Premature Ejaculation Treatment: What Really Works

If you’re reading this, you probably want to last longer in the bedroom without feeling embarrassed or anxious. The good news is that you’re not alone—many men face premature ejaculation (PE) and there are several ways to improve control. Below you’ll find the most common approaches, what to expect, and how to choose the right mix for you.

Common Non‑Drug Strategies

First, try techniques you can practice on your own. The stop‑start method involves stimulating yourself until you’re close to climax, then stopping for about 30 seconds. Repeat a few times before allowing yourself to finish. This trains your body to recognize the point of no return.

Another favorite is the squeeze technique. When you feel the urge to ejaculate, gently squeeze the head of the penis for a few seconds. The sensation reduces the need to finish and can help you extend the session.

Both methods need patience—practice for a few weeks and you’ll notice more control. Pair them with pelvic floor exercises (Kegels). Tighten the muscles you’d use to stop urinating mid‑stream, hold for three seconds, then release. Do three sets of ten each day. Stronger pelvic muscles mean better reflex control during sex.

Mind‑body tricks also matter. Try deep breathing or progressive muscle relaxation right before intimacy. Reducing anxiety lowers the speed of arousal, giving you a longer window to enjoy the moment.

Medication and Professional Help

If exercises aren’t enough, medications can help. Selective serotonin reuptake inhibitors (SSRIs) like sertraline or paroxetine are often prescribed off‑label for PE. They delay ejaculation by raising serotonin levels. Start with a low dose, and a doctor can adjust based on how you feel.

Topical anesthetics such as lidocaine‑prilocaine creams or sprays numb the penile skin temporarily, reducing sensitivity. Apply a small amount 10‑15 minutes before sex, then wash off excess to avoid numbness for your partner.

For men who prefer a quick fix, dapoxetine is an on‑demand pill taken 1–2 hours before intercourse. It acts fast and wears off within a few hours, making it a convenient choice for occasional use.

Don’t forget the value of a sexual therapist or urologist. A professional can identify underlying causes—like anxiety, hormonal issues, or relationship stress—and suggest tailored treatment plans. Counseling often works wonders when the problem is partly psychological.

Finally, lifestyle tweaks can make a difference. Reduce alcohol, quit smoking, and aim for regular exercise. Better circulation and overall health support sexual stamina.

Remember, the best approach often combines several methods. Start with simple exercises, add a topical or oral medication if needed, and consider a professional visit if progress stalls. With consistent effort, you’ll gain more confidence and enjoy longer, more satisfying encounters.