How to fix premature ejaculation?

1. What is premature ejaculation? Premature ejaculation is when an individual achieves orgasm earlier than themselves or their partner would like and this can happen before or shortly after penetration. Premature ejaculation is a common problem in most men. According to statistics, one third of men have experienced premature ejaculation at some point in their lives. If premature ejaculation occurs infrequently it is not a cause for concern, however, you can be diagnosed with premature ejaculation if:
Ejaculate within one minute of penetration most of the time Inability to delay ejaculation during intercourse Feeling distressed, frustrated and as a result tending to avoid sex

2. How to fix premature ejaculation in men? Both psychological and biological factors can have an impact on premature ejaculation. Although many men feel embarrassed to talk about it and wonder how to fix premature ejaculation, men can rest assured that premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that slow ejaculation - or a combination of the above, can fix premature ejaculation.
2.1. Behavioral techniques In some cases, the ways to overcome premature ejaculation in men are quite simple but effective. For example, masturbating 1-2 hours before intercourse will help you delay ejaculation during sex. Some doctors also recommend avoiding intercourse for a period of time and focusing on other types of sex play to take the pressure off of having sex with your partner.
2.2. Pelvic floor exercises The pelvic floor muscles play a role in controlling ejaculation. Weak pelvic floor muscles predispose you to premature ejaculation so pelvic floor exercises (Kegel exercises) can help strengthen these muscles and help with premature ejaculation. The training method is as follows:
Identify the right muscles: You can identify these muscles while urinating by stopping urinating midstream. The muscles you use to hold the urine back are the pelvic floor muscles. Once you've identified your pelvic floor muscles, you can do the exercises in any position, although you may find it easier at first to do the exercises lying down. Perfect the technique: Squeeze your pelvic floor muscles, hold the contraction for three seconds, then release for three seconds. Try working out a few times in a row until your muscles get stronger, then gradually increase the time to about 10 contraction cycles. You can repeat this exercise 3-4 times per day and practice in different positions such as sitting, standing or walking. Stay focused: To get the results you want, you need to focus on squeezing your pelvic floor muscles and taking care not to strain the muscles in your abdomen, thighs, or buttocks. During the exercise, avoid holding your breath and breathe freely.

2.3. The foreskin technique Your doctor can teach you and your partner to apply the foreskin technique. Here's how to do it:
First, you start your normal sexual activity, including penile stimulation, until you feel almost ready to ejaculate, then stop. The wife squeezes the end of the penis at the point where the glans comes into contact with the shaft. Maintain the squeeze for a few seconds, then let go and wait for about 30 seconds to resume sex. If you feel that you are about to ejaculate again, repeat the procedure above. Practicing this technique for a while will help you know how to delay ejaculation and no longer need the foreskin technique. If the foreskin technique causes pain or discomfort, another technique is to stop sexual stimulation just before ejaculation, wait until the level of arousal subsides, then start again (start and stop technique). - start and stop)
2.4. Condoms Condoms can reduce the sensitivity of the penis thereby helping to delay ejaculation. Condoms that contain anesthetic agents such as benzocaine or lidocaine or are made of thicker rubber to delay ejaculation are marketed as Trojan Extended, Durex Performax Intense and Lifestyles Everlast Intense.

2.5. Topical anesthetics
Topical anesthetic creams and sprays with ingredients such as benzocaine, lidocaine, or prilocaine, are sometimes used to correct premature ejaculation. These products are applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation.
Premature ejaculation lidocaine-prilocaine (EMLA) cream is a prescription drug and Lidocaine premature ejaculation spray is over-the-counter, so you can get it at drugstores.
Although local anesthetics are effective and well-tolerated, they also cause some side effects such as temporary loss of sensitivity and decreased sexual pleasure.
Oral drugs
There are several drugs on the market to overcome premature ejaculation such as antidepressants, pain relievers and phosphodiesterase-5 inhibitors. These medications can be prescribed as required or taken daily and can be prescribed alone or in combination with other treatments.
Antidepressants: Clinically, when using some antidepressants reduces orgasm, so selective serotonin reuptake inhibitors (SSRIs) are used in the treatment of depression. treatment for premature ejaculation such as escitalopram (Lexapro), sertraline (Zoloft), paroxetine (Paxil), or fluoxetine (Prozac, Sarafem).
If you do not respond to treatment with SSRIs, your doctor may prescribe the following:
The tricyclic antidepressant clomipramine (Anafranil) because its side effect also reduces sex drive. Painkillers: Tramadol (Ultram) is a morphine derivative, but it also has the side effect of delaying ejaculation. Note that tramadol should not be combined with SSRIs. Phosphodiesterase-5 inhibitors: Medicines such as sildenafil (Viagra), tadalafil (Cialis, Adcirca) or vardenafil (Levitra, Staxyn) help with premature ejaculation. However, it has side effects including headache, flushing, and indigestion. The effectiveness of these drugs is increased when combined with an SSRI.

2.6. Psychotherapy With premature ejaculation, you may feel a loss of your shared intimacy with your wife. Alternatively, you may feel angry, embarrassed, upset, and turn away from your wife. Psychological counseling helps you reduce anxiety about premature ejaculation and find effective ways to help you cope with stress. Psychological counseling combined with drug treatment will bring more effective.
As such, premature ejaculation is a very common and treatable condition. If you have signs of premature ejaculation, you should contact your doctor for timely examination, advice and treatment.
With many years of experience in examining and treating male and female diseases, now Vinmec International General Hospital has become one of the major health care centers, capable of examining , screening and treatment of many specialized diseases, especially problems with assisted reproduction. Therefore, when there is premature ejaculation or fertility problems, you can go to Vinmec International General Hospital to examine and receive support and advice from doctors and health experts. .

Reference source: mayoclinic.org