Premature ejaculation, or PE, is when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation can be caused by psychological and biological factors, and it is the most common form of sexual dysfunction. It effects one in three men, it is almost always treatable, and it is nothing to be embarrassed about. Below is an outline of 7 safe and effective ways to reverse PE. Often a blend of different therapies will produce the greatest benefit, and your course of treatment should be personalized to address the underlying cause of your PE.

Diagnosing PE

When PE happens infrequently it is not considered a true sexual dysfunction. In order to be diagnosed with premature ejaculation, you need to meet the following three criteria, provided by Mayo Clinic:[i]

  1. You always or almost always ejaculate within one minute of penetration
  2. You’re incapable of delaying ejaculation during intercourse all or nearly all the time
  3. You feel frustration and distress and tend to avoid sexual intimacy as a result

7 Treatment Options

Psychological-Behavioral Therapy

Premature ejaculation is often caused by stress or performance anxiety and addressing these psychological causes may be all that is required to reverse it, especially in younger men.[ii] According to Michael Castleman, M.A.: “In our culture, men are supposed to orchestrate sex, but few young men know much about lovemaking. This causes anxiety, which makes the nervous system more excitable and more prone to PE, which often becomes a conditioned reflex that can last a lifetime”.[iii] Fortunately there is a simple solution – shift the focus away from the genitals and intercourse, and do the opposite of what you see in porn. Practice deep breathing and relaxation, and engage in long, sensual, massage-based foreplay, which will take pressure off the penis. Practicing tantric sex can also be tremendously helpful (to learn more check out this article How to Cultivate Sexual Energy). If the above fails and you believe there are deeper rooted psychological factors at play, consider NLP, hypnotherapy, cognitive behavioral therapy, or counselling.

The Pause-Squeeze Technique

The pause-squeeze technique is beneficial for many PE sufferers. Start foreplay and include penile stimulation until you feel like you’re almost ready to ejaculate. Then have your partner squeeze the point on your penis where the head joins the shaft for several seconds, until your urge to ejaculate subsides.[iv] Repeat this process as often as is necessary, and you may eventually reach the point where you can enter your partner without climaxing. According to Mayo Clinic, practicing this several times may make the feeling of knowing how to delay ejaculation a habit that no longer requires the use of this technique.[v]

Additional Sexual Techniques

Some men benefit by masturbating an hour or two before they plan to have sex.[vi] This technique is not ideal for most older men however, because the refractory period often lengthens with age, so it can cause difficulties with erection and ejaculation during sex. Another technique is to stop all sexual activity right before you ejaculate and wait until you’ve cooled down before proceeding again. Using thick condoms can also be beneficial because they reduce the sensitivity of the penis, and you can even purchase “climax control” condoms over the counter. Applying a numbing cream or spray such as lidocaine or benzocaine, 10 to 15 minutes before sex may also help, states Mayo Clinic.[vii]

Pelvic Exercises

Weak pelvic floor muscles can impair the ability to delay ejaculation and you can use pelvic exercises (Kegels) to strengthen these muscles. To identify the correct muscles, stop urination in midstream. Tighten these muscles, hold for three seconds, and then release for three seconds. Repeat this exercise ten times to complete a set and aim for 3 sets a day.[viii] You can do these exercises sitting, standing, walking or lying down.

Herbal Therapy

Although no scientific studies have been conducted to prove this discovery, I found in my clinic that a combination of highly concentrated herbs including turmeric, astragalus, and asparagus, delayed ejaculation from the normal three minutes to thirty minutes. Korean ginseng berry may also be of benefit. Ginseng is a popular herb in Traditional Chinese Medicine for the treatment of all types of sexual dysfunction, and a study published in the International Journal of Impotence Research, found 1.4 g of Korean ginseng berry extract taken daily for 4 weeks, significantly improved PE.[ix]

5-HTP

Although 5-HTP is not clinically proven for the treatment of PE, it is well documented in medical literature to produce similar effects as antidepressant medications and antidepressants are the classical treatment for PE by allopathic doctors. [x] [xi] 5-HTP may help with premature ejaculation by increasing serotonin levels, and while it may not be powerful enough to stop PE completely, it may at least slow the process, states Ray Sahelian, M.D..[xii] 

Hormone Therapy

The following recommendations from Dr. Thierry Hertoghe only apply if your premature ejaculation is caused by the fact that you cannot hold an erection very long (another type of sexual dysfunction), so you rush to orgasm out of anxiety. Low testosterone is a major cause of sexual dysfunction and an inability to maintain an erection. If a total testosterone test indicates low testosterone, optimizing it with an herbal supplement such as Testro Vida Pro, may help enhance erection longevity, so you no longer rush to ejaculation. DHEA may also help because it is a precurser hormone that turns into several important sex hormones including testosterone.[xiii] You can boost DHEA safely and optimize sex hormone balance with Testro Genesis Cream. And finally, if all else fails, you may want to try Melanotan II injections. Melanotan II dramatically boosts stamina and produces erections that last approximately 40 minutes in patients with erectile dysfunction.[xiv]

 

 

 

 

[i] https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900

[ii] https://www.psychologytoday.com/us/blog/all-about-sex/201005/premature-ejaculation-the-two-causes-mens-1-sex-problem

[iii] https://www.psychologytoday.com/us/blog/all-about-sex/201005/premature-ejaculation-the-two-causes-mens-1-sex-problem

[iv] https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

[v] https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

[vi] https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

[vii] https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

[viii] https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

[ix] https://www.nature.com/articles/ijir201245

[x] https://www.asianjournalofpsychiatry.com/article/S1876-2018(12)00117-7/fulltext

[xi] https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/diagnosis-treatment/drc-20354905

[xii] http://www.raysahelian.com/prematureejaculation.html

[xiii] https://www.ncbi.nlm.nih.gov/pubmed/10096389

[xiv] https://www.semanticscholar.org/paper/Melanocortin-receptor-agonists%2C-penile-erection%2C-II-Wessells-Levine/057a269abc828b59aabc2de20f2c243b8fb11f72