Premature ejaculation (PE) is frustrating, but it's common and treatable. If sex ends faster than you want more often than not, there are real steps you can try tonight and options your doctor can prescribe.
PE can come from a mix of things: high anxiety, relationship stress, over-sensitive nerves, thyroid problems, or side effects from other meds. Erectile dysfunction sometimes appears together and can make things worse. If PE started suddenly, came on after a new medication, or you have pain, blood in urine, or other worrying symptoms, get a medical check — those signs need attention.
See a doctor if it causes you or your partner distress, or if home strategies don’t help after a few weeks. A clinician will rule out medical causes, review medications, and talk through safe treatment choices.
Try behavioral tricks first. The stop-start method means stopping right before the point of no return, resting, then starting again. The squeeze technique uses gentle pressure at the base of the penis to delay ejaculation. Both take practice, but they’re free and can help you last longer within a few sessions.
Pelvic floor exercises (Kegels) help by strengthening the muscles that control ejaculation. Do short strong squeezes, three sets of 10 daily, and add longer holds as you improve. Combine this with proper breathing and slower pacing during sex.
Topical anesthetics (lidocaine or prilocaine creams or sprays) reduce sensitivity. Apply a small amount to the glans and wash off before penetration if you don’t want numbness for your partner. They work fast and can be a good short-term fix.
Oral medications are another path. Dapoxetine is a short-acting SSRI made specifically for PE in many countries — it’s taken an hour or two before sex. Other antidepressants (like daily SSRIs) can help too but come with side effects. Some men benefit from PDE5 drugs (like sildenafil) when erectile problems coexist.
Therapy helps when anxiety or relationship problems drive PE. Cognitive-behavioral therapy, sex therapy, or couples counseling can cut performance pressure and teach useful communication and technique changes.
Combine approaches for best results: behavioral exercises + topical or oral meds + therapy when needed. Track what you try so you and your doctor can see what’s working.
Safety note: talk to a clinician before mixing prescription meds or using anesthetic creams if you or your partner have allergies. If cost or access is an issue, check reliable online pharmacies or patient assistance programs for safe, legal options.
PE isn’t a life sentence. With simple exercises, a few treatments, and honest conversations with your partner and doctor, most men regain control and confidence.
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