Premature ejaculation can be caused by many different factors, from emotional issues to physical ones. Luckily, though, it can be treated.
If your problem involves emotions or relationships, consulting with a psychiatrist or psychologist may help. If physical issues are the issue, speaking to an urologist can refer you to a specialist.
Behavioral therapy:
Behavioral therapy has proven highly successful for over 50% of those living with PE. It involves learning how to control ejaculation through practicing with a partner; one such method is the Squeeze Technique wherein either gender applies light pressure with their thumb and two fingers onto the penis shaft to delay orgasm. This can be accomplished without interrupting sexual relations and may be repeated as necessary. Over-the-counter and prescription creams and sprays may also help numb the head of the penis temporarily to reduce sensitivity.
Antidepressant medications may help alter serotonin levels and postpone orgasm. Examples include selective serotonin reuptake inhibitors like Prozac (fluoxetine) and Paroxetine (Paxil); as well as tricyclic antidepressants like Clomipramine (Anafranil).
If PE is related to emotional or relationship difficulties, psychological or sex therapy can be immensely helpful in treating it. A psychologist, psychiatrist or sex therapist can offer advice and counseling. Thought distractions such as focusing on nonsexual subjects or repeating sequences such as listing businesses or players on a sports team may also help. In cases of PE caused by erectile dysfunction (ED), medications like sildenafil (Viagra), tadalafil (Cialis) or Vardenafil (Stendra) can be taken on demand or daily as prescribed by a doctor to treat ED which in turn reduce unani herbal medicine- just take as needed!
Counseling:
Counseling can help men suffering from PE address any underlying emotional problems or performance anxiety, so seeking professional assistance to identify problems and address them. Couples therapy may also prove helpful as it addresses communication and relationship issues which contribute to PE.
PE sufferers often have difficulty discussing their sexual issues with their doctors, yet it's crucial. Your physician will need details about your sex life and why you ejaculate; they may recommend seeking therapy or psychological services or even ordering lab tests to check for an underlying health problem.
Behavioral therapy can successfully treat PE in 60% to 90% of people, and the "squeeze technique" is one such example of this approach. This technique teaches how to stop yourself ejaculating by applying light pressure with your thumb and two fingers onto the shaft of your penis - use this during masturbation sessions as practice in interrupting yourself and controlling ejaculatory impulses.
Some antidepressant medications, including Celexa (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac) and Paroxetine (Paxil), may help delay PE by inhibiting certain chemicals that trigger orgasm. Unfortunately, antidepressants often come with side effects like drowsiness and nausea that reduce pleasure during sex.
Medication:
Men experiencing pelvic organ prolapse (PE) can use various home remedies and techniques to address their issue. If PE persists as an issue, however, medical help should be sought so the cause can be identified and treated properly; especially if another health issue may contribute to its cause.
If a physician determines that PE is related to psychological or emotional issues, they may advise seeking professional help from counsellors or sex therapists who can teach patients and partners techniques for delaying ejaculation and psychiatrists can address other causes such as anxiety, stress, depression or relationship difficulties as causes.
Medication such as antidepressants and selective serotonin reuptake inhibitors (SSRIs) may help delay orgasm; however, side effects from such medications such as nausea or drowsiness may diminish sexual arousal. One SSRI found particularly helpful for treating PE is Dapoxetine or Priligy; its fast acting formulation allows users to take it on demand for treatment purposes.
Anesthetic creams or sprays designed to numb the penis may also help delay ejaculation. You can purchase such anesthetics over-the-counter; just remember to rinse off any residual cream prior to engaging in sexual activity! A doctor may be able to recommend an herbal product price.
Alternative medicine:
Most people orgasm sooner than desired from time to time, which can create tension within any relationship. If this is happening to you, consult your family doctor about it immediately - they'll examine you to assess if the issue is emotional or physical and might refer you to a mental health professional who works with people experiencing difficulties with sexual intimacy; otherwise they could refer you to a specialist in urinary system disorders.
Behavioral therapy may take time to work; counseling combined with medication can also be effective. Communicating with your partner may reduce stress while creating more trust between the two of you, while prescription cream can numb the head of the penis, potentially alleviating PE symptoms.
Antidepressant medication has been shown to delay ejaculation. Examples include selective serotonin reuptake inhibitors like paroxetine (Paxil), fluoxetine (Prozac), sertraline (Zoloft) and Lexapro; as well as Phosphodiesterase-5 inhibitors like sildenafil or tadalafil (Cialis). Unfortunately these aren't FDA approved treatments and could cause side effects such as nausea or best herbal medicine.