Premature Ejaculation Treatment: Best 38 Methods
Products For Premature Ejaculation
Using “delay” and thicker condoms, which are easy to find online and in most convenience stores, may be all that’s needed as a premature ejaculation treatment. There is evidence that wearing a condom may also help make your penis less sensitive and slow down the time it takes to get an orgasm and ejaculate.
This theory was put to the test in a study that was published in The Journal of Sexual Medicine. It looked at how sensitive men’s penises were with and without a condom.
The researchers found that the men’s penile vibratory thresholds were higher when they used condoms. This means that condoms do reduce sensitivity to some degree.
This fits with what other research has found, which is that when a condom is used, people say they feel fewer intense tactile sensations during sex.
But since physical sensation is one of the most important parts of sexual activity, it makes sense that wearing a condom may help if you tend to reach orgasm and ejaculate a little too early.
Spend a minute or two looking around the aisles of any drugstore, and you’ll find lots of condoms with names like “extended pleasure,” “endurance,” and “climax control.”
These condoms are made to stop you from ejaculating right away and make you perform better in bed. Most of them have an internal numbing lubricant that makes the sensitive parts of your penis feel a little numb. This keeps you from reaching orgasm and ejaculating too early during sex.
Some people find that climax control lubricated condoms dull sexual pleasure, so you may want to try one on your own before using it with your partner.
Most condom brands have “extra safe” condoms that are thicker than others to offer more protection. In addition to making the condoms last longer, the extra thickness also makes the physical feeling of sex less intense.
If you find sex too painful but don’t want to use a condom with a numbing lubricant, you might want to give these a try.
#2. Delay sprays
Penis numbing spray is a topical product that is meant to be put on the most sensitive parts of the penis.
When used right, the spray can help you hold off on ejaculating so you can stay in bed longer. Most of them are made with ingredients that make the nerves in the penis less sensitive. Most sprays that numb the penis use lidocaine or benzocaine as a numbing agent. When used correctly, penis numbing spray is thought to be one of the best and safest ways to stop ejaculating too soon.
There are two types of penis spray that are most often used because they work well to numb the area. Most people prefer to use a penis spray with lidocaine in it. Lidocaine is quickly absorbed by the skin and gives pretty consistent results, even when used in small amounts.
Some sprays that numb the penis use benzocaine as the main anesthetic. Even though benzocaine works, you may need more of it to get the same effect, especially if you are using a low-potency product. Also, people with allergies may be more likely to have bad skin reactions to benzocaine.
Depending on what’s in it, each spray that numbs the penis could cause its own set of side effects. When you first start using penis numbing sprays, over-desensitization is the most common side effect that you can avoid.
You might use a little too much by accident, or you might find that the numbing effect is very strong on you and you don’t feel much. Washing with soap and water might help you feel better faster, but most people feel better on their own in about 30 minutes.
#3. Delay wipes
Delay wipes, also called benzocaine wipes, were first sold in 2017 after a study in the Journal of Urology suggested that wiping your penis with one before penetrating sex could delay ejaculation. But do they really do the job?
These are disposable wipes that usually have a small amount of the mild topical anesthetic benzocaine in them. Benzocaine isn’t always used. Sometimes, other mild painkillers are used instead. The wipes should be used before getting intimate.
After a few minutes, the solution on these wipes makes the head and shaft of the penis a little less sensitive. This may help stretch out the time until climax.
If you’ve ever used a numbing cream or gel on another part of your body, you already know what happens: Your nerves are temporarily numbed until the effect wears off. It doesn’t hurt or feel particularly bad.
Some people have said that the numbness feels like wearing a thick condom that makes it hard to feel things. You can still feel the pressures of a close relationship, but the intense nerve stimulation is reduced or eliminated.
From what we saw in the 2017 study, men who used the wipes for 2 months took an average of 4 minutes longer to ejaculate.
It’s important to note that this is the average range. Not all of the men made it to 4 minutes, and some may have gone further. The skin could get red from benzocaine. If people start to get dry, itchy, or inflamed skin, they should stop using them.
#4. Delay creams
Local anesthetics like prilocaine and lidocaine are often found in the active ingredients of delay creams. This means that the cream makes the area where it is put less sensitive. Some men can’t ejaculate right away because the tip of their penis isn’t as sensitive as it should be.
Apply a small pea-sized amount of delay cream to the underside of the penis near the frenulum (also called the “banjo string”) 15 to 30 minutes before you want to have sex.
Before you get together, wipe off any extra cream so it doesn’t get on your partner. If you don’t feel it working, add more (across a slightly wider area — not on a focused point). When you get your treatment, an information leaflet will tell you what to do.
There are signs that delay cream has worked in as many as 77% of cases. In these studies, it was shown to make the time between getting an erection and ejaculating much longer.
Where the cream is used, the skin may get red, swell up a little, tingle, or turn pale. It can sometimes cause mild burning or itching. Please read the manufacturer’s information leaflet that comes with your medicine for a full list of side effects.
#5. Climax Control Trainer
Climax control trainers, like MyHixel, are a new way for men to improve their ability to control climax. Tests show that ejaculation can be stopped for up to seven times longer. Using a game-like app and a high-tech training sleeve together. Even medical problems that cause men to ejaculate early can be fixed.
MyHixel is a brand-new device that has been approved by the FDA as a medical aid. It gives men a new way to think about strength training. It’s not just about “delaying” when you come; it’s about “controlling” when you come.
Almost all other devices for training male masturbation and stamina only focus on regular use to get used to the feeling of penetration. This method can help, but it doesn’t address the psychological and mental reasons why men ejaculate before they should.
