Exercises work well, but they may not be a lasting answer. No drugs have been approved in the U. Still, there are a number of drugs, numbing creams and numbing sprays that may slow ejaculation in men with PE. Doctors noticed that men and women on antidepressants have delayed orgasms.
Drugs such as fluoxetine, paroxetine, sertraline, clomipramine and tramadol affect serotonin levels. Some doctors use these drugs "off-label" for a different reason than the drug's original use to treat PE. If one drug does not work, your doctor may suggest you try a different drug. Drugs for PE can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level. The best time to take the drug is not clear.
Most doctors suggest from 2 to 6 hours before sex. PE can return if you stop taking these drugs. Most men with PE need to take these drugs on an ongoing basis. Numbing creams and sprays may be put on the head of the penis about 20 to 30 minutes before sex. Wash the cream off your penis 5 to 10 minutes before sex.
Wearing a condom can also help dull sensation. With the techniques listed here, about 95 out of men will recover from PE. There is no way to promise recovery, but learning how to relax may help. If the problem stays, keep working with your health care provider to find solutions. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine.
This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser. Thank you. Urology A-Z Premature Ejaculation.
What is Premature Ejaculation? Diagram of the Male Reproductive System Enlarge. Serotonin Though the exact cause of PE is not known, serotonin may play a role. Psychological Issues Psychological, or mental health, issues can be involved in PE and may include: depression stress guilt unrealistic expectations about sexual performance history of sexual repression lack of confidence relationship problems Taking care of emotional problems often helps.
Some questions he or she may ask are: How often does PE happen? How long have you had this problem? A single episode of prostatitis , known as acute prostatitis, usually responds to a course of antibiotics: chronic prostatitis , diagnosed if the condition persists for at least three months, may respond to antibiotics but does sometimes need specialist referral.
Boosting levels of the hormone serotonin using antidepressants such as fluoxetine , and a drug called dapoxetine , is also thought to help patients with PE. It's worth noting that dapoxetine is fairly new and isn't always available through the GP. Similarly, 50 mg of the painkiller tramadol two hours before intercourse can also help by increasing the amount of serotonin in the nervous system.
Prescribing Viagra is still controversial, but we think it may reduce sympathetic tone and cause the smooth muscles in the genital system to relax, delaying one of the first steps that lead to ejaculation. For example, masturbation just before intercourse using a stop-start technique whereby the man's partner delays orgasm, by stimulating his penis until he wants to ejaculate and then stops until the sensation passes, can be especially effective for younger men.
Similarly, the Masters and Johnson 'squeeze technique' involves the partner applying pressure to the base of the head of the penis just before ejaculation. As with all sexual problems, the first step is often the hardest; finding the courage to approach your GP or a sexual health professional.
Red spots? Fleshy bumps? When to worry about spots on the penis. It can be used "on demand". You'll usually be advised to take it between 1 and 3 hours before sex, but not more than once a day. This is when a medicine is used for a different purpose than it was licensed for. Doctors can prescribe an off-label medicine if they decide it's in the patient's best interest. Other SSRIs that may be prescribed for premature ejaculation include paroxetine , sertraline or fluoxetine.
You'll usually need to take these types of SSRIs for 1 or 2 weeks before gaining the full effects. Anaesthetic creams and sprays such as lidocaine or prilocaine cream can help by making your penis less sensitive. Using an anaesthetic cream with a condom can be particularly effective.
A GP should be able to recommend a suitable cream. However, you might be diagnosed with premature ejaculation if you:. Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition.
Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner. The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.
Many men feel that they have symptoms of premature ejaculation, but the symptoms don't meet the diagnostic criteria for premature ejaculation. Instead these men might have natural variable premature ejaculation, which includes periods of rapid ejaculation as well as periods of normal ejaculation. Talk with your doctor if you ejaculate sooner than you wish during most sexual encounters. It's common for men to feel embarrassed about discussing sexual health concerns, but don't let that keep you from talking to your doctor.
Premature ejaculation is a common and treatable problem. For some men, a conversation with a doctor might help lessen concerns about premature ejaculation.
For example, it might be reassuring to hear that occasional premature ejaculation is normal and that the average time from the beginning of intercourse to ejaculation is about five minutes. The exact cause of premature ejaculation isn't known. While it was once thought to be only psychological, doctors now know premature ejaculation involves a complex interaction of psychological and biological factors.
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