Break Silence: Causes, Coping, and Cures for Premature Ejaculation

Health care provider does enquire about one’s sex life and health history related to premature ejaculation. He or she may do a physical examination.

If premature ejaculation and trouble getting or keeping an erection are problems, the provider might order blood tests. The tests can check one’s hormone levels.

In a few cases, the care provider can suggest meeting a urologist or a mental health provider who specializes in sexual problems.


Common treatment options for premature ejaculation include behavioral techniques, medications, and counseling. It might take time to find the treatment or even a combination of treatments that work for oneself. Behavioral treatment plus drug therapy can be the most effective.

Behavioral techniques

In a few cases, therapy for premature ejaculation involves simple steps. They may include masturbating an hour or two before intercourse. This may allow delaying ejaculation when having sex with one’s partner.

The care provider might indeed recommend avoiding intercourse for a period of time. Focusing on other sorts of sexual play can remove the pressure felt during sexual intercourse.

Pelvic floor exercises

Male pelvic floor muscles

Weak pelvic floor muscles can make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can, of course, help strengthen these muscles.


Condoms can make the penis less sensitive, which can help delay ejaculation. Specially designed “climax control” condoms are available without a prescription. These condoms do contain numbing agents like benzocaine or lidocaine to delay ejaculation. They might also be made of thicker latex.


Topical numbing agents

Creams, gels, and sprays that contain a numbing agent like benzocaine, lidocaine, or prilocaine are sometimes used to treat premature ejaculation. Although topical numbing agents are considered to be effective and tolerable, they do have potential side effects. They may rather, cause decreased feelings and sexual pleasure in both partners.

Oral medications

Several medications might delay orgasm. These drugs are not approved to treat premature ejaculation, but a few are used for this purpose. They include antidepressants, pain relievers, and drugs for erectile dysfunction.

These medications might be prescribed for either on-demand or even daily use. They can be prescribed alone or with other sorts of treatments.

  • A side effect of certain antidepressants happens to be delayed orgasm.

Side effects of antidepressants can include nausea, perspiration, drowsiness, and decreased sexual drive.

  • Pain relievers: Tramadol (Ultram, Conzip, and Qdolo) is a medication used to treat pain but has side effects that delay ejaculation.

Side effects can include nausea, headaches, sleepiness, and dizziness. Tramadol can turn out to be habit-forming when taken long-term.

  • Phosphodiesterase-5 inhibitors: Certain medications are used to treat erectile dysfunction and premature ejaculation. Side effects can include headaches, facial flushing, and indigestion.
  • Potential future treatment: Research suggests that several drugs may be helpful in treating premature ejaculation. But more study is required.

This approach does involve talking with a mental health provider about one’s relationships and experiences. Sessions can indeed help a person reduce performance anxiety and find better ways of coping with stress. Counseling can help when used in combination with drug therapy.

With premature ejaculation, the affected person may feel that he is losing out on some closeness shared with a sexual partner. The person might feel angry, ashamed, and upset and turn away from the partner.

The partner might also be upset with the change in sexual intimacy. Premature ejaculation can indeed cause partners to feel less connected or hurt. Talking about the problem is considered an important step. Relationship counseling or even sex therapy might also be helpful.


Few people think premature ejaculation (PE) happens to be a disease or a problem that cannot be fixed. Others may believe certain men are born with better control than others. These ideas are simply not really true.