Another option is to use one or more condoms. However, these techniques may interfere with the pleasure experienced during sex. Speak with your doctor if you consistently ejaculate before you want to. Remember, one instance of premature ejaculation does not mean that you have a condition that requires treatment. Your doctor may refer you to a sex therapist if premature ejaculation is causing major problems in your sex life or personal relationships or if you would like to consider behavioral therapy. Many men experience a brief period of premature ejaculation, then improve on their own. Even for men who require medical treatment, the outlook is usually good. No names, no logos, no delivery fee. All content on this page has been medically reviewed by: Hassan Thwaini, Clinical Pharmacist and Copywriter, Master of Pharmacy (MPharm) on 30 March, 2026. 4.6* from over 33,000 people like you. You’ll be assessed by our UK-based clinicians via a simple online consultation. Your tadalista super active 20 medication will be delivered swiftly in unmarked packaging. Repeat prescriptions keep you topped up, and you can switch any time if you wish to try alternative treatments. We’re with you throughout your journey.
Pharmacologic Therapy
As many as one in five men experience difficulty with uncontrolled or early ejaculation at some tadalis oral jelly point in life. When premature ejaculation happens so frequently that it interferes with the sexual pleasure of a man or his partner, it becomes a medical problem. Several factors may contribute to premature ejaculation. Psychological problems such as stress, depression and other factors that affect mental and emotional health can aggravate this condition. However, there is growing evidence that biological factors can make some men more prone to experience premature ejaculation.
Early Climaxing Before or Shortly after Penetration
Rarely, premature ejaculation can be caused by a specific physical problem, such as inflammation of the prostate gland or a spinal cord problem. The key symptoms of premature ejaculation include: ejaculation that routinely occurs with little sexual stimulation and with little control decreased sexual pleasure because of poor control over ejaculation Premature ejaculation is diagnosed based on typical symptoms. To understand your problem, your doctor will need to discuss your sexual history with you. The more your doctor knows, the better he or she can help you. If your sexual history fails to reveal significant mental or emotional factors that may contribute to premature ejaculation, your doctor may want to examine you.
When to see a doctor
Your doctor may examine your prostate or do neurological tests (tests of your nervous system) to determine if there is a physical problem that could be causing premature ejaculation. Sometimes, premature ejaculation goes away on its own over weeks or months. Working to relieve stress or other psychological issues may help the situation to improve. Other men have lasting difficulties with premature ejaculation, and require professional help. Some men respond to treatment promptly, while others struggle with this problem over a prolonged period. You can access your medical team whenever you need to, via phone and email. How we make it possible for you to have longer-lasting sex. Innovative methods of delaying ejaculation enable longer-lasting sex without compromising on pleasure.
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Some treatments delay premature ejaculation by boosting serotonin levels in the body, and others work by gently reducing sensitivity in the penis. Treatments for premature ejaculation can take as little as 10 seconds to start working, and usually last long enough for satisfying sex. Premature ejaculation is a common sexual dysfunction where an individual ejaculates earlier than they’d like during sexual activity.
Data availability
Some men with premature ejaculation may benefit from drugs called phosphodiesterase inhibitors, such as sildenafil (Viagra), vardenafil (Levitra), tadalafil (Cialis) and avanafil (Stendra). A phosphodiesterase inhibitor can be used alone or in combination with an SSRI. One drug should be started at a time, preferably at a low dose. Some men with premature ejaculation also benefit from reducing the stimulation they experience during sex. A number of creams are available that can partially anesthetize (numb) the penis and reduce the stimulation that leads to orgasm. It can cause distress and frustration and can occur for a variety of reasons. Psychological contributors may include anxiety, stress, or relationship issues, while physical factors can range from hormonal imbalances to certain neurological conditions. There are simple ways to treat premature ejaculation and medical intervention can provide individuals with tailored strategies that help solve the issue. Treatment for premature ejaculation often involves a combination of techniques. Behavioural strategies like the stop-start or squeeze techniques can be helpful. Medications such as selective serotonin reuptake inhibitors (SSRIs) or topical anaesthetics may be prescribed. Counselling or therapy can also be beneficial when psychological factors are involved. Specialists in medicine, nutrition, performance, and diagnostics.
- Consider professional counseling for psychological causes.
- Use behavioral exercises like stop-start method.
- Take prescribed SSRIs to delay ejaculation.
- Practice pelvic floor relaxation techniques.
- Maintain a healthy, balanced diet.
- Limit exposure to performance pressure.
- Engage in shared sexual experiences with partner.
- Use condoms with numbing agents if suitable.
- Track progress to stay motivated.
- Incorporate relaxation techniques before intimacy.
- Avoid rushing; focus on quality over speed.
- Seek group or couple therapy if needed.
BSc (Hons) MBBS MRCGP AFHEA MA (Hons) AFMCP I occasionally experienced premature ejaculation during sex.
What causes premature ejaculation?
Another possible treatment is prescription medication that helps to delay ejaculation. Delayed orgasm is a common side effect of certain drugs, particularly those used to treat depression. This is true even for men who are not depressed. When this type of medication is given to men who experience premature ejaculation, it can help to postpone orgasm for up to several minutes. Drugs used for this type of treatment include selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), paroxetine (Paxil) or sertraline (Zoloft); and tricyclic antidepressants, such as clomipramine (Anafranil). Not every time, but enough that it became something that was weighing on my mind whenever I got intimate with a girl. My life is so much better now that it seems silly to have wasted so much time not being satisfied.
