It can be difficult for men to talk about experiences with sexual dysfunction, including premature ejaculation and erectile dysfunction, even with their doctors.
Fortunately, there are plenty of discreet treatment options now available online, and while these can be highly effective ways to reduce the symptoms of premature ejaculation, there are some things you can do at home too.
What Is Premature Ejaculation?
The definition of premature ejaculation is when you achieve orgasm or ejaculate faster than you or your partner might prefer.
Despite achieving orgasm, the experience is generally unsatisfactory for guys. Premature ejaculation is not a disease or an illness and is a relatively common experience for men. It’s estimated that between 20 and 30 percent of men routinely experience premature ejaculation, but the number may be even higher.
There's no precise, singular timeframe to ejaculate during sexual activity, so what constitutes "premature" for some might not be considered premature for others. To meet the criteria for a clinical diagnosis of premature ejaculation, a man must be distressed about the amount of time that it takes. For the most part, premature ejaculation is described as sex lasting less than a minute or ejaculation before penetration has started.
What Causes Premature Ejaculation?
The most effective treatment for premature ejaculation depends on the root cause. Unfortunately, pinpointing the cause can be a difficult task, as there isn’t much known about the causes of PE.
It isn't necessarily physical in nature, although there are a few physical treatments that can help. Instead premature ejaculation is largely considered a psychological issue.
The two types of premature ejaculation are:
- Primary premature ejaculation is a lifelong issue and has been experienced since the very first sexual encounter. For a man that's been experiencing premature ejaculation for their entire life, it’s most likely due to a psychological issue relating to sex in general. This could be the result of culture, religion, upbringing, or a traumatic sexual experience. It’s also possible that the cause is related to genetics or a medical condition.
- Secondary premature ejaculation is an acquired issue and is a recent development. Either they'd never experienced PE before or it was fairly infrequent or rare. For men that suddenly start to experience premature ejaculation, it might be the result of complications stemming from being overweight, having diabetes, high blood pressure, or high cholesterol. There is a chance that the issue could be due to mental health issues or stress such as performance anxiety or even depression.
6 Remedies For Premature Ejaculation
Once you have an idea of what might be causing your premature ejaculation, it's easier to find a remedy that can help with your specific situation. If you're still unsure as to what might be causing your PE, these remedies may still help to alleviate and reduce some of the symptoms.
Behavioral Therapy Techniques
The idea behind this treatment option is to recondition and change how your body handles sexual stimulation and ejaculation.
For example, some men may have developed a habit of trying to finish as quickly as possible – for whatever reason – and they've inadvertently conditioned their body to ejaculate as early as possible.
While it may take a few months of practice, these behavior-altering techniques may be able to improve the amount of time it takes to ejaculate.
- The stop-start technique, sometimes referred to as “edging”, involves beginning sexual activity as usual. At the earliest feeling that ejaculation might be occurring, stop all stimulation and focus on anything other than sex. When you've reduced sexual excitement and no longer feel like ejaculation is imminent, you can restart sexual activity.
- The squeeze technique is similar to the stop-start technique and might be more effective for men with a severe case of premature ejaculation. This technique starts out the same way as the stop-start technique with normal sexual activity. Instead of simply stopping all stimulation, however, you or your partner grab the penis where the shaft meets the head and firmly squeeze it. While it may sound painful, it shouldn’t hurt. The squeeze should be firm enough to help quell the urge to ejaculate, but not enough to cause harm or damage. When excitement and sensation is more easy to control, resume sexual activities.
Pelvic Floor Exercises
It may be possible to improve control of your erections and ejaculatory response by strengthening the muscles located in your pelvic floor.
By routinely performing Kegel exercises, you should be able to gain better control over your pubococcygeus muscle and help to delay ejaculation. These exercises are easy to perform, and with practice you complete them lying down, sitting, standing, or even walking.
- Locate the correct muscles. Lots of muscles are often confused for the pelvic floor, and the hardest part is identifying the right muscles to exercise. These muscles are the same ones that you would use if you were trying to cut off urination midstream.
- Once you've found the right muscles, tighten them and hold for a count of three to five seconds.
- Release the muscles and rest for a count of three to five seconds.
- Repeat the second and third steps for 10 to 20 repetitions. This represents one "set," and you should perform two to three sets daily: one in the morning, one after lunch, and one before bed.
As bizarre as it may sound, one of the best ways to avoid premature ejaculation during sex is by masturbating. By masturbating an hour or two before sex, you can help delay the time that it takes to ejaculate.
When a man ejaculates, the body enters into a refractory period that acts as a sexual cool-down. As a result, the physical response is muted for an hour or two after, and it should take more time to ejaculate during sex.
Timing is the most crucial part of this technique. Refractory periods can last as little as 15 to 30 minutes, especially for young men, but it’s not uncommon for it to last 12 hours, an entire day, or even a few days later in life. How long your refractory period lasts can vary, and it might take a few attempts before you get the timing right.
Applying a numbing agent just before sex can reduce penile sensation and help to delay ejaculation. Common anesthetics include benzocaine, lidocaine, and prilocaine. They all work in a similar fashion by blocking nerve transmission from the skin of the penis to the central nervous system.
These topical numbing agents are available as wipes, creams, or sprays and should be applied directly to the penis somewhere between 20 and 30 minutes before intimacy.
Condoms are known to reduce sensation in the penis, but some are created specifically with that purpose in mind.
Some of the anesthetics listed above are applied to condoms and can be purchased for that purpose, which will further numb sensation in the penis. Another option is to use thicker condoms so that sensation is further reduced.
Some condoms are both thicker than normal and include anesthetics to help you last longer.
A few essential minerals play a role in sexual health. It’s possible that a vitamin or mineral deficiency can result in various sexual dysfunctions, including premature ejaculation.
Zinc, for example, plays a key role in male fertility and is important for the production of testosterone. Research has yet to pinpoint a clear and direct connection between zinc and premature ejaculation, but zinc can improve sexual health. Another is magnesium. Low levels may be a contributing factor in premature ejaculation due to an increase in muscle contractions of the penis.
The Takeaway: There is no permanent pharmaceutical cure for premature ejaculation, but there are several home remedies – and prescription medications – that can help to reduce the severity of PE and help delay orgasm. You can also learn to overcome PE permanently with some of these same techniques.
Research into premature ejaculation has yet to provide much insight into its exact cause, likely because PE is multifactorial.
While there may not be a cure as of yet, there are plenty of highly effective sexual health treatments available, and with Rex MD the process is easy and online. Click here to get started today with the most effective treatments on the market, if prescribed.
Seminal plasma magnesium and premature ejaculation: a case-control study.
Efficacy and safety of behavioral therapy for premature ejaculation
Premature Ejaculation: Aetiology and Treatment Strategies