Last updated: January 27, 2021 By Ethan Green
Having experienced the stress of premature ejaculation myself, one of my main goals with this website is to discuss and share ideas about the self-help and over the counter
On this overview page, I’ll first cover some of the background information about premature ejaculation that I personally found helpful to understand.
Then I’ll discuss the different methods I’ve tried over the years. Please note that isn’t intended as medical advice. The ideas here are based on my experience and research.
I’ve tried to include a balanced mix of products you’d need to get a prescription for or buy yourself, and techniques you can read for free and try for yourself. I know it’s tempting to throw money at serious problems like premature ejaculation – believe me, I did it myself!
But I think it’s good to be aware that you have options even if you don’t have much money. While you can’t make your own desensitizing spray or pills, you can find free information about natural techniques, and even make your own sex toys for practicing them.
Contents
- How many men have premature ejaculation?
- Definition and types of premature ejaculation
- What causes it?
- The different types of treatment
- What’s the best treatment?
Background information
1. How many men have premature ejaculation?
Many men are unlikely to talk to their doctor about premature ejaculation, which means that nobody really knows exactly how many suffer from it.
Researchers suggest that in most studies it ranges from 4% to 39% of men. That’s a wide range, but whatever the true figure is, it’s clearly a common issue.
2. Definition and types of premature ejaculation
The definition of premature ejaculation varies from one source to the next, but most experts refer to three main types:
- Lifelong PE – when it’s a problem from the very first sexual encounter. Usually, the man ejaculates in under a minute of penetrative sex.
- Acquired PE – when it becomes a problem after months or years of normal sex.
- Normal variable PE – this is the case for many men: sometimes they ejaculate quickly, but other times last much longer.
In addition, there are some who argue that it’s a subjective problem. Even if a man lasts longer than three minutes, it could still be considered premature if he and/or his partner feel it is.
3. What causes it?
The Mayo Clinic states that the exact cause isn’t known. However, where once it was thought to be psychological, doctors now believe it “involves a complex interaction of psychological and biological factors.”
Some of those factors include:
- Abnormal hormonal or brain chemical levels.
- Inflammation or infection of the prostate or urethra.
- Early sexual experience, such as rushed masturbation.
- Sexual abuse.
- Poor body image.
- Guilt leading to rushed sex.
- Anxiety about lasting long enough.
- Anxiety about erectile dysfunction leading to rushed sex.
- Stress.
- Sex that’s too stimulating.
4. Which type of treatment?
Before discussing specific treatment options, it’s useful to look at the main categories. If you’re interested in self-help, your main options are:
- Topical anesthetics – delay sprays, creams and condoms.
- Behavioral techniques – includes the start and stop method, Kegels and the pause-squeeze technique.
- Medications – available over the counter or online.
If you want to seek professional help, you have two main choices:
- Speak to your doctor – who might also recommend self-help. Additionally, they might offer counseling, prescription medication or treatment for an underlying cause.
- Speak to a counselor or therapist – if you feel that there’s a psychological cause, or it’s causing you personal distress and relationship problems.
5. What’s the best treatment?
There’s isn’t a single treatment that works equally well for all men. But some studies suggest that medical treatments, like anti-depressants and delay sprays, are usually the most effective.
There’s also growing evidence that self-help behavioral techniques can help. And my personal experience has definitely been positive with these methods.
So even if you do choose the easier option of a delay spray or oral medication to start with, I recommend working on your control naturally too.
I’d also suggest that if you can handle the potential embarrassment, speaking to your doctor could be a great way to identify the cause and get any necessary treatment.
Self-help treatment options
1. Delay sprays / topical anesthetics
Delay sprays, referred to as topical anesthetics by the medical community, are an immediate and easy way to tackle premature ejaculation in my experience.
They aren’t a cure and need to be used every time you have sex, but for many men they work well.
The main advantages
- Available without a prescription.
- Used on demand when you have sex.
- Can take effect in as little as 5 to 10 minutes.
- Can help you last several minutes longer, and sometimes much longer.
- Some can be used with oral sex and with or without a condom.
Potential issues
- They don’t always work for all men equally, so there’s no guarantee of success.
- They can sometimes cause too much numbing, leading to erection loss.
- Some can cause a tingling or burning sensation.
- You have to use them properly to avoid transference to your partner.
I recommend
The spray I’ve personally found to be most effective is Promescent, which you can find at Promescent.com.
Reviews
2. Behavioral techniques
There’s a surprisingly wide range of self-help techniques to stop premature ejaculation. Some simply involve changing the way you have sex, such as:
- Masturbate an hour before sex.
- Wear a condom.
- Spend less time in the missionary position or from behind.
- Master the art of oral sex.
- Have sex more often.
Others involve specific techniques you’ll have to practice for longer, like the start and stop method, sