Premature ejaculation is a common yet often unspoken issue in men's sexual health, affecting nearly one-third of men. As the second most prevalent sexual disorder after erectile dysfunction, it can strain relationships and cause frustration. Addressing it promptly can restore confidence and intimacy.
Premature ejaculation occurs when ejaculation happens soon after—or even before—penetration, without control or desire. While rarely tied to serious health risks, it often leads to dissatisfaction for both partners. Effective treatments, including behavioral therapy alone or combined with medication, can significantly delay ejaculation.
Experts widely attribute premature ejaculation to psychological triggers like anxiety, stress, or low libido, with some cases linked to heightened penile sensitivity. Physical causes, such as prostate inflammation or thyroid issues, are less common. It frequently co-occurs with erectile dysfunction, where men rush ejaculation fearing erection loss.
A urologist consultation distinguishes primary premature ejaculation (present from the start of sexual activity, across partners) from secondary (developing later after normal function). Early in sexual life, it's typical due to inexperience—seek help only if persistent and distressing for both partners.
Beyond therapy, simple exercises yield strong results. Three key ones: Strengthen the perineum by interrupting urination midstream multiple times—this muscle supports erection, ejaculation control, and prevents incontinence, offering dual benefits.
Adopt the squeeze technique: Apply firm pressure between the scrotum and anus at ejaculation's onset to block semen release. Muscles contract, but semen stays in the prostate, maintaining erection.
Finally, switch positions during sex. Some reduce stimulation to delay climax; changes also pause action, lowering arousal temporarily.
If exercises aren't enough, behavioral therapy is ideal for psychological roots, preventing self-esteem dips or depression that worsen the issue. Consult a healthcare professional early.
Medications like tricyclic antidepressants (e.g., clomipramine) or SSRIs (fluoxetine, paroxetine, sertraline) effectively delay ejaculation, often prescribed off-label from their primary depression use. Dapoxetine, approved in Europe since 2013, is the first drug specifically for premature ejaculation.
Topical anesthetics (creams, sprays) or lidocaine-infused condoms numb sensitivity to prolong performance.
Innovatively, the Mor patch—a wearable device debuted at CES 2022—applies wireless electrical neuromodulation between scrotum and anus. Press a button for impulses that instantly curb ejaculation urge. Launch planned for Q1 2023.
