If premature ejaculation is interfering with your sex life, talk to your doctor. They will perform a physical exam and ask you some questions. Based on your answers, your doctor may order some lab work and will provide a diagnosis.
They will also be able to answer your questions and reassure you that this is a common problem. Premature ejaculation can be prevented or avoided, depending on what is causing it.
Most of the time, using the behavioral methods listed below will work to prevent it. In this type of treatment, you practice controlling your ejaculation, either alone or with a partner. In the start-and-stop method , you or your partner will stimulate your penis until you feel like you are about to have an orgasm.
Then the stimulation stops for about 30 seconds. Once you regain control of your response, stimulation begins again. This process is repeated 3 or 4 times before you allow yourself to have an orgasm. In addition to using a behavioral method, you may want to try thought distractions.
Anxiety, depression, and other emotional issues can lead to premature ejaculation. For these issues, seeking the help of a psychologist, psychiatrist, or sex therapist may be helpful.
Couples therapy may also help if relationship problems may be the cause. Several medical treatments may help people who have premature ejaculation. Some antidepressants seem to help delay ejaculation, including antidepressants called selective serotonin reuptake inhibitors SSRIs. However, the U. Food and Drug Administration FDA has not approved the use of these medicines to treat premature ejaculation.
Also, antidepressants may cause side effects such as nausea, dry mouth and drowsiness. Antidepressants may also decrease your desire to have sex. Your doctor can help you decide if an antidepressant is right for you. Medicines used to treat erectile dysfunction may also help prevent premature ejaculation. Your doctor may prescribe one of these medicines alone or in combination with an antidepressant. Anesthetic creams can also be used to prevent premature ejaculation.
These creams are applied to the head of the penis to make it less sensitive. Usually, the cream is applied about 30 minutes before sex and then washed off once it has decreased the feeling in your penis.
The cream must be washed off before sex. If it is left on, it can cause a loss of erection and vaginal numbness.
For some people, simply wearing a condom can help delay ejaculation because it may make the penis slightly less sensitive. In the past, premature ejaculation was thought to be entirely psychological. However, it is now thought that some men particularly those with lifelong premature ejaculation have a chemical imbalance in the brain centres controlling this function this is called a neurobiological cause.
This can, in turn, lead to associated psychological problems, such as performance anxiety. Some men develop acquired premature ejaculation because they have erectile dysfunction are unable to get or keep an erection than enables them to have sex. Seeking help for premature ejaculation from a doctor or sex therapist is a good idea.
Treatments for premature ejaculation will vary depending on the cause and whether it is lifelong or acquired premature ejaculation. The treatments include:. This page has been produced in consultation with and approved by:.
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It can also help couples learn to grow closer. Psychological therapy can help you become less nervous about sexual performance. It can also give you greater sexual confidence and understanding to help your partner's satisfaction. This type of therapy can be used as the only treatment, or it may be used along with medical or behavioral therapy. Behavioral therapy uses exercises to help build tolerance to delay ejaculation. The goal is to help you train your body away from PE.
Some choices are the squeeze method and the stop-start method. Exercises work well, but they may not be a lasting answer. No drugs have been approved in the U.
Still, there are a number of drugs, numbing creams and numbing sprays that may slow ejaculation in men with PE. Doctors noticed that men and women on antidepressants have delayed orgasms.
Drugs such as fluoxetine, paroxetine, sertraline, clomipramine and tramadol affect serotonin levels. Some doctors use these drugs "off-label" for a different reason than the drug's original use to treat PE.
If one drug does not work, your doctor may suggest you try a different drug. Drugs for PE can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level.
The best time to take the drug is not clear. Most doctors suggest from 2 to 6 hours before sex. PE can return if you stop taking these drugs. Most men with PE need to take these drugs on an ongoing basis. Numbing creams and sprays may be put on the head of the penis about 20 to 30 minutes before sex.
Wash the cream off your penis 5 to 10 minutes before sex. Wearing a condom can also help dull sensation. With the techniques listed here, about 95 out of men will recover from PE. There is no way to promise recovery, but learning how to relax may help. If the problem stays, keep working with your health care provider to find solutions. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine. This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser.
Thank you. Urology A-Z Premature Ejaculation. What is Premature Ejaculation? Diagram of the Male Reproductive System Enlarge. Serotonin Though the exact cause of PE is not known, serotonin may play a role. Psychological Issues Psychological, or mental health, issues can be involved in PE and may include: depression stress guilt unrealistic expectations about sexual performance history of sexual repression lack of confidence relationship problems Taking care of emotional problems often helps.
Some questions he or she may ask are: How often does PE happen? How long have you had this problem? Does this happen with just one partner, or all partners? Does PE happen with each attempt at sex?
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