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Treatment for Premature Ejaculation: What Are the Options?

June 07, 2023 | Dr. Saad Zia

Premature ejaculation can be embarrassing and uncomfortable for many boys and men. The feeling of climaxing too soon or the inability to hold off arriving at orgasm during sexual intercourse can be demoralizing in both private and public settings. But fear not! Whether it's self-treatment with lifestyle changes or a medical solution your doctor prescribes, help is just around the corner when dealing with premature ejaculation. If you are wondering what type of treatments are available to address this issue, then look no further: In this blog post, we will discuss the causes of premature ejaculation as well as various methods of diagnosis and current treatment options so that you can confidently make an informed decision about how best to manage this condition going forward.


Premature Ejaculation, commonly referred to as PE, is a topic that is often overlooked and misunderstood. Many individuals suffer from this condition yet feel too embarrassed to seek help or discuss the issue with their partners. Early ejaculation may seem trivial, but it can significantly impact sexual confidence and overall well-being. Quick orgasms can also lead to dissatisfaction in sexual relationships, affecting both partners involved. It's important to understand that this condition is treatable, and seeking professional help can improve one's quality of life. Let's break the taboo surrounding PE and start the conversation.

Definition of Premature Ejaculation

 Premature ejaculation is a sexual dysfunction affecting many men globally. It is characterized by the inability to control ejaculation during sexual intercourse, leading to unsatisfactory results. While there is no specific time limit for ejaculation to be considered premature, experts suggest that it is when ejaculation occurs within a minute or less of penetration, consistently and repeatedly. Unfortunately, PE can not only lead to sexual frustration for both partners but can also impact relationships negatively and cause emotional distress. It is crucial for men suffering from PE to seek medical help to manage and overcome this condition.

Symptoms of Premature Ejaculation

 The primary symptom of premature ejaculation is the inability to control when ejaculation occurs, resulting in ejaculation happening shortly after or even before sexual activity begins. Other symptoms include feeling anxious or embarrassed about sexual performance, avoiding sexual encounters altogether, and experiencing difficulty in achieving or maintaining an erection. While these symptoms can be frustrating, it's essential to remember that premature ejaculation is a treatable condition. Seeking help from a medical professional or licensed therapist can lead to effective treatment options and a more fulfilling sex life.

Difficulty Maintaining an Erection

 Maintaining an erection can be a challenging experience for many men. There are a variety of factors that can contribute to this difficulty, including psychological and physical issues. For instance, anxiety and stress can cause men to struggle with staying erect, as can certain medical conditions and medications. These obstacles can significantly affect sexual confidence and relationships, leading to further distress. However, it's essential to know that experiencing difficulty maintaining an erection is not uncommon and can often be resolved with the proper treatment. Seeking help from a healthcare professional and communicating openly with one's partner can significantly improve the situation and lead to a more fulfilling sex life.

Early Climaxing Before or Shortly after Penetration

 One of the most common sexual concerns for men is experiencing early climaxing. This occurs when ejaculation happens sooner than the desired outcome, possibly before or shortly after penetration. This issue can be frustrating and even cause distress in relationships. It's important to note that there is no set time for when ejaculation should occur, as it may vary among individuals and couples. However, if you are repeatedly experiencing quick ejaculations that lead to dissatisfaction, consulting with a healthcare provider to determine potential causes and receive appropriate treatment options may be helpful. Don't let early ejaculation hold you back from enjoying a fulfilling sex life – seek help, and don't be afraid to discuss your concerns with a trusted professional.

Normal Intercourse Duration

 When it comes to the topic of intercourse duration, there seem to be many misconceptions out there. Some people believe that sex should last for hours, while others are content with a quickie that's over in minutes. But what is considered a "normal" amount of time for intercourse? The duration of sex can vary significantly among individuals and couples. Some couples are delighted with sessions that last for just a few minutes, while others prefer to take their time and spend 30 minutes or more in bed. What's important is that both partners are satisfied with the duration of their sexual encounters and communicate openly about their preferences. Ultimately, it's up to each couple to decide what works best for them.

Analysis of the Average Time to Ejaculate for Men

 One topic that has been a subject of curiosity for both men and women is the length of time it takes for men to ejaculate. It is common knowledge that the amount of time varies from person to person and can depend on various factors. However, understanding the average time range may pique interest. Studies have found that the average time it takes for men to ejaculate is between five and seven minutes. While this is just an average, it is essential to note that the duration of sex is not necessarily an indicator of sexual satisfaction. Communication with your partner and understanding each other's needs are critical to an enjoyable and fulfilling experience.

