Are there prescriptions for premature ejaculation

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Men's health Main menu Men's health Erectile dysfunction Erectile dysfunction subscriptions Hair loss Premature ejaculation. Customer services Phone: Mon-Fri: 9am-5pm Sat: 9am-1pm. Home Premature Ejaculation. Premature ejaculation treatments Premature ejaculation PE refers to when a man ejaculates earlier than desired during sexual activity. Help me choose a treatment Select a treatment option Reorder.

Read more. More advice about premature ejaculation Behavioural techniques for PE Premature ejaculation treatment information What is premature ejaculation? The diagnosis is determined by whether ejaculation occurs early, late, or not at all. Most often, your health care provider will diagnose PE after a physical exam and talking with you.

Some questions he or she may ask are:. Lab testing is only needed if your health care provider finds something during your physical exam. Psychological therapy, behavioral therapy and drugs are the main treatments for PE. You can talk with your health care provider to decide the best choice for you.

More than one type of treatment may be used at the same time. Psychological therapy is a way to work through the feelings and emotions that may lead to problems with sexual relationships. The goal of this type of therapy is to learn the source of problems and find solutions that may help PE.

It can also help couples learn to grow closer. Psychological therapy can help you become less nervous about sexual performance. It can also give you greater sexual confidence and understanding to help your partner's satisfaction.

This type of therapy can be used as the only treatment, or it may be used along with medical or behavioral therapy. Behavioral therapy uses exercises to help build tolerance to delay ejaculation. The goal is to help you train your body away from PE. Some choices are the squeeze method and the stop-start method.

Exercises work well, but they may not be a lasting answer. No drugs have been approved in the U. Still, there are a number of drugs, numbing creams and numbing sprays that may slow ejaculation in men with PE.

Doctors noticed that men and women on antidepressants have delayed orgasms. Drugs such as fluoxetine, paroxetine, sertraline, clomipramine and tramadol affect serotonin levels. Some doctors use these drugs "off-label" for a different reason than the drug's original use to treat PE.

If one drug does not work, your doctor may suggest you try a different drug. Drugs for PE can be taken each day or only before sex. Your health care provider will suggest when you should take a drug based on your activity level. The best time to take the drug is not clear. Most doctors suggest from 2 to 6 hours before sex. PE can return if you stop taking these drugs. Most men with PE need to take these drugs on an ongoing basis. But when you have low serotonin levels, they can exacerbate and even cause premature ejaculation.

Unfortunately, stress and depression can also make existing PE worse. More often than not, these mental factors are present, with or without physical ones. Many men are surprised to learn the impact emotional and psychological issues can have on sexual performance. Some of the psychological causes of PE include. These emotional and psychological factors can be further exacerbated by issues like erectile dysfunction ED and difficulty in the relationship you have with your sexual partner.

Biological factors can also contribute to problems with premature ejaculation. These are issues with your physiology rather than your mental state, but they may also be connected. For instance, serotonin is a biological factor that can influence both your physiological and psychological state.

Many of these psychological and biological risk factors can also cause erectile dysfunction ED. ED, in turn, can be an underlying cause of PE. How does treatment for premature ejaculation work? All treatments focus on the same thing: how to delay ejaculation. There are several treatments available that work well for PE, especially when used in combination.

They include psychological approaches, behavioral techniques to control ejaculation during sex, condom use, topical anesthetics applied directly to the penis, and oral medications.

Many men combine 2 or more of these therapies for the best all-around treatment. Certain prescription meds that can help delay ejaculation are prescribed off-label as premature ejaculation pills. There are 2 main classes of oral premature ejaculation medicine available by prescription: antidepressants, especially SSRIs, and PDE5 inhibitors. Certain antidepressants have the side effect of delaying orgasm. For OTC drugs, you can find them online and in a variety of sex shops and other stores.

You could potentially find yourself on a long, frustrating merry-go-round, trying pill after pill. That's time and mental energy you could spend on exercises and other treatments that can delay ejaculation more readily.

The spray contains the topical anesthetic lidocaine, which lightly desensitizes your penis, allowing you to feel less sensation during intercourse, thereby delaying ejaculation. As the spray wears off, sensation returns, affording you a satisfying orgasm.

Just apply the spray ten minutes before intercourse. Kegel exercises strengthen the muscles at the base of the penis. Often used to control urinary incontinence, they can also increase your ability over time to delay your ejaculation.

To perform them:. This exercise can be practiced while masturbating or during sex with a partner. It is used to help you identify the "point of no return," after which ejaculation is inevitable. As you feel orgasm approaching, stop the stimulation and give your penis a chance to relax.

Then begin stimulation again. You may take it too far sometimes and ejaculate early, but over time you will begin to recognize the physical sensations of your "point of no return" and adjust stimulation during sex to delay it. As you feel the point of no return approach, stop stimulation and firmly squeeze the head of the penis to suppress the ejaculatory response. Talk to your doctor about whether premature ejaculation pills are right for you.

Be sure to discuss any underlying health issues as well as what you can expect when it comes to results and side effects. Be wary of over-the-counter premature ejaculation pills and, if you decide to try one, do ample research beforehand and consult with your healthcare provider. Delay sprays like Promescent are an on-demand treatment option that can be used any time you are ready to have sex. Additionally, delaying ejaculation through exercises offers a natural alternative; however, just remember they take some time and practice to master.

All the information on this website is published in good faith and for general information purpose only. If you have specific medical concerns, please contact your local health provider or consult with your physician. He is also a prolific researcher who has published more than 50 academic works, including a textbook titled The Psychology of Human Sexuality that is used in college classrooms around the world.

Lehmiller is one of the media's go-to experts on sex and has been interviewed by The Wall Street Journal, The New York Times, and CNN; he has also appeared on dozens of radio, podcast, and television programs. Yes, explore products.

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