Medication
There are three approaches to using medication for premature ejaculation:
- Inhibiting ejaculation
- Preventing the penis from becoming flaccid immediately after ejaculation
- Numbing the head of the penis to reduce sensitivity
- Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) used for delaying ejaculation.
- Other SSRIs, such as paroxetine or sertraline, can also help. While they are primarily prescribed for depression and anxiety, they may be used to extend the time to ejaculation without having those conditions.
Medication to prevent the penis from softening after ejaculation
Options include devices that maintain an erection after orgasm, intracavernous injections, or oral medications like sildenafil, tadalafil, or apomorphine.
Products to numb the penis
For those who prefer not to take oral medication, lidocaine gel or cream can numb the penis. Apply it ten minutes before sex and remove it afterward to avoid numbing your partner.
Alternative treatments for premature ejaculation
Behavioural or cognitive therapy may be beneficial, especially for secondary PE, where psychological factors play a significant role. Sex therapy, relationship counselling, and psychoeducation can help address the underlying issues.
Consulting a urologist may be necessary. A urologist can perform a physical exam or tests to rule out conditions such as thyroid disease or prostate issues.
Lifestyle changes to treat premature ejaculation
Addressing factors like obesity and stress can help. Recommendations include:
- Regular exercise, such as walking, yoga, or meditation
- Avoiding an overloaded schedule to ensure rest and relaxation
- Staying well-hydrated for overall health
- Eating a balanced diet rich in fruits and vegetables, and avoiding fatty, processed foods