What is Premature Ejaculation (PE)?
Premature ejaculation occurs when sex occurs earlier than desired, frequently within one minute of penetrative sex. It is defined by an inability to postpone orgasm to the point where it causes the patient and/or their partner distress or frustration. PE can be caused by a variety of factors, ranging from physical to psychological.
PE is a medical term that refers to ejaculation that occurs earlier than desired or intended, typically within one minute of penetration. Many men concerned about premature ejaculation do not meet the medical diagnostic criteria.
One of the difficulties in diagnosing and treating PE is that, until recently, no consensus on its definition existed, and there is no standard “time to ejaculation” for PE.
PE may be primary, referring to a chronic condition you’ve had your entire life. However, PE may be secondary. This means that you develop the condition following sexual encounters during which premature ejaculation was not an issue.
If you believe you ejaculate too rapidly during sex, treatment may be beneficial.
Is it possible to treat premature ejaculation?
Yes. While no single treatment is effective for every man, many men can be successfully treated with over-the-counter topicals, prescription medication, behavior modification, or a combination of these treatments.
While some people experience immediate results, others take time. Some men may need to experiment with several different methods before finding the one that works best for them.
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aonlinepharmacy.com is a telemedicine company that enables you to receive PE treatment from a doctor or nurse practitioner in a discreet, convenient, and affordable manner—all without leaving your couch. Our FDA approved meds are available for purchase directly from the website as a non-prescription over-the-counter (OTC) product. If you’re interested in prescription medication, the process begins with an online consultation. You will be asked about your symptoms, medical history, and other basic information during the online visit. Additionally, you will be asked to upload a photo of your identification to verify your identity. After you’ve completed these steps, a doctor or nurse practitioner will review them all, determine whether you’re a candidate for PE treatment via telemedicine, and create a customized treatment plan for you.
Is medication for PE effective?
Although no single treatment is effective for everyone, the majority of men can be successfully treated. Numerous oral medications, topical therapies, and other techniques are available for use alone or in combination. While some people experience immediate results, many men experience delayed results. Some individuals may discover that they need to experiment with several different approaches before arriving at the optimal solution. If something does not go according to plan or if you experience an adverse side effect, do not despair. You have options, and we are here to assist you in determining the best course of action.
Is ED meds prescribed for PE treatment?
There are numerous potential causes of PE, ranging from physical to psychological. While it may seem counterintuitive to be prescribed ED medication for PE, numerous studies have demonstrated that it is effective. There are several reasons why ED medication may be beneficial:
- ED medications can aid in the relaxation of the smooth muscles surrounding the organs involved in ejaculation.
- ED medications can have an effect on the nervous system, delaying ejaculation.
- ED medication may impair the penis’s sensitivity. ED medication may lengthen the duration of an erection, thereby increasing confidence, the perception of ejaculatory control, and overall sexual satisfaction.
- ED medication may facilitate obtaining a second erection following ejaculation.
- Additionally, some patients may have coexisting ED and PE. It is recommended that these patients receive ED treatment first to determine if it has a beneficial effect on PE.
Additionally, there are significant distinctions between the medications. For instance, sildenafil citrate is less effective when taken with food, and in some users, it can cause temporary blue vision (as if wearing blue-tinted glasses). Tadalafil can be taken with or without food and is much less likely to cause users to experience temporary blue vision. Tadalafil can also be used on a daily basis in smaller doses.
Non-prescription to treat PE
To treat PE, your physician or nurse practitioner may recommend a combination of medication and behavioral therapy tips. Each person is unique, and it may take time and experimentation to determine which methods work best for you. Several non-prescription techniques are recommended, including the following:
Topical anesthetics can be applied to the penis prior to sexual activity. They are available over-the-counter as creams, lotions, or sprays. The advantage of topical applications is that they have a low rate of adverse effects.
- Condoms: Condoms can aid in the treatment of PE by reducing penile sensitivity. Additionally, they reduce the risk of sexually transmitted infections and unintended pregnancy.
