How To Choose The Right Premature Ejaculation Treatment

There’s a surprisingly wide range of premature ejaculation treatments available. Whilst this provides cause for hope, in my personal experience it can also be a little confusing.

How do you know whether you need a desensitizing spray or cream, behavioral techniques, counseling or medical help?

Each of these is a quite different approach to tackling the problem, suggesting that it might actually matter which one you go for.

The way I see it, to work out which is the most likely to help you, you have 3 main options:

  • Seek professional medical advice.
  • Experiment with self-help and over the counter options.
  • Try to work out what’s causing it and then find the appropriate treatment.

The assumption of all three options is that not every premature ejaculation treatment will work equally for all guys. And this is something which I think is definitely true. Let’s look at each of those approaches in turn.

1. Medical advice

There’s no harm in talking to a doctor – if you don’t find it too embarrassing. They can look at your medical history and check if there’s a physical condition causing your premature ejaculation.

They may refer you to counseling if they feel there’s an emotional cause. And they can prescribe you medication known to help severe premature ejaculation, such as anti-depressants.

But if you’re more into the self-help route, or aren’t keen on taking medication on an on-going basis, then you may be better suited to the next approach.

2. Self-help and over the counter options

There are some very effective self-help and over the counter options for premature ejaculation. It might take a little trial and error, but sooner or later you should find something which works well for you.

You also have the possibility of combining different premature ejaculation treatments, as long as it’s safe to do so.

Some guys may suffer from premature ejaculation purely because of one thing, such as physical sensitivity. But for others, it’s a combination of factors. So by considering different options, you have a better chance of overcoming it.

My own experience of premature ejaculation, for example, was that a combination of approaches worked. This is what I personally found helped:

  • Doing the ejaculation control exercises I found in a good premature ejaculation guide.
  • Using practical techniques described in the book like deep breathing, better foreplay, and avoiding certain positions.
  • Using a delay spray from time to time while waiting for the natural control to improve.
  • Working on the anxiety issues I had.

That’s only what helped me deal with the problem though. For you, it could be just one thing that works, or a different combination altogether. You won’t know until you give it a go.

3. Identify the cause

At first glance, this option sounds the most logical and probably cost-effective. The problem is that according to the medical community there still isn’t a consensus on what really causes premature ejaculation, or how many different causes there might even be.

Some of the possibilities suggested by doctors are:

  • Genetics.
  • Hyper-sensitivity of the penis.
  • Emotional or psychological trauma.
  • Rushed masturbation when younger.
  • Anxiety or stress.
  • Hormonal factors and/or brain chemistry.
  • Specific behavior during sex.
  • Other factors like your expectations and experience.

Even assuming that some of these are real possibilities, how do you work out which applies to you? It’s kind of difficult, though you can certainly try some guesswork.

For example, you’ll probably know if you have a sensitive penis. If you do, then a desensitizing spray might help.

You may know you’re a highly anxious person, have doubts about your sexual ability and lack confidence in bed. In which case counseling might be helpful.

You may know you’ve always been someone that masturbates as quickly as possible. And that when you have sex you tend to get carried away in the heat of the moment.

Or maybe you’ve never put much thought into sex techniques and ways of slowing it all down. In both of these cases, behavioral techniques might help.

The reality though is that it’s probably a combination of more than one factor at play.

If you have an idea of what could be causing it, then that makes a great starting point in choosing a treatment. But after that, you may still find yourself needing to experiment until you find the best solution.


My opinion is that you need to keep an open mind and be willing to try different techniques to deal with premature ejaculation. Unless of course, you get lucky and the very first thing you try works perfectly for you.

Even the treatments which I’ve personally reviewed and recommended may not be as effective for you as they were me. All I can do is give you as much information as possible and let you decide for yourself.

But it may be that the best option is simply to look at the descriptions of each product and how they work. Hopefully, you’ll find something which suits both your character and belief about what you most need.

Your experience

If you have premature ejaculation, what have you tried so far to deal with it? And what approach to treatment most appeals to you? Feel free to leave a comment below with your thoughts.

53 thoughts on “How To Choose The Right Premature Ejaculation Treatment”

  1. Hi Jeff
    If you think rushed masturbation is causing it, I would definitely recommend trying behavioral techniques. Even something as simple as the start and stop technique can help hopefully. Have a good look around this site, as there are many articles that will give you advice and techniques to try.

  2. Hi,
    My first erection is perfect which ends up in PE in 2 min at an age of 45. Need to have a second hard errection in 15-20 minutes. I use to intake local viagra (sildenafil) but lately after 6 months, finding that its not effecting anymore. Can u please help.

    1. Hi there
      Have you been taking it very regularly? If so, maybe having a break for a week or two might help? You could also try a different supplier, or see if you can get in on prescription? I’d also recommend working on the PE as much as possible, so you can get the first time to last longer – that way negating the need for the viagra at all. One way that might work too is to masturbate an hour or two before sex. That might help your first time last longer.

  3. Hi Ethan!
    Very good articles. I am 38 years old and have had issues with PE as long as I can remember. I’ve tried all different techniques without much luck. I am uncircumcised and from research I’ve done,it causes more sensitivity due to the foreskin constantly up and down during penetration even while wearing a condom. Ive thought about getting circumcised but not sure if that’s worth doing at my age. I drank pretty heavily for many of years which helped the pe but caused issues with getting it up or keeping it up especially with new partners(alcohol and anxiety not a good mixture. What I have found worked best for me was when I was put on tramadol when I hurt my back. From the first dose,I felt like a stud in bed. At first,it did cause issues with the quality of my erection but just the extra confidence alone overpowered that and took care of the problem. I was only on them for a short term a few different times of my life. Obviously with the addictive downside even with small doses,I don’t recommend anyone using tramadol long term for PE. I was also on different antidressants for depression a few years back and I did notice a slight difference but nothing to brag about. The main way I have been handling PE over the years is being VERY good at oral to keep my wife satisfied. Most times I will make sure she orgasm multiple times before we even have sex. Then when we do have sex,if I have to pull out for a little while until the sensitivity goes down,she isn’t laying there unsatified. We have been happily married for almost 10 years now so it must be working. Lol. Just a little info for readers so they know that even know PE really sucks,there is ways around it without using drugs or having to be drunk just so you can last longer.

    1. Hi there
      Thanks for your comment and for sharing your experience. It’s always good to hear from readers and how they deal with PE personally. Everything you said makes total sense to me. I also agree that oral is a fantastic way to deal with this kind of issue. I also pretty much always make sure my partner has an oral orgasm before we have sex. Not only is it a great way to ensure they are satisfied, but it takes the pressure off you enormously, which helps in itself because you feel more relaxed then, but it’s also just such a great way to warm them up and make it physically less stimulating once they are very aroused. So it’s a winning technique for multiple reasons.

  4. Linus ikechukw nwabunwanne

    thank you so much, please have can I get this products. I need two or three products,please send it to me.

    1. Hi Linus
      We don’t actually sell the products, we only discuss and review them. You can find them by looking online, or by clicking the links in our main premature ejaculation page, which you can find here.

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