What is Premature Ejaculation? (Overcoming PE)
Sexual concerns, including premature ejaculation, are relatively common.
Premature ejaculation happens when a person with a penis climaxes before they or their partner would’ve wanted to during sex. People dealing with premature ejaculation tend to orgasm within 1 minute of being stimulated sexually and are usually unable to delay ejaculation.
The condition can lead to frustration and anxiety. Some people with premature ejaculation may avoid sex as a result. But there are treatments that can help.
Read on to learn more about home remedies and natural treatment options for premature ejaculation.
Topical products
Premature ejaculation wipes
Premature ejaculation wipes work by reducing sensation in the tip of the penis. These wipes contain benzocaine, which block the sodium channels that cause sensation in the penis.
A 2017 study found that participants who used these wipes for at least 2 months experienced less distress related to intercourse. The majority of participants also ejaculated well after the 2-minute time period that’s typical of premature ejaculation.
Topical creams
Over-the-counter topical anesthetic creams contain a numbing agent that can treat premature ejaculation by reducing sensation and delaying climax. Apply the cream to your penis 10 to 15 minutes before sex in order for it to be most effective.
A 2017 study in Sexual Medicine found that topical creams can help increase the time it took to ejaculate by a few minutes. Although generally well-tolerated, anesthetic creams can cause:
Sexpert weighs in on premature ejaculation
mild pain
mild burning sensation
decreased libido
a temporary loss of sensitivity
Lidocaine spray
Like topical creams, lidocaine spray can help treat premature ejaculation by desensitizing the penis and decreasing hypersensitivity.
Use the spray 10 to 15 minutes before sex in order for it to work best. Known potential side effects include lowered libido and temporary sensitivity loss.
Shop for lidocaine spray online.
‘Climax control’ condoms
In general, condoms can decrease sensitivity and keep you from ejaculating early. But there are also climax control condoms available over-the-counter that are either made of a thicker latex material or contain a numbing agent that’s meant to delay climax.
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Overcoming Premature Ejaculation | Sex Expert Reveals CURE, Tips, and Tricks!
Supplements
Zinc supplements
Zinc not only supports healthy immunity and cell growth, the essential mineral also helps produce testosterone as well as boost your libido and energy.
Research has found a linkTrusted Source between zinc deficiency and sexual dysfunction in men, so taking 11 milligrams of zinc per day — the recommended amount — may improve ejaculation time.
A 2009 study conducted on rats showed that zinc supplements can increase testosterone, which may improve sexual problems, such as premature ejaculation. Taking too much zinc, though, may cause:
nausea
vomiting
diarrhea
kidney and stomach damage
a metallic taste in your mouth
Shop for zinc supplements online.
Ayurvedic herbal medicine
Ayurveda is India’s traditional healing system. It relies on thousands of herbs to treat everything from diabetes to inflammation.
Certain Ayurvedic medicines, such as kaunch beej, kamini vidrawan ras, and yauvanamrit vati, are thought to treat premature ejaculation when taken in capsule form twice daily with lukewarm water. Ayurvedic medicine has also been used to treat erectile dysfunction.
A 2017 Sexual Medicine study found that men who used Ayurvedic medicine saw a slight increase in the time it took to ejaculate during sex. Known potential side effects include:
Premature Ejaculation
stomach pain
dizziness
mild pain
decreased libido
Chinese herbal medicine
A weekly or daily dose of Chinese herbal medicine — in particular, Yimusake tablets or Qilin pills — may treat premature ejaculation by boosting sexual stamina and improving energy.
That same Sexual Medicine study found that different types of Chinese herbal medicine can increase ejaculation time by about 2 minutes. Known potential side effects include:
stomach pain
dizziness
mild pain
decreased libido
Home remedies
Dietary changes
In addition to zinc, magnesium also plays a role in your sexual health and can play a roleTrusted Source in premature ejaculation, according to research.
Incorporating foods into your diet that are rich in zinc and magnesium may help increase the time it takes you to climax. Those foods include:
How To Treat Premature Ejeculation? What You Need To know About PE
oysters
pumpkin seeds
soybeans
yogurt
spinach
wheat germ cereal
almonds
kidney beans
chickpeas
sesame seeds
beef and lamb
dark chocolate
garlic
peas
Shop for magnesium supplements online.