- Behavioral modification: The squeeze and stop-start techniques are two distinct strategies that can be used during masturbation or sexual activity to gradually improve control over ejaculatory timing.
- Psychotherapy: Counseling, whether in person, over the phone, or via text message, may improve a patient’s chances of success.
Home Remedies For PE
Herbal medicine which follows Ayurvedic principles
Ayurveda is India’s traditional healing system. It uses an assortment of over a thousand herbs to treat a range of conditions including diabetes, inflammation, and several others. Premature ejaculation is said to be treated by taking capsule-form Ayurvedic medicines such as kaunch beej, kamini vidrawan ras, and yauvanamrit vati twice daily with lukewarm water. Although there are claims that Ayurvedic medicine has successfully treated erectile dysfunction, this has not been proven.
Men who used Ayurvedic medicine had a slightly higher time to ejaculation during sex, according to a study published in Sexual Medicine in 2017. One of the most common potential side effects is:
- mild to moderate stomach pain
- decreased libido
Chinese herbal medicine
A dose of Chinese herbal medicine, such as Yimusake tablets or Qilin pills, can improve energy and stamina and help with premature ejaculation. A different Chinese herbal medicine was found to increase ejaculation time by two minutes in a study conducted by the University of Maryland Sexual Medicine Program. Side effects that are commonly reported include:
- Topical creams
- stomach pain
- decreased libido
Premature ejaculation can be treated with over-the-counter topical anaesthetic creams that contain a numbing agent that reduces sensation and delays climax. In order for the cream to be most effective, apply it to your penis 10 to 15 minutes before sexual activity. In 2017, a new study published in Sexual Medicine discovered that topical creams can help lengthen ejaculation time by a few minutes. Possible side effects of local anesthetic creams include redness, itching, pain, or sensitivity.
- mild burning sensation
- a temporary loss of sensitivity
- mild pain
- decreased libido
Lidocaine topical spray
Premature ejaculation can be treated with lidocaine spray, which desensitises the penis and decreases hypersensitivity. Before sex, use the spray for 10 to 15 minutes for maximum results. However, it’s well known that there are certain side effects that include lower sex drive and loss of sensitivity.
supplements with zinc
Zinc is essential for immune health and cell growth, but it also supports testosterone production and libido as well as increasing energy. Studies show that men who are zinc deficient may experience longer-than-normal ejaculation times, so taking 11 milligrams of zinc per day, the daily recommended amount, may help.
Zinc supplements have been shown to improve premature ejaculation in rats, according to a 2009 study. Excessive zinc intake, though, may lead to:
- impairment of kidney and stomach
- metallic-tasting saliva
- changes in dietary habits
Magnesium is essential for sexual well-being, and it can help with premature ejaculation as well.
With reliable data, we rate the Trusted Source. Foods rich in zinc and magnesium may help you prolong your sexual climax. Foods that include the following:
- pumpkin seeds
- wheat germ cereal
- dark chocolate
- kidney beans
- sesame seeds
- beef and lamb
Squeeze technique for Premature Ejaculation
Premature ejaculation may be helped using the pause-squeeze technique, which allows arousal to fade before orgasm. When you feel ready to ejaculate, stop and have your partner (the one whose penis is touching the end of your penis) squeeze the base of your penis where the head meets the shaft. Until you no longer want to climax, hold the squeeze for several seconds. Go through this process multiple times. As you practice, you may eventually be able to delay ejaculation without the assistance of another person.
Controlling technique for Premature Ejaculation
Orgasms can be delayed through stop-start, also known as orgasm control or “edging,” which will produce pleasure over time. Stop having sexual activity when you feel the urge to ejaculate. When you are no longer aroused, start having sexual activity again over time. Ejaculation control can be obtained by performing this process many times.
strict pelvic floor muscle contractions
Pelvic floor strengthening can significantly affect how long it takes you to climax. A study by the Journal of Therapeutic Advances in Urology in 2014 discovered that men with lifelong premature ejaculation could exercise their pelvic floor muscles to increase the length of time before climax. For the purposes of pelvic floor exercise, one must:
Stop mid-stream when you’re peeing, and if you feel a constriction in your abdominal or intestinal muscles, then your muscles have the right feel.
