Premature ejaculation treatments typically combine medication, local desensitization techniques and psychological assistance - with combination therapy being more successful than just using SSRI medications alone.
Your urologist may suggest anesthetic creams or sprays for applying directly onto the head of the penis to reduce sensitivity and delay ejaculation.
Certain antidepressant medications, including fluoxetine, paroxetine, sertraline and citalopram (Celexa(r) and Lexapro(r), have been successfully employed "off-label" to treat PE. Dapoxetine (Priligy(r)) has been specifically approved for on-demand use to address PE.
Medications:
If PE interferes with your sexual enjoyment, speak to your doctor immediately. They can perform a physical exam and order lab work to rule out other health issues as possible causes, and can offer ways to decrease anxiety while making managing this problem simpler.
People with PE often have low levels of the natural chemical known as serotonin in their brain. Nerve cells produce this natural compound, which influences mood, emotion, sleep patterns and sexual desire. If serotonin levels drop too low in your system, ejaculation could occur more frequently or never at all - medication may help increase it to treat PE more effectively.
Antidepressants may also be prescribed, with selective serotonin reuptake inhibitors such as paroxetine (Paxil), citalopram (Celexa), or sertraline (Zoloft) having been found to decrease urge to ejaculate in some patients suffering from PE. They may take the form of pills, cream, or spray applied directly onto the unani herbal medicine.
Other prescription medicines often used to treat PE include phosphodiesterase inhibitors like sildenafil (Viagra), vardenafil (Levitra) and avanafil (Cialis), which relax the muscles surrounding the penis to make it less sensitive. They can be taken either on-demand or daily and generally safe; however they may cause some side effects including drowsiness.
Counseling:
Counseling may provide relief when premature ejaculation (PE) is due to psychological or relationship problems, or due to emotional concerns in both partners. Patients can visit a therapist, psychologist or psychiatrist who specialize in sexual problems; counseling typically targets anxiety and stress that causes PE; teaching relaxation techniques and behavioral methods can help patients reduce frequency while improving quality. These strategies could reduce PE frequency as well as quality.
A therapist or counselor might suggest visualization techniques as an effective means of relaxing patients. They might try visualizing a nonsexual sequence such as listing all the businesses along their drive to the gym or the members of their favorite sports team; this will focus the patient's attention away from sexual thoughts and feelings and help distract from sexual urges; the patient can even learn to replace thoughts of sex with more pleasurable activities, like reading.
Some individuals find an anesthetic spray on the head of their penis before engaging in sexual activity can help delay ejaculation, available without prescription at most pharmacies. Some antidepressant medications like paroxetine (Paxil, Pexeva and Brisdelle), citalopram (Lexapro) or sertraline (Zoloft) can also delay ejaculation by delaying serotonin reuptake inhibitors (SSRIs) such as paroxetine (Paxil),
selective serotonin reuptake inhibitors (SSRIs), selective serotonin reuptake inhibitors (SSRIs).
Selective serotonin reuptake inhibitors of serotonin reuptake inhibitors (SSRIs), selective serotonin reuptake inhibitors (Lexapro), or sertraline (Zoloft), can also delay ejaculation by acting upon selective serotonin receptors found within these medications themselves; antidepressants like paroxetine, Pexeva or Brisdelle), Lexapro or sertraline can all help delay this action as can SSRIs) ant depression medications like paroxetine Paxil), Lexapro or sertraline (Zoloft), selective serotonin reuptake inhibitors such as paroXapro or Sertraline can all delay this action to some extent as can help delay it as well.
Sex Therapy:
An expert sex therapist or psychologist can address the root cause of sexual problems, while in certain instances may recommend surrogate partner therapy (see below).
Sex therapy is often the first choice when treating sexual dysfunctions as it addresses both its causes and may provide lasting solutions without medication. Your sex therapist will ask about your medical and sexual history - any information disclosed will remain strictly confidential - then together, you and they'll work on finding solutions together; couples often see better results with participation.
Your sex therapist can also provide tips to delay orgasm. One technique is focusing on nonsexual thoughts; another involves naming sequences, such as those you pass while driving to work; other strategies include distraction and focusing on breathing online herbal products.
Your session may include exercises for you to try at home. For instance, you could learn to use local anesthetic spray before engaging in sexual activity; these are available over-the-counter without prescription and should be applied 10 minutes before sexual contact begins in order to reduce sensation. A sex therapist may also teach you specific breathing techniques during sex.
Home Remedies:
Premature Ejaculation (PE) occurs when an orgasm or "climax" happens earlier than desired and leads to sexual dysfunction and relationship strain. While PE may have serious repercussions for men in relationships, there are treatments available that can help men control it and have more satisfying sex sessions with their partners - most effectively by consulting a sex therapist or psychologist, but medications and pelvic floor exercises have also proven effective as potential preventatives against PE.
Masturbating before engaging in sexual activity has been proven an effective method for delaying ejaculation, and can also increase orgasm intensity during sexual encounter. This practice has proven highly successful as treatment for PE as well as increasing orgasm intensity during sex sessions.
An alternative method for treating PE may involve applying topical numbing agents directly onto the head of the penis. Lidocaine sprays are readily available without prescription and should be applied 15 minutes before sexual encounter to reduce tactile sensitivity, giving men greater control over when and how much to ejaculate, increasing pleasure from both partners involved in sexual relations.
Antidepressants may help delay orgasm and can serve as an effective early ejaculation treatment. Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine, paroxetine and sertraline may all be helpful here; tricyclic sex power medicine like clomipramine may also prove useful.