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Premature Ejaculation
Strategies for Managing and Improving Control

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The Problem You Might Not Want to Talk About

Let's talk about sex... or, more specifically, the uncomfortable topic of premature ejaculation. It's a problem that affects many men and can cause significant distress in their personal lives. Premature ejaculation is defined as when a man ejaculates before he or his partner desires, often within one minute of penetration.

The issue can lead to feelings of embarrassment, anxiety, and decreased sexual satisfaction for both partners. While it's not uncommon for men to experience occasional instances of premature ejaculation, it becomes a problem when it happens consistently.

If you're struggling with premature ejaculation, take comfort in knowing that you're not alone. In fact, studies show that as many as 1 in 3 men have experienced this issue at some point in their lives.

Fortunately, there are strategies you can use to manage and improve control over your sexual experiences. And it's important to remember that seeking help doesn't make you weak or less of a man – it takes courage to address issues like this head-on.

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Why You Should Learn Strategies for Managing Premature Ejaculation

Premature ejaculation often leads to feelings of frustration, shame, and embarrassment for both partners involved. It can also negatively impact your overall sexual satisfaction and intimacy with your partner. Learning strategies to manage premature ejaculation gives you greater control over your sexual experiences and improves overall sexual satisfaction for both partners involved.

By implementing the right techniques or treatments, you can extend the duration of intercourse and achieve more fulfilling orgasms. It may take time and effort on your part to find what works best for you – whether through behavioural strategies or medical treatments – but the benefits are worth it in terms of improving your quality of life and relationship with your partner.

Debunking Common Myths About Premature Ejaculation

There are many myths surrounding premature ejaculation that can cause confusion and prevent individuals from seeking help. One common myth is that it only affects younger men.

The fact is that premature ejaculation can impact men of all ages. Another misconception is that it's caused by a lack of sexual experience or skill.

While inexperience may play a role in occasional cases, premature ejaculation can also occur in men who have been sexually active for many years. It's important to understand the facts about premature ejaculation so you can get the help you need and improve your overall sexual experiences with your partner.

Understanding Premature Ejaculation

Definition of premature ejaculation


Premature ejaculation (PE) is a common sexual dysfunction that affects men of all ages. It is defined as the inability to delay ejaculation long enough for both partners to achieve sexual satisfaction. The International Society for Sexual Medicine (ISSM) defines PE as an intra-vaginal latency time (IVLT) of less than one minute, but this varies from person to person.

Causes and contributing factors

PE can be caused by a variety of factors, including psychological, biological, and environmental factors. One of the most common causes is anxiety, which can lead to overstimulation and an early orgasm.

Genetics also play a role in susceptibility to PE; if a man's father or brother has experienced it, he may be more likely to as well. Medical conditions such as prostate problems or thyroid disorders can also contribute to PE.

Other contributing factors include a lack of sexual experience, relationship problems or stressors, and nerve damage from surgery or injury. Performance anxiety and low self-esteem can also contribute to PE.

Common misconceptions


There are many misconceptions about premature ejaculation that prevent men from seeking help or discussing the issue with their partner or healthcare provider. One misconception is that it is uncommon; however, studies suggest that up to 30% of men experience some form of PE at some point in their lives. Another common misconception is that it only affects younger men; however, age does not necessarily correlate with risk for PE.

There is also a belief that PE cannot be treated effectively; while it may take time and experimentation to find an effective treatment plan for each individual case, there are many strategies available. There is often shame associated with having PE which can prevent men from seeking help when they need it most.

It's important to remember that PE is a common issue, and there is no need for shame or embarrassment. Seeking help from a healthcare provider can lead to improvement in sexual satisfaction and overall quality of life.

The importance of seeking treatment

PE can have a significant impact on sexual satisfaction and relationships. If left untreated, it can lead to anxiety, low self-esteem, and even depression.

It's important to seek help if you are experiencing any symptoms of PE, as there are many strategies available that can help improve control and delay ejaculation. By seeking treatment, you can improve your sex life and overall well-being.



Premature ejaculation is a common sexual dysfunction that affects many men. It is defined as the inability to delay ejaculation long enough for both partners to achieve sexual satisfaction. Causes include anxiety, genetics, medical conditions, lack of experience or relationship problems.

Misconceptions include beliefs that it's uncommon or only affects younger men. Seeking treatment is important in order to improve sexual satisfaction and overall quality of life.

