Premature ejaculation treatment options


There a quite a few premature ejaculation treatment options available – but which one suits you the best? This is my list of some of the best options to treat premature ejaculation.

Premature ejaculation pills

top 3 best premature ejaculation pills

Pills are the most popular method to treat premature ejaculation, since it works whenever you want to have sex – you don’t need to use a spray or a cream that might ruin “the mood” before it works.

How do I use them?

Take the pills (1-3, take a look at the instructions on the back of the bottle/box) with a glass of water every day and you are ready to go.

Pills for premature ejaculation pros/cons


  • They work whenever you are ready.
  • Very high success rate.
  • Long lasting erections.
  • Increased libido.


  • It’s a bit more expensive.

Best premature ejaculation pills here

Premature ejaculation sprays

top3 best premature ejaculation sprays

Spray are another very popular treatment for premature ejaculation. The spray bottles are small and fits in your pocket easily and are ready to use when you need it.

How do I use the spray?

  1. Spray 1 to 3 times on your penis (depends on how sensitive your penis is, try with 1 spray the first time).
  2. Wait a couple of min. and you are ready to have amazing long lasting sex.

Sprays for premature ejaculation pros/cons


  • Very high success rate.
  • Long lasting erections.
  • Small and handy.


  • It does take a bit of time to work.
  • you need to carry the spray around.

Best premature ejaculation sprays here

Premature ejaculation cream

top 3 best premature ejaculation creams

Premature ejaculation creams work the same way as sprays – so it’s really up to you to decide which one you prefer to use. The tubes are however a bit larger than the spray bottles.

How do I use the cream?

  1. Squeeze a small amount of cream on your penis (teaspoon amount).
  2. Rub the cream on your penis.
  3. Wait a couple of min. for the cream to work.

Creams for premature ejaculation pros/cons


  • Very high success rate.
  • Long lasting erections.


  • It takes a couple of min. to work.
  • You need to carry the tube around.

Best premature ejaculation creams here

What is premature ejaculation?

Simply put, premature ejaculation is when you ejaculate or climax during foreplay itself or very quickly after initiating sexual intercourse. It is uncontrolled and leaves both partners unsatisfied. Premature ejaculation is far more common today than you think.

According to an American survey the average time before a man ejaculate is 7 min. and 20 seconds and for men that suffer from premature ejaculation the average time was 1 min. and 50 seconds.

do i have premature ejaculation

Ask yourself if:

  1. Do I normaly ejaculation within 2 minuts of penetration?
  2. Your partner does rarly/never react orgasm before you?
  3. Do you feel drained and disappointed in bed even after orgasm?

If the answer to all or most of these questions is yes, then you probably suffer from premature ejaculation. Well, often PE is dismissed as something that is trivial and as something that doesn’t necessarily require medical attention – let me tell you that you are very, very wrong. PE is not something that will disappear overnight; it needs care, and the good news is that over time, it can be cured.

Studies (Study at American Urological Association) say that over 30% of men have suffered from PE at least some time in their life. Having premature ejaculation may not seem like such a huge issue, but it can be a cause of discord between you and your partner, leaving you exasperated and sexually frustrated alongside your spouse. Read on to know more.

30 procent of all men suffer from premature ejaculation here are some treatment options

Why do some men suffer from premature ejaculation?


The few of the psychological factors that may contribute to premature ejaculation are: 

  • Sexual abuse in childhood.
  • Conditioning
  • Poor body image
  • Depression
  • Anxiety
  • Ironically, worrying about ejaculating prematurely
  • Feeling guilty about not satisfying your partner

Other issues that play a role are:

Relationship problems: If you have had satisfying sexual intercourse with other partners previously and are having issues with your current partner, then you must consider looking into the possibility that you might have interpersonal problems with your partner that might be causing you to cum quickly. Try to rectify them.

Erectile Dysfunction: If you suffer from erectile dysfunction, meaning you have an issue getting an erection, then your PE problem might be tied up to that. See a medical professional for help.