Try this when you lie down to relax your pelvic floor muscles: contract your muscles for three seconds, and then relax for three seconds. Perform this at least 10 times consecutively. Repeating three times per day would be a good idea.
As your muscles strengthen, gradually increase the amount of time to improve endurance. See what new positions you can try, such as standing, walking, or sitting.
Breathe as you contract your pelvic floor muscles. Don’t make your abdominal muscles, glutes, or buttocks tense.
“Delay Condoms” to treat Premature Ejaculation
When it comes to sensitivity, most condoms will keep you from reaching orgasm quickly, which can cause you to have less of an ejaculation. Another kind of climax control condom can be purchased without a prescription over-the-counter. These condoms have a thicker latex or numbing agent that is meant to delay climax.
It is possible that frequent pre-sex masturbating, in particular at least an hour or two before intercourse, may delay ejaculation during penetrative sex. The satisfaction of achieving sexual release should help reduce your tendency to climax quickly.
Hold off on sex for a while
For some people, focusing on other sexual activities can help lessen the sexual pressure that comes from sexual encounters. Pleasure that doesn’t involve discomfort or frustration can increase sexual satisfaction.
What is a medication's off-label use?
Off-label use of a medication refers to its use for purposes not expressly approved by the FDA. Healthcare professionals have the discretion to prescribe medications off-label if they believe the course of treatment is appropriate for a particular patient.
Is Sertraline is used to treat PE?
Sertraline can be used to treat PE in two ways. It can be taken daily at a convenient time (for example, after brushing your teeth in the morning) or as needed 4–8 hours prior to having sex. Daily administration of the medication has been shown to be more effective than taking it as needed. However, daily use of the medication increases the risk of experiencing adverse effects. Your physician or nurse practitioner can assist you in determining whether daily or as-needed dosing is the best option for you.
How do I know if I've PE?
Premature ejaculation (PE) is the main symptom. It occurs when men are unable to delay ejaculation for more than one minute after having sex. This could occur regardless of the sexual activity in question, even during masturbation.
To properly classify premature ejaculation, we can classify it into two categories:
Primary PE Symptom: Every time you have sex for the first time, premature ejaculation occurs.
Secondary PE Symptom: Premature ejaculation is caused by previous sexual experiences when you didn’t have any issues with premature ejaculation.
Many men believe they have premature ejaculation (PE) symptoms, but the symptoms don’t match the premature ejaculation diagnosis. Possible cases of premature ejaculation, which include rapid ejaculation and normal ejaculation, could instead have the condition of variable premature ejaculation.
What causes Premature Ejaculation?
Premature ejaculation has not been proven to have an exact cause. Many physicians used to believe that premature ejaculation was solely a psychological problem, but it is now understood to involve complex interactions between psychological and biological factors.
Causes based on psychology:
The possible roles that psychological factors may play include:
- pre-adolescent sexual experiences
- sexual molestation
- a negative view of one’s body
- messing with sexual performance
- A guilty conscience and an increased tendency to rush in sexual encounters are both risks associated with an unfaithful spouse.
Additionally, other possible influences include:
- Erection difficulty: Anxious men who worry about having or maintaining an erection while having sex may form a pattern of getting anxious, and as a result they ejaculate prematurely.
- Anxiety: Premature ejaculation is common in men who have additional problems with anxiety.
- Difficulties in relationships: If you have not experienced premature ejaculation when you have had satisfying sexual relationships with other partners, you may have interpersonal issues with your current partner.
Premature ejaculation is commonly attributed to various biological factors, such as:
- abnormal hormone levels
- malfunctioning neurotransmitters
- prostatitis and urethritis
- genealogical traits
Complications of Premature Ejaculation
Talking about your problem can be an important first step in improving your relationship. It may be possible to seek assistance from a relationship or sex therapist.