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Behavioural Strategies for Managing Premature Ejaculation

The Start-Stop Technique:


One of the most common behavioural strategies for managing premature ejaculation is the start-stop technique. During sex or masturbation, this method involves stopping stimulation right before reaching the point of no return. Once the urge to ejaculate subsides, you can resume stimulation.


The process is repeated several times to help increase control over orgasm and delay ejaculation. This technique can be practised alone or with a partner.


The Squeeze Technique:


The squeeze technique involves applying pressure on the tip of the penis just before ejaculation to decrease arousal and delay orgasm. This can be done by either you or your partner squeezing the base of your penis for a few seconds until the urge to ejaculate subsides. The pressure should not be painful but, instead, provide a sense of relief from arousal.

Kegel Exercises:


Kegel exercises are another behavioural strategy that can help manage premature ejaculation by strengthening pelvic floor muscles. These muscles control urination and also play a role in sexual function. To perform Kegel exercises, tighten your pelvic muscles as if you were holding in urine, hold for a few seconds, then release and repeat several times throughout the day.

Masturbating Before Sex:

Masturbating before sex may help manage premature ejaculation by reducing sensitivity during intercourse or subsequent masturbation sessions. This technique is often referred to as “taking one for the team.” By doing so, it allows men to delay their second orgasm for longer periods than they would have been able to otherwise.

Combining Techniques:


While each technique mentioned above has been shown to be effective in managing premature ejaculation on its own, combining them may lead to even greater success in controlling orgasms and lasting longer during sex. For example, you could try using the start-stop technique and the squeeze technique together to increase your ability to delay ejaculation. Overall, behavioural strategies can be a great way to manage premature ejaculation and improve control over orgasm.


These techniques take practice and patience, but with time and consistency, they can lead to more satisfying sexual experiences for both you and your partner. It is important to remember that premature ejaculation is a common issue that many men face, but there are ways to overcome it.

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Medical Treatments for Premature Ejaculation

Topical Anesthetics (e.g. Lidocaine Cream)


Topical anesthetics are creams or sprays that contain a mild anesthetic, such as lidocaine or prilocaine. They are applied directly to the penis before sexual activity and work by numbing the area to reduce sensitivity and delay ejaculation.

These creams can be effective for some men, but they can also have some side effects, such as decreased sensation and temporary numbness. It’s important to follow the instructions carefully when using topical anesthetics, as using too much cream or leaving it on for too long can cause irritation and even numbness in your partner.

Oral Medications (e.g. Selective Serotonin Reuptake Inhibitors)


Selective serotonin reuptake inhibitors (SSRIs) are a type of antidepressant medication that has been found to delay ejaculation in some men. These medications work by increasing the levels of serotonin in the brain, which can help regulate ejaculation.

While SSRIs are not specifically designed for premature ejaculation, they have been found to be effective in delaying ejaculation in many men. However, they do come with potential side effects such as nausea, dizziness, and decreased libido.

It’s important to talk to your doctor about whether SSRIs are right for you and what potential side effects you may experience. Other medications that may be prescribed include tramadol, a pain medication that has been found to have similar effects on delaying ejaculation or phosphodiesterase-5 inhibitors like sildenafil (Viagra) which may help increase blood flow and improve sexual function.

Overall, while medical treatments can be effective for some men with premature ejaculation, it’s important to weigh their potential benefits against any risks or side effects before deciding if they are right for you. Talking with your doctor about your concerns and goals can help you make an informed decision about the best treatment options for your individual needs.

Lifestyle Changes to Improve Control

Exercise and Healthy Diet: Improving your Physical Health Can Help with Premature Ejaculation


Maintaining a healthy lifestyle can benefit many areas of your life, including your sexual health. Exercise is an important part of a healthy lifestyle and can help improve control over ejaculation. Regular exercise can help reduce stress, boost mood, and increase blood flow to the genital area.


Aerobic exercises like running, swimming, or biking are great ways to improve overall cardiovascular health. In addition to exercise, maintaining a healthy diet can also contribute to better sexual health and improved control over ejaculation.

Eating a balanced diet that’s rich in nutrients like vitamins C and E can help improve blood flow throughout the body. Foods like leafy greens, berries, nuts, and whole grains are excellent choices for improving overall physical health.

Stress Management Techniques: Taking Time for Yourself Can Help Control Over-ejaculation


High levels of stress or anxiety are often contributing factors when it comes to premature ejaculation. Practising relaxation techniques like meditation or yoga can be helpful in reducing stress levels. These practices have been shown to help calm the mind and promote relaxation, which are ideal for controlling ejaculatory responses.

