Premature Ejaculation: Practical Help That Actually Works

Premature ejaculation (PE) is one of the most common sexual issues men face. It can feel embarrassing, but it’s usually fixable. This page gives clear, no-nonsense advice you can try today, plus when to seek medical help and what treatments actually do work.

Quick tips you can try today

Try the start‑stop method: when you feel close, stop stimulation for 20–30 seconds until the urge eases, then continue. The squeeze technique is similar—apply firm pressure to the head of the penis for a few seconds to reduce arousal. Both methods take practice but many men see improvement in weeks.

Use thicker condoms or those labeled 'delay'—they reduce sensation and often add minutes. Topical anesthetic creams or sprays (with lidocaine or prilocaine) can help; apply as directed and wash off if sensitivity is reduced too much. Pelvic floor exercises (kegels) strengthen the muscles that control ejaculation—contract the pelvic muscles for 3–5 seconds, relax 3–5 seconds, repeat 10 times, twice a day. Over a few weeks you should notice better control.

Causes and when it’s more than technique

PE has many causes. Fast ejaculation can come from anxiety, relationship stress, or a high level of sexual arousal. Biological causes include high penile sensitivity, hormone issues, thyroid problems, prostatitis, or nervous system differences. Certain meds, alcohol, or drug use can also change how long you last.

If PE started suddenly after an injury, illness, or new medication, see a doctor. Also get help if it causes distress, hurts your relationship, or doesn’t improve with basic strategies. A doctor will check for medical causes and discuss treatment options.

Medications can help. Dapoxetine is a short‑acting SSRI used for PE in some countries and can work within hours of taking it. Other SSRIs (used daily) like sertraline or paroxetine delay ejaculation over time but require a prescription and discussion with your doctor about side effects. Never self-medicate—talk to a clinician about risks, dosing, and interactions.

Psychological help works, too. Sex therapy or cognitive behavioral therapy addresses performance anxiety and helps build skills for better sexual communication. Often a mix of therapy, exercises, and medical treatment gives the best results.

Where to get treatment and meds: talk to your GP or a sexual health clinic first. If you consider buying medicines online, use reputable pharmacies that require prescriptions and show clear contact info. Pharmacy2Home collects articles on safe online pharmacies, buying meds like sertraline, and how to check legitimacy—use those guides before ordering.

PE is treatable. Try simple techniques and exercises first, see your doctor if things don’t improve, and get professional help for meds or therapy. With a few changes and a bit of practice, most men regain control and confidence.