how to cure premature ejaculation

Understand the Causes

PE is a regular worry for guys of all ages and types. To heal and treat this condition, you must know its causes. Being aware of why you have it is step one in treating it. Let’s look at some likely causes, and what can be done about them.

  • Cause 1
  • Cause 2
  • Cause 3
  • Cause 4

Psychological Causes

Premature ejaculation (PE) can have many psychological causes. From confidence issues to performance anxiety, depression, relationship issues, physical intimacy issues, fear of not satisfying their partner and loss of libido. It is important to understand these causes to address any underlying conditions.

Anxiety is a common cause of PE. Men who are anxious about their performance may focus too much, leading to lack of foreplay or losing control during intercourse. This can lead to feelings of shame, guilt and humiliation, if left untreated.

Relationship conflicts can also cause anxiety, leading to erectile dysfunction or decreased pleasure from sex, since tension from the conflict can make it difficult to remain aroused.

Moreover, physical trauma, such as pelvic area surgery or tight foreskin (phimosis), may cause problems with sexual sensations, like pain during intercourse or difficulty orgasming. If this is the case, it is best to seek medical attention and advice, to get the best treatment plan for relief.

Physical Causes

Premature ejaculation can have various causes, some physical. Younger men may not have full control of their ejaculatory reflexes, and can be helped with physical therapies suited to their individual needs.

Common physical causes include:

  • Thyroid problems – hypothyroidism or hyperthyroidism.
  • Anxiety, fear or tension before sex. This is usually psychological, but can manifest as a physical response causing premature ejaculation.
  • Certain medications such as those for depression or anxiety.
  • Genetic predisposition to sexual dysfunctions, passed from family members.
  • Injury to the penis before birth or later in life, which can make it hard to control the rate of ejaculation.
  • Low serotonin levels, which can make men easily reach a climax before they plan to, and lose sexual desire.

Seek Medical Advice

Dealing with premature ejaculation? Get medical advice! Herbal remedies and topical treatments are available. But it’s best to talk to a qualified doctor. With their help, you can find the treatment plan that’s right for you!

Visit a Urologist

When you’re dealing with premature ejaculation, it’s best to get help from a pro. A urologist is a doctor who specializes in male reproductive health and can give you specific treatment options. Your urologist will ask about your symptoms, and your medical, sexual, and family history.

Your doctor could recommend medicine, therapy, or surgery. Psychological therapy, physical therapy (like Kegels exercises or a numbing cream), or penile injection or implants might be options. Your urologist could also work with other healthcare pros to make a plan that works for you.

It’s important to keep realistic expectations and be patient. You might not see results for several weeks. Seeking medical advice is the first step to finding a solution.

Discuss Your Symptoms

Premature ejaculation can be a tough topic to bring up with your healthcare provider. It could have various causes, but talking through your symptoms is the best way to figure out what treatments you need. When you speak to your healthcare provider, tell them the time it takes before you ejaculate and any other details, like stress or hormone changes.

It’s important to know that premature ejaculation is not a life-threatening medical issue, but it can affect both people in a relationship. The way to treat it is to identify the cause and do something about it. This could mean using cream or medicine from your healthcare provider, or changing your behavior or lifestyle.

If you think it’ll help, your healthcare provider may suggest seeing a therapist who specializes in sexual dysfunction disorders or relationship counseling. Don’t be embarrassed to discuss any worries – they’re there to help you get the best care.

Lifestyle Changes

Premature ejaculation can be tricky to sort out. But, some lifestyle changes can help. These include:

  • Cutting down on alcohol and caffeine.
  • Doing regular exercise.
  • Managing stress.

These habits can better your health and decrease the chance of premature ejaculation. Let’s look closer at how these changes can help.

Exercise Regularly

Exercising can help fight premature ejaculation. It can improve heart health, circulation, and fitness levels. This can help with better sexual control. However, it won’t work suddenly for erectile dysfunction and premature ejaculation.

Cycling, swimming, jogging, or even yoga and Pilates can help. These aerobic exercises increase your endurance. The breathing and relaxation from these exercises can help during sex, too.

