There are a number of things you can try yourself before seeking medical help.
It can sometimes help to:
If you're in a long-term relationship, you may benefit from having couples therapy. During these sessions, the therapist will:
In the squeeze technique, the woman masturbates the man, but stops before the point of ejaculation and squeezes the head of his penis for between 10 to 20 seconds. She then lets go and waits for another 30 seconds before resuming masturbation. This process is carried out several times before ejaculation is allowed to occur.
The stop-go technique is similar, but the woman doesnt squeeze the penis. Once the man feels more confident about delaying ejaculation, the couple can begin to have sex, stopping and starting as required.
These techniques may sound simple, but they require lots of practice.
Selective serotonin reuptake inhibitors (SSRIs) are designed to treat depression, but they also delay ejaculation. SSRIs used for this purpose include:
Some men may experience an improvement as soon as treatment begins. However, you'll usually need to take the medication for one to two weeks before you notice the full effects.
Side effects of SSRIs are usually mild and should improve after two to three weeks. They include:
Local NHS authorities can choose to prescribe it on the NHS.
It acts much faster than the SSRIs mentioned above and can be used "on demand". Youll usually be advised to take it between one and three hours before sex, but not more than once a day.
Your response to the treatment will then be reviewed after four weeks (or after six doses), and again every six months.
Dapoxetine isn't suitable for all men diagnosed with premature ejaculation. For example, it is not recommended for some men with heart, kidney and liver problems. It can also interact with other medications, such as other antidepressants.
Common side effects include:
The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. Condoms can also be used and are effective, particularly when combined with local anaesthesia.
Ejaculation problems such as premature, delayed and retrograde ejaculation are a common cause of sexual problems in men.
Various psychological and physical factors can cause a man to suddenly experience premature ejaculation. Common physical causes include: prostate problems thyroid problems an overactive or underac
There are a number of things you can try yourself before seeking medical help. Measures you can try yourself It can sometimes help to: masturbate an hour or two before having sex use a thick condom t
If you are having problems with your sex life and are seeking treatment, it is usually recommended you involve your partner as much as possible. Communicating your concerns can often go a long way to
Finding blood in your semen (haematospermia) can be alarming. However, in most cases it's not serious and will pass within a few days. The most likely cause is infection of your urethra (urethritis)
Delayed ejaculation Delayed ejaculation (male orgasmic disorder) is classed as either experiencing a significant delay before ejaculation or being unable to ejaculate at all, even though the man