How To Not Cum Too Fast
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How To Not Cum Too Fast
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Premature Ejaculation Treatment
How to Delay Ejaculation
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Premature ejaculation is the most common ejaculation related problem. This is when you ejaculate or ‘come’ too quickly during sexual activity or sexual intercourse. There are a few things you can try to improve premature ejaculation. These include medical treatments, sexual health improvement, techniques, and lifestyle changes.
Premature ejaculation is a condition where you ejaculate too quickly during sex. Premature ejaculation can affect up to 30% of men . It is split into 2 different kinds, primary (lifelong) or secondary (acquired):
The average time to ejaculate is around 5 and a half minutes . If you ejaculate much faster than this, you could think about ways to improve it. Premature ejaculation is when you ejaculate within 1 to 2 minutes of having sex.
Looking for treatment for premature ejaculation is a personal choice. It’s between you and your partner to decide if you’re both happy with the time it takes you to ejaculate. If your ejaculation time is causing you or your partner worry, treatment or tips can help.
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There are several ‘risk factors’ which can cause premature ejaculation. For example, you’re more likely to develop premature ejaculation if you:
There are treatments designed to help premature ejaculation. If you have an underlying medical condition, there are specific treatment options for you too.
Primary premature ejaculation may happen the first time you have sex. This can then happen every time afterwards as well. Psychological factors are often common causes of primary premature ejaculation, compared to secondary premature ejaculation, which is sometimes caused by a physical condition.
Causes of primary premature ejaculation include:
Secondary premature ejaculation is often caused by stress, anxiety or depression . These are linked with male sexual dysfunctions, including premature ejaculation. There is a strong link between premature ejaculation and depression. Other factors include relationship issues, personal conflicts, and performance related anxiety .
There are also physical causes of secondary premature ejaculation , including:
Relationship issues can also be a common cause of premature ejaculation. If your partner is not supportive, it can lead to a higher level of anxiety and fear of failure. If relationship problems are a cause of premature ejaculation, it may be due to:
Self help techniques for delaying ejaculation include:
Your pelvic floor muscles can help delay ejaculation. They help you control your ejaculatory reflex. This will help you last longer. You can find your pelvic floor muscle by stopping mid stream while you're peeing. When you're laying down, tighten your pelvic floor muscles for 3 seconds. Then relax them for 3 seconds. Try to do this 10 times in a row. You can repeat this at least 3 times a day. If you slowly increase the number of seconds, you’ll help your muscles become stronger.
These techniques can take practice to get right, but they should help you delay ejaculation in the long term.
Lifestyle changes : if your premature ejaculation is related to certain risk factors, you might be able to improve it by making some changes. This might include quitting smoking , drinking less alcohol, or losing weight.
Supplements : some men have found that taking zinc supplements can help. Zinc is an important mineral in our body that helps produce testosterone. By taking the recommended amount of 10mg of zinc each day, you may see an improvement in your ejaculation time.
Premature ejaculation treatments can help improve your symptoms, but they won’t cure premature ejaculation completely. They include the following.
Priligy is a type of antidepressant and it's taken in tablet form. It contains dapoxetine. This is a selective serotonin reuptake inhibitor (SSRI). Dapoxetine was designed with premature ejaculation in mind. It’ll raise your serotonin levels and many men find it helps them last longer. You can use it 'as and when'. You should take Priligy 1 to 3 hours before sex. You can discuss with your doctor if Priligy is right for you. You should not take it more than once a day. If you find that Priligy doesn't work for you, your doctor may prescribe you an alternative SSRI like fluoxetine, sertraline or paroxetine. Some common side effects of Priligy include feeling dizzy, feeling sick or sweaty, and headaches.
EMLA is a cream that you rub onto the head of the penis to make it less sensitive. This can help slow down ejaculation. It has two local anaesthetics (numbing agents) called lidocaine and prilocaine. Lidocaine and prilocaine will slowly numb your skin where you rub it in. You should apply EMLA around 15 minutes before having sex. You'll need to wash any extra off the head of the penis before you start having sex. It's important to know that EMLA cream is oil based. This can weaken latex condoms and increase the risk of them splitting. Some of the common side effects of EMLA cream include slight swelling or tingling, redness, or mild itching.
Viagra works by increasing blood flow to your penis. It'll help you get and keep an erection. Viagra may help you last longer too. It comes in tablet form and contains sildenafil. Viagra won't fix the underlying cause of premature ejaculation, but it can help you in the short term. Your doctor will talk to you about how to use it best. Normally you take Viagra once a day, 1 hour before having sex. Some of the common side effects of Viagra include headaches, feeling sick, hot flushes, or dizziness.