Kegel exercises can also help. Squeeze and hold for 3 seconds, and repeat 5-10 times daily. This might help you last longer in bed.

Avoid Alcohol, Drugs, and Smoking

Certain habits can cause premature ejaculation, so avoiding them is key. Alcohol, drugs, and smoking mess with hormones and neurotransmitters in your body, and disturb oxygen in your genitals.

Alcohol messes with hormone balance, decreases libido and delays ejaculation. To help cure the condition, it’s important to avoid or limit alcohol.

Drugs like cannabis, nicotine and cocaine are stimulants. They cause erectile problems and fast ejaculation. Smoking also reduces sperm production, so it’s best to stop or cut back on these. To improve sexual health, it’s best to avoid or minimize use of drugs and nicotine.

Reduce Stress

Premature ejaculation can be lessened through lifestyle changes that reduce stress. Anxiety and worry are common causes of this issue, making it difficult to relax during intercourse and causing ejaculation too soon.

To help manage premature ejaculation, try these tactics:

  • Exercising. Activities such as running, swimming and cycling make your body produce endorphins, which cheer you up and improve focus. Exercise also improves the blood flow to your sexual organs, including the penis.
  • Mindfulness. Consider meditation and relaxation techniques to better manage worries and anxiety.
  • Getting rest. Aim for 7 hours of sleep every night. This ensures your body is able to replenish itself and operates best.
  • Talking. Speak to your partner, friends or family about any issues or worries that could be causing stress. This could provide emotional relief from any underlying problems related to premature ejaculation.

Natural Remedies

More and more men are on the hunt for natural cures for their premature ejaculation. There’s a range of natural remedies out there that can help. From dietary changes to herbal supplements and lifestyle modifications.

In this article, we’ll look at the various natural remedies for premature ejaculation:

  • Dietary changes
  • Herbal supplements
  • Lifestyle modifications

Herbal Remedies

Herbal remedies have been used since ancient times to treat various medical conditions, such as premature ejaculation. Certain herbs can help enhance male stamina and promote staying power during sex.

These include:

  • Ashwagandha. It is a medicinal herb known to reduce stress and increase sexual desire.
  • Tribulus Terrestris is an aphrodisiac traditionally used to enhance sexual endurance and increase libido.
  • Maca Root is another herb that helps boost fertility, libido, reduce anxiety and raise stamina.
  • Damiana Leaf serves as a mild sedative. This promotes relaxation prior to sexual activity, letting you last longer and have better control over ejaculation timing.
  • Horny Goat Weed has been used as an aphrodisiac for men and women alike. This has also been proven to increase testosterone production in males, leading to improved erection strength and better sexual performance.
  • Muira Puama is a Brazilian herb which can be effective in treating impotence or premature ejaculation due to nervousness or anxiety.

Dietary Changes

Correcting diet is very important for treating premature ejaculation. Processed carbs can lead to over-stimulation of the genitals and even ejaculation. So, it is important to have a balanced diet with healthy carbs, and limit sugar.

To help prevent premature ejaculation, you could try:

  • Eating zinc-rich foods like oysters, beef liver, fish, eggs and walnuts. Zinc has been proven to reduce PE symptoms.
  • Increasing omega-3 fatty acids, like salmon oil or sardines. Omega-3s can reduce inflammation, which can lead to PE.
  • Taking supplements like maca root extract or Vitamin B12 to reduce stress and improve blood flow in the pelvic area.
  • Avoiding alcohol, cigarettes, recreational drugs and caffeine, as these can worsen PE symptoms.


Acupuncture has been used for centuries to address health issues. This ancient Chinese practice involves inserting fine needles into points or meridians on the body. It stimulates the release of endorphins. These are chemicals in the brain associated with pleasure and relaxation. Endorphin release can help reduce stress and anxiety, which may treat premature ejaculation.

The goal of acupuncture is to balance Yang (stimulating) and Yin (relaxing) forces in the body. This balance may restore health. Studies have found that acupuncture may help with performance anxiety and stress levels. These are both potential causes of premature ejaculation. Some men reported improved results after undergoing acupuncture therapy for this treatment. More research is needed.


