Can you fix premature ejaculation

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. 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. 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.

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. 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. Research suggests that several drugs that might be helpful in treating premature ejaculation, but further study is needed. These drugs include:. 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. Common diversionary techniques include counting backwards from or thinking about boring and unarousing subjects such as filing your taxes. Premature ejaculation is often treated using medication. We also offer a large selection of treatments for premature ejaculation and erectile dysfunction online, including prescription medications available after a private consultation.

Research shows that antidepressants can help to slow ejaculation and prolong sex for men with ED. In a study , men suffering from premature ejaculation were prescribed either paroxetine, fluoxetine or escitalopram. All three of these drugs are selective serotonin reuptake inhibitors SSRIs , which are usually used to treat depression and anxiety disorders. At the end of the research period, the men treated with SSRIs showed improvements in sexual function and a reduction in premature ejaculation severity using a validated questionnaire.

Interestingly, there was no difference in results between the different drugs, suggesting that all three of the SSRIs used in the study could be effective in stopping premature ejaculation. In some cases, SSRIs can cause side effects you should be aware of before beginning treatment. We offer the medication sertraline for premature ejaculation online, following a consultation with a licensed healthcare provider. You can find out more about how sertraline works, its effects and more in our guide to sertraline for premature ejaculation.

A study published in the International Journal of Urology found that some men with premature ejaculation experienced larger improvements from sildenafil than they did from the SSRI paroxetine or the squeeze technique.

Our guide to sildenafil for premature ejaculation goes into more detail about how common ED medications work, as well as potential effectiveness as treatments for PE. Several topical treatments are available for premature ejaculation, including creams and sprays that contain anesthetics. Common ingredients in topical creams, sprays and other medications for premature ejaculation include anesthetics such as lidocaine and prilocaine.

Our Premature Ejaculation Spray contains lidocaine as its active ingredient. Research shows that these topical anesthetics are effective. One study published in the journal Andrologia found that men who used a lidocaine-prilocaine treatment were able to have sex for longer before ejaculating than men who used a non-therapeutic placebo. Another study published in the International Journal of Impotence Research found that men with PE who used a lidocaine spray before sex experienced a statistically significant improvement in time to ejaculation and sex frequency over the course of eight weeks.

In short, using the lidocaine spray not only reduced the severity of PE—it also resulted in more sexual encounters overall. They tend to be slightly thicker than regular condoms and sometimes have a mild topical anesthetic applied to the side of the condom that comes into contact with your penis. In addition to potentially slowing down ejaculation, using condoms provides an additional layer of protection against many sexually transmitted diseases STDs.

Premature ejaculation can be a frustrating, challenging issue that affects both your sex life and self-esteem. Luckily, PE is a treatable issue. Through medication, behavioral therapy or a combination of the two, many men with PE are able to increase their ejaculatory latency and enjoy a more exciting, pleasurable sex life.

To get started treating PE, you can purchase our Premature Ejaculation Spray or consult with a licensed healthcare provider online about using sertraline. Andrew Siegel. The key features are: Brief time to ejaculation often less than one minute Lack of control over ejaculation Sexual dissatisfaction, distress and frustration of partner How Long Should it Take to Climax? What Causes Premature Ejaculation? How to Overcome Premature Ejaculation Diversionary Thoughts: Non-erotic mental diversionary tactics concentrating on thoughts other than ejaculating may prevent PE.

Baseball, work, counting backwards, etc. Down Tempo: This requires one to develop a mindfulness of the sensation immediately before ejaculation.

Once the sensation to ejaculate subsides, pelvic thrusting may be resumed. Squeeze Technique: Originated by Masters and Johnson, as imminent ejaculation approaches, the penis is withdrawn and the head of the penis is squeezed until the feeling of ejaculation passes, after which intercourse is resumed. Another theory explores the potential link between PE and penile sensitivity caused by circumcision.

Changes in the penis, testicles, scrotum and urinary habits can indicate something is wrong and Find a range of men's health services, delivered by local professionals today. In addition to anxiety , other psychological factors such as depression , stress, and childhood sexual trauma are also thought to be linked to both lifelong and acquired PE. Anxiety is the key emotion that affects the condition.

Saddington believes that getting couples to experiment with different forms of touch could be key to treating PE. Exposure to pornography may lead some men to have a skewed view of what constitutes 'normal' ejaculation. A study of couples from five different countries found that the average time taken to ejaculate during intercourse was around five-and-a-half minutes, but it is important to remember every relationship is different, and that there are no hard and fast rules governing how long sex should last.

The good news is that both the physical and psychological causes of PE are eminently treatable. Typically, a GP will start by asking the patient to complete a questionnaire about their sexual history in order to find out if they are actually experiencing PE or worrying unnecessarily. Hyperthyroidism is usually treated with a medication called carbimazole, radioiodine treatment, or surgery to remove some or all of the thyroid gland.