Overcome Premature Ejaculation

Overcome premature ejaculation with analgesics & anti-depressants.

How does Ejaculation Work?

The central nervous system regulates ejaculation. Signals are transferred from the brain and spinal cord to reproductive organs when males achieve a certain level of excitement.

There are two stages of ejaculation: emission and expulsion.

Step 1: Emission
The movement of sperm cells from the testes & secretions from the prostate gland & seminal vesicles into the urethra, where they are mixed to form semen. Tubes that help transport the sperm from the testicles through the prostate and to the base of the penis are the vasa deferentia. (It is called a vas deferens when you are talking about just 1 of these tubes).

Step 2: Expulsion
Expulsion is when the muscles contract at the base of the penis. This drives sperm, Out of the penis. Usually, at the same time, ejaculation and orgasm happen. Without ejaculating, some men have orgasms or climax. After this stage, erections go away in most cases.

What is premature ejaculation?

When a man achieves orgasm and ejaculates too soon and without control, premature ejaculation occurs. In other words, before a man allows it to appear, ejaculation happens. It can happen before or after foreplay or intercourse starts. Because of this disorder, some men suffer much personal distress.
At some point in life, as many as one in five men experience trouble with uncontrolled or premature ejaculation. If premature ejaculation occurs so often that it interferes with a man or his partner’s sexual satisfaction, it becomes a medical issue.

Premature ejaculation can contribute to several variables. This disorder can be exacerbated by psychological conditions such as stress, depression, and other variables that affect mental and emotional health. However, there is raised evidence that biological factors may make certain men more likely to experience premature ejaculation. Premature ejaculation can seldom be caused by a particular physical condition, such as prostate gland inflammation or a spinal cord problem.

Why does premature ejaculation happen?

Although the exact cause of Premature Ejaculation is not known, serotonin may play a role. Serotonin is a natural substance formed by nerves in your body—the time before high serotonin levels increase ejaculation in the brain. Low amounts will shorten the time needed for ejaculation and contribute to Premature Ejaculation.

Psychological Matters
Psychological or psychosocial functioning problems may be involved in Premature Ejaculation and may include:

  • Depression
  • Stress
  • Guilt
  • Unrealistic sexual performance expectations
  • History of sexual repression
  • Lack of confidence
  • Problems with relationships
  • Sometimes, taking care of personal issues helps.

Age and Premature Ejaculation

Premature Ejaculation can occur at any age. Aging is not an absolute cause of Premature Ejaculation, while changes in erections and ejaculation are caused by aging. Before ejaculation happens, erections can not last as long. The feeling could be shorter than ejaculation is about to happen. These modifications may cause an older man to ejaculate sooner.

Premature Ejaculation and Your Partner

You may feel like you are losing some of the closeness that a sexual partner shares with Premature Ejaculation. You may feel frustrated, embarrassed or angry, and turn away from your partner. Not only can premature ejaculation affect you, but it can also affect your partner. Premature Ejaculation may result in partners feeling less linked or feeling hurt.

A significant move is to talk about the issue. Counseling for couples or sex therapy may be useful. Exercises, such as the squeeze technique, will help prolong an erection for you and your partner. Most notably, a couple can learn ways to relax. Worrying can make Premature Ejaculation worse (such as performance anxiety).

What are the signs of premature ejaculation?

The more persistent type of PE, primary or lifelong PE, medically, is characterised by the presence of the following three characteristics:

  • Before sexual penetration has been reached, or within about a minute of penetration, ejaculation always, or nearly always, occurs.
  • Every time, or almost every time, penetration happens, there is an inability to postpone ejaculation.
  • There are adverse personal effects, such as anxiety and anger or sexual intimacy avoidance.

The psychological symptoms of physical ejaculatory activities are secondary. They may be experienced by the man, his partner, or both.
Symptoms that are secondary include:

  • Decreased faith in a partnership
  • Interpersonal Hardness
  • Mental agony
  • Anxiety
  • Awkwardness
  • Depression

Psychological distress may be encountered by men who ejaculate too fast, but the findings of a study of 152 men and their spouses show that the partner appears to be less concerned than the man who has it.

