Understanding Premature Ejaculation and Its Impact

Numbing creams and wipes contain local anesthetics such as lidocaine, which reduce sensation on the skin.

Practice Essentials

It affects as many as 30% to 40% of all men at some point in their life. It can have a wide range of causes, from hypersensitivity to medical conditions to psychological factors.The critical thing to remember when treating PE is that you are not alone. The condition is very common, even if it is not openly discussed, and is easily treatable. Premature ejaculation (PE) treatments include prescription pills, numbing creams and desensitizing wipes. Each works differently to help delay climax. Prescription pills – like SRIs (sertraline, paroxetine) and PDE5 inhibitors (sildenafil, tadalafil, vardenafil) – are often also used to treat PE by adjusting serotonin levels in the brain, which can help prolong intimacy.

Partner's Perspective	Common Concerns	Emotional Responses	Support Strategies
Frustration	Feeling of rejection or inadequacy	Anxiety, sadness	Open communication
Desire for reassurance	Need for emotional connection	Increased intimacy	Counseling if needed
Sense of loss	Reduced satisfaction	Depression, anger	Partner-inclusive therapy

The best PE treatment depends on your symptoms, preferences and any other health concerns.

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A licensed provider can help you choose the right option for safe and effective results.

Author information

If you are regularly ejaculating in less than 1 minute, this could indicate premature ejaculation. Viagra is not licensed for premature ejaculation, but some research suggests that PDE-5 inhibitors can improve confidence, sexual satisfaction, and ejaculatory control. No, masturbation does not cause premature ejaculation. Controlled masturbation techniques can help you manage premature ejaculation. PE is usually caused by underlying factors, like stress, anxiety, or depression.

Is premature ejaculation a sign of a serious health problem?

Yes, Kegel exercises can help manage premature ejaculation. Research shows that 82.5% of people who completed a 12-week pelvic floor exercise program increased their time to ejaculation from less than 60 seconds to 146 seconds. Yes, some STIs can cause premature ejaculation, especially those that cause chronic prostatitis, like chlamydia. If you think you may be affected, you can order an at-home chlamydia test. Yes, lifestyle changes like increasing exercise can help you effectively manage premature ejaculation.

Medicines for premature ejaculation

One study found that yoga, running, and high-intensity interval training (HIIT) could effectively manage premature ejaculation similarly to medication. British Society for Sexual Medicine (BSSM) Position Statement on Premature Ejaculation, The World Journal of Men’s Health [accessed 10 September 2025] Chlamydia trachomatis infection is related to premature ejaculation in chronic prostatitis patients: results from a cross-sectional study, The Journal of Sexual Medicine [accessed 10 September 2025] Effects of physical exercise interventions on ejaculation control, Sexual Medicine Reviews [accessed 10 September 2025] (284) EFFICACY OF PELVIC FLOOR MUSCLE TRAINING AND KEGEL EXERCISES IN THE TREATMENT OF PREMATURE EJACULATION: AN INTEGRATIVE LITERATURE REVIEW, The Journal of Sexual Medicine [accessed 10 September 2025] Ejaculation problems, NHS [accessed 10 September 2025] EMLA Cream 5% (5g pack), emc [accessed 10 September 2025] Medical therapy for premature ejaculation, Therapeutic Advances in Urology [accessed 10 September 2025] Premature ejaculation, NICE [accessed 10 September 2025] Premature Ejaculation, NIH [accessed 10 September 2025] Priligy 30 mg film-coated tablets, emc [accessed 10 September 2025] We provide men’s health care in one convenient clinic. To learn more about our services, call 310-794-7700. It can be either primary, meaning the man has always had the problem, or secondary, meaning the man has acquired the condition later in life. Premature ejaculation has various timing definitions ranging from ejaculating within one minute of penetration to ejaculating prior to a man's partner achieving orgasm. Premature ejaculation treatments are available in two main types: topical and oral medications.