Cialis is a tablet that works like Viagra. Cialis contains tadalafil. It increases blood flow to your penis making it easier to get and keep an erection. The difference between Cialis and Viagra is the time they are effective for. Cialis works for up to 36 hours. This means that if you’re sexually stimulated during this time, it’ll help you get an erection. Some common side effects of Cialis include headaches, dizziness, heartburn, or muscle pain.
You should always speak to a healthcare professional before taking any medication to make sure it’s the right treatment for you.
You can request Priligy, EMLA, Viagra, or Cialis online from ZAVA. Our service is quick and easy to use – just follow these simple steps:
Sex therapy or counselling with or without a partner can also be helpful, particularly if you’re in a long term relationship. During a session, a counsellor or sex therapist will:
Babak studied medicine at King’s College London and graduated in 2003, having also gained a bachelor’s degree in Physiology during his time there. He completed his general practice (GP) training in East London, where he worked for a number of years as a partner at a large inner-city GP practice. He completed the Royal College of GPs membership exam in 2007.
Dapoxetine tablets (2019) Patient.info [accessed 28 June 2021]
Zinc Deficiency, Excess and Supplementation (2019) Patient.info [accessed 28 June 2021]
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McMahon, C.G. (2007, April-June). Premature ejaculation. Indian Journal of Urology. 23 (2), 97–108. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721550/ Crowdis, M. & Nazir, S. (2020, June 28). Premature Ejaculation. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK546701/ Premature ejaculation: Overview. (2019, September 12). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK547548/ Byers, E.S. & Grenier, G. (2003, June). Premature or rapid ejaculation: heterosexual couples perceptions of mens ejaculatory behavior. Archives of Sexual Behavior. 32 (3), 261-70. Retrieved from https://pubmed.ncbi.nlm.nih.gov/12807298/ Chen, et al. (2009, October). A clinical study on psycho-behavior therapy for premature ejaculation. National Journal of Andrology. 15 (10), 929-31. Retrieved from https://pubmed.ncbi.nlm.nih.gov/20112744/ Cooper, K., et al. (2015, September). Behavioral Therapies for Management of Premature Ejaculation: A Systematic Review. Sexual Medicine. 3 (3), 174–188. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4599555/ Mohee, A. & Eardley, I. (2011, October). Medical therapy for premature ejaculation. Therapeutic Advances in Urology. 3 (5), 211–222. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199591/ Premature ejaculation: What can I do on my own? (2019, September 12). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK547551/ Turley, E. & Rowland, D.L. (2013, March 7). Evolving ideas about the male refractory period. BJU International. 112 (4), 442.452. Retrieved from https://bjui-journals.onlinelibrary.wiley.com/doi/10.1111/bju.12011 Pastore, A.L., et al. (2014, June). Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach. Therapeutic Advances in Urology. 6 (3), 83–88. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003840/ Myers, C. & Smith, M. (2019, June). Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review. Physiotherapy. 105 (2), 235-243. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30979506/ Althof, S.E. (2016, August). Psychosexual therapy for premature ejaculation. Translational Andrology and Urology. 5 (4), 475–481. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5001981/ Arafa, M. & Shamloul, R. (2007, August). A randomized study examining the effect of 3 SSRI on premature ejaculation using a validated questionnaire. Therapeutics and Clinical Risk Management. 3 (4), 527–531. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2374931/ Mihnas, et al. (2007, April). Can sildenafil treat primary premature ejaculation? A prospective clinical study. International Journal of Urology. 14 (4), 331-5. Retrieved from https://pubmed.ncbi.nlm.nih.gov/17470165/ Akdemir, et al. (2017, March-April). Effect of tadalafil 5mg daily treatment on the ejaculatory times, lower urinary tract symptoms and erectile function in patients with erectile dysfunction. International Brazilian Journal of Urology. 43 (2), 317–324. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433372/ Atikeler, et al. (2002, December). Optimum usage of prilocaine-lidocaine cream in premature ejaculation. Andrologia. 34 (6), 356-9. Retrieved from https://pubmed.ncbi.nlm.nih.gov/12472618/ El-Hamd, M.A. (2020, January 2). Effectiveness and tolerability of lidocaine 5% spray in the treatment of lifelong premature ejaculation patients: a randomized single-blind placebo-controlled clinical trial. International Journal of Impotence Research. 33, 96-101. Retrieved from https://www.nature.com/articles/s41443-019-0225-9 G, M. du. (n.d.). Is there a place for surgical treatment of premature ejaculation? Translational andrology and urology. Retrieved June 2, 2022, from https://pubmed.ncbi.nlm.nih.gov/27652223/
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Premature ejaculation is one of the most common forms of sexual dysfunction, with research suggesting that up to 39 percent of men are affected.
If you suffer from premature ejaculation, you may find that you reach orgasm and ejaculate in relatively little time during sex–typically in as little as one or two minutes.