Pause-squeeze technique
The pause-squeeze technique may help treat premature ejaculation by letting arousal dwindle before climax. When you feel you’re ready to ejaculate, stop and have you or your partner squeeze the end of your penis where the head joins the shaft.
Have them hold the squeeze for several seconds until you no longer want to climax. Be sure to communicate with your partner during this process because they won’t know the correct timing otherwise.
Repeat this process as much as necessary. Eventually, you may be able to delay ejaculation without help.
Stop-start technique
The stop-start technique, also known as orgasm control or “edging,” can help delay climax by drawing out pleasure.
4 tips for Premature Ejaculation
When you feel the urge to ejaculate, stop having sexual activity completely. Once you feel less aroused, slowly start to have sexual activity again. Repeat this process as much as necessary to help you control ejaculation.
Pelvic floor exercises
Strengthening your pelvic floor muscles can have a big impact on how long it takes you to climax.
A 2014 Therapeutic Advances in Urology studyTrusted Source found that pelvic floor exercises can help men dealing with lifelong premature ejaculation control their ejaculatory reflex, increasing the time it takes for them to climax. To perform pelvic floor exercises:
Find the right muscles by stopping mid-stream while peeing or tightening the muscles that stop you from passing gas.
While laying down, contract your pelvic floor muscles for 3 seconds, and then relax for 3 seconds. Do this at least 10 times in a row. Repeat at least 3 times a day.
Gradually increase the number of seconds as your muscles become stronger. Try new positions, such as standing, walking, or sitting down.
Don’t forget to breathe, and remember to focus only on your pelvic floor muscles. Don’t tighten your abs, thighs, or buttocks.
Masturbation
Masturbating an hour or two before you have sexual activity may help delay ejaculation during penetration. This sexual release should reduce your need to climax quickly.
Avoid intercourse for a period of time
This may seem counterintuitive, but focusing on other types of sexual activity instead of intercourse may help take the pressure off your sexual encounters.
Penetration isn’t the only way to reach sexual satisfaction, so think about other ways you and your partner can feel pleasure that won’t cause either of you distress or frustration.
The takeaway
Premature ejaculation is a completely normal and common type of sexual concern that affects up to 40 percent of men in the United States.
Premature Ejaculation and Erectile Dysfunction
Any of these home remedies and natural treatments can help you manage your symptoms. But if premature ejaculation persists, you should see your doctor to rule out any underlying causes and explore other treatment options.
In addition to asking about your sex life, your doctor will ask about your health history and might do a physical exam. If you have both premature ejaculation and trouble getting or maintaining an erection, your doctor might order blood tests to check your male hormone (testosterone) levels or other tests.
In some cases, your doctor might suggest that you go to a urologist or a mental health professional who specializes in sexual dysfunction.
Treatment
Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course.
Behavioral techniques
In some cases, therapy for premature ejaculation might involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. Your doctor also might recommend avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters.
Pelvic floor exercises
Weak pelvic floor muscles might impair your ability to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.
To perform these exercises:
- Find the right muscles. To identify your pelvic floor muscles, stop urination in midstream or tighten the muscles that keep you from passing gas. These maneuvers use your pelvic floor muscles. Once you've identified your pelvic floor muscles, you can do the exercises in any position, although you might find it easier to do them lying down at first.
- Perfect your technique. Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking.
- Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
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The pause-squeeze technique
Your doctor might instruct you and your partner in the use of a method called the pause-squeeze technique. This method works as follows:
- Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
- Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
- Have your partner repeat the squeeze process as necessary.
By repeating as many times as necessary, you can reach the point of entering your partner without ejaculating. After some practice sessions, the feeling of knowing how to delay ejaculation might become a habit that no longer requires the pause-squeeze technique.
If the pause-squeeze technique causes pain or discomfort, another technique is to stop sexual stimulation just prior to ejaculation, wait until the level of arousal has diminished and then start again. This approach is known as the stop-start technique.
Condoms
Condoms might decrease penis sensitivity, which can help delay ejaculation. "Climax control" condoms are available over the counter. These condoms contain numbing agents such as benzocaine or lidocaine or are made of thicker latex to delay ejaculation. Examples include Trojan Extended, Durex Performax Intense and Lifestyles Everlast Intense.
Medications
Topical anesthetics
Anesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation. These products are applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.
