Premature ejaculation (PE) is one of the most common sexual dysfunctions men have to face, whether you’re on the younger side of the spectrum or otherwise.
PE is defined by the World Health Organization as an ejaculation happening with little to no sexual stimulation or moments after penetration before you or your partner want to. And it can cause a whole lot of distress to you and your partner if it happens more frequently than it should.
If your PE symptoms tick these boxes, that’s a red flag you’d want to talk to a healthcare provider about so they can help prescribe techniques or treatments to help regain control of your ejaculation prowess. It’s not just about mind over matter, after all.
Here are five potential treatments and techniques that have some research backing their claims.
1) The Start-Stop Technique
As the name implies, the start-stop technique is simply pausing sexual activity or penetration as required at moments that help you and your partner continue having sex for a bit longer without you blowing your load too soon.
And it’s exactly how you picture it working: simply by pulling back when you feel the urge and taking a few moments until it subsides.
You might have already tried this method if you’re reading this – unfortunately, that’s pretty much all the science behind it.
Studies looking at this technique determined that it might help you buy a bit more time as far as having longer sexual encounters; however, it’s best used in conjunction with other treatments or techniques. Your mileage might vary with the starting and the stopping.
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2) Kegel (pelvic floor exercises)
Doing Kegels – or pelvic floor exercises, if you will – is another technique to gain control over the muscles linked to your ejaculatory capabilities.
These movements condition your pelvic floor muscles to prevent the flow of liquids from entering your penis and your urinary tract, tightening up the muscles around it.
Since pelvic muscles wear down with aging, it might do your ejaculatory function a world of good by putting in the reps needed to hold back your urge to cum before you want to.
Most Kegel exercises were found to have helped improve symptoms of premature ejaculation in a 2019 review of ten studies on erectile dysfunction examining the benefits of doing pelvic floor exercises, despite some limitations on the review. Namely, the specifics of how many repetitions, how much time they should be contracted for, and how often they should be performed.
3) Benzocaine wipes or sprays for premature ejaculation
PE wipes are a thing now – you can buy penis wipes containing a numbing agent known as benzocaine, which is typically used as an anesthetic or analgesic. However, it can also be used nowadays to help prolong or sustain sexual pleasure.
Benzocaine wipes have been scrutinized by a randomized study that showed that they help boost ejaculation control, reduce distress, and boost sexual satisfaction for men with PE.
Benzocaine can be found not just as wipes but also as a liquid aerosol spray, or as a topical cream.
However, be careful not to overdo it or use something that’s way too potent – you don’t want to feel completely numb down there when you’re having longer, better sex.
Additionally, you wouldn’t want to use them right before having sex because you might just pass on that numbing effect to your partner. Wipe it, spray it, or apply it and let it sit for a couple of minutes before you start it up.
4) The Squeeze Technique
Yes, yes, then we know the names for these anti-premature ejaculation techniques are kind of bland – but trust us, the “squeeze” technique doesn’t sound as awful as it seems.
And it’s simple, too: the “squeeze” technique involves squeezing the head of your penis just before you climax and blow, and holding it for a few moments until the feeling of cumming dies down as your arousal subsides.
It’s somewhat effective based on some reports by individuals who swear by it – but you don’t want to squeeze so hard that you prevent blood from flowing back into your penis.
There’s very little in the way of peer-reviewed studies recommending this as a PE method, but it was all we had before 2000.
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5) Off-label medication for PE
One of the best ways you can do something about your PE concerns is by getting off the Google machine and seeking qualified medical advice about your ejaculation concerns.
Your healthcare provider will help dispel your doubts, fears, and insecurity while offering you real, concrete approaches to treating your PE. This might include combining the above techniques or using prescription medicines like selective serotonin reuptake inhibitors (SSRIs) that have shown some success as an off-label medicine for premature ejaculation backed by science. A study on SSRI use in men showed that almost all participants showed a substantial reduction in PE symptoms.
However, you can’t just take SSRIs willy-nilly for your PE – they have their fair share of side effects you need to be aware of. Talk to your healthcare provider before using SSRIs off-label for PE problems.
The final word on managing premature ejaculation (PE)
We want to emphasize one thing: you don’t need to be diagnosed with PE to try most of these methods. Another thing, too: plenty of help and resources out there could help you last longer in bed for all the right reasons, such as fostering a deeper bond in being intimate with your significant other (which we already have discussed).
However, the latter part of the help you might need will need the input of a qualified medical professional. They are equipped to help you determine the right approach or combination of treatment or medicine to help you regain your mojo.
Ultimately, sexual health doesn’t start and end with orgasm and ejaculation, and poor sexual health may indicate a more serious underlying medical concern. There’s nothing wrong with seeking help, and your sexual health concerns like PE or ED are 100% treatable.