There is no shortage of resources available online that provide guided meditation tracks or yoga routines that cater specifically to sex-related concerns such as premature ejaculation. Incorporating these techniques into a daily routine, even just for 10 minutes each day, could make significant improvements over time.

Avoiding Alcohol & Drugs: Substances That Can Exacerbate PE

Alcohol and drugs should be avoided altogether if you’re struggling with premature ejaculation. While alcohol may initially seem like it will help reduce anxiety levels during sex but it ultimately has the opposite effect by exacerbating them once the alcohol has worn off.

Recreational drugs like marijuana have been known to cause premature ejaculation. In some cases, marijuana may have a numbing effect which can lead to the inability to achieve an erection or, even worse, delaying orgasm in a way that makes sex less pleasurable.

Making positive changes in your daily routine can help you improve control over ejaculation. Incorporating exercise, a healthy diet, and relaxation techniques into your daily routine can help reduce stress levels and promote overall physical health.

Avoiding alcohol and drugs is also crucial, as they can exacerbate premature ejaculation. Take control of your sexual well-being by making these lifestyle changes today!

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Communication with Your Partner

Premature ejaculation can be a sensitive topic to discuss with your partner. However, open communication is crucial to ensure that both partners are satisfied and comfortable during sexual activities.

The Importance of Open Communication about Sexual Needs and Concerns


In any relationship, it is important to have open communication about sex. This allows both partners to express their needs, desires, and concerns. When discussing premature ejaculation with your partner, it is important to approach the conversation with sensitivity and empathy.

Many men feel embarrassed or ashamed about premature ejaculation, which can lead to avoiding discussing the issue altogether. However, avoiding the conversation will only make the problem worse in the long run.

By being open and honest with your partner, you can work together to find solutions that work for both of you. When discussing premature ejaculation with your partner, it is also important to listen actively and without judgment.

Your partner may have concerns or fears of their own regarding sexual performance or intimacy. By listening actively and showing empathy towards their concerns, you can create a safe space where both partners feel comfortable sharing their thoughts.


Tips for Discussing Premature Ejaculation with Your Partner

Here are some tips for initiating a conversation about premature ejaculation:


  • Choose the Right Time: It's best to choose a time when you and your partner are relaxed and not distracted by other activities.

  • Be Honest: Start the conversation by telling your partner how you feel about premature ejaculation and how it's affecting you.

  • Be Empathetic: Show empathy towards your partner's feelings as well as yours during the conversation.

  • Focus on Solutions: Discuss possible solutions together, such as behavioural strategies like the start-stop technique or squeeze technique or medical treatments like topical anesthetics or oral medications.

  • Practice Patience: Keep in mind that solving this problem might take time. Be patient with yourself and your partner as you work towards finding a solution that works for both of you.


Discussing premature ejaculation with your partner can be challenging but is crucial for a healthy and satisfying sexual relationship. By approaching the conversation with empathy, honesty, and openness, you can work together to find solutions that ensure both partners are satisfied and comfortable during sexual activities.



Summary of strategies discussed in the article


In this article, we have covered a variety of strategies for managing and improving control over premature ejaculation. We started by outlining what premature ejaculation is and some common misconceptions surrounding it before diving into the behavioural strategies that can help manage it, such as the start-stop technique and Kegel exercises.

We also looked at medical treatments like topical anesthetics and oral medications, as well as lifestyle changes that can improve control over time. We explored the importance of open communication with your partner about your sexual needs and concerns.

Final thoughts on the importance of seeking help if needed


It's important to remember that premature ejaculation is a common issue among men. There's no need to be embarrassed or ashamed if you're experiencing it - instead, seek help!

Whether that means talking to your doctor about medical treatments or exploring behavioural techniques on your own, there are plenty of options available. Remember that every person's journey with premature ejaculation will be unique.

What works for one person might not work for another, so don't get discouraged if you don't see results right away. The most important thing is to keep trying new strategies until you find what works best for you.

It's worth noting that many men who experience premature ejaculation also struggle with anxiety or other mental health issues. If this sounds like you, consider talking to a therapist or counsellor who can help you work through these challenges alongside your efforts to manage premature ejaculation.

Overall, there are many effective strategies for managing and improving control over premature ejaculation - but the first step is always seeking help and being willing to try new things. With persistence and patience (and maybe some additional support), you can take back control over your sex life and enjoy more satisfying experiences with your partner(s).


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