Premature Ejaculation

There are several medications that are used to treat premature ejaculation, including selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants. These medications work by increasing the levels of serotonin in the brain, which can help to delay ejaculation.

SSRIs and tricyclic antidepressants are prescription medications that are taken orally. They are generally well tolerated, but may cause side effects, such as dry mouth, constipation, and dizziness. It is important to note that these medications may interact with other medications and may not be suitable for all men.

6. Penile desensitization

Penile desensitization involves applying a cream or gel to the head of the penis to reduce sensation and delay ejaculation. These products usually contain anesthetic agents, such as lidocaine or prilocaine, which work by numbing the sensation in the genital area.

Penile desensitization can be effective in delaying ejaculation, but may cause side effects, such as numbness or decreased sensitivity, which can affect the overall enjoyment of the sexual experience. Theseproducts are usually applied directly to the penis before sexual activity and should be washed off after use. It is important to follow the instructions provided with the product and use it as directed.

7. Counselling and sex therapy

Counselling and sex therapy can be helpful in addressing psychological factors that may be contributing to premature ejaculation, such as performance anxiety, relationship issues, or past trauma. These therapies can be done individually or with a partner and may involve techniques such as communication training, sensate focus exercises, and relaxation techniques.

Counselling and sex therapy can be effective in managing premature ejaculation, but may not be suitable for all men. It is important to find a qualified therapist who is trained in sexual health and has experience working with premature ejaculation.

8. Acupuncture

Acupuncture is a traditional Chinese medicine technique that involves the insertion of thin needles into specific points on the body to stimulate energy flow and promote healing. Some studies have found that acupuncture may be effective in improving sexual function and delaying ejaculation, although more research is needed to confirm these findings.

Acupuncture is generally considered safe when performed by a qualified practitioner, but may cause side effects, such as pain or bleeding at the needle site. It is important to find a qualified acupuncture practitioner who is trained in sexual health and has experience working with premature ejaculation.

9. Herbal remedies

There are many herbs that have been traditionally used or studied for their potential to improve sexual function and delay ejaculation. Some examples of herbs that may be helpful in managing premature ejaculation include ashwagandha, maca, panax ginseng,and Tribulus terrestris.

It is important to note that the evidence for the effectiveness of these herbs in improving sexual endurance is mixed and more research is needed to confirm their effectiveness. Additionally, it is important to be mindful of the potential for negative effects of these herbs, such as drug interactions or allergic reactions. It is always a good idea to consult with a healthcare provider or a qualified herbalist before taking any herbal remedies.

10. Condoms

Condoms can help to reduce sensation and delay ejaculation by providing a physical barrier between the penis and the vagina or anus. There are several types of condoms available, including thin condoms and condoms with added lubrication or desensitizing agents.

Using condoms can also help to prevent sexually transmitted infections and unintended pregnancies. It is important to follow the instructions provided with the condom and use it as directed.

11. Vacuum devices

Vacuum devices, also known as penis pumps, involve the use of a cylinder that is placed over the penis and a manual or battery-powered pump that creates a vacuum around the penis. The vacuum helps to draw blood into the penis, which can help to improve erectile function and delay ejaculation.

Vacuum devices can be used alone or in combination with other treatments, such as medications or injections. They are generally safe and effective, but may cause side effects, such as bruising or swelling, or may not be suitable for men with certain medical conditions. It is important to discuss the use of vacuum devices with a healthcare provider and to follow their instructions for use.

Starting Your Premature Ejaculation Treatment

Premature ejaculation is a common concern among men, and can be caused by physical or psychological factors, or a combination of both. There are several treatments available that can help to manage premature ejaculation, including pelvic floor muscle exercises, behavioral techniques, topical agents, medications, counselling and sex therapy, acupuncture, herbal remedies, and surgery.

The best treatment for premature ejaculation will depend on the individual and may involve a combination of approaches. It is always a good idea to consult with a healthcare provider for personalized advice on managing premature ejaculation.