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 for 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 recommend 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.

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