Stress: If you have a lot of workloads, or problems with your partner or are perpetually stressed about something, then that can play a role in premature ejaculation. It doesn’t allow you to relax enough to thoroughly enjoy sexual activities.

Nerve Injury: If you have been in any accident that caused extensive damage to your spine or nervous system, which could also be a very viable reason for premature ejaculation and it would be well worth to get it checked.

Side effects of drugs: If you are taking any medication which is on the heavier side, it might be interfering with your ability to control your climax.

Alcoholism: If you are a frequent drinker, this might be the reason for your premature ejaculation. It is recommended that you cut down on your alcohol intake for a better sex life.

Relationship and psychological problems due to premature ejaculation

relationship problems cause premature ejaculation

It is true – premature ejaculation can honestly hamper your sex life and by extension, your relationship. 79% of women stated that they suffered from a low sex drive and felt unsatisfied in bed when they were with a guy suffering from PE. A lot of women said that shorter sex wasn’t the issue, but the complacency shown by the guy is what made them angry.

Partners often complained that their partner was more focused on holding out for a longer period rather than intimacy and making their partner orgasm. Interestingly, PE also often affects relationships. A whopping 40% of people felt they would be happier in a relationship with a man who didn’t suffer from premature ejaculation. About 20% of people interviewed said that PE would cause a serious damper in their relationships.

Well, it is frustrating when your partner reaches climax before you do. While it is normal for your partner to get a little too excited once in a while if it is happening too often, you might want to ask him to see a doctor, for he might be suffering from PE.

Common myths surrounding premature ejaculation

Premature ejaculation itself is pretty complicated and not all that well understood by most people, and myths surrounding this problem just seem to make things worse! Let us discuss and debunk some common myths surrounding PE so as to understand and treat it better.

1. PE only happens to young men.

Wrong! PE can occur to people of any age group. Though you naturally get better at controlling how your body reacts to stimulation as you get older, no particular age group has prevalence in PE.

2. The cause of PE is only psychological.

While psychological causes are fairly valid reasons for PE, they are not the only reasons that PE persists. Medical studies have shown that PR is caused by neurobiological conditions like higher than average penile sensitivity, or reduced serotonin levels are leading causes alongside other psychological reasons.

3. Uncircumcised men have a higher chance of suffering from PE

This has no relation to PE whatsoever. In fact countries like the US (that has low circumcision rates) as countries with high circumcision rates like Northern Europe.

Premature ejaculation symptoms

premature ejaculation symptoms

Well, only you and only you can determine if you suffer from PE. The main and foremost symptom is obviously the inability to delay ejaculation right after penetration. However, some cases of PE are not mutually exclusive to sexual intercourse. You might not be able to delay orgasm even while masturbating. If you cannot, it might be time to consult a medical professional.

Premature ejaculation can be of many types:

1. Primary or Lifelong Premature Ejaculation

This type of premature ejaculation occurs nearly all the time with every sexual encounter, with hardly any exceptions. Consult a urologist if you feel this is your case and receive a formal diagnosis. Mostly, in this case, the physician will recommend a topical ointment which is readily available.

2. Acquired or secondary Premature Ejaculation

This develops when you have had previous sexual encounters without any problem ejaculating. This condition might be caused by underlying psychological or physical issues like thyroid or erectile dysfunction. It is important that you see a physician as soon as possible to get treatment as soon as possible.

3. Variable Premature Ejaculation 

Some men might only occasionally experience early ejaculation, and rest of the times they are fine. This is pretty normal, and a lot of factors in play can cause this like excess of excitement or a long gap between your previous sexual encounter and your current one. This is nothing to worry about.

4. Subjective Premature Ejaculation

Some men believe that their ejaculation time, though normal, is not long enough and are always worried that they might not be sexually satisfying their partner. It is crucial for people to understand that normal ejaculation time is anywhere between five to seven minutes.

You should see a doctor if you ejaculate sooner than you want to during sexual intercourses. While it is such a common problem, most men still feel shy talking about it since it has a social stigma surrounding it. Well, ignore the stigma and take care of your health as this is an easily treatable problem.

