Premature ejaculation: clear answers and practical help

Premature ejaculation (PE) is when ejaculation happens sooner than you or your partner want during sex. It’s common — many men deal with it at some point — and most cases are treatable. This page gives straight-forward explanations, what to watch for, and practical steps you can try today.

What causes PE and when to see a doctor

PE can be lifelong (you’ve always had it) or acquired (it starts later). Causes include anxiety, stress, relationship issues, and simple performance pressure. Biological factors can play a role too, like hormone levels, thyroid problems, nerve sensitivity, or side effects of medications. If PE appears suddenly, follows a medical event, or comes with pain or erectile problems, book a medical check — it could signal something treatable.

When you see a clinician they’ll ask about timing, sexual history, medicines, and health conditions. Some doctors use the Intravaginal Ejaculatory Latency Time (IELT) or short questionnaires to understand severity. Be honest; accurate answers lead to better treatment choices.

Treatment options and useful techniques

Start with simple, non-drug methods. Behavioral techniques like the stop-start method or the squeeze technique can help you delay ejaculation. They take practice but many men notice improvement within a few weeks. Pelvic floor exercises (Kegels) strengthen the muscles that control ejaculation — do short, controlled squeezes several times a day and during sex practice.

Topical anesthetics (creams or sprays with a mild numbing agent) can reduce sensitivity. Apply as directed and protect your partner with a condom if needed. Over-the-counter options can help short-term but read instructions and test for skin reactions.

Oral medications are another option. Dapoxetine is a short-acting SSRI made specifically for PE in some countries — it’s taken before sex and can delay ejaculation for many men. Other SSRIs (like sertraline or paroxetine) are used off-label and may be taken daily for longer-term benefit. These medicines can have side effects, so discuss risks and benefits with your doctor.

Cognitive behavioral therapy or sex therapy helps when anxiety, stress, or relationship issues fuel PE. A therapist can teach techniques for relaxation, confidence, and better communication with your partner. Combining therapy with medical or behavioral methods often gives the best results.

Quick tips you can try now: talk openly with your partner about expectations, pause and breathe if you feel close to climax, try positions that reduce stimulation, and avoid heavy alcohol right before sex (it can impair arousal control). Track progress — a simple timer or notes help you see improvement and guide treatment choices.

PE is common and treatable. If home methods don’t help after a few weeks or it causes real emotional strain, reach out to your doctor or a sexual health specialist. Getting help is practical and often quick to improve your sex life and confidence.