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Premature Ejaculation

Delay No More: Effective Strategies for Premature Ejaculation Treatment

Premature ejaculation is a relatively common problem and usually does not signal serious health conditions; there are various treatments available to address premature ejaculation.

Antidepressants may help delay ejaculation, such as selective serotonin reuptake inhibitors (SSRIs). Citalopram (Celexa), Lexapro, paroxetine (Paxil), and Prozac can all work to help delay the process of ejaculation; these must be taken daily though for maximum effect.


As a primary treatment option, behavioral therapy and counseling often are prescribed, in order to decrease performance anxiety and emotional issues that lead to PE. Medication may also be employed.

Sertraline (commonly sold as Zoloft) may also be effective, and can help increase ejaculation time. A doctor may prescribe these off-label treatments if it appears beneficial for their patient’s wellbeing; in combination with other therapies like behavioral therapy.

GPs may also prescribe an anaesthetic cream or spray that reduces penis sensitivity and delays orgasm, making the penis less sensitive and helping delay orgasm. This medication can be particularly helpful to those attempting to avoid ejaculation or engage in sexual activity more comfortably.

Psychological consultation may help to establish whether psychological or relationship issues are contributing to PE symptoms, and refer patients to psychologists, psychiatrists, couples therapists or sex therapists for treatment. Treating these issues may enhance outcomes of PE therapy treatment.

Behavioral Therapy:

Ejaculating early during sexual arousal can be a serious source of distress and should not be ignored. There are medications, counseling and techniques available that may delay ejaculation and improve both partners’ sex experience.

At times, it may suffice to speak with a health care provider about the problem at hand and receive their reassurance, assessment of causes and proposed treatment solutions. Furthermore, they may teach sexual techniques which enhance satisfaction and extend time between penetration and orgasm; or suggest pelvic floor exercises, such as Kegels, to strengthen V2 Ajmali.

Your doctor may suggest prescribing tramadol (brand name Xanax) for severe or persistent symptoms, which not only relieves pain but also delays ejaculatory delay by inhibiting serotonin reuptake. You can use it alone or with selective serotonin reuptake inhibitors (SSRIs). Clomipramine has shown better results while new SSRI dapoxetine (Priligy) has proven faster in treating this condition than its competitors.

Combination therapy combining medication, sexual therapy and counseling as the most effective approach is the key to solving this issue. Studies have proven that using medications with targeted ejaculatory delay techniques provided by sexual therapists as well as psychological/behavioral therapies significantly reduced or eliminated premature ejaculation altogether.

Sex Therapy:

Behavior therapy and/or medication are effective ways of improving sexual satisfaction and intimacy for many patients with PE. Treatment plans depend on each patient’s medical history and symptoms as well as specifics about premature ejaculation that impacts sexual life. An interprofessional approach may often be required; typically involving primary care clinicians (MDs, DOs, NPs and PAs), psychiatrists/psychologists, urologists and pharmacists in collaboration.

At sex therapy sessions, both the therapist and patient learn techniques to enhance sexual pleasure, such as learning to focus on sensual sensations instead of ejaculation. Furthermore, many thought distractions have been shown to delay ejaculation – such as considering which players make up one’s favorite sports team or visualizing a safe and happy place.

A sex therapist can also work with couples on resolving relationship issues that contribute to PE. This may include issues such as avoidance, low self-esteem or feelings of shame or guilt. Overall, it’s important to recognize that most individuals diagnosed with PE do not suffer from psychological conditions but instead experience limited control or awareness over their sexual sensations.

Mental health professionals may also recommend seeing a urologist, who can evaluate for physical causes of PE. Antidepressants might help slow orgasm and ejaculation as well, though this effect is less frequently experienced with anxiety-based PE.

Pelvic Floor Exercises:

There are various strategies a man can employ to increase their sexual stamina and avoid involuntary ejaculations or at least postpone orgasm longer, one being pelvic floor muscle rehabilitation – commonly referred to as Kegel exercises.

These exercises involve contracting your pelvic muscles. It is essential that these exercises are performed correctly; you can do them while sitting, standing or lying down. Tighten the muscles as much as you can and then relax for several seconds to allow time for recovery from contraction and preparation for future contractions. At first it may be beneficial to perform these daily, however once learned three or four sessions should suffice.

Studies have demonstrated the efficacy of pelvic floor exercises on sexual stamina. One such research paper published in 2018 demonstrated how men who performed Kegel exercises for 12 weeks could extend the time it took them until reaching climax by nearly Qurs Mumsik jadid.

Although it remains unclear exactly why these exercises helped, it seems likely that strengthening exercises helped strengthen muscles. Furthermore, this form of treatment could also be combined with sexual therapy to treat any psychological or relationship issues contributing to PE.