Premature ejaculation may affect your ability to start a family as well, because the sperm may not reach an egg to fertilize it. On top of that, sexual performance and interest may be adversely affected by premature ejaculation. In addition to our own options, a fertility specialist can also talk with you and your partner about various other options.
How can I cure Premature Ejaculation?
Various behavioral techniques, topical anesthetics, medications, and counselling are all popular treatment options for premature ejaculation. When it comes to finding a treatment or combination of treatments that works for you, be aware that it might take time. A combination of behavioral treatment and medication may be the most effective option.
Ayurvedic Treatment For PE
Semen and the reproductive system are held in high regard because of their generative property in Ayurveda. Ayurveda encompasses a variety of ailments like impotence, low libido, early ejaculation, sterility, and frigidity in men, as well as fertility problems in women.
These Vajikarana drugs assist in increasing physical strength and vitality, as well as improving fertility. There is little scientific research about the use of Ayurvedic drugs and procedures in the treatment of PE. Vajikarana vasti’s (various enemas with medicated oils & decoctions) are a highly effective method of managing vata, especially when combined with praharsha anna (exhilarating food items), balya (tonics), and shukrakara drugs (aphrodisiacs).
Erandamoola (Ricinus communis Linn), Brahmi (Bacopa monnieri Linn), Mandukaparni (Centella asciatica Linn), Amlaki (Emblica officinalis Garten), and Jatiphala (Myristica fragrans Houtt) have been shown to be effective in managing PE. Panchakarma procedures (Ayurvedic five major body cleansing procedures) like vasti (various medicated oil or decoction enemas) and shirodhara (continuous oil drip on the forehead) have not been rigorously studied, but they are nonetheless effective in the treatment of peripheral vascular disease.
Increased the time for ejaculation and female partner satisfaction as a result of Akarakarabhadi yoga. Narasimha chopped off the snake’s head, and his grandson Bhallataka bloomed with flowers, which aided in improving the length of the sexual act and the frequency of coitus. Ashwagandha (Withania somnifera Linn) and Mucuna prurita Hook have improved the duration of sexual activity. Brahmi (Bacopa monnieri), Mandukaparni (Centella asciatica) have properties that are especially good for dealing with anxiety, have adaptogenic and stress-relieving effects, and have an aphrodisiac effect. Drypetes roxburghii increases the time before ejaculation. In addition to being an aphrodisiac, kapikacchu (Mucuna prurience) is effective in increasing men’s performance. Ashwagandha is a vajikarana drug, but it is also known to have antidepressant, anti-anxiety, and anti-stress adaptogenic properties. Shukra stambhana yapana vasti (medicated enema) is commonly prescribed for cases of premature ejaculation. A formulation of Ayurveda known as Shukrastambhakara yoga was discovered to have antidepressant, aphrodisiac, and libido-enhancing properties, and it was effective in treating PE.
Chapter entitled “veerya stambhana adhikara” (which contains various formulations useful to control ejaculation) appears in the Ayurvedic text “Bhaishajya Ratnavali. In Bhaishajya ratnavali, several single drugs (herbal), herbo-mineral formulations, various external applications (a paste containing various herbs), and various other practises are mentioned.
Additionally, a ninth-century Ayurvedic text known as “Yoga Ratnakara” describes a variety of Ayurvedic formulas for the treatment of erectile dysfunction and premature ejaculation. A combination of ingredients called Vanari Gutika is suggested for early ejaculation and erectile dysfunction. Chandanadi tailam and Maha sugandhi tailam are two popular medicated oils that are applied all over the body before ejaculation. Useful in attaining control over ejaculation is Ayurvedic formulation called Abdhishoshadi yoga. In addition to Ahiphena (which is one of the main ingredients in Ayurvedic formulation Veeryastambhaka Vati), PE recommends using an Ayurvedic formulation that contains Ahiphena (Papaver somniferum).
