Premature Ejaculation and How to Treat It

Have you ever wanted to last longer in bed and beat premature ejaculation? I’m guessing that answer is YES if you’ve landed on this page.

Lasting longer in bed and better satisfying your partner is a goal of all men. Premature ejaculation inhibits the ability for a lot of men, including myself, to give a partner a satisfying sexual relationship. Luckily for us, there are many treatment options for premature ejaculation!

You’ll find everything about early ejaculation in this article including:

An overview of premature ejaculation.
The 4 types of premature ejaculation.
What causes premature ejaculation?
The best treatments for premature ejaculation.

Overview Information

When was Premature Ejaculation Classified as a Medical Problem?

Although early ejaculation has always been an issue for a major minority of men, arguably for hundreds of years, PE wasn’t truly studied in depth until 1970 when the Masters and Johnson research team pioneered research into the nature of human sexual response and the diagnosis and treatment of sexual disorders and dysfunctions.

Since 1970, the definition of premature ejaculation was criticized for being too obscure up until 2007 when the International Society for Sexual Medicine (ISSM) finally came to an agreement.

What is Premature Ejaculation?

Premature ejaculation, defined by the ISSM is a male sexual dysfunction characterized by:

• ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration from the first sexual experiences, or, a clinically significant and bothersome reduction in latency time, often to about 3 minutes or less, and

• the inability to delay ejaculation on all or nearly all vaginal penetrations, and

• negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy.

Do I Have Premature Ejaculation?

Well… it’s quite possible if one of these types of premature ejaculation below fits your personal situation then yes, you do. Not to worry – we live in a time when there are plenty of cures for premature ejaculation. First, find which type of symptoms you experience and then you will find a list of what I believe are the best treatment options.

Lifelong Premature Ejaculation

Men experiencing lifelong premature ejaculation symptoms have an intervaginal ejaculation latency time (IELT) of less than 1 minute. In layman’s terms this means once vaginal penetration begins you will climax within a minute. Men with lifelong PE will experience these symptoms from the beginning of their sexual intercourse encounters and time to climax remains the same during every encounter.

Variable Premature Ejaculation

Variable PE occurs only sometimes in men and can be tied to many factors including certain partners, the situation (are you trying something new?), or the last time you ejaculated. While the male will sometimes last at or above the 5.5 minute average, he will experience early ejaculation from time to time.

Acquired Premature Ejaculation

This type of premature ejaculation will occur after the male has been experiencing normal sexual performance times, but starts to experience PE. Acquired PE symptoms are the rarest form of premature ejaculation only appearing in about 3% of men. If this defines the issues you’re experiencing it may be best to visit your doctor to ensure that there is not an underlying health issue causing the PE.

Subjective Premature Ejaculation

Subjective premature ejaculation is based on personal opinion. The man’s sexual performance is about average although the person feels as if he cannot control ejaculation time OR is unsatisfied with his performance. Subjective PE is generally easily treatable with over-the-counter topical delay sprays or at home remedies. A doctor or urologist would most likely not prescribe you dapoxetine, priligy or any other premature ejaculation pills that could help treat the issue.

What causes Premature Ejaculation?

There are so many opinions on what may cause this sexual dysfunction and it can be true that men with PE have, or experience, one or more of the causing factors. I have found, for me personally, that my anxiety and extremely sensitive ‘3rd member’ are the reasons I am experiencing early ejaculation. I was not circumcised until early adult hood, leaving my glans (head of the penis) protected most of my life which caused me to develop an incredibly sensitive penis. You may be able to self-diagnose and have a better understanding as to why you’re experiencing PE after reading below. It is always best to seek medical advise from a skilled professional if you deem necessary.

Causes of premature ejaculation include:

• Stress, Depression or Anxiety
• Poor self-body image
• Abnormal hormone levels
• Inherited traits
• Negative early sexual experiences

What are the Best Treatment Options for Premature Ejaculation?

While each person will experience better results with different solutions I have had tremendous success with just a few. You have to be diligent when choosing a treatment option as a lot of products on the market today are very ‘scammy’. For example, non-prescription premature ejaculation pills almost have a 100% fail rate for me. I am convinced they pack the capsules with vitamin filler and market it as a solution.

It is always best to stay with reputable companies that have a history in treating premature ejaculation. Be sure to do your research too! Look at online reviews – the good and the bad, the number of reviews (the more the better!), and most importantly the ingredients and technology surrounding each treatment.

So, here it is – the holy grail of what I have found to be the absolute best treatment options for premature ejaculation.

Delay Sprays

In my opinion the best option is a delay spray as they can be a quick and effective solution to curing premature ejaculation. The first and most well-known in this market is Stud 100 (not my favorite – we’ll get to that later). Stud 100 came out in 1970 when premature ejaculation was only a blip on the radar in the medical community. They used, at the time, a simple solution that introduced lidocaine (a desensitizing agent) into a metered-dosed spray. Men would apply this to the most sensitive parts of the penis – and the lidocaine would do the work from there.

