Premature ejaculation - diagnosis and treatment

The doctor will ask questions about your sex life and medical history. He may also perform a physical examination for you. 

If you have premature ejaculation and are also having trouble getting or maintaining an erection, your doctor may order blood tests to check your hormone levels.

In some cases, your doctor may suggest that you see a urologist or mental health professional who specializes in sexual problems.

Premature ejaculation - diagnosis and treatment


Common treatment options for premature ejaculation include performance approaches, medication, and counseling. 

It may take time to find the treatment or combination of treatments that work for you. Behavioral therapy, in addition to drug therapy, may be the most effective approach.

behavioral techniques

In some cases, treating premature ejaculation involves following simple steps. Among these steps, is masturbation an hour or two before intercourse. This may allow for delaying ejaculation when having sex with your wife.

The doctor may recommend abstaining from sexual intercourse for some time. Focusing on other types of foreplay may help relieve stress during intercourse.

Pelvic floor exercises

Weak pelvic floor muscles may make it more difficult to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.

To perform these exercises:

Select the correct muscles. To identify the pelvic floor muscles, stop urinating midway through urination. 

Or contract the muscles that prevent the exit of stomach gas. The pelvic floor muscles are used in both cases. 

Once you have your pelvic floor muscles identified, you can exercise in any position, but you may find it easier to practice lying on your back at first.

I master the method. Tighten your pelvic floor muscles for three seconds, then relax them for three seconds as well. 

And try it several times in a row. As your muscles get stronger, try doing Kegel exercises while sitting, standing, or walking.

Keep your focus. For best results, focus on tightening your pelvic floor muscles only. Be careful not to pull the muscles in the abdomen, thighs, or buttocks. Also, avoid holding your breath. Instead, breathe freely during exercise.

Repeat the exercises 3 times a day. Make sure to do 3 sets of the exercise with at least 10 repetitions per day.

Pause and press method

Your doctor may advise you and your partner to try pausing and applying pressure to the penis during intercourse. This method can be implemented as follows:

Begin your sexual activity, including penis stimulation, until you feel like you're about to ejaculate.

Then you or your partner can apply pressure to the tip of the penis where the glans meet the body of the penis. Hold the pressure for a few seconds until you no longer want to ejaculate.

Repeat the pressure as needed.

By repeating this method as often as necessary, you can penetrate without ejaculation. After training for some time, you will get used to delayed ejaculation and you will not need to perform the pause method and apply pressure to the glans penis for several seconds.

If this method causes you pain or discomfort, you can try the stop-and-start method. The method is based on stopping sexual stimulation just before ejaculation. 

Then wait for the excitement level to subside and then start over.


Condoms may reduce the level of sensation in the penis, which can help delay ejaculation. Specially formulated Climax Control condoms are available without a prescription. 

These condoms contain narcotics such as benzocaine or lidocaine to delay ejaculation. It is also made of thick latex. 

Examples of condoms are Trojan Extended Pleasure and Durex Prolong.


local anesthetics

Creams, gels, and sprays that contain a numbing agent, such as benzocaine, lidocaine, or prilocaine, are sometimes used to treat premature ejaculation. 

It is placed on the penis 10 to 15 minutes before sexual intercourse to reduce sensation and help delay ejaculation. 

It can be obtained without a prescription. But a cream that contains both lidocaine and prilocaine cannot be obtained without a prescription.

Although local anesthetics are effective and well tolerated, they have potential side effects. It can reduce the sensation and sexual pleasure on both sides.

oral medications

Many medications work to delay orgasm. These drugs have not been approved by the US Food and Drug Administration for the treatment of premature ejaculation, but some are used for this purpose. 

These medications include antidepressants, pain relievers, and erectile dysfunction medications.

These medications can be prescribed by a doctor for daily use or as needed. It may be prescribed on its own or with other treatments.

Antidepressants. A side effect of some antidepressants is a delay in orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs) are used to treat premature ejaculation. 

SSRIs include paroxetine (Paxil, Pexeva, Brisdelle), escitalopram (Lexapro), citalopram (Celexa), sertraline (Zoloft) or fluoxetine (Prozac).

The SSRI dapoxetine is frequently used in some countries as the first treatment for premature ejaculation. However, it is not currently available in the United States.

