What Is The Best Treatment For Premature Ejaculation?

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Premature Ejaculation Treatment

Several studies are underway in trying to find the best remedies for Premature Ejaculation (PE). Experts expressing interest in sexual medicine and premature ejaculation consist of sex therapists, psychologists, urologists, and psychiatrists. Contrary to your expectations, a psychiatrist can not prescribe medications and a physician has to be consulted at first. Most physicians, however, are not familiar with premature ejaculation treatment but don’t hesitate to ask one. If they are not comfortable in treating your PE, they can refer you to a local expert for further assistance. Treatment approaches for PE are through medications, physical treatment, and psychotherapy.

Medications for PE

Currently, there are several medications meant for the treatment of PE although none has been approved by the FDA. You should discuss all the benefits and risks involved in the use of medications for treating PE with your healthcare provider. Medication options include:

Desensitization Treatments

These are intended to reduce your penis sensitivity prior to a sexual activity. However, there is no scientific prove that men with premature ejaculation problems have any difference in the sensitivity of their penises than men without PE. These techniques usually work in some men with mild cases of PE in whom it is thought that sexual satisfaction following a sexual intercourse is reduced. Common strategies for desensitization are:

  • Condoms: The use of a condom is an effective method in reducing sensitivity to your penis to delay an ejaculation. This may not work on all men depending on the severity and cause of their PE. You may opt to use more than one condom at a time which can greatly reduce the sensitivity of your penis to stimulation during a sexual intercourse. This can lead to unsatisfying sexual experiences.
  • Desensitization Creams: This involves the use of a local anesthesia such as lidocaine and prilocaine ointments. They are applied on the surface of the penis head half an hour before penetration. They are effective when applied and washed off 5 to 10 minutes before a sexual relation to avoid causing a numbing effect on the partner. These ointments can be applied accompanied with the use of a condom.
  • Masturbation Before Sex: You will be in a better control on when to ejaculate in having a sexual relation for the second time within a short instance. You can improve ejaculatory control by masturbating an hour in to having sexual contacts with your partner.

Herbal Therapies for PE

No scientific studies have proved the effectiveness of herbal products (aka nutriceuticals) in the treatment of PE. Most of these herbal products contain androgens including testosterone, DHEA and androstenedione. These ingredients are harmful for use in a number of men and are therefore deemed inappropriate. Some negative reactions from the use of herbal products can happen especially if you take them in combination with medications containing nitroglycerin.

Antidepressant Medications

Antidepressants have been successfully used for the treatment of PE. They include Prozac, Paxil and Zoloft. Although they are not intended for the treatment of PE, their use in patients suffering from the condition gets some relieve several weeks since they start taking them. You must continually use them for several weeks to reap their maximum benefits. The challenge behind their use include dependency whereby failing to take the medications will regain your earlier challenge of being a “one minute man.” They are also stigmatized from their use in treating mental related illnesses. Their side effects include nausea, drowsiness, dry mouth, and sexual complications like increased sexual desire, delayed ejaculation, and impotence.

Psychological Treatments

  • Distraction Techniques: These involve shifting of thoughts during a sexual intercourse and focusing on something different such as work issue or a math’s problem. These methods are effective in men with occasional PE especially with new sexual partners. However, for men with a lifelong PE, frequent use of distracting techniques can interfere with their relationship’s intimacy and sexual satisfaction.

  • Psychotherapy: This has been in use for several decades and is believed as an effective way of dealing with PE. There are doubts if this method has long-lasting impacts with statistics indicating that only 25% of men who use this technique enjoy the benefits beyond two years Psychotherapy involves counseling with mental health professionals. Better results are obtained when you and your partner gets counseling at the same time.
  • The Start-Stop Method: It’s done by learning to control sexual stimulation and ejaculatory response. It requires that you engage in a sexual stimulation with or without a partner until you are about to reach a climax. You should then stop for about thirty seconds and begin the sexual stimulation once the urge to ejaculate disappears. This process is practiced until a climax is reached.


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