Many men use medications for treating premature ejaculation. There are lots of options, alone or combined with talk therapy or behavior changes. Medications are simple, safe and successful.

This section provides info on the medications used for premature ejaculation:

Selective Serotonin Reuptake Inhibitors (SSRIs)

Selective serotonin reuptake inhibitors (SSRIs) are drugs that doctors prescribe for depression and other mood disorders. Recently, they have also been used to treat premature ejaculation (PE). SSRIs increase the serotonin level in the brain which can improve mood, anxiety and more.

The main SSRIs used to treat PE are sertraline and paroxetine. Other medications like fluoxetine, fluvoxamine, citalopram, escitalopram and dapoxetine can also be prescribed. Generally, these drugs are taken 1-2 hours before sexual activity, to control ejaculation times and delay orgasm or lower arousal.

It takes several weeks for SSRIs to take full effect. This should be kept in mind when considering using SSRIs for PE treatment. Also, side effects such as nausea and fatigue may occur when taking the medication. Therefore, it’s best to seek advice from your healthcare provider before beginning any drug or medicine regimen.

Topical Anesthetics

Topical anesthetics are medications that are applied directly to the skin. Examples include sprays, gels, or creams. This type of medication is often used to treat premature ejaculation. It works quickly and can be effective.

Topical anesthetics help to reduce sexual sensitivity in the penis. This decreases sensation and helps men last longer during intercourse. Commonly available topical anesthetics are lidocaine, prilocaine, and benzocaine. These are often sold over-the-counter in pharmacies or shops with a health section.

Best results are seen when applied to dry penile skin at least 30 minutes before sex. Side effects associated with topical anesthetics can include:

  • Loss of erection
  • Genital numbness
  • Itchiness
  • Burning sensations during sex

It is important to talk to your doctor before using this type of medication. Incorrect or too frequent use can have serious medical implications.


Tramadol is a prescription drug used to treat pain. It belongs to the opioid class, which affects the brain’s perception of pain. It is usually given for moderate to severe pain, yet research has indicated it can help with premature ejaculation (PE).

The exact way tramadol works to reduce PE is unknown. But, studies suggest its pain-relieving effects can help dopamine and serotonin neurotransmission. This results in better ejaculation control. For improved results, tramadol can also be taken with an antidepressant. It has been found to help men maintain erection control and delay ejaculation times, regardless of age or cause of PE.

At lower doses, tramadol might not cause any major side effects, only mild symptoms such as nausea or constipation. It is essential to take the drug under doctor’s supervision; people with high blood pressure and those taking other medications are more vulnerable to its effects. High doses should be avoided in order to prevent addiction and tolerance build-up. When discontinuing its use, always ask your doctor for safe tapering off regimens.

Frequently Asked Questions

1. What causes premature ejaculation?

There can be multiple reasons for premature ejaculation, including psychological factors, hormonal imbalances, relationship problems, anxiety, and stress.

2. Can premature ejaculation be cured?

Yes, premature ejaculation is a treatable condition. With proper medical guidance, lifestyle changes, and psychological interventions, you can overcome premature ejaculation.

3. How can I control premature ejaculation?

There are several techniques and methods that can help you control premature ejaculation, including the squeeze technique, start-stop technique, pelvic floor exercises, and cognitive-behavioral therapy.

4. Can medication help prevent premature ejaculation?

Certain medications, such as topical anesthetics and antidepressants, can be prescribed to help prevent premature ejaculation. However, consult with your doctor before starting any medication.

5. Is premature ejaculation a sign of infertility?

No, premature ejaculation has no impact on fertility. However, if you are facing difficulty in conceiving a child, consult your doctor for infertility testing.

6. What can I do to prevent premature ejaculation?

Maintaining a healthy lifestyle, avoiding smoking and alcohol, practicing relaxation techniques, and talking to a therapist about any psychological concerns can help prevent premature ejaculation.

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