The ejaculation reflex is set off by arousal, but arousal can be broken down into two parts: physical arousal and mental arousal. When we talk about physical arousal, we usually mean genital stimulation, which is when someone or something touches your penis and makes the nerve endings there work. Psychological arousal is how sexually excited you feel by things like seeing your partner’s naked body. Some therapists use the terms friction to describe the difference between the two.
MyHixel works on the friction part, which is the physical arousal. Through a series of exercises, the Myhixel app will show you how to get used to different levels of friction. The Myhixel device gives genital stimulation that is as strong as or stronger than what you get when you penetrate.
When you have sex with your partner, you have to keep your body and mind from getting too excited. Because your partner makes you feel excited, it can be hard to focus on calming your body. It’s even harder if you feel anxious when you’re having sex with your partner.
With Myhixel, you’ll learn how to relax your muscles and calm down while you’re being stimulated. Once you’ve learned how to slow down your sexual response while masturbating, you’ll be able to do the same when you’re with your partner.
We can’t promise that this product will work for everyone, and it won’t be a magic cure for all men with PE. But we think this new and fun way to build stamina could work pretty well, especially for men who have trouble staying in control during penetration.
Supplements For Premature Ejaculation
#6. Zinc supplements
Even though there hasn’t been any specific research on the link between zinc and PE, zinc is important for the health of the testicles, sperm, and prostate. Because of this, the amount of zinc in your body may affect your ability to control when you ejaculate.
One study that looked at how zinc affected the sexual behavior of male rats found that zinc made them better at being sexual. They gave them 5mg of zinc per day and watched as the amount of penile thrusting and the amount of time it took to ejaculate went up. Even though more research needs to be done, the rat model was used to figure out how zinc supplements might affect human sexuality.
In a study done in 2000, it was found that men who started taking zinc supplements had higher levels of testosterone. Testosterone is a hormone that makes you want to have sex. Research shows that zinc is also very important for the health of the prostate and the ejaculatory reflex, which helps sperm move and move out of the testicles.
At the moment, there isn’t much research that shows zinc does help with PE. Due to its antioxidant properties, zinc does seem to have a number of benefits for men’s sexual health. As long as you don’t go over the recommended daily dose of 40mg, zinc supplements are safe to take and can help your body in many ways, like making your skin and immune system stronger.
In general, taking zinc supplements shouldn’t be the only way to treat PE. If you have signs of PE, you should see a doctor to get a diagnosis and help figure out how to treat your condition in a way that gets to the root of the problem.
#7. Magnesium supplements
Magnesium is another mineral that is important for making healthy sperm and for healthy reproduction.
A 2019 review says that low magnesium levels can cause men to ejaculate too soon because they can make muscles contract more during orgasms.
In 2001, a study of 39 men with premature ejaculation (PE) found that men with severe PE had a lot less magnesium in their seminal fluid. The study found that magnesium may play a role in moving sperm, which could affect PE. A clinical study from 2003 suggests that changes in the amount of magnesium in your diet may be linked to changes in the amount of magnesium in your seminal plasma.
Magnesium supplements may help improve a person’s sexual function, but they also help protect the heart from disease and have many other health benefits.
Because of this, getting enough magnesium in the diet might help with ejaculating too early.
#8. Ayurvedic herbal medicine
Ayurvedic medicine recommends treatments and herbs for premature ejaculation that work in different ways to deal with all of these underlying causes. This also means that if it’s hard to figure out what’s wrong, it would be best to use a mixture of two or more of these herbs.
It may be the most popular herb among bodybuilders, but that has something to do with how well it helps with sexual and reproductive health. People think that the herb boosts testosterone and also makes the heart stronger. Both of these benefits can also help you stay in bed longer. The adaptogenic effect of the herb, on the other hand, may be more important.
This is why it is called a medhya rasayana and has been used to treat ejaculation before it’s time and other sexual problems. Most of the time, anxiety and stress disorders are behind erectile dysfunction and early ejaculation in men. This makes ashwagandha very effective. Studies have also shown that Ashwagandha capsules can increase the number of sperm and make them move around better.
This may not be one of the most well-known Ayurvedic herbs, but it is definitely one of the most effective ones for treating ejaculation that happens too early. If you want to stay in bed longer, kapikacchu can help, though no one knows exactly how it works. According to Ayurveda, this benefit may be related to its ability to balance and calm the vata dosha, even though it is good for all doshas.
Studies on humans have shown that herbs like ashwagandha could improve the number and movement of sperm when taken as a supplement. Animal studies are the only ones that show that making sex last longer is possible. Researchers found that rats could have more sex and ejaculate for longer if they took kapikacchu every day for at least 45 days.
Shilajit supplements are often sold as “sex power” capsules and other things like that. Even though the ingredient doesn’t work like magic, it has a lot of great healing properties. Also, it’s important to know that shilajit is not a herb but a natural, organic ingredient. It comes from Himalayan rocks, but it looks like resin from trees.
It has a lot of healing compounds and minerals that give it a wide range of medicinal uses. It is best known for making people stronger, healthier, and more vital. In other words, it helps with weakness and tiredness by giving you more energy and stamina. This is important if you want your erections and sexual activity to last longer. Research backs up the idea that Shilajit capsules can make you stronger and give you more stamina. It can also raise your testosterone and fertility levels.
4. Gotu Kola
In some parts of South East Asia, gotu kola is still used as a spice, but it is also highly valued for what it can do for health. As with many treatments for male dysfunctions like premature ejaculation, how well they work depends on what’s causing the problem. Gotu kola is very good for treating erectile dysfunction and early ejaculation in men when they are caused by circulation problems that make it hard for blood to get to the penis.
Gotu kola is known to improve the health of the circulatory system because it lowers the pressure in the veins and makes the blood vessels stronger. This will not only make sexual activity last longer, but it will also make it feel better and last longer.