Risk factors of premature ejaculation

They are effective, easy-to-use, low-cost and have a negligible risk of systemic side effects. Topical numbing sprays and creams are available with either a prescription or over the counter. They all work by gently numbing the sensitive areas of the penis so the nerves don’t fire so fast and the man can prolong intercourse. The agent must be washed off prior to intercourse or a condom must be worn to make sure the partner is not also desensitized. One option for patients is a new product, Promescent®, from Absorption Pharmaceuticals, which provides cost of vardenafil improved ejaculatory latency (the time from penetration to ejaculation) with minimal loss of sexual sensation.

Start-and-stop and squeeze methods

Oral medications: Some men respond well to low doses of the antidepressants known as selective serotonin reuptake inhibitors (SSRIs), that block serotonin, one of the hormones important in ejaculation. These are prescribed off-label, with some side effects. These pills have been around for over 20 years, are relatively safe, but are not FDA approved for PE / RE. It is therefore up to the patient and his doctor to make the call to use this class of drugs off label. Don’t be afraid to seek treatment for premature or rapid ejaculation.

Behavioral Therapy and Techniques for Reducing Arousal Levels

It is a very common condition, and one of the most common sexual dysfunctions. Your UCLA Men’s Clinic provider will be understanding and likely have an effective treatment that will please you and your partner. Board-certified urologists staff The Men’s Clinic at UCLA and you can be assured you are getting an experienced physician performing your evaluation and procedure in a relaxed and comfortable environment. For more information and to schedule an appointment, please call the UCLA Urology Appointment line at 310-794-7700. Premature ejaculation (PE)1 is the most common type of sexual dysfunction in men. Topical treatments are applied directly to the genitals to reduce sensation and help delay ejaculation.

• Consider professional counseling for psychological causes.
• Use behavioral exercises like stop-start method.
• Take prescribed SSRIs to delay ejaculation.
• Practice pelvic floor relaxation techniques.
• Maintain a healthy, balanced diet.
• Limit exposure to performance pressure.
• Engage in shared sexual experiences with partner.
• Use condoms with numbing agents if suitable.
• Track progress to stay motivated.
• Incorporate relaxation techniques before intimacy.
• Avoid rushing; focus on quality over speed.
• Seek group or couple therapy if needed.

Common options include desensitizing creams or sprays and benzocaine wipes.

• Start therapy early with a healthcare provider.
• Learn about psychological factors affecting performance.
• Use behavioral techniques to increase endurance.
• Consider antidepressants like SSRIs under medical supervision.
• Explore natural supplements such as L-arginine or herbal remedies.
• Practice mindfulness and stress reduction strategies.
• Avoid performance anxiety through relaxation exercises.
• Maintain a balanced diet to support sexual health.
• Limit distractions and focus on intimate connection.
• Track triggers or patterns that lead to early ejaculation.
• Use lubricants to decrease sensation and prolong intimacy.
• Seek support from sex education resources.

Oral medications can help men maintain an erection or delay climax.

Learn More From Our Specialists

There is no cenforce 200mg canada proof that this is a real thing, however, and physicians suggesting this as a cause of RE reinforces guilt associations with sexuality. Neurobiological: The neurotransmitter serotonin (5HT) plays a central role in the ejaculatory response. Low levels of serotonin in specific areas of the brain may lead premature ejaculation. Studies have shown that increases in serotonin levels can help delay ejaculation in some men. This provides the rationale for treating RE with anti-depressants in the selective serotonin reuptake inhibitor (SSRI) class.

Signs and symptoms

Penile Sensitivity: The ejaculatory spinal cord pathway is located at the ventral tip of the corona (if you’re standing up and looking down at your penis, the ventral side is on the bottom. The corona is the mushroom head of your penis.) If a man has increased sensitivity at that point, he will likely ejaculate too fast. Applying topical numbing agents, usually containing lidocaine, is an effective way to reduce penile sensitivity and prolong ejaculation. It is important to wash the penis prior to intercourse, or wear a condom, to avoid desensitizing the partner, however. At UCLA Health—The Men’s Clinic, physicians are trained to treat rapid ejaculation and have a number of methods available.