How to distinguish premature ejaculation from any other sexual condition?

No particular traditional laboratory tests assist or impact therapy in men with premature (early) ejaculation and no other medical problems. If premature ejaculation is recognized in conjunction with an impotence issue, testing the patient’s serum testosterone (free and total) and prolactin levels may be necessary. Laboratory research specific to depression or another medical or psychological issue is essential if depression or other problems coexist.

In making the diagnosis of premature ejaculation, other conditions that should be considered include the following:

  • In the female partner, seriously delayed orgasm.
  • The unfavorable effect of a psychotropic drug
  • Presence of pre-ejaculate
  • Erectile dysfunction

How to treat premature ejaculation?

Behavioral interventions, topical anesthetics, ED medications, and therapy are standard treatment methods for premature ejaculation. Bear in mind that finding the treatment or combination of treatments that will work for you might take time. The most productive path could be behavioral treatment and medical treatment.

Behavioral treatment
In certain situations, premature ejaculation treatment may include taking simple steps, such as masturbating an hour or two before intercourse so that during sex, you can postpone ejaculation. To relieve strain from your sexual experiences, your doctor can also suggest avoiding intercourse for some time and concentrating on other kinds of sexual play.

Pelvic floor exercises
Weak muscles on the pelvic floor may hinder your ability to delay ejaculation. These muscles can be improved by pelvic floor exercises (Kegel exercises).

To execute these exercises:

  • Find the correct muscles. Stop midstream urination or tighten the muscles that prevent you from passing gas to locate the pelvic floor muscles. Your pelvic floor muscles are used in these maneuvers. You can do exercises in any position once you’ve established your pelvic floor muscles, but at first, you might find it easier to do them lying down.
  • Get your technique fine. Tighten the pelvic floor muscles, maintain the contraction for 3 seconds, and then relax for 3 seconds. Try that a couple of times in a row.
  • Maintain your attention. Focus on tightening the pelvic floor muscles for the best performance. In your abdomen, thighs, or buttocks, be careful not to flex the muscles. You should stop holding your breath. Breathe openly throughout the exercises, instead.
  • Repeat it three times a day. Go for a minimum of three sets of 10 repetitions per day.


The pause-squeeze technique
Your doctor may advise you and your partner to use a procedure called the pause-squeeze technique. This technique performs as follows:

  • As usual, begin sexual activity, including penis stimulation, until you feel almost ready to ejaculate.
  • At the point where the head (glans) meets the shaft, make your partner pinch the end of your penis, and continue the squeeze for several seconds before the urge to ejaculate passes.
  • As needed, have your partner repeat the squeeze process.


By repeating as many times as needed without ejaculating, you can reach the point of entering your partner. The feeling of understanding how to postpone ejaculation after some practice sessions could become a routine that no longer involves the technique of pause-squeeze.

If pain or discomfort is induced by the pause-squeeze method, another technique is to interrupt sexual stimulation just before ejaculation, wait until the arousal level has decreased, and then start again. The stop-start process is known as this approach.

Condoms, which can help delay ejaculation, can decrease penis sensitivity. Over the counter, “Climax control” condoms are available. To prevent ejaculation, these condoms contain numbing agents such as benzocaine or lidocaine or are made of thicker latex. Durex Performax Intense, Trojan Extended, and Lifestyles Everlast Intense are examples.


Topical anesthetics:
To treat premature ejaculation, anesthetic creams and sprays containing a numbing agent, such as benzocaine, lidocaine, or prilocaine, are also used. To reduce the sensation and help delay ejaculation, these products are added to the penis 10 to 15 minutes before sex. A premature ejaculation (EMLA) lidocaine-prilocaine cream is available by prescription. Lidocaine sprays are available over-the-counter for premature ejaculation.