Gokshura, which is also called tribulus terrestris, is becoming more and more popular all over the world. But it has been used for thousands of years in Ayurved to improve brain function and treat a wide range of problems, such as skin, liver, and kidney disease. There are also claims that it can increase the number of sperm in the body and make the penile tissue stronger so that you can have better sexual performance.
Although there isn’t much evidence to explain how it works, some research suggests that supplementation may increase ejaculation time by about 30 seconds.Depending on what caused the early ejaculation, the effectiveness can be less or more. According to research, gokshura supplements can improve a man’s sexual performance by increasing arousedness and providing a stronger erection.
#9. Chinese herbal medicine
The Qiaoshao Formula (QSF) is a traditional Chinese medicine treatment that uses seven Chinese herbal medicines. It is used to stop men from ejaculating too soon. Even though it is popular in China, there isn’t enough information about how safe and effective QSF is when used with dapoxetine, which is a strong selective serotonin reuptake inhibitor that is also used to treat premature ejaculation.
In this retrospective cohort study, 905 men with premature ejaculation were given either QSF plus dapoxetine (n=660) or dapoxetine alone (n=245) for eight weeks.
The ingredients of QSF, which was taken twice a day, are: radix Astragali seu Hedysari (10 grams), rhizoma Acori graminei (5 grams), Fructus forsythiae (20 grams), radix Bupleuri (15 grams), rhizoma Dioscoreae (15 grams), radix Paeoniae alba (15 grams), and Morinda officinalis (15 grams).
The main results were the perceived P-IELT (the average reported time in minutes from vaginal penetration to ejaculation) and the feeling of being in control. Other results were the participants’ overall feelings about the change, their scores on the premature ejaculation profile, and any side effects.
The mean P-IELT improved more in the combination group (from 1.36 to 4.78 minutes) than in the dapoxetine group (from 1.69 to 4.06 minutes), both overall and in the subgroups based on baseline P-IELT (no more than 1 minute vs. 1–2 minutes) and age (no older than 30 years vs. older than 30 years). At week 8, the combination treatment also made people feel more in charge than dapoxetine alone.
At week 8, there were no other differences between the groups, but at week 4, the combination treatment improved the global impression of change and the profile of premature ejaculation more than the dapoxetine group.
#10. Paxil (Paroxetine)
Even if you don’t believe it, there is some pretty strong evidence that Paxil may be useful for treating sexual problems like early ejaculation.
Selective serotonin reuptake inhibitors are a type of antidepressant that includes Paxil (SSRIs). SSRIs stop the brain from lowering the amount of serotonin it has. That means you keep more serotonin in your body for the things you really need it for (regulating mood).
So where does ejaculating too soon come in? Well, not on anyone’s radar. Technically, SSRIs aren’t supposed to be used to treat problems with PE.
As a side effect, SSRIs often delay ejaculation, and doctors often prescribe them (off-label) to men who ejaculate too early.
In a study of almost 100 men with PE, taking Paxil daily or as needed three to four hours before sex made it take longer for them to ejaculate.
Also, some studies have shown that Paxil works better than other SSRIs like Prozac and Lexapro. It worked as well as some other medicines, like lidocaine gel, zoloft, PDE5 inhibitors, and zoloft.
#11. Lexapro (Escitalopram)
Lexapro, which has the active ingredient escitalopram, was originally made to treat depression. Some research suggests that escitalopram can also improve male sexual function and slow down ejaculation.
In a 2007 study published in the journal Therapeutics and Clinical Risk Management, men with early ejaculation were split into three groups. One group got fluoxetine (Prozac®), another got paroxetine (Paxil®), and the third got Lexapro (escitalopram).
For four weeks, the men took the medicine in the morning. At the end of the treatment period, the researchers used a questionnaire to find out how each SSRI affected the men’s intravaginal ejaculatory latency time and other sexual functions.
All of the men who took part in the study, including the ones who got Lexapro, had longer ejaculation times (escitalopram). All three of the medicines worked about the same and were easy to take.
In a different study, which came out in 2011 in the International Journal of Impotence Research, a group of researchers looked at how Lexapro (escitalopram) affected men with PE.
The men, who had all had early ejaculation their whole lives, were asked to write down when they ejaculated for one month. After that, they started taking 10 mg of escitalopram every day for a total of 12 weeks.
By the third month of treatment, the men’s mean ejaculation time had increased significantly, and their scores on the Premature Ejaculation Diagnostic Tool (PEDT) questionnaire had gone down.
But they also had less sperm concentration, movement, and size. This suggests that Lexapro (escitalopram) may hurt the health and fertility of sperm.
Most scientific evidence shows that Lexapro (escitalopram) helps men with PE slow down their ejaculation and improve their sexual function.
#12. Zoloft (Sertraline)
Even though Zoloft (sertraline) is best known as an antidepressant, it works surprisingly well as a treatment for premature ejaculation.
In fact, many studies of Zoloft (sertraline) have shown that it can make it take longer for an intravaginal ejaculation to happen (IELT, or the average time during sexual intercourse that passes prior to a man reaching orgasm and ejaculating).
Some of these studies show that men with early ejaculation who take Zoloft have a significant rise in IELT (sertraline).
In one of the many clinical trials done to test how well Zoloft (sertraline) works, a group of men between the ages of 22 and 63 who had premature ejaculation were given Zoloft (sertraline) to see how it affected their sexual performance.
The men took Zoloft (sertraline) tablets by mouth, and at the start of the study, they took 25mg per day. By the third week, the dose of Zoloft (sertraline) was upped to 50 mg per day. At week six, the dose of Zoloft (sertraline) was raised to 100 mg per day.