Of these drugs approved for use in the United States, paroxetine appears to be the most effective. 

These medications usually take 5 to 10 days to start working. But the final results may appear after 2 to 3 weeks.

If SSRIs don't improve the timing of ejaculation, your doctor may prescribe the tricyclic antidepressant clomipramine (Anafranil). 

Side effects of antidepressants may include nausea, sweating, drowsiness, and decreased sex drive.

pain killers. Tramadol (QdoLo, Conzip, Ultram) is a program that appears in Medicaid in its title for pain management.

 other effects If you describe the result that was replaced by the result, the result that was initially placed is the result that was placed in the result. Tramadol can be used with serotonin reuptake inhibitors.

Side effects are nausea, headache, drowsiness, and dizziness. Warns of infection with treatment.

Phosphodiesterase-5 inhibitors. A different treatment may help. These medications include sildenafil (Viagra), tadalafil (Cialis, or Adcirca), esenafil (Stendra), and vardenafil. 

Common effects have headaches, flushing, and indigestion from energy publications to the effectiveness of the use of this program through the use of the program to take off and stop the absorption of solar energy.

future options

It refers to many drugs in the treatment of premature ejaculation. But more studies are still needed. These include:

Modafinil (Provigil). To treat a sleep disorder (narcolepsy).

Silodosin (Rapaflo). This medication treats an enlarged prostate gland.

Onabotulinumtoxin A (Botox) injections. It studies the muscles that lead to premature ejaculation.


This method includes talking with a psychiatrist about your relationships and experiences. Get rid of stress. 

Counselor A counselor will benefit from an opportunity to take advantage of this along with medication therapy.

Early diagnosis, you may feel like treating a couple. You may feel angry, shy, and upset, and hide from them.

Your wife may also be upset by a change in the intimacy of your sexual relationship. Ejaculation can cause intimacy or insult to a married couple. 

Talking about the step is an important step on the way to a solution. It may also be useful to resort to a sexual relations consultant with him.

for more information

Cognitive behavioral therapy

Request an appointment at the Mayo Clinic

alternative medicine

Medicines, many shoes, yoga, meditation, and acupuncture. However, more information is needed to know how effective it is.

Prepare for your appointment

Feeling embarrassed when talking about sexual problems is normal. And make sure the doctor has had similar conversations with others. 

Premature ejaculation is a very common condition. But it is treatable.

Getting ready Being ready to talk about premature ejaculation will help you get the treatment you need so you can live your normal sex life again. And you will be able to access

Information collected in advance

Pre-appointment warnings. 

Ask when booking the examination appointment.


How often ejaculation occurs before you or your wife desire it? 

start intercourse?

sexual history. 

Think about your sexual relationships since you became sexually active. 

Have you had problems with premature ejaculation before? 

Who was your partner at the time and what happened to her?

Questions to ask the doctor. 

group of sex

Ask her basic questions

The list below shows some of the questions you can ask on the for sale page. And feel free to ask more questions, your medical question.

  1. What are the reasons for my premature ejaculation?
  2. What tests do you recommend?
  3. What treatment approach do you recommend?
  4. When can I expect improvement after starting treatment?
  5. How much improvement can I reasonably expect?
  6. Are you a chart?
  7. Is there an alternative medicine equivalent to the one you've prescribed?
  8. Are there other publications or materials available What websites do you recommend visiting?
  9. What do you expect from the muscle?
  10. You may be asked to speak to your spouse. Is the title best for you?
  11. N
  12. How often have you experienced premature ejaculation?
  13. When was the first time that premature ejaculation?
  14. Have you noticed ejaculation with one or more specific women?
  15. Do you notice premature ejaculation when masturbating?
  16. Do you suffer from premature ejaculation in every intercourse?
  17. How often do you have intercourse?
  18. How upset do you feel when premature ejaculation occurs?
  19. To what extent does your wife feel upset when premature ejaculation occurs?
  20. How satisfied are you with your current relationship?
  21. Do you also have difficulty and erectile dysfunction (erectile dysfunction)?

Do you use recreational drugs?

What can you do in the meantime?

Step by Step. For now, we advise you to look for other ways you can communicate with your partner. 

Although premature ejaculation can cause stress and anxiety in a relationship, it is a treatable condition.

No comments
Post a Comment