Male delay sprays have come a long way since! Some have become more advanced in their formula allowing little to no transfer to your partner. I am a huge fan of Promescent as their formula, on paper, is the most advanced out of the bunch. Check out my product review of Promescent here – this is my go to delay spray!

Top 3 delay sprays for men:
Promescent – The use of what they call their ‘TargetZone Technology’ is what does it for me. It doesn’t numb me and most importantly does not transfer to Andrea. It dries quickly and I only need to apply 2-3 sprays for an amazing session! They are also the only delay spray company to have undergone clinical studies showing the effectiveness of the product – kudos to them showing that they’re willing to put their neck on the line to prove the product works! It is a bit pricey, but I guess you get what you pay for…right? See my full Promescent review here.

• Fortacin – Another delay spray with clinical studies showing how the product improves sexual performance in men. Unfortunately, Fortacin is not easily available in most countries and still requires a visit to your physician. Fortacin is a prescription only delay spray. See my complete Fortacin Review here.

• Stud 100 – Got to give it to them! They were the first kids on the block and worked decently well. Their price point is much lower than quality delay sprays like Promescent and Fortacin which can be a selling point for some. Stud 100 is the grandfather of all delay sprays and without them around who knows if this solution would have even come to fruition. Many knock off brands simply copy Stud 100’s solution (not protected by a patent any more) and market themselves at a higher price point. Here’s my Stud 100 review.

Exercises for Premature Ejaculation

There are a few well known exercises that can curb the outcomes and help you last longer in bed. The below exercises are time consuming and have a high rate of failure just like any exercise program.

• Kegels – This exercise for premature ejaculation is one of the most practiced and studied solutions. Kegels targets and strengthen the pelvic floor muscles which are actively involved in the sexual function. According to the ISSM, men who practice kegels regularly have seen improvements in the intervaginal latency time. To do a kegel act like you are holding back from urinating. You should feel the muscle between your testicals and anus tightening. Do this repeatedly, squeezing and releasing in 5 second intervals for 20-minutes daily.

• The Start and Stop Method – While I find this one to be more of a pain than anything else some men say they enjoy it. It’s doing exactly as it sounds – when you are close to the edge stop all simulation immediately. Wait for about 30 seconds to 1 minute and then start back up. My wife finds this one annoying as she loses all ‘forward progress’ during my down time. If you choose to use this method I’d recommend downloading an application available on both the Google Play Store and Apple Store called PEA – short for premature ejaculation app.

• The Squeeze Technique – This method promotes you to pinch right below the head of your penis just before you are about to ejaculate. You are required to squeeze firmly for at least 30 seconds. The biggest issue with this technique is loss of erection, however you can start stimulation again as the refectory period is not put in play. Achieving an erection after this technique is used is a lot easier for healthy individuals.

Meditation for Premature Ejaculation

Meditation has been around for thousands of years, but only recently introduced as a way to help with premature ejaculation. Practicing meditation lets the person step out of their own mind and get a 3rd person perspective on their thoughts. While I found this to be helpful for my anxiety overall it really wasn’t a game changer when it came to my premature ejaculation. Give it a shot and see if it works for you. There are many videos on YouTube that can guide you through a meditation session and some are specifically targeted meditation videos for premature ejaculation.

Prescription Medication for Premature Ejaculation

The use of prescription medications for premature ejaculation have been around for quite some time. Most of these medications are selective serotonin reuptake inhibitors (SSRI’s), commonly known as antidepressants. During clinical studies one noted side effect of users taking SSRI’s was delayed ejaculation. Over the years more studies concluded that the use of these prescription medications were a viable treatment option for premature ejaculation. Doctors and Urologists alike are weary of prescribing patients with these drugs because the side effects can often outweigh the benefits. With the rise of effective delay sprays, SSRI’s for premature ejaculation are harder to come by. According to Mayo Clinic some of the side effects a user can experience with the consumption of these are:

• Nausea
• Increased appetite, weight gain
• Fatigue, drowsiness
• Insomnia
• Dry Mouth
• Blurred Vision
• Constipation
• Dizziness
• Agitation, restlessness, anxiety

If you’re okay with the chances of one or more of these side effects occurring an oral medication might be best for you if your doctor is willing to write a prescription.

In Closing

Premature ejaculation is a huge inhibitor for many men. It can cause stress and depression that may lead to more serious negative health consequences. It led me for some time to avoid relationships at all costs knowing that I was going to disappoint any prospective partner.

Luckily, today there are many options for men. Experiment, experiment and experiment more! The best solution for me so far has been male delay sprays, but I will always be on the hunt for something better.

If necessary, visit your physician and let them know the issues you’re experiencing. They will be able to guide you further and work with you to overcome premature ejaculation. Speak to your partner – they will understand! Communication is key in any relationship and it’s important for both people to be in the know.