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A lidocaine-prilocaine cream for premature ejaculation (EMLA) is available by prescription. Lidocaine sprays for premature ejaculation are available over-the-counter.
Although topical anesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. Sometimes, female partners also have reported these effects.
Oral medications
Many medications might delay orgasm. Although none of these drugs are specifically approved by the Food and Drug Administration to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors. These medications might be prescribed for either on-demand or daily use, and might be prescribed alone or in combination with other treatments.
Antidepressants. A side effect of certain antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs), such as escitalopram (Lexapro), sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem), are used to help delay ejaculation.
Of those approved for use in the United States, paroxetine seems to be the most effective. These medications usually take five to 10 days to begin working. But it might take two to three weeks of treatment before you'll see the full effect.
If SSRIs don't improve the timing of your ejaculation, your doctor might prescribe the tricyclic antidepressant clomipramine (Anafranil). Unwanted side effects of antidepressants might include nausea, perspiration, drowsiness and decreased libido.
Analgesics. Tramadol (Ultram) is a medication commonly used to treat pain. It also has side effects that delay ejaculation. Unwanted side effects might include nausea, headache, sleepiness and dizziness.
It might be prescribed when SSRIs haven't been effective. Tramadol can't be used in combination with an SSRI.
- Phosphodiesterase-5 inhibitors. Some medications used to treat erectile dysfunction, such as sildenafil (Viagra), tadalafil (Cialis, Adcirca) or vardenafil (Levitra, Staxyn), also might help premature ejaculation. Unwanted side effects might include headache, facial flushing and indigestion. These medications might be more effective when used in combination with an SSRI.
Potential future treatment
Research suggests that several drugs that might be helpful in treating premature ejaculation, but further study is needed. These drugs include:
- Dapoxetine. This is an SSRI that's often used as the first treatment for premature ejaculation in other countries. It's not currently available in the United States.
- Modafinil (Provigil). This is a treatment for the sleeping disorder narcolepsy.
- Silodosin (Rapaflo).This drug is normally a treatment for prostate gland enlargement (benign prostatic hyperplasia).
Counseling
This approach involves talking with a mental health provider about your relationships and experiences. Sessions can help you reduce performance anxiety and find better ways of coping with stress. Counseling is most likely to help when it's used in combination with drug therapy.
With premature ejaculation, you might feel you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner.
Your partner also might be upset with the change in sexual intimacy. Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step, and relationship counseling or sex therapy might be helpful.
Many males experience sexual concerns such as premature ejaculation. Premature ejaculation occurs when someone has an orgasm very quickly or orgasms without control. Males with premature ejaculation may also have very little warning before their orgasm, so they may not be able to delay it.
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Premature ejaculation may lead to lower sexual satisfaction for both the person experiencing it and their partner. Some home remedies and exercises may help delay ejaculation or help someone become more aware of their sensations and how to control them.
Some estimates suggest that around 4–39%Trusted Source of males experience premature ejaculation, though some estimates are higher. Part of the reason that so many people experience this is because premature ejaculation can be complex, involving both mental and physical aspects.
Some medical treatments may help with premature ejaculation, but there is no permanent cure for it. However, males may learn to control their ejaculation and find more sexual satisfaction using a number of remedies, including supplements and exercise. Keep reading to learn more.
Minerals
Certain minerals may help with premature ejaculation. These include:
Zinc
A person may improve their overall sexual health by taking zinc supplements.
There may be a link between supplements such as zinc and sexual dysfunction. Zinc also seems to play a role in male fertility.
As an article in the International Journal of Molecular SciencesTrusted Source notes, some studies have reported reduced quantities of zinc in the seminal fluid of males with infertility.
Urologist explains Premature Ejaculation | cause and treatments | for patients and partners
Zinc supplementation improves sexual dysfunction and increases serum testosterone levels in the body. This may improve libido in general and help improve sexual dysfunction, which may include premature ejaculation.
Taking zinc supplements may, therefore, promote overall sexual health in many ways, though no direct research has linked zinc to stopping or improving premature ejaculation.
Magnesium
Magnesium is another important mineral for healthy sperm production and reproductive health.
A review in the Asian Journal of AndrologyTrusted Source notes that low magnesium levels are a contributing factor to premature ejaculation, as they may increase certain muscle contractions common in orgasms.