Most cases of premature ejaculation (or “PE,” for short) are treatable, meaning there’s usually no need to worry about this common sexual problem permanently affecting your sex life.
So, how do you get things under control? Stopping premature ejaculation may involve a mix of various behavioral strategies and medications to help you along the way, including:
Numbing creams, sprays and similar products
Read on to learn more about how each of those methods can work alone or together to keep you in the saddle longer.
Before we get into the specifics of treating premature ejaculation, it’s important to explain the basics of what premature ejaculation actually is.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM–5), premature ejaculation is defined as ejaculation that occurs within one minute of vaginal penetration and before the individual wishes it.
The DSM-5 definition also states that premature ejaculation occurs in all or almost all sexual activity (75 to 100% of the time), persists for six months, causes clinical distress and that it isn’t explainable by an external factor such as a medical condition or medication.
Premature ejaculation is often classed as mild, moderate or severe. Mild PE occurs 30 to 60 seconds after vaginal penetration, while severe PE occurs within 15 seconds of sex or even before penetration.
With this in mind, it’s important to understand that there’s a big difference between premature ejaculation and simply reaching orgasm and ejaculating too early.
Thanks to porn, mass media and other sources, it’s common to think that sex needs to last for 15, 30 or even 60+ minutes for both partners to be satisfied.
Of course, this isn’t true. Research published in the book, StatPearls , and research into sexual duration published in the Indian Journal of Urology , shows that the average guy lasts between five and seven minutes during vaginal sex.
It also shows that the overall range of time required for men to reach orgasm and ejaculate is really large. While some guys are totally finished in a minute, others last for more than half an hour on average.
Now, it’s important to keep in mind that this type of research isn’t perfect. Unlike a test of a drug’s efficacy, for example, it isn’t really practical to test the average amount of time couples spend having sex in a perfectly controlled, distraction-free lab setting.
As such, most studies that analyze intravaginal ejaculatory latency time (the scientific term for “amount of time needed to ejaculate”) are done by couples, at home, using a stopwatch.
In short, there’s no “right” amount of time for you to last in bed before ejaculating. The research that we have, which is admittedly imperfect, shows that most guys last for five to seven minutes–hardly the porn star-like performance we might expect.
What’s more, science shows that women seem to be less concerned about this than men. In one study published in the journal, Archives of Sexual Behavior , in 2003, researchers found that women tended to worry less about their partner’s rapid ejaculation (a term for premature ejaculation) than men did about their own time to reach orgasm and ejaculate.
Put simply, there’s no “ideal” time. Although anything less than a minute might be classified as premature ejaculation, it’s just as normal to have sex for five minutes as it is to last for 30.
Thankfully, there are several ways to stop from coming as fast.
If you suffer from premature ejaculation, you may not need to use medication to increase your time to ejaculation.
In fact, many men can gradually stop premature ejaculation and increase their time to orgasm with behavioral therapy techniques.
In one study published in the National Journal of Andrology , men suffering from premature ejaculation were treated through a six-time course of behavioral therapy, two to three times per week.
After the treatment, the men were able to last longer before reaching orgasm and ejaculating during sex.
And the men who took part in the study and their partners reported higher levels of sexual satisfaction.
The men in the study also reported lower levels of sexual performance anxiety and nervousness–factors that can often contribute to premature ejaculation and other sexual performance issues.
Several different behavioral techniques are used as treatment options to prevent premature ejaculation, including simple techniques that can be performed during sex.
One of the oldest and most effective ways to prevent premature ejaculation is through the use of the “stop-start” strategy during sexual intercourse.
The stop-start strategy is exactly what it sounds like. As you feel that you’re about to reach orgasm and ejaculate during sex, stop for a moment and let the sensation pass, and then repeat the process until you’re ready to ejaculate.
Most books and studies that reference the stop-start strategy advocate stopping as soon as you feel ejaculation approaching.
As simplistic as the stop-start strategy sounds, research shows that it’s a relatively effective way to treat premature ejaculation in the short term.
For example, a scientific review published in Therapeutic Advances in Urology noted that 45 to 65 percent of men with premature ejaculation report benefits from this technique.
However, long-term results on the stop-start technique aren’t as well studied, with relatively little data available.
Since the stop-start strategy doesn’t involve any medications or costly treatments, it’s a helpful first option for stopping premature ejaculation.
You can practice the stop-start technique with your partner or by yourself. As you feel yourself approaching orgasm, stop the stimulation and take a break to let yourself recover.
Once you’ve felt the sensation pass, try repeating this process until you feel more confident in your ability to control your orgasm and not cum too fast.
Another common behavioral technique used to manage premature ejaculation is the “squeeze” or “pause-squeeze.”
Just like the stop-start strategy, the
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