Premature ejaculation treatment options

Here’s some good news – There are many remedies out there in the market that will help you overcome this issue so that if one doesn’t work for you, you can always try another way. Let’s discuss a few ways.

The first step to treating any disease is recognizing that you have a problem and accepting that you need treatment. You must remember that anyone can suffer from it and the important thing is to not blame yourself or your partner but to seek ways to help yourself.

Communicate: Discuss your problems with your partner openly instead of shying away from it. Sometimes openly talking about things may help calm your anxiety and fears. Your partner might be upset with the change in sexual intimacy as these problems can cause discord between two people.

Talking is the first step – if needed, you should also consider relationship counseling or sex therapy for your benefit.

Seek Therapy: Seeking help from professional health therapists can help as you can discover the underlying issues which might be the cause of your problem. Talking to a psychologist might also prove helpful.

Sessions with a mental health provider might help you reduce performance anxiety and help you find better ways of coping with your premature ejaculation. You can use this technique in combination with drug therapy to get the most out of it.

Other things you can do to help with your premature ejaculation

prevent premature ejaculation

1. Behavioral techniques 

Sometimes even the simplest of steps might help you out. For instance, try masturbating a few hours before sex so that you can delay ejaculation for a longer time with ease. You can also try focusing on foreplay rather than making sexual intercourse the main aim of the activity so as to reduce pressure on yourself to perform. Again, communicating with your partner is the key.

2. Pelvic floor exercises

Weak pelvic muscles might be impairing your ability to perform in the bedroom as well as you’d like to. You can quickly rectify this mistake by performing pelvic exercises. For instance – try to stop urination midstream to find your muscles. Perfect your technique by holding contractions for a few seconds and do it a few times in a row. Do this standing, sitting, sleeping or walking. Do it as often as you like, and soon you’ll start to see results.

3. Condoms

Condoms often act as a barrier and can effectively decrease penile sensations which can help you delay your ejaculation. Some condoms often contain some numbing agents or climax delay.’ These condoms contain common anesthetics like benzocaine or lidocaine which help delay ejaculation and help you last longer.

4. Medications

There are two kinds that are available in the market – topical and oral. Read on to find out which ones are best suited for you. If you are unsure, consult your urologist for a deeper insight.

5. Topical medications

These creams or sprays contain common numbing agents like benzocaine, lidocaine or prilocaine to treat premature ejaculation. You can use these topical creams or sprays are applied to the penis ten to fifteen minutes before sex.

These creams reduce sensitivity and hence help you last longer in bed. Most of these creams are available over the counter without prescription and are often used by many given the fact that they have very low side effects and show instant results.

6. Oral medications

There are many drugs that help delay orgasm, though a lot of medicines that are originally meant for another purpose can be helpful for premature ejaculation as well.

7. Antidepressants

A few antidepressants which have serotonin reuptake inhibitors (SSRIs), such as escitalopram (Lexapro), sertraline (Zoloft), paroxetine (Paxil) or fluoxetine (Prozac, Sarafem), have side-effects which help delay orgasm; hence they are sometimes used in the treatment of premature ejaculation.

8. Analgesics

Tramadol is a medication that is used to treat pain – delaying orgasm is a side effect of this medication.

9. Phosphodiesterase-5 inhibitors

Some medications that are used to treat erectile dysfunction in men have also found to help the case of premature ejaculation. These medications are, however, more effective when taken in combination with SSRI medicines. These are available only with a prescription.

Take care of yourself and get treatment. Premature ejaculation may seem like a scary thing, but with proper care and treatment, it is curable over time. Good luck!

Austin Hanson

After finishing a master degree in Urology at the European University in St. Petersburg, Austin cofounded in 2015. The purpose of the website is to help men with a wide variety of sexual problems with a language that everybody understand. Austin is a dedicated writer and loves to get his hands dirty with product reviews and the latest urology news. Outside of work his an outdoors person who loves fishing and running, you can follow Austin on Twitter or LinkedIn if you can keep up with him!

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