Diagnosis Procedure for Identifying Issues with Premature Ejaculation

 Fortunately, there are diagnosis procedures available that can help identify any underlying issues causing premature ejaculation. These procedures typically involve a comprehensive evaluation by a medical professional, including a thorough medical history and physical examination. In addition, the doctor may use psychological tests and questionnaires to determine if anxiety or other psychological factors contribute to the issue. By undergoing a diagnosis procedure, men can take the first step towards finding effective treatment solutions and improving their sexual health and wellness.

Treatment Options For Premature Ejaculation

Luckily, there are several treatment options available. One popular choice is a topical cream, which is applied directly to the penis and can help desensitize the area. Another option is taking an SSRI (Selective Serotonin Reuptake Inhibitors) medication, which can help to delay ejaculation as a side effect. Additionally, some men may succeed using a particular technique, such as the start-stop or squeeze technique. In more severe cases, injection therapy may be recommended, which involves injecting a muscle relaxant into the penis to help control ejaculation. It's important to note that treatment effectiveness can vary from person to person, and it is best to consult with a healthcare provider to determine the best approach for individual circumstances. With the proper treatment, premature ejaculation can be managed and overcome to improve sexual satisfaction and quality of life.

Behavioral Therapy and Techniques for Reducing Arousal Levels

 For men struggling with premature ejaculation (PE), behavioral therapy can be a game-changer. While many factors are at play concerning PE, one key aspect is learning to control your arousal levels better. This can be achieved through various techniques, such as start-stop exercises and the squeeze technique. By learning to recognize when you're nearing the point of no return and taking steps to pause or alter your sexual activity, you can work towards a more satisfying and prolonged sexual experience. With practice and perseverance, these techniques can also help alleviate the frustration and embarrassment of experiencing a quick orgasm.

Medication Options to Reduce Sensitivity and Improve Control

As one of the most common sexual problems in men, premature ejaculation (PE) can affect their confidence and sexual satisfaction. Luckily, medication options are available to help reduce sensitivity and improve control. These options include topical anesthetics, antidepressants, and phosphodiesterase inhibitors, all of which can be used to manage and treat PE. However, it's crucial to consult a healthcare professional to determine the most suitable medication and dosage for individual needs. Additionally, medication should always be used with other therapies or techniques to maximize effectiveness and overall sexual well-being.

Relevant Resources to Consult on Treatment for Premature Ejaculation

Premature ejaculation is a treatable condition that affects many men, and it should not be a source of embarrassment or shame. Fortunately, there are a variety of resources available that can help those who struggle with this problem. One excellent resource is the Mayo Clinic, which offers comprehensive information about Premature Ejaculation, including causes, symptoms, and potential treatments. Additionally, the American Urological Association and the International Society for Sexual Medicine have also produced guidelines for clinicians regarding the treatment of premature ejaculation. By seeking medical help and exploring the available treatment options, individuals can regain control over their sexual experiences and improve their overall well-being.

 Whether through lifestyle changes, behavioral therapy, medication, or a combination of approaches, managing premature ejaculation is possible. Open communication with your partner and healthcare provider is crucial for understanding the underlying causes and finding the most effective solutions. It’s best to seek guidance from an experienced physician when treating PE. The Cura4U physician network is here to assist men seeking help with premature ejaculations – schedule your appointment today! Don't let premature ejaculation hinder your sexual satisfaction – take action today and reclaim your confidence in the bedroom.


Our clinical experts continually monitor the health and medical content posted on CURA4U, and we update our blogs and articles when new information becomes available. Last reviewed by Dr. Tayyab Saeed Akhtar on June 7th, 2023.



Premature ejaculation - Symptoms and causes - Mayo Clinic- https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900

Can premature ejaculation be controlled? - NHS (www.nhs.uk)-https://www.nhs.uk/common-health-questions/sexual-health/can-premature-ejaculation-be-controlled/

Disorders of Ejaculation: An AUA/SMSNA Guideline (2020) - American Urological Association (auanet.org)- https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation

What Is Premature Ejaculation? - ISSM- https://www.issm.info/sexual-health-qa/what-is-premature-ejaculation#:~:text=Although%20definitions%20of%20PE%20vary,about%201%20minute%20of%20penetration.

Premature Ejaculation Treatment & Management: Approach Considerations, Pharmacologic Therapy, Counseling and Sex Therapy (medscape.com)- https://emedicine.medscape.com/article/435884-treatment

Medical therapy for premature ejaculation - PMC (nih.gov)- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199591/

Premature Ejaculation - StatPearls - NCBI Bookshelf (nih.gov)- https://www.ncbi.nlm.nih.gov/books/NBK546701/

Premature Ejaculation: Aetiology and Treatment Strategies - PMC (nih.gov)- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915345/

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