The only treatment the men got was a daily dose of Zoloft, which was not a form of psychosexual therapy (sertraline).
At the start of the trial, the men’s average time between ejaculations ranged from 0 to 5 minutes.
When the men took 25 mg of Zoloft (sertraline) every day, the average time between ejaculations went from 1 minute to 7.6 minutes, with a range of 0 to 20 minutes. With 50mg, the average time between ejaculations went up to 13.1 minutes.
Men who took 100mg of Zoloft (sertraline) every day ejaculated on average every 16.4 minutes. Not only did the average ejaculation time go up by a lot, but the minimum time between ejaculations also went up, with a total range of seven minutes to anejaculation (inability to ejaculate).
During the trial, there were not many side effects. At the full dose of 100mg per day, the most common side effects were dyspepsia (indigestion), feelings of anxiety, temporary drowsiness, and anorexia, as well as erectile dysfunction and decreased libido.
Less than 10% of the men who took part in the trial said they had these problems. Most participants said Zoloft had no side effects (sertraline).
Other studies of Zoloft (sertraline) for early ejaculation have shown similar results, with ejaculation time and general sexual function getting better.
In a 1999 study that was published in the journal Urology, men with early ejaculation who took Zoloft (sertraline) were able to increase their average ejaculation latency by a lot.
Before treatment, it took the men an average of 23 +/- 19 seconds to ejaculate. After taking 50mg of Zoloft (sertraline) every day for two weeks, the average time it took men to ejaculate went up to 5.9 +/- 4.2 minutes.
In the same study, it was also found that Zoloft (sertraline) can be used as needed to treat men who ejaculate too early.
When the men took 50–100mg of Zoloft (sertraline) as needed on the day of intercourse, the average time it took them to ejaculate went from 23–19 seconds to 5.1–3.8 minutes after two weeks and 4.5–2.7 minutes after four weeks.
After the men in the study started taking Zoloft, they were able to be sexually active for longer before reaching orgasm and ejaculating, and both they and their partners reported higher levels of sexual satisfaction (sertraline).
At the start of the study, the women who were with the men gave an average score of 1.1 +/- 0.7 for sexual satisfaction (zero meaning extremely unsatisfied and five meaning extremely satisfied).
After the men took Zoloft (sertraline) for four weeks, their partners gave them an average score of 3.3 +/- 1.2.
After two weeks of treatment with 50 or 100mg of Zoloft (sertraline), as needed, the men’s satisfaction scores went from an average of 0.8 +/- 0.8 before treatment to 3.4 +/- 1.0 after treatment. After four weeks, the average satisfaction score for the men was 3.2 +/- 0.7.
Like in the 1998 study, there were not many side effects. One person in the study had trouble ejaculating too late, while another said he was numb, and two said they were tired.
In short, studies show that using Zoloft (sertraline) for premature ejaculation works, and that the results are important. Men with PE who took Zoloft (sertraline) were not only able to lengthen the time until they ejaculated, but they also felt more satisfied in bed.
#13. Prozac (Fluoxetine)
Even though Prozac wasn’t made to treat premature ejaculation, research has shown that it works to slow down the process of having an orgasm and ejaculating.
For example, in a 1996 study published in the Journal of Urology, researchers compared the effects of fluoxetine (the active ingredient in Prozac) and a non-therapeutic placebo on men who ejaculated early.
They found that the men who took fluoxetine took much longer to ejaculate during sex than the men who took the non-therapeutic placebo.
Even though the results of this study are interesting, they can’t tell us much because only 17 men took part.
Most of the time, the results of other studies have been the same. For example, the SSRIs escitalopram and paroxetine were compared to fluoxetine in a larger, more recent study that was published in the journal Therapeutics and Clinical Risk Management.
In this study, 100 men with PE were split into three groups, and each group was given one of the three drugs.
After four weeks, the ejaculation latency of all 100 men who took part in the study had improved (time to ejaculation).
In 2019, the International Brazilian Journal of Urology published another study that tested several SSRIs to see which one was the best at treating PE.
After comparing fluoxetine, sertraline, paroxetine, and citalopram, the researchers came to the conclusion that all of the medicines helped treat premature ejaculation with few serious side effects.
In this study, men with PE who took fluoxetine saw their average intravaginal ejaculatory latency time go from 75.564.3 seconds to 314.8190.4 seconds, or about 5–3 minutes.
Simply put, scientific research shows that fluoxetine, the active ingredient in Prozac, works as a treatment for PE.
Experts think that the link between serotonin levels and ejaculation is what makes Prozac work as a treatment for early ejaculation.
Some scientific research suggests that serotonin slows down orgasm and ejaculation in the descending tracts that connect the brain to the rest of the body.
Prozac and a few other SSRIs often list delayed or abnormal ejaculation as a possible side effect. This may be because of this effect.
Other Medication To Help PE
Tramadol is a painkiller that can only be bought with a doctor’s prescription. It is used to treat moderate-to-moderately severe pain.
In the few studies that have been done so far, tramadol has also shown promise as a treatment for ejaculating too early.
A review of how well tramadol worked showed that taking it every day did help in some ways.
In a 2013 review of tramadol, 60 healthy study participants between the ages of 28 and 45 who were not taking certain other types of drugs were used to test how well tramadol works for people with premature ejaculation.
For four weeks, the group was split into two groups: one that took 100 mg of the drug and one that took a fake pill. After four weeks of treatment, the tramadol group’s time to orgasm or intra-vaginal ejaculatory latency time increased by more than three times, and their baseline satisfaction also went up. The placebo group, on the other hand, did not have the same effects on ejaculation time.