Oral medications:
Several medications may slow down orgasm. While none of the medications are expressly licensed for the treatment of premature ejaculation by the Food and Drug Administration, others, including antidepressants, analgesics, and phosphodiesterase-5 inhibitors, are used for this reason. These drugs may be prescribed for use on-demand or regularly and may be prescribed on their own or in conjunction with other treatments.

  • Antidepressant drugs: Delayed orgasm can be the side effect of certain antidepressants. For this cause, selective serotonin reuptake inhibitors (SSRIs) are used to help prolong ejaculation, such as escitalopram, sertraline (Zoloft), paroxetine (Paxil), or fluoxetine (Prozac, Sarafem). Of those licensed for use in the United States, the most powerful tend to be paroxetine. It takes five to 10 days for these drugs to begin working. But before you see the full effect, it could take two or three weeks of therapy. Your doctor can prescribe the tricyclic antidepressant clomipramine if the SSRIs do not improve the timing of your ejaculation (Anafranil). Nausea, perspiration, drowsiness, and reduced libido can be undesirable side effects of antidepressants.
  • Analgesics. Tramadol (Ultram) is a widely used drug to relieve pain. It has side effects that postpone ejaculation as well. It may be recommended when SSRIs have not been effective. In conjunction with an SSRI, Tramadol cannot be used.
  • Inhibitors of Phosphodiesterase-5. Premature ejaculation can also be benefited with certain drugs that are beneficial to treat erectile dysfunction, such as sildenafil (Viagra), tadalafil (Adcirca), or vardenafil. When used in conjunction with an SSRI, these drugs may be more effective.

Potential future treatment

  • Research indicates that several drugs may be helpful in the treatment of premature ejaculation, but more research is needed.

Such medications include:

  • Dapoxetine. This is an SSRI that in other countries is also used as the first treatment for premature ejaculation. In the United States, it isn’t currently accessible.
  • To Modafinil (Provigil). This is a therapy for narcolepsy, a sleeping condition.
  • Silodosin (Rapaflo). This drug is typically a therapy for enlargement of the prostate gland (benign prostatic hyperplasia).


This approach includes thinking about the relationships and interactions with a mental health professional. Sessions will help you to minimize anxiety about success and find better ways to cope with stress. Counseling is more likely to work when it’s used in conjunction with drug treatment.

You can feel that with premature ejaculation, you lose some of the closeness shared with a sexual partner. You may feel frustrated, embarrassed, and angry and turn away from your partner. With the shift in sexual intimacy, your partner may also be disturbed. Premature ejaculation may cause partners to feel less connected or hurt. It is an important move to talk about the problem, and relationship counseling or sex therapy may be helpful.

Can I prevent premature ejaculation?

  • There is no known way for premature ejaculation to be avoided. You should take the following advice, however:
  • Keep a positive attitude towards sex. Consider pursuing psychotherapy or sexual counseling if you encounter feelings of anxiety, shame, or confusion about your sex life.
  • Bear in mind that sexual issues can be encountered by anyone. Try not to blame yourself or feel inadequate when you experience premature ejaculation. To prevent miscommunication, consider communicating freely with your partner.

What complications does Premature Ejaculation Cause?

If your relationship is impaired by PE, talking about the issue is an effective first step. It could be possible for a relationship counselor or sex therapist to improve. Premature ejaculation can also make it difficult to start a family because the sperm may not enter an egg to fertilize it, or the sex drive or performance may be impaired by depression related to PE. A fertility specialist will talk about any other choices with you and your partner.

When to see a doctor?

If you ejaculate faster than you want during most sexual experiences, speak with your doctor. It’s normal for men to feel uncomfortable about raising questions about sexual health, but don’t let that stop you from talking to your provider. A common and treatable problem is premature ejaculation. A discussion with a doctor could help lessen worries about premature ejaculation for some men. For instance, it may be comforting to learn that occasional premature ejaculation is common and that about five minutes is the average time from the beginning of intercourse to ejaculation.

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