13. What is the best medication for premature ejaculation?
There is no known way to prevent premature ejaculation. However, you should consider the following advice: If you experience feelings of anxiety, guilt or frustration about your sex life, consider seeking psychotherapy or sexual therapy. Keep in mind that anyone can experience sexual problems. If you experience premature ejaculation, try not to blame yourself or feel inadequate. Try speaking openly with your partner to avoid miscommunication.
Causes of retrograde ejaculation
Behavioral therapy is one possible approach for treating premature ejaculation. Most commonly, the "squeeze technique" is used. If a man senses that he is about to experience premature orgasm, he interrupts sexual relations. Then the man or his partner squeezes the shaft of his penis between a thumb and two fingers. The man or his partner applies light pressure just sex tablet for men price below the head of the penis for about 20 seconds, lets go, and then sexual relations can be resumed.
Competing interests
The technique can be repeated as often as necessary. When this technique is successful, it enables the man to learn to delay ejaculation with the squeeze, and eventually, to gain control over ejaculation without the squeeze. Behavioral therapy helps 60% to 90% of men with premature ejaculation. However, it requires the cooperation of both partners. Also, premature ejaculation often returns, and additional behavioral therapy may be needed. The service is accessible and easily takes away the embarrassment factor. Answer a few simple questions to get the treatment you need. Premature (early) ejaculation is the most common sexual disorder in men younger than 40 years, with 30-70% of males in the United States affected to some degree at one time or another.
| Treatment Type | Method | Typical Duration | Effectiveness Rate |
|---|---|---|---|
| Pharmacological | SSRIs (e.g., Dapoxetine) | 4-12 weeks | 70-85% |
| Topical Anesthetics | Lidocaine-based creams | Immediate | 60-75% |
| Behavioral Therapy | Start-Stop Technique | Ongoing | 50-70% |
| Electrical Stimulation | Pelvic nerve stimulation | Varies | 40-60% |
It has historically been considered a psychological disease with no identified organic cause.
- Regularly practice pelvic floor strengthening exercises.
- Use delay sprays or gels containing numbing agents.
- Implement the pause technique during intimacy.
- Engage in longer foreplay to reduce pressure.
- Avoid excessive masturbation to improve control.
- Maintain a daily routine of physical activity.
- Discuss treatment options with a urologist.
- Keep a journal of symptoms and progress.
- Try mental distraction techniques to delay climax.
- Use guided imagery or visualization methods.
- Establish a pre-sex routine to increase confidence.
- Be patient and consistent with treatment efforts.
Premature ejaculation can be lifelong or acquired. With lifelong premature ejaculation, the patient has experienced premature ejaculation since first beginning coitus. With acquired premature ejaculation, the patient previously had successful coital relationships and only now has developed premature ejaculation.
When should I see my doctor?
Topical anaesthetics for premature ejaculation: A systematic review and meta-analysis. Efficacy of sildenafil citrate (Viagra) in men with premature ejaculation. Premature ejaculation - current concepts in the management: A narrative review. An update on the treatment of premature ejaculation: A systematic review. Disorders of ejaculation: An AUA/SMSNA guideline.
Psychological causes
Single nucleotide polymorphisms in 5-HT receptors in the etiology of premature ejaculation. Vibrator-assisted start-stop exercises improve premature ejaculation symptoms: A randomized controlled trial. Efficacy evaluation of thickened condom in the treatment of premature ejaculation. Prostatitis and premature ejaculation: Two enemies of masculinity. Phosphodiesterase-5 inhibitors for premature ejaculation: Systematic review and Meta-analysis of placebo-controlled trials.
What Causes Male Infertility? Common Factors and When to Get Tested
Reviewed by Howard E. LeWine, MD, Chief Medical Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing Premature ejaculation occurs when a man reaches orgasm and ejaculates too quickly and without control. In other words, ejaculation occurs before a man wants it to happen. It may occur before or after beginning foreplay or intercourse. Some men experience a lot of personal distress because of this condition. Patient characteristics in lifelong premature ejaculation can include the following: Deep anxiety about sex that relates to 1 or more traumatic experiences encountered during development In patients with lifelong premature ejaculation, inquire about the following: Context of the event (eg, marital versus nonmarital) Sexual attitude and response of the female partner The sexual partner's level of involvement in treatment Clues from these and similar questions usually point toward causative factors that may be addressed specifically with therapy.
| Product | Onset of Action | Duration of Effect | Side Effects |
|---|---|---|---|
| Lidocaine Cream | 10-15 minutes | 30-60 minutes | Numbness, temporary loss of sensation |
| Benzocaine Gel | 10-20 minutes | 30-45 minutes | Allergic reactions in some |
| Spray (Lidocaine-based) | 5-10 minutes | 20-30 minutes | Tingling, temporary numbness |
Patient characteristics in cases of acquired premature ejaculation can include the following: In patients with acquired premature ejaculation, inquire about the following: The sexual partner's level of involvement in treatment In males with premature (early) ejaculation and no other medical problems, no specific conventional laboratory tests aid or affect treatment.