As the causes of PE can be both psychological and biological, the treatment approach can vary greatly depending on the individual. Here are some options:
1. Behavioural Techniques/ Behavioural therapy/Couples therapy
These are methods that you can do on your own that have the potential to assist you in delaying ejaculatory activity. It is important to note that premature ejaculation does not necessarily prevent individuals from engaging in satisfying sexual relationships. Here are a few considerations and strategies that may help:
Open communication: Talk openly and honestly with your partner about the issue. Discuss your concerns, feelings, and desires regarding sexual intimacy. Communication is key in any relationship and can help create a supportive and understanding environment
Mutual exploration: Focus on other aspects of sexual intimacy besides intercourse. Engage in activities such as foreplay, kissing, manual stimulation, oral sex, or using sex toys. By expanding the focus beyond penetration, both partners can experience pleasure and intimacy regardless of the duration of intercourse
Foreplay and arousal: Spend more time on foreplay to increase arousal levels before penetration. This can help build excitement and delay ejaculation. Experiment with different techniques and activities that bring pleasure to both partners
The "start-stop" technique: This technique involves the man or their partner stimulating the penis until they feel they are nearing ejaculation. At that point, stimulation is stopped, and pressure is applied to the base of the penis to reduce arousal. Once the urge to ejaculate subsides, stimulation can resume. This method can help in developing control over ejaculation.
The "squeeze" technique: Similar to the "start-stop" technique, this method involves squeezing the base of the penis when the man feels close to ejaculation. The pressure applied helps reduce arousal and delay ejaculation. After the urge to ejaculate decreases, sexual activity can resume.
Seeking professional help: If premature ejaculation continues to be a concern and affects your overall well-being and sexual relationships, consider consulting a healthcare professional. They can provide guidance, support, and recommend appropriate treatment options, such as therapy or medications, based on your specific situation
2. Topical Anaesthetics: Anaesthetic creams and sprays that contain a numbing agent, such as lidocaine or prilocaine, can be utilised as a treatment option for premature ejaculation. These products are applied to the penis just prior to sexual activity in order to lessen sensation and, as a result, assist in delaying ejaculatory release. It is possible that using a condom will help reduce the numbing effect felt by the other partner.
3. Oral medication: A number of medications can delay ejaculatory function. Antidepressants, analgesics, and phosphodiesterase-5 inhibitors are just some of the medications that are used to treat premature ejaculation, despite the fact that none of these medications have been specifically approved by the Food and Drug Administration to treat premature ejaculation.
Antidepressants: Particular antidepressants, in addition to topical anaesthetic creams, are often prescribed for the treatment of premature ejaculation. A delayed or delayed orgasm can be a side effect of certain antidepressants. Examples of medications that are known to cause a delay in ejaculation include those classified as selective serotonin re-uptake inhibitors (SSRIs),
Analgesics: Certain analgesic medications, such as Tramadol, are sometimes utilised in the treatment of premature ejaculation.
Phosphodiesterase-5 inhibitors: Some of the medications that are used to treat erectile dysfunction, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), might also help premature ejaculation.
4. Counselling: This approach, which is also known as talk therapy or psychological therapy, entails discussing your relationships and experiences with a mental health counsellor. These sessions are designed to help you find more effective ways to deal with stress and find solutions to problems, as well as reduce performance anxiety. When combined with medical treatment, counselling has the best chance of being beneficial to the patient.
5. Exercises for the Pelvic Floor If you have weak muscles in your pelvic floor, it may be difficult for you to delay ejaculating. These muscles can be strengthened through the practise of pelvic floor exercises, also known as Kegel exercises.
6. PDE5 Inhibitors: Some men who suffer from erectile dysfunction may also experience premature ejaculation. In such cases, using PDE5 inhibitors like sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis) may help.
Even though each of these treatments has the potential to be successful, it is essential to keep in mind that the treatment that is most successful will vary from person to person depending on their unique set of circumstances. This involves taking into account both the factors that lead to premature ejaculation as well as one's own preferences. It is always recommended to confer with a qualified medical expert in order to discuss the choice that is most appropriate.