Premature ejaculation is a frustrating issue for men for several reasons, such as the perceived inability to please their partners in bed and the valid concern over underlying medical causes. Fortunately, there are many treatment options for premature ejaculation that men can try.
Just be sure to discuss these options with your doctor especially when you have an underlying medical condition, such as diabetes, requiring medications. This is because many drugs can adversely affect sexual drive and performance.
You should also be patient in finding the best combination of treatment options. Keep in mind that each case is different, which means that you and your doctor will have to adopt a trial-and-error method in finding the best treatment combo.
In some cases, the best treatment for premature ejaculation involves changes in behavior that contribute to better ejaculation control. Doctors prescribe these methods as among the more effective in most cases, even when there are underlying medical causes:
Masturbating at least an hour before sexual intercourse, which means the greater ability to delay ejaculation during penetration.
Avoiding sexual intercourse for a short period and focusing on sexual foreplay, which can significantly reduce the pressure from sex; many men report that their premature ejaculation partly stems from their fear of not meeting the pleasure expectations of their partners.
Using the pause-squeeze method involving the following steps:
- Start sexual activity including penis stimulation until your ejaculation seems near
- Let your partner squeeze the end of your penis and keep the squeeze for several seconds until you feel the need to ejaculate has passed
- Wait for 30 seconds and resume foreplay, which will likely result in regaining erection
With the pause-squeeze technique, you can penetrate your partner without ejaculating. You can even learn to control your ejaculation without actually using it.
You may also want to try topical anesthetics, which come in creams and sprays. Basically, you will either apply or spray the topical anesthetics on your penis a short time before sexual intercourse.
With the numbing agent, usually either prilocaine or lidocaine, your penis will have reduced sensation and thus you can delay ejaculation.
But herein also lies the rub. Many men have reported that topical anesthetics result in temporary loss of sensitivity and, hence, reduced sexual pleasure. Even their female partners report the same experiences.
Emphasis must be made that medications recommended in delaying ejaculation have not been specifically approved by the U.S. Food and Drug Administration for this specific purpose.
- Antidepressants specifically selective serotonin reuptake inhibitors (SSRIs) have side effects including delayed orgasm. But these drugs should not be taken without a doctor’s recommendation as side effects also include decreased libido, dry mouth, nausea, and drowsiness.
- Analgesics also have delayed orgasm as a side effect but these can also cause headaches, nausea, and dizziness. These medications are prescribed when the antidepressants have not been effective in premature ejaculation.
- Phosphodiesterase-5 inhibitors, such as sildenafil, tadalafil, and vardenafil may help in premature ejaculation.
You may also want to try dietary supplements marketed as natural alternatives to the above mentioned medications.
These nutritional supplements usually have herbal ingredients, vitamins and minerals, and other non-toxic substances that clinical and anecdotal evidence have proven to contribute to a more effective management of premature ejaculation.
While these dietary supplements contain natural ingredients and can be purchased over the counter, you should ideally ask your doctor about your suitability.
You may have an underlying medical condition that can worsen with the supplementation or your medications may be contraindicated against the supplements’ ingredients.
Safety is always the most important aspect in the management of sexual issues including premature ejaculation.
Aside from these treatments, you may also want to consider counselling. Talk therapy, as counselling is also known, involves talking about your experiences and relationships since these can have an impact on your sexual issues.
You may be provided with ways to ease your performance anxiety and manage your stress.