What’s more interesting, though, is that the study didn’t find any difference between regular or daily tramadol treatment and sporadic or as-needed tramadol treatment.
In other words, tramadol could be used to treat premature ejaculation either as needed or every day. This would give patients a wider range of treatment options based on their own needs.
The study in question came to the conclusion that SSRIs, which are often used off-label to treat PE, were also effective, but that the long-term risk of side effects and psychiatric problems was something to worry about.
This may seem strange, since tramadol is a pain reliever that, if used for a long time, could lead to addiction.
Codeine is a type of painkiller. A 2017 study shows that in one case, a person who took codeine was better able to control their ejaculations during sexual activity.
This person, however, became dependent on the drug, which is made from opium.
The study shows that this person had to go through a 6-month withdrawal process even though their liver and blood sugar were fine.
People who want to use codeine to treat PE should talk to a doctor or physician to figure out the best way to do it and to keep side effects to a minimum.
#16. Viagra, Cialis, Levitra (PDE-5 inhibitors)
If you’ve looked online for ways to treat erectile dysfunction (ED), you’ve probably heard of drugs called PDE5 inhibitors. PDE5 inhibitors are medicines that help blood flow to certain tissues, like the penis tissue.
Some PDE5 inhibitors are used to treat early ejaculation as well as erectile dysfunction (ED). Viagra, Cialis, and Levitra all have an active ingredient called sildenafil. Sildenafil blocks the effects of an enzyme called phosphodiesterase-5, which helps control the size of the blood vessels that supply your penis.
Even though there aren’t yet any large-scale studies that prove sildenafil treats PE, some research suggests that sildenafil may help slow down ejaculation and orgasm.
Sildenafil was first made as a treatment for angina and other heart problems (a form of chest pain caused by reduced blood flow to the heart). But it’s best known as a drug for erectile dysfunction because it’s used so often in Viagra.
Since the FDA has approved sildenafil as a treatment for erectile dysfunction, most of the scientific research on its effects focuses on how it can help men get and keep erections.
But over the years, scientists have looked into a number of other possible uses for drugs like sildenafil. For example, they have tried to answer the question, “Does Viagra help with early ejaculation?”
So, there are a few studies that look at how sildenafil might work as a treatment for ejaculating too soon.
In 2007, the International Journal of Urology published a study in which 180 men with early ejaculation were split into three groups.
People in Group A were given 50mg of sildenafil, and people in Group B were given 20mg of paroxetine (also known as Paxil®), which is an SSRI that is often used off-label to treat PE.
People in the third group (Group C) did not get any medicine, but they were told to use the squeeze technique, which involves squeezing the penis before orgasm, to make sex less painful.
After six months, the researchers checked in with the people who took part in the study. Men in Group A, who were given sildenafil, had improvements in their IELT (time to ejaculate after penetration), their sexual satisfaction, and the overall severity of their PE.
Members of the sildenafil group also said they had sex more often, which suggests that sildenafil’s effects on erections and sexual endurance may also make people feel more confident in their sexuality.
The study found that sildenafil is “very effective and safe” for treating PE. It also found that it worked better than both paroxetine and the squeeze technique.
In a clinical trial from 2005 that was published in the Journal of Sexual Medicine, researchers looked at the effects of sildenafil as a possible treatment for men who ejaculate too early.
For this study, men between the ages of 18 and 65 who had been diagnosed with premature ejaculation were given sildenafil in a place where they were given a placebo and couldn’t tell which one they were getting. Men who took sildenafil were told to take the medicine for a total of eight weeks.
IELT (intervaginal ejaculation latency time) and VTS-ELT (vibrotactile stimulation ejaculatory latency time) were longer for men in the sildenafil group than for men in the placebo group after the trial period.
But even though these scores went up, the changes in the time it took to ejaculate weren’t statistically significant.
Men in the sildenafil group also said that their ability to control ejaculation, their confidence about ejaculation, and their sexual satisfaction all got a lot better. They also needed less time to get back to being sexually active after ejaculating. This is called the refractory period.
Overall, the study found that sildenafil “increased confidence, the perception of ejaculatory control, and overall sexual satisfaction” compared to the placebo treatment. It did, however, state that the increase in ejaculation latency time caused by sildenafil was not statistically significant.
In other words, the “little blue pill” seems to help men who ejaculate too soon, even though the increase in time until ejaculation isn’t always significant and varies from study to study.
Several other studies have also looked at sildenafil’s effects on men with PE, including as an add-on treatment (a medication given in addition to another form of treatment).
In one study published in the journal Urology, researchers found that sildenafil worked well when taken with the SSRI paroxetine and forms of psychological and behavioral therapy, even in men with PE who didn’t respond to other treatments.
A more recent study from 2019 found that men with both premature ejaculation and erectile dysfunction responded well to treatment with sildenafil and dapoxetine, a new drug that is being developed as a PE drug.
#17. SDN (Selective Dorsal Neurectomy)
Even though it might not look like it from the outside, the penis has nerves that help it feel and talk about what it is feeling.
In particular, the penis’s dorsal nerve helps send signals from the penis and its very sensitive head to the brain (more commonly known as the tip).
When it comes to ejaculatory reflexes, this nerve is also very important.
When people who had premature ejaculation all their lives were looked at, it was found that they had more dorsal nerves that were also thicker than expected.
People think that these traits make the penis too sensitive, which can lead to ejaculating too soon during sex.
A selective dorsal neurectomy helps make the penis less sensitive by stopping it from becoming too sensitive or excited.
This procedure can also help make ejaculation last longer and can make it easier to keep going after penetration.
SDN wants to do this by cutting off extra dorsal nerves to make people less sensitive during sex.
In a trial where men with extra foreskins were circumcised and given SDN, those who had always ejaculated before they should have were able to control it better.
