Premature ejaculation: practical help you can try today
Premature ejaculation (PE) happens when ejaculation occurs sooner than you or your partner want during sex. It’s common, often fixable, and not a sign you’re failing. Below are clear, practical steps you can try tonight, plus medical options and when to talk with a doctor.
Quick techniques you can try tonight
Start-stop method: during penetration or stimulation, pause right before you feel you’ll ejaculate. Wait 20–30 seconds, then continue. Repeat this a few times. Many men use it with a partner and see steady improvement in a few weeks.
Pause-squeeze technique: similar idea, but when you’re close, you or your partner pinches the base of the penis where the head meets the shaft for several seconds. That pressure lowers arousal enough to delay ejaculation. Combine this with the start-stop method for better control.
Use thicker condoms or topical numbing creams: desensitizing condoms and over-the-counter lidocaine-prilocaine creams reduce sensation and can add minutes. Apply creams to the head of the penis, but follow product instructions and avoid transferring to your partner; washing off before intercourse helps. Expect some side effects like reduced erection firmness or partner numbness.
Pelvic floor exercises: strengthening the pelvic muscles (Kegels) can help you control climax. Find the right muscles by stopping urine midstream. Contract for 3–5 seconds, relax for 3–5 seconds. Do 3 sets of 10 reps daily for several weeks to notice improvement.
Medical options and when to see a doctor
If techniques don’t help or PE causes distress, see a clinician. A common definition (used in clinical guidelines) is ejaculation within about one minute of penetration, most of the time, for at least six months, with personal distress. Doctors first check for medical causes like hormonal issues, thyroid problems, or erectile dysfunction.
Medications: Dapoxetine is a fast-acting SSRI approved for PE in many countries; it’s taken on demand 1–3 hours before sex and can add useful minutes. Other SSRIs (paroxetine, sertraline) are used off-label daily and also help. Side effects can include nausea, dizziness, or reduced libido—discuss risks with a prescriber.
Behavioral therapy and counseling: If anxiety, relationship issues, or past trauma contribute, a sex therapist or counselor can help. Combining therapy with exercises or medication often gives the best results.
When to get urgent help: sudden changes in ejaculation, severe pain, or symptoms of infection need prompt medical care. If you have heart disease or take nitrates, check drug interactions before using ED meds or certain treatments.
Small changes can make a big difference. Try one technique for several weeks, communicate with your partner, and see a clinician if you want faster or more reliable results.
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