how to stop premature ejaculation

Causes of Premature Ejaculation

Premature ejaculation? It’s a condition where a man ejaculates too soon during a sexual experience. Not fun. It can be embarrassing and frustrating. And it has a negative effect on a person’s sex life.

So, what causes it? Let’s explore! Knowing the causes of premature ejaculation is important to address this issue. And we’ll also figure out how to deal with it. Here’s what to do:

Psychological causes

Premature ejaculation is not just a physical issue. It can also be caused by psychological issues like stress, relationship issues, anxiety and fear of failure. Performance anxiety can cause difficulty controlling arousal or orgasm. Further, depression, post-traumatic stress disorder and past sexual trauma can contribute to the development of premature ejaculation. In some cases, physical and psychological components may both be involved. It is very individualized and context-specific.

So, seeking professional help from someone experienced in treating men with sexual dysfunctions is the best approach.

Physical causes

Premature ejaculation (PE) is when a person has problems controlling when they ejaculate. It is a common sexual complaint among men and can be occasional or frequent.

There are various physical causes of PE. These include:

  • Hormone disturbances, such as thyroid issues
  • Using certain drugs, like antidepressants
  • Side effects from drugs like marijuana or cocaine
  • Surgeries that have gone wrong, like prostate surgeries
  • Genetics
  • Injuries to the genitourinary system or nervous system
  • Psychological problems like depression or anxiety, which can make it harder to manage arousal and stress.

These may go away without treatment, but it is vital to visit a doctor for a proper diagnosis. The treatment for PE depends on the underlying cause.

Prevention and Treatment

Premature ejaculation (PE) is a frequent sexual issue. It can be a source of humiliation, embarrassment, and distress. Fortunately, there are steps to avert and manage PE. The objective of these treatments is to help you last longer during sex, decrease your suffering, and better your general sexual experience.

Here, we’ll explore the most effective ways to stop and treat PE:

Behavioral techniques

Behavioral techniques are a great way to treat premature ejaculation without drug therapy or surgery. Two techniques are usually used: the squeeze technique and the stop-start technique.

With the squeeze technique, the penis is withdrawn before orgasm. Stimulation is gradually increased, then withdrawn again. This is repeated until orgasm or ejaculation happens. Both partners must understand and agree on this method before it is used.

The second technique is the stop-start technique. A man needs to know his responses so he can pause stimulation when he’s close to orgasm. Then, he resumes stimulation until it stops again. It may take multiple sessions over time to be successful. Partners need to talk openly and have patience for any treatment approach to work.


Certain meds can help control ejaculation timing. For some men, meds may be useful. But, there are no generally accepted meds for premature ejaculation. Clinical research results have been mixed. Always talk to your doc before taking new meds, because they can have side effects.

Common meds include:

  • topical anesthetics like lidocaine or Emla cream;
  • SSRIs like fluoxetine (Prozac) or paroxetine (Paxil);
  • tricyclic antidepressants like clomipramine (Anafranil) or sertraline (Zoloft).

For some, PDE-5 inhibitors like sildenafil (Viagra), vardenafil (Levitra), or tadalafil(Cialis) are also taken with SSRIs.

Anesthetic ointments are applied to the penis 20 minutes before intercourse. Common anesthetics are lidocaine or pramoxine-containing products. Benzocaine can be prescribed off-label to reduce sensitivity and delay ejaculation. SSRIs can take up to several months to work. Side effects could be headaches, nausea, diarrhea, and dizziness. These usually go away after a few weeks, but if you take the meds for over 3 months, you’ll need medical supervision to adjust the dosage or stop taking it. When taking both PDE-5 inhibitor and SSRI, be careful because it can cause low blood pressure. Taking meds with food can reduce side effects and help with erectile health without affecting reproductive function.

Alternative therapies

Alternative therapies for those who prefer a more natural approach may help with the prevention and treatment of premature ejaculation. These involve behavioral changes and avoiding anxiety-inducing sexual activities.

The stop-start technique is popular. A man learns to recognize and respond to physical sensations before ejaculating and stops then starts stimulation as needed during intercourse. This helps gain control and prevent premature ejaculation.

The squeeze technique is similar but the partner squeezes the penis when arousal peaks, causing the man to pause stimulation until the arousal reduces before continuing intercourse. This not only avoids premature ejaculation but also increases fertility, by increasing semen volume at release time.

Kegel exercises are good too, to strengthen pelvic floor muscles which can improve symptomatic premature ejaculation, allowing better control over orgasm timing. Clench and release your muscles for 5-10 seconds, hold for 10 seconds and release for 3-4 seconds; repeat this process for 5 minutes daily. With regular practice, these exercises will help strengthen your awareness and control over yourself and prevent premature ejaculation.

Lifestyle Changes

Premature ejaculation can be a source of distress. But, it can be prevented! A common way is to make lifestyle changes. These could include diet, stress management and physical activity. How can these changes help stop premature ejaculation? Let’s take a look!

  • Making changes to diet can help reduce stress and anxiety, which can help control ejaculation.
  • Managing stress can also help reduce anxiety and control ejaculation.
  • Regular physical activity can help improve ejaculation control.