Is premature ejaculation common?

Treatment for PE and RE centers around behavioral, neurologic and hormonal modifications. Behavioral Therapy: Some patients respond to techniques such as starting and stopping. This basically involves interrupting intercourse to decrease stimulation to the penis in hopes of cooling the nerves down. Although effective at times, most patients report limited sexual satisfaction with these methods. Topical medications: One of the simplest treatment option is to temporarily desensitize the head of the penis by using a topical anesthetic medications for premature ejaculation. Two main categories used for premature ejaculation are selective serotonin reuptake inhibitors (SSRIs), which are a type of antidepressant, and PDE5 inhibitors, which are typically prescribed for erectile dysfunction.

How RedBox Rx can help

Essentially, a man or a couple can suffer from rapid ejaculation if one or both is unhappy with how rapidly the man ejaculates. For some couples, RE can occur 30 seconds into vaginal penetration. For others, RE may extend out to five or ten minutes. As long as one of the partners is dissatisfied, RE is a problem. A man doesn’t have much control over how quickly he ejaculates.

Can meditation cure premature ejaculation?

Ejaculation is mostly an event of the autonomic nervous system, the part of our nervous system we can’t fully control. Heartbeat, digestion, sweating are all examples of neurologic processes our autonomic nervous system controls. Therefore, when a man gets a signal to ejaculate, the point of no return, he’s going to go. The most sensitive part of the penis is the area around the frenulum, the skin flap on the underside of the penis just below the urethral meatus (where he urinates). There is a spinal cord pathway that connects there and rapidly sends signals to the ejaculation center of the spinal cord.

Medications for premature ejaculation

Serotonin, dopamine, prolactin, testosterone and oxytocin are all hormones that play a role in ejaculation. This is a very troubling condition for men as it compromises their sexual satisfaction and inhibits them in relationships. Some recent studies shed light on PE and RE but the exact causes are still not known. Psychological: Classic literature on RE suggests it is a trained sexual response fostered by men secretively masturbating as adolescents and trained to finish quickly. This behavior was then reinforced with early partner encounters where young couples engage in clandestine sexual activity in parents’ basements or car back seats. Topical treatments are applied directly to the genitals anywhere from five to 20 minutes before intercourse to reduce sensation and have been shown to delay orgasm in men by three to six minutes.2 However, for some users, topical treatments can cause loss of sexual desire or erectile disruption due to numbness.3 One risk of using topical treatments for PE is that the numbing ingredients can transfer to your partner, reducing sensation for them as well.

• Practice deep breathing when feeling close to climax.
• Use desensitizing products as a short-term solution.
• Try edging exercises to increase control.
• Limit sexual activities that lead to early ejaculation.
• Maintain a positive attitude towards progress.
• Consult a healthcare provider for medication options.
• Experiment with different masturbation techniques.
• Use mental distraction to delay orgasm.
• Strengthen core muscles to improve stamina.
• Avoid caffeine and stimulants before sex.
• Stay well-hydrated for optimal performance.
• Educate yourself about sexual health and techniques.

Using a condom can mitigate the transfer of topical treatment to your partner during sexual contact.

Strategy	Description	Sessions Needed	Success Rate
Cognitive Behavioral Therapy	Addressing anxiety and negative thoughts	8-12 sessions	60-75%
Mindfulness Meditation	Focusing on present sensations to reduce anxiety	Continuous	50-65%
Sensate Focus Exercises	Gradual intimacy without emphasis on ejaculation	6-10 weeks	55-70%
Relaxation Techniques	Deep breathing and progressive muscle relaxation	Ongoing	55-70%