For this reason, getting enough magnesium in the diet may help with premature ejaculation.
Other minerals
As a study in the journal Reviews on Environmental HealthTrusted Source notes, a number of other minerals also play important roles in sperm function and overall male fertility.
Those with sexual issues such as erectile dysfunction or premature ejaculation may look to take a number of other minerals to improve their reproductive health in general. These may include:
calcium
copper
manganese
selenium
Topical creams or sprays
For a temporary approach, many males find success in using topical creams and sprays that contain anesthetics such as lidocaine. These help numb the penis. They do this by delaying sensation to the penis, which may increase the time it takes to climax.
Typically, a male should apply these creams to the head of the penis about 30 minutes before sex, and then wash the penis around 5 minutes before sex.
Kegel Exercises to treat Premature Ejaculation | Metromale Clinic & Fertility Center
Exercises
Various pelvic floor exercises may help train the muscles involved in ejaculation. By becoming aware of and strengthening these muscles, it may be possible to increase orgasm control.
One studyTrusted Source found that a 12 week program of pelvic floor exercises helped males with premature ejaculation control their ejaculatory reflexes and increase their time to climax.
The pelvic floor muscles are the same muscles involved in cutting off the flow of urine. To find them, a male should urinate and then cut off the urine flow midstream.
To perform pelvic floor exercises, lie or sit in a comfortable position without putting pressure on the perineum, which is the area between the anus and the genitals.
Tighten the muscles involved in cutting off the flow of urine, holding them as tight as possible for 5 seconds. The muscles should feel as though they are lifting up. There may also be a pressure sensation inside the body, near the muscles.
Release the muscles and rest for 5 seconds. Repeat this process 10 times for one session. Do two or three sessions each day.
Condoms
Wearing a condom during sex may work in a similar way to using topical creams, by temporarily dulling the sensation in the penis. In some cases, this may increase the time it takes to orgasm.
What Causes Premature Ejaculation | Erection Problems
Some companies make thicker condoms or condoms with a numbing agent on the inside to help decrease sensitivity further and help increase a male’s time to orgasm.
Practice
Those worried about sexual control and early ejaculation may simply not have had very much sexual practice. Teenagers tend to learn about their sexual responses and physical sensations from their early practices with masturbation.
Some people may not have as much experience with masturbation or sexual acts, which may be due to religious or cultural beliefs about them, or a sense of personal shame.
Openly exploring pleasure through masturbation helps a person identify the sensations their body experiences leading up to orgasm. Regular practice may also help someone learn the signs of an impending orgasm and to find ways to stop the stimulation before orgasm.
Also, some may recommend masturbating an hour or two before engaging in sexual activity. This may take advantage of the body’s refractory period, which is the period of time in which it is impossible or difficult to orgasm. The length of the refractory period varies from person to person.
Learn more about masturbating before sex here.
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Techniques
There are some techniques and methods that a male can try during sex that may help with premature ejaculation. These include:
The squeeze technique
The squeeze technique helps physically control an orgasm. It may also help a male identify the sensation of orgasm and learn how to control it.
During this method, a male or their partner should stimulate the penis until they are close to ejaculation. They must then firmly squeeze the shaft of the penis, so that the erection partially goes away and the impending orgasm subsides.
Going through these steps may help a male identify the sensations that lead to orgasm. Understanding these sensations can lead to better control over ejaculation.
The stop-start method
The stop-start method is another physical technique for sexual practice.
How do I stop ejaculating too fast? | Planned Parenthood Video
During this method, the male or their partner should stimulate the penis until climax is imminent. They should then stop all stimulation and allow the feeling of the upcoming orgasm to go away completely.
After the pleasure subsides, the male or their partner should stimulate the penis again and stop again just before the orgasm. Continue the cycle a third time, and allow the ejaculation on the fourth.
This practice may help a male identify the sensations that occur just before orgasm. Exploring them in this way can make it easier to identify or control ejaculation.
Is there a permanent cure?
There is no single way to treat or cure premature ejaculation. As the Urology Care Foundation point out, there are no approved drugs in the United States for the treatment of premature ejaculation.
The standard treatment typically includes a few different approaches. Psychological therapy, for example, helps address any negative thoughts or feelings that may lead to sexual issues.