Reduce stress

Reducing stress can be valuable for avoiding premature ejaculation. Causes of stress can include physical and psychological pressure, failing to meet objectives, or a lack of self-confidence. It is wise to reduce stress to manage premature ejaculation.

Yoga, massage, tai chi and other exercises release endorphins that reduce stress and help overall wellbeing. Supplements such as vitamin B complex can also have calming effects.

To reduce stress when trying to avoid premature ejaculation, managing external stressors is helpful. Prioritizing tasks and setting aside time for yourself can create a manageable schedule and reduce tension. Finding time to relax, unwind, and focus on what matters in life will gradually reduce stress.

Get enough sleep

Sleep is vital for sexual health, including preventing premature ejaculation. Adults should sleep 7-9 hours, while teens should sleep 8-10 hours. Being well-rested helps the body relax before sex. This provides more control over ejaculation and keeps energy up during lovemaking.

Avoid having sex when tired as this can make it harder to reach an orgasm, or control yourself from ejaculating. Relaxation techniques before bed, such as stretching, meditation, and yoga, give deeper restorative sleep cycles and better control during sex.

Exercise regularly

Exercise is necessary to improve your health and wellbeing. It can also help treat premature ejaculation and enhance your sexual performance. Exercise can strengthen your muscles in the pelvic floor, building up strength and stamina, reducing stress, and improving your overall quality of life.

Weight lifting, yoga, and Pilates are great strength-building exercises. Rhythmic activities like running not only condition the body; they also reduce stress levels, boosting libido and arousal. Yoga and meditation can lessen stress and improve physical and emotional health.

Do 30 minutes of moderate intensity activity every day, such as walking or cycling. Or do 10 minutes of vigorous activity like jogging or tennis. Also do two strength training sessions per week, involving all major muscle groups.

Eat a healthy diet

Eat better to perform better in the bedroom! Up your intake of lean proteins, fruits, and veggies. Lessen unhealthy saturated fats and processed foods. Foods high in protein, B vitamins, and zinc will boost your sex drive, hormone production, and endurance.

Exercise is good too, helping with body image and staying power in bed. No more smoking or too much alcohol. Go for libido-boosting foods like oysters and avocados. Eating right can give you better cardiovascular function and focus. All of this impacts sexual satisfaction.


Communication is essential to stop premature ejaculation. Talk to your partner and your doctor to understand the causes and develop strategies. Get right medical advice and treatment by discussing the issue with your doctor.

This article examines communication’s role in stopping premature ejaculation:

Talk to your partner

Premature ejaculation can be a source of frustration and trouble in relationships. So, it’s vital to be honest and open with your partner about it. Express your feelings on the issue – whatever they may be. The conversation needs open minds and empathy from both partners for a successful outcome.

In the conversation, you could suggest ways to cope, explore methods for physical stimulation, or even consider sexual therapy. Whatever comes up, it’s important that both parties understand and take the other’s feelings seriously.

Also, make an effort to talk about non-sexual aspects of your relationship. Like, bonding activities or things you appreciate about each other outside of sex. This can help create a healthier relationship dynamic and positively impact your sex life!

Seek professional help

Communication is key and sometimes it’s best to get help. Issues can cause misunderstandings, disputes and resentment that can strain relationships. Couples counseling can be useful to gain an outside perspective and learn how to mend communication breakdowns and negative emotions. Individual therapy lets a person explore past and present relationships with the guidance of a therapist in a supportive, confidential setting.

Getting help can be daunting but there are always quality service providers available who provide safe spaces to talk about communication and relationships. It takes time to learn how to communicate effectively, so consider if it could help you become more resilient in your dealings with others by expressing yourself better.


Premature ejaculation can be a serious issue. But, by taking steps to fix it, like controlling your stimulation and using breathing techniques during intimate moments, you can conquer it. Also, living an active life, eating balanced, exercising often and addressing mental issues can help avoid getting it again.

Talking to medical professionals who are experts in sexual health can give you personalized advice on how to manage the condition.

Frequently Asked Questions

Q: What causes premature ejaculation?

A: There are several factors that can contribute to premature ejaculation, including anxiety, stress, depression, relationship issues, medical conditions, and hormonal imbalances.

Q: How can I prevent premature ejaculation?

A: There are several techniques that can help prevent premature ejaculation, including practicing relaxation techniques, using thicker condoms, trying different sexual positions, and using numbing creams or sprays.

Q: Is premature ejaculation treatable?

A: Yes, premature ejaculation is treatable. There are several treatment options available, including therapy, medication, and behavioral techniques.

Q: How long does it take to cure premature ejaculation?

A: The length of treatment varies depending on the individual and the type of treatment. Some people may see improvement within a few weeks, while others may require several months of treatment.

Q: Can premature ejaculation be a sign of a more serious medical condition?

A: Premature ejaculation can be a symptom of other medical conditions, such as prostate problems or thyroid disorders. It’s important to speak with a healthcare provider to rule out any underlying medical issues.

Q: Are there any natural remedies for premature ejaculation?

A: There are several natural remedies that may help with premature ejaculation, including yoga and meditation, kegel exercises, and dietary changes. However, it’s important to speak with a healthcare provider before trying any natural remedies, as some may interact with medications or exacerbate existing medical conditions.

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