How To Reduce Premature Ejaculation: Management Tips
Premature ejaculation can lead to unpleasant sexual experiences. Read on to learn its causes, effects, and management techniques for a healthy sex life.
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Last updated on 3rd Jul, 2025
Premature ejaculation or PE refers to a condition where ejaculation of the male sex partner takes place sooner than expected. Several factors like anxiety, stress, depression, guilt, sexual abuse, early sexual experience, negative feelings, etc. often cause such problems in males. It is a common sexual problem that may occur in occasional episodes without any serious complications.
However, if this becomes a persistent issue during sexual arousal, it should be diagnosed and treated soon to avoid complications. Keep reading to understand the psychological and physiological factors that lead to premature ejaculation, and learn the ways to reduce it!
Psychological Factors of Premature Ejaculation
Here are some of the psychological factors that can lead to premature ejaculation issues:
Anxiety and Stress
Some people may feel nervous before having sex with a new partner or after a long period. It happens due to the anxiety of performance. Sometimes over, excitement for sexual indulgence may lead to premature ejaculation.
Relationship Issues
This may include indifferent feelings towards the partner or past sexual abuse experiences. Suppose a man has gone through a sexual trauma in the past, like being caught while masturbating or having been abused sexually by someone. In that case, it can affect their present sexual relationship.
Physiological Factors of Premature Ejaculation
Some physiological factors that lead to premature ejaculation in males are as follows:
Hormonal Issues
One’s oxytocin level often affects their sexual function, such as ejaculation. Apart from that, TSH (thyroid stimulating hormone), LH (luteinising hormone), and prolactin also impacts a person's sexual functionality.
Medical Conditions
Serotonin and dopamine are chemicals produced in the brain that help regulate sexual excitement and desire. The nerves make serotonin to control how the brain manages one's emotions, mood, and sexual desire. Males producing a high amount of serotonin experience delayed ejaculation. However, low serotonin production can reduce the duration of sex, leading to premature ejaculation.
Lifestyle Modifications to Manage Premature Ejaculation
Some changes in the lifestyle habits can help increase the ejaculation time in the males.
Stress Management Techniques
Stress is a major cause behind most health and reproductive problems these days. It may lead to premature ejaculation in a male. So, stress management is necessary to enjoy a healthy sexual life. Men facing premature ejaculation issues can practice meditation or yoga to calm their body and mind. This helps them control the intimate moments according to their desire.
Breathing techniques may also help delay ejaculation. One can learn to control breathing to ensure a late ejaculation during sex. One can take slow and deep breaths when they feel like ejaculating to calm their body and delay the ejaculation.
Importance of a Healthy Lifestyle
A healthy lifestyle has no substitute when it comes to a sound sexual life. Thus, males facing premature ejaculation issues should maintain a healthy lifestyle. Regular exercises, dietary habits, and mental soundness greatly influence sexual performance. One should eat a balanced diet, perform regular exercise, and adopt stress management techniques to improve mental and physical health. This reduces sexual problems and increase the ejaculation time.
Behavioural Techniques to Manage Premature Ejaculation
It involves two different methods that can help delay the ejaculation and orgasm. It allows the body to control feelings so that one can have sex for the desired duration.
Start and Stop
It involves stimulating the penis until one is about to ejaculate. Then, the stimulation should be stopped until the urge for orgasm goes away. This process should be repeated multiple times to help the man recognise the sexual arousal phase that comes before orgasm. It is possible to delay the ejaculation if it is controlled during that arousal phase.
Squeeze Therapy
It also starts with stimulating the penis and stopping the process just before the orgasm. After that, the man needs to press the penis head for about 30 seconds to reduce the arousal level. This process involves putting the index finger on the penis' back side and thumb on its other side and squeezing gently. After a 30-second pause, it should be repeated several times to delay the ejaculation.
Desensitising Products to Reduce Premature Ejaculation
Certain desensitising products like topical anaesthetics and condoms can help manage premature ejaculation issues.
Topical Anaesthetics
Local anaesthetic sprays are available at pharmacies even if they are not prescribed. Men facing premature ejaculation can spray the anaesthetic on their penis head at least 10 minutes before sexual intercourse. It reduces the sensitivity of the penis for some time and allows sexual activities for longer duration.
However, one should read the instructions before application and wash it off before sex to ensure the partner’s sensation and his erection is not affected.
Condoms with Numbing Agents
When one wears a condom, it may numb the sensation in his penis for a moment. It can help increase the time for orgasm in a man, especially if numbing sprays or creams are applied along with it.
However, some brands also produce condoms with numbing agents on the inside or thicker walls to reduce the sensitivity in a man and enhance the duration of orgasm.
Medical Treatments for Premature Ejaculation
Following medication or counselling session is recommended by a provider based on a person’s conditions:
Antidepressants are one of the most used therapies for premature ejaculation. However, the Food and Drug Administration does not approve its usage. So, consulting a urologist or sexologist before taking these medicines is needed.
Selective serotonin reuptake inhibitors or tricyclic antidepressant clomipramine like citalopram (Celexa®), paroxetine (Paxil®), sertraline (Zoloft®), etc. are some of the antidepressants prescribed by a provider.
Medicines for erectile dysfunction help men increase their ejaculation time. Avanafil (Stendra®), sildenafil (Viagra®), tadalafil (Cialis®), etc., are some of the medicines used for this purpose.
Opiate medicines like tramadol may help improve premature ejaculation.
Doctors suggest counselling if the premature ejaculation continues due to emotional or psychological issues. In such cases, one should consult a sex therapist, psychiatrist, or psychologist to identify the actual cause and manage it accordingly. Couples therapy can also help men and women who are in a long-term relationship.
Alternative Therapies to Reduce Premature Ejaculation
Apart from medication and behavioural techniques, the following alternative methods can also help reduce premature ejaculation:
Acupuncture
It involves inserting a thin needle into the required pressure points in one's body to improve blood circulation and energy flow. Acupuncture is widely practiced in China to reduce premature ejaculation problems. It helps regulate the blood and qi balance and reduce the sensitivity in nerves by stimulating the pressure points.
Herbal Supplements
Herbs can do miracles in curing several health conditions, including premature ejaculation. One can intake Safed Musli, Ashwagandha, and Ginseng to improve sexual stamina. Several natural supplements and herbal teas in the market contain these herbs.
Role of Communication in Managing Premature Ejaculation
In some cases, communication can play an important role in dealing with issues of premature ejaculation.
Discuss Concerns with Partner
Men facing ejaculation problems or sexual issues should speak to their partner about it. If they are getting treatment for these issues, involving their partner in the therapy can be helpful. Some people hesitate to share such problems with their partners, worsening the situation.
Communication can help resolve the issues mutually and even help one to know about their partner’s problems, if any. Talking openly with one’s partner about concerns and feelings can help build trust and intimacy. It can also manage anxiety and pressure surrounding sexual performance.
Seek Professional Help
Seeking professional help from a healthcare provider, therapist, or sex therapist can be helpful. It provides one with mental support, education, and treatment to manage their premature ejaculation effectively.
Conclusion
Addressing the underlying causes of premature ejaculation, whether they are psychological, physiological, or a combination of both, is crucial for long-term management. Open communication with the partner, a healthy lifestyle, and professional support can help a man regain his control and improve sexual satisfaction.
Consult Top Urologist
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