While what is considered ‘premature ejaculation’ varies from couple to couple, experts agree that it is when a man is unable to control ejaculation enough to satisfy his partner. It’s also identified by ejaculation on, or shortly after, penetration. It can often happen early on in a relationship when sexual excitement, anxiety and over-stimulation are common. Premature ejaculation is hardly ever caused by an underlying disease or physical problem.
What is clear is that it can cause an immense amount of stress and frustration for men and their partners and it can lead to relationship problems and avoidance of sex altogether.
However, it’s an experience that is more common than you might realise. Sometimes it begins at puberty (categorised as Primary PE), but sometimes it develops in later life (Secondary PE). For both younger and older men, premature ejaculation may be ‘global’ – that it occurs whatever the circumstances – or ‘situational’ – that it only happens in certain circumstances, or with a particular partner.
One study found premature ejaculation was the most common erection problem men face, with 30 percent of 18-29 year-olds, 32 percent of 30-39 year-olds, 28 percent of 40-49 year-olds, and 31 percent of 50-59 year-olds saying coming too soon was a problem for them.
The most common causes of premature ejaculation are:
It may be common, but that doesn’t mean there aren’t ways to control premature ejaculation. Here are five straightforward techniques you can develop to help cope with premature ejaculation.
Therapists agree that anxiety is often a common factor in premature ejaculation problems. You may experience one or two occasions when you climax too quickly and as a result develop a heightened fear of this happening again, which becomes a self-fulfilling prophecy. The body’s natural ‘fight or flight’ response means blood is withdrawn from the outer extremities to the core when you feel threatened. This immediately results in a physical cause of a brief erection – the lack of blood supply.
Steps you can take to reduce anxiety include:
There are a variety of medications and creams available to help reduce sensitivity. They range from your standard snake oil solutions to drugs with evidence to back their efficacy. One common drug is Dapoxetine, which is a similar formulation to anti-depressants. It isn’t cheap, however, and Dapoxetine-based pills have side effects to be aware of, including nausea, dizziness, dry mouth, headaches, diarrhoea and insomnia.
If your sensitivity is moderate, you could also try desensitizing condoms with Benzocaine or Lidocaine, or even a mild local anaesthetic gel. There are also a variety of nasal sprays available online, most utilising Chlorpromazine, an antipsychotic medication.
The key is to choose carefully and check all premature ejaculation treatments for ingredients and potential side effects before making any purchases.
Anti-depressants similar to Prozac have the side effect of delaying orgasm by inhibiting serotonin uptake in the brain. These selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac) may take up to 10 days to take effect.
If the timing of your ejaculation doesn't improve, your doctor may prescribe the tricyclic antidepressant clomipramine (Anafranil), which also has been shown to benefit men with this disorder.2
You may not need to take these medications every day to prevent premature ejaculation. Taking a low dose several hours before you plan to have sexual intercourse may be enough to improve your symptoms.
Antidepressants are not approved for the treatment of premature ejaculation. They work by taking advantage of a side effect common to these medications. They also have other side effects that are not pleasant, including nausea, dry mouth, drowsiness and decreased libido – so discuss with your doctor whether it is worthwhile in your case. And they are also difficult to stop taking if you get habituated to their use – so go carefully.
Control exercises, called ‘Stop, Start’ and ‘Squeeze’ can help stop premature ejaculation:
Herbal Ignite for Men is an over-the-counter dietary supplement taken daily with food to help with men’s sexual health and libido. Anecdotal reports from customers indicate it has helped some men treat premature ejaculation. Its formulation works to:
Like all herbal remedies, it does not work instantly so it is not designed to just be taken an hour before bedtime. Rather it is taken daily like a vitamin or mineral supplement, and it is recommended you take it for at least a month before making any conclusions as to its effectiveness for premature ejaculation issues.
The three key herbs in Ignite for Men – Tribulus Terrestris, Horny Goat Weed and Avena Sativa – have been used in traditional medicine for centuries to rejuvenate men’s sexual and hormonal health. In the last 30 years, this traditional use has been supported by some scientific studies, but there is still a lot we don’t understand about how exactly the active ingredients in these herbs work.
Herbal Ignite has been used successfully by thousands of men in New Zealand and Australia to increase testosterone levels and boost libido and sexual satisfaction. It also relieves stress and fatigue and improves energy levels and confidence.
Herbal Ignite is 100% natural and free of unpleasant side effects. It is made in New Zealand to the highest standards, with thorough testing and guarantees of no adulteration or undeclared ingredients.