Behavioral therapy, such as the squeeze and stop-start methods, helps build a tolerance to the pleasurable sensations that lead to orgasm.
Some over-the-counter or prescription creams and sprays may also help numb the head of the penis, which could decrease sensitivity temporarily.
In some cases, a doctor may also recommend using some forms of antidepressant drugs to treat premature ejaculation. Antidepressants such as fluoxetine and paroxetine may alter serotonin levels in the body, which could delay orgasm. However, there is no approval for this use of these drugs.
Summary
Premature ejaculation is common and affects many people at one time or another.
#MyHealthMyLife: Premature ejaculation - Symptoms and causes
When premature ejaculation becomes an issue, however, some males may find that they can better control it using various home remedies and techniques. Some doctors may suggest other forms of physical, psychological, or medical treatment to help control the issue.
If premature ejaculation continues or gets worse, it is best to see a doctor for a full diagnosis. There may be an underlying health condition causing it.
Premature ejaculation occurs when a man experiences uncontrolled ejaculation that happens too quickly. It can be right after sexual penetration despite him not getting stimulated enough or even before intercourse. While it is not physically dangerous, couples can feel embarrassed, dissatisfied and this is a common reason for low self-esteem in men. This sexual dysfunction generally occurs if you are experiencing excessive anxiety, depression, hormonal imbalance or an injury. Studies show that 1 out of 3 men may suffer from this condition at some point in their life. While most men do not visit urologists to discuss these problems, this disorder is treatable. Treatments for premature ejaculation include medication, some natural remedies and sexual techniques. In most cases, a combination of therapies works well.
Also read: Dealing With Premature Ejaculation? These Techniques Will Help You
Here are 8 home remedies that will help you get rid of the problem of premature ejaculation.
1) Green Onion
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Seeds of green onions are aphrodisiac and so they help in decreasing premature ejaculation in men. These seeds increase a person's stamina and strength, thus allowing him to prolong his sexual capacity. To use this remedy, just crush the seeds and mix them with water. Drink this remedy 3 times a day before your meal. White onions can also help in extending your sexual capacity and strengthening your reproductive organs.
premature ejaculation can be curbed with food
Photo Credit: iStock
2) Aswagandha
This medicinal Indian herb is an effective remedy to treat sexual problems in men. Ashwagandha improves your brain power and also increases libido in the body. This allows men to better control their ejaculation and prolong their sexual intercourse. The herb increases stamina, and it is also effective in treating erectile dysfunction.
premature ejaculation can be curbed with food
Photo Credit: iStock
3) Ginger and Honey
Eating ginger increases blood circulation in our body and it specifically increases blood flow to the penile muscles. This gives men greater control to ejaculate. Ginger is also helpful in retaining the erection as it heats up the body, causing faster blood flow. Honey is an aphrodisiac of strength and this can enhance the potency of ginger. The best way to consume this remedy is to mix half a teaspoon of ginger with honey and eat it before bedtime.
4) Garlic
Garlic has aphrodisiac properties and it can aid you in elongating the duration of your intercourse without ejaculating prematurely. Cloves of this anti-bacterial and anti-inflammatory plant improve blood circulation in your body and also heat it up to enhance copulation. You can chew the cloves or fry them in ghee and then eat them every morning, on an empty stomach.
5) Asparagus
Roots of this plant greatly benefit in avoiding premature ejaculation. You can boil the plant roots in in milk and drink it twice every day to strengthen your control over the penile muscles.
premature ejaculation can be curbed with food
Photo Credit: iStock
6) Balanced diet
You should kick foods like chocolate, chillies and caffeinated beverages out of your diet to control this sexual dysfunction. Your diet should be rich in Zinc, Selenium, Calcium and Iron for better control and strength. High carbohydrate and low protein food is also good to release serotonin and ease anxiety.
7) Lady finger
Lady finger is also an effective remedy for premature ejaculation. You can include this vegetable in your everyday diet or consume its powder. This powder can be consumed in regular basis.
premature ejaculation can be curbed with food
Photo Credit: iStock
8) Carrots
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Carrots are more than just a tasty vegetable. This can be used to treat premature ejaculation quickly. Carrots have a libido-improving quality that can greatly help you control your ejaculation. For best results, eat boiled carrots with egg and honey regularly.
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