They also found that after penetration, they could last longer.
A selective dorsal neurectomy is a permanent procedure that is often chosen over medicines that need to be taken every day.
#18. Inner condom technique
Since it is known that hypersensitivity is a cause of premature ejaculation, this PE treatment also aims to make the penis less sensitive.
To do this, an acellular dermal matrix (ADM) inner condom is put inside the penis.
ADM comes from the same thing that skin is made of, so it is safe for humans to use.
This is on top of the fact that it lets the penis grow without causing the body’s immune system to react.
By putting ADM into the penis, the goal is to make the skin and the membranes of the penis less sensitive. This can help people with PE delay ejaculation after penetration.
Twenty men who had premature ejaculation were put in with inner condoms as part of a study.
This procedure was found to be safe and effective, and it helped patients ejaculate for a little bit longer.
You may have heard the word “cryoablation” used to describe a way to treat cancer. This is because the process can kill urinary tumors by freezing and destroying them.
By doing this treatment on the penis’s dorsal nerves, the penis’s hypersensitivity and its response to sexual input signals can be lessened.
#20. Glans augmentation (Hyaluronic Acid gel injection)
Hyaluronic acid gets most of its attention for its anti-aging effects, but this acid may also help men who ejaculate too early.
This benefit comes in part from the fact that HA is a natural part of the human body. It is found in the skin, eyes, and connective tissue, which is not widely known.
This makes it safe to use as a filler for the penis, since the body is less likely to have an immune response to it.
When a hyaluronic acid filler is put in the penis, it acts as a bulking agent and creates a barrier between the dorsal nerve and stimulation from the outside.
This can help reduce hypersensitivity, making it less likely that you will ejaculate too soon during sex.
In a study that lasted eight months, 20 men who ejaculated too soon were given injections of hyaluronic acid.
When these injections were put into the top of the penis, the size and shape of the penis got better.
By the end of the study, the effects had stopped early ejaculation and made the participants and their partners feel more sexually satisfied.
A study from 2016 says that the surgery to fix the vein problem, called a varicocelectomy, can also help with problems with ejaculating too soon.
A varicocelectomy is a surgery that gets rid of or fixes swollen veins in the scrotum that could be affecting how well the testicles work. In a varicocelectomy, the veins are cut and then the ends are closed off. There are several ways surgeons can do this, but the most common ones are:
Microscopic varicocelectomy: A small cut is made just above the testicles. Then, with the help of a strong microscope, the surgeon ties up the veins. Two to three hours are needed.
Laparoscopic varicocelectomy: The surgeon ties off the veins by putting a small camera and surgical tools on thin tubes through small cuts in the abdomen. Since there aren’t as many veins in the abdomen, the procedure takes only 30 to 40 minutes.
Both procedures need a general anesthetic, but most men can go home the same day.
A 2016 study that was already mentioned suggested that a varicocelectomy could help people with both varicoceles who ejaculate too soon.
Another small study, this one published in 2020 in the Basrah Journal of Surgery, found that early ejaculation in patients with a varicocele might be linked to the development of prostatitis because of the backflow of blood from the varicocele. The study showed that patients with both varicoceles and early ejaculation could benefit from a procedure called a varicocelectomy.
Several other studies also suggest that a varicocelectomy could be a good choice for men with a varicocele who haven’t gotten better from medical treatments for early ejaculation.
#22. Pulsed radiofrequency neuromodulation
People often use pulsed radiofrequency to treat pain.
But this minimally invasive procedure can also be used to change how the dorsal nerves of the penis work and how sensitive they are.
It does this by sending waves of electricity to the nerves.
#23. Botox (OnabotulinumtoxinA)
Studies show that Botox, which is used to get rid of wrinkles and frown lines, may help with PE if it is injected. Studies have shown that injecting Botox into the bulbospongiosus muscle of the penis can help delay ejaculation. The bulbospongiosus muscle is a thin muscle that helps with getting an erection, sperm production, and ejaculation.
Botox works by stopping nerves from sending messages to the muscles where it is injected. This makes the muscles relax for a short time. When you put Botox on your forehead or around your eyes, it works to get rid of wrinkles on the surface that are caused by muscles that are tense.
At this time, Botox is not an accepted way to treat PE. Two published studies look into whether Botox could be used to treat PE by giving it to rats and observing how well they ejaculate. Botox does seem to make it take longer for rats to ejaculate.
In 2016, there was no known way to use Botox to treat PE in humans or how much to use. Men should also be aware that some places that say they offer Botox injections for erectile dysfunction may not be giving real Botox.
Botox has been used for reasons other than looks before, so this isn’t the first time. Botox has been injected into the walls of the vagina by women who have problems with painful sex.
Still, this probably won’t be a real way to treat PE any time soon since it’s not an approved way to use Botox. Also, do you really want to have a needle stuck in your groin?
Good Advice And Techniques
Changing what you think about during sex can sometimes help you put off orgasm so you don’t ejaculate too soon.
This way of thinking is often called “diversionary thinking.” The idea is that if you don’t think about sex, you won’t be as likely to get mentally stimulated enough to have an orgasm and ejaculate.
Common ways to get your mind off of something are to count backwards from 100 or think about boring, dull things like filing your taxes.
Some people may find it helpful to think of something else, but there is no scientific research on how well it works.
It can also take away from the pleasure of having sex because it pulls you out of the moment.
One easy way to stay in bed longer is to spend less time on penetrating sex and more time on foreplay.
Focusing on foreplay can not only make you stay in bed longer, but it can also make sex more exciting by giving your partner time to warm up and get in the mood before intercourse.
Even just a few minutes of pre-sex can make sex much more intense and enjoyable for both partners.