The Ayurvedic approach to treatment for early ejaculation/sukragatavata should include aphrodisiacs (Vrishya), tonics (Balya), drugs that pacify Vata dosha (Vatahara), and psychotropic drugs (Medhya). Vasti is the best available treatment or an ideal choice for vata vikara. Because it manages vata at its own site, it is the best option for treatment of vata vikara.
applied to the lower abdomen/the whole body may regulate vata dosha, the main pathological factor in PE as stated in Ayurveda (may improve control over ejaculation). In order for these claims to be proven, further clinical trials are required.
How long should I last?
How long before ejaculation does a man last?
The results of one study, which surveyed sex therapists, revealed that one to two minutes is considered “too short,” three to seven minutes is considered “adequate,” seven to 13 minutes is “desirable,” and anything lasting for ten to thirty minutes is seen as “too long.
How to stop premature ejaculation?
Behavioral approaches, topical anesthetics, medicines, and counselling are all commonly used to treat premature ejaculation. When it comes to finding a treatment or combination of treatments that works for you, be aware that it might take time. There may be a combination of behavioral and pharmacological therapies that are most helpful.
Best pre ejaculation pills of 2021
According to findings from market researchers in 2021, the most popular premature ejaculation drugs will be Dapoxetine (Priligy), Lexapro, and Zoloft.
How premature ejaculation (PE) pill works?
Premature ejaculation is a widespread problem in the US, affecting tens of millions of men. Depending on your individual circumstance, a wide variety of treatments are available to help you avoid having an orgasm too soon.
There are two categories into which premature ejaculation remedies can be divided:
Treatments for premature ejaculation or OTC supplements:
Purchase these pills at sex shops, supplement shops, online marketplaces like Amazon, and so on. Herbal ingredients like horny goat weed, tongkat ali, and maca root are almost always in them.
A number of these supplements tout their capacity to boost sexual performance. Most of these claims lack provable scientific evidence, so even though they sound appealing, it’s important to remember that most of them are not true. Also, they have not undergone rigorous clinical testing and do not have FDA approval for the claims they make about treating PE, meaning that people should exercise caution before taking their claims at face value.
Premature ejaculation is commonly treated using several prescription medications. SSRIs, such as sertraline, are the most common, but also PDE5 inhibitors, such as sildenafil (Viagra) and tadalafil, are available (Cialis).
Antidepressants with the approval of the FDA are available for treating depression and several other conditions, but have not been approved for premature ejaculation. When they believe that the drug is medically appropriate to treat a condition, doctors may prescribe it even if the FDA has not specifically reviewed and approved its use for that condition. While this is considered a “off-label use”, doctors are still prescribing the drug for it.
SSRIs and PDE5 inhibitors both help men who suffer from premature ejaculation to last longer in bed.
What are the alternatives to premature ejaculation pills?
The most effective treatment for premature ejaculation, as well as lasting longer during sex, is to use antidepressants like sertraline and PDE5 inhibitors like sildenafil. There are various methods for dealing with premature ejaculation, including:
Lidocaine topical solution:
Lidocaine is a topical anaesthetic that helps you avoid premature ejaculation due to overstimulation when it is applied to your penis.
Alternatively, lidocaine is a great alternative for people who don’t want to use oral medication to treat PE. In our article about lidocaine spray, we go into more detail about how it works and the science behind its ability to help with premature ejaculation.
Lidocaine can also be purchased as a cream. The cream type, however, does not work as quickly as the topical lidocaine spray.
Prophylactic measures to decrease premature ejaculation:
There are a lot of early ejaculation treatments and methods floating around the internet, and they’re all quite possible. There are various techniques that can help to lower your risk of PE, including the “stop-start” strategy and “squeeze” technique. Premature ejaculation is covered in our guide to stopping it.
Magnesium and zinc supplements might enhance your sexual performance. There is, however, a lack of evidence to suggest that these supplements have the capability of treating premature ejaculation.