A survey of more than 1,000 women, which was published in the Journal of Sex & Marital Therapy, found that more than 70% of women said clitoral stimulation either helped them get an orgasm during sex or was necessary for them to get an orgasm at all.
Only about 18% of the women surveyed said they orgasm from sexual contact alone, so use foreplay time to stimulate your partner with your mouth, fingers, or a toy. This will make sex more fun for both of you.
#26. Sex positions
Trying out new sex positions is a simple way to add variety to your sex life. It could also help you last longer during sexual activity.
The idea behind changing sex positions is to make yourself feel less sensitive while making your partner feel more.
Even though there is no scientific research on which sex positions are best for delaying ejaculation, some people say that the cowgirl position, in which your partner straddles you while you lie on your back, helps to delay ejaculation by stopping strong penetration.
Sitting on a chair and having your partner lower herself onto your lap while facing away from you is another popular choice. This is similar to the cowgirl position. Again, this gives your partner more control and keeps you from pushing too hard or too fast.
Sex positions are all about personal preference, and you and your partner should be able to find something that gives you the right amount of comfort, pleasure, and control over orgasm and ejaculation by trying out different things.
#27. Talk therapy
As we talk about in our guide to the causes of premature ejaculation, PE can be caused by mental factors like anxiety or feeling guilty about having sex.
If your early ejaculation is caused by problems with your mental health or relationships, therapy or counseling may help.
Early ejaculation and other problems that can affect your sexual health are treated with different kinds of therapy, such as sex therapy and cognitive behavioral therapy (CBT).
Counseling, therapy, and other treatments, like medication, are often used together to help you stop ejaculating too early and improve your sexual experience.
Research that was published in the journal Translational Andrology and Urology shows that a combination of psychotherapy and medication is often more effective than medication alone at stopping men from ejaculating too early.
#28. Breathing exercises
Sometimes, all it takes is a moment to catch your breath for the feeling of an orgasm to go away and give you more control over ejaculating.
If you feel like you’re going to have an orgasm and ejaculate too soon, try to slow down and give yourself five to ten seconds to breathe. Or, if you feel better, try to keep having sex, but breathe slowly and deliberately to help you calm down and take charge of the situation.
The stop-start technique can be used with slow, controlled breathing to help you relax and get over the feelings you feel during sex before going on.
Focusing on your breathing can take your mind off of what’s going on around you. You might find that focusing on your breathing takes your mind off the feeling of sex, which lets you put off orgasm and make it last longer.
Men need to work out to keep their health and well-being in check. Cardiovascular fitness is especially important for sexual performance.
A study in the Journal of Sexual Medicine suggests that both men and women may be less likely to have common types of sexual dysfunction if they do a lot of cardiovascular exercise.
Cardiovascular exercise can be done in many ways, like jogging with your dog, playing basketball with a few friends, riding your bike around your neighborhood, or going for a hike.
The key is to stick with an activity you enjoy. After all, it’s a lot easier to work out regularly when you like what you’re doing.
If you work out more often, you may also see improvements in your weight, mood, and sleep. All of these things can help your erections, stamina, and general sexual function.
Aim for 75 minutes of vigorous aerobic exercise or 150 minutes of moderate aerobic exercise per week. Also, try to do strength training at least twice a week.
#30. Edging technique
The “stop-start” method is one of the oldest and most effective ways to keep a man from ejaculating too early during sexual activity.
The strategy of stopping and starting is just what it sounds like. When you feel like you’re about to ejaculate during sex, stop for a moment and let the feeling pass. Then, repeat the process until you’re ready to ejaculate.
Most books and studies that talk about the stop-start strategy say that you should stop when you feel like you’re about to ejaculate.
Research shows that the stop-start method, as simple as it sounds, is a pretty good way to treat premature ejaculation in the short term.
For example, a scientific review published in Therapeutic Advances in Urology said that 45 to 65% of men who ejaculate too early say that this technique helps them.
But not as much is known about the long-term effects of the stop-start method because there isn’t as much data.
The stop-start method is a good first choice for stopping premature ejaculation because it doesn’t involve drugs or expensive treatments.
You can work on the stop-start technique by yourself or with a partner. As soon as you feel like you’re about to have an orgasm, stop what you’re doing and give yourself a break.
Once the feeling is gone, try this process again and again until you feel more confident in your ability to control your orgasm and not go too fast.
#31. Squeeze technique
The “squeeze” or “pause-squeeze” is another common behavior modification used to stop men from ejaculating too early.
The squeeze method is just what it sounds like, just like the stop-start method.
When you’re having sex and getting close to orgasm and ejaculation, you squeeze the part of your penis between the shaft and the glans hard to stop yourself from ejaculating.
There is no set time for how long you should squeeze your penis, but most sources say it should be around 30 seconds. It’s fine for your partner to help you with this.
By using the squeeze method, you can delay orgasm and ejaculation more than once, which will stop you from cumming too quickly.
Like the stop-start method, the squeeze method works most of the time, but it also has some problems.
Since it stops you from being sexually active and gives you pleasure, it may start to bother you and your partner.
During the short break in sex, you may get a weaker erection. If you have erectile dysfunction, this could affect your sexual performance and enjoyment.
#32. Masturbating before sex
Sometimes, the easiest way to increase the time it takes to ejaculate is to just masturbate right before sex.
Even though there is no scientific evidence to support this method (and it’s not easy for researchers to find willing participants), many men find that masturbating right before sex is a good way to delay orgasm and stop premature ejaculation.
The idea behind this method is that most men won’t be able to orgasm for a while during the refractory period, which is when the body heals after an orgasm.
In the field of sexual medicine, there is some debate about the male refractory period, which is written about in the journal BJU International, and the approach is mostly unproven.
Still, it’s a simple, cheap, and low-risk way to slow down the process of getting an orgasm and avoid ejaculating too soon.
#33. Kegel exercises
Researchers have found that kegel exercises, which strengthen the muscles in the pelvic floor, can help delay ejaculation and stop it from happening too soon.
For example, a 2014 study published in Therapeutic Advances in Urology found that men who did pelvic floor muscle exercises for 12 weeks had better control over their ejaculatory reflex and took longer to ejaculate on average during sex.
In other research that was published in the journal Physiotherapy, it was found that exercises for the pelvic floor muscles may help with erectile dysfunction and other problems with sexual performance.
In our detailed guide to kegel exercises, we explain how to train your pelvic floor muscles so that they work and perform better in the bedroom.
#34. Dietary changes
Several studies done over the years have shown that being overweight or obese can hurt your sexual performance.
For example, a study in the journal Polski Merkuriusz Lekarski found that obese men have a higher risk of erectile dysfunction, and a scientific review in the journal Wiener Medizinische Wochenschrift found a link between obesity and sexual dysfunction.
In addition to working out more, eating a healthy, balanced diet can help you lose weight and keep a healthy body mass index (BMI).
Try to eat according to what your body needs. You can do this by figuring out your basal metabolic rate, which is the number of calories you need to do things that keep you alive, and then making changes based on how active you are.
Some foods, like whole-grain carbs, lean meats, low-fat dairy products, fruits, and vegetables, may help your blood move better through your body, lowering your risk of problems like ED.
First and foremost, try to limit your intake of foods that are high in saturated fats and sodium. These foods could hurt your blood flow and your ability to get laid.
#35. Watch YouTube videos on PE
More and more people are looking for treatment for premature ejaculation (PE). There is a lot of information about PE on the Internet, but the quality of the information about how to treat it on YouTube, which is the most popular online video streaming service, can’t be confirmed.
The study shows facts about how PE is treated on YouTube. There were more videos with good information than ones with bad information. This is the first study to show that PE management data can be found on YouTube. Doctors and other people who work in health care should post trustworthy content, and YouTube should take down misleading videos before patients watch them.
Yoga is a well-known system of movements and breathing that can help men who ejaculate too soon. It is a natural, effective, and inexpensive alternative therapy.
Additionally, a wealth of scientific research has linked yoga and male sexual performance. Yoga not only makes you stronger, but it also makes your blood flow better and strengthens your pelvic muscles. It is the perfect way to connect your mind and body, just like sex.
But to do the asanas safely and well, you should do them with the help of a yoga teacher who knows what they are doing. Here are the top five yoga poses that every man who does PE should try.
- The shoulder stand, or Sarvangaasana, refreshes the body and keeps the reproductive organs healthy, which makes you more effective in the bedroom. The main benefit of this pose is that it strengthens your adrenal glands and improves the way your testicles work. It also makes your sperm stronger and more potent.
- The Siddhasana pose, also known as the “accomplished male pose,” is a traditional meditation pose that is known to reduce stress, stimulate the brain while calming the nervous system, and stabilize sexual energy.This very easy-to-learn pose is a great way to deal with the problem of premature ejaculation. It is very powerful and can be done quickly. It also helps men feel better in their pelvic area and makes them more flexible.
- The butterfly pose, or Baddha Konasana, improves the flow of blood to the pelvis, back, and abdomen while increasing sexual energy. The pose can help you gently open up your hips. It can be especially helpful for men who ejaculate too early.
- The camel pose, or Ustrasana, stimulates the organs in the abdomen while relieving back pain and bending the spine. The back-bend pose upsets your body and gives you more energy. It opens up your hips and spine so you have more endurance. It also stretches and tones the whole body, including the pelvis.
- Dhanurasana, or the bow pose, is a backbend that is said to stop men from ejaculating too early. It’s great for your sexual life because it makes your reproductive organs work better and gives you mind-blowing orgasms. It also helps with all of your stomach problems.
Anecdotal PE Remedies
Orajel has some of the same ingredients as delayed sprays, wipes, and creams. It also has some ingredients that are more dangerous, which we’ll talk about later.
Keep in mind that this medicine wasn’t made for use in other parts of the body, so you won’t find any information about how it might work on your penis or what side effects you might experience if you try it.
So, it might be a good idea to use another product with the right dose and drugs that are safe for the body part you’re actually trying to treat.
In short, Orajel has a place in this world, but it’s not on your penis.
Some YouTube videos and blogs that claim to be scientific but aren’t show that toothpaste can help keep an erection going for 30 minutes.
If you don’t have anything to lose by trying it, we’ll tell you right away that rubbing toothpaste on your penis won’t stop you from ejaculating too soon.
Toothpaste has chemicals, bleach, and oils like peppermint oil that are harsh and can burn sensitive skin.
If you have a cut on your skin, you could even get cellulitis, which is a bacterial infection that could be dangerous. In some cases, this can leave scars in the penile area, which can be ugly. All of these things can make it hard to feel things.
Putting toothpaste on your penis before you get sexual can also make your partner feel bad, no matter what gender they are. The chemicals and bleaching agents in toothpaste can make your vagina or anus irritated or even cause an infection.
In spite of what porn and pop culture may have taught us, sex doesn’t have to be a marathon to be fun. But being able to “go the distance” isn’t a bad thing when it comes to having sex that’s fun and satisfying.
Try one, two, or all of the above tips to improve your stamina and last longer the next time you have sex.
If it’s hard for you to stay in bed and you’re worried about ejaculating too soon, you might also want to talk to a doctor or nurse about treatment options.
HealthNip does not provide medical advice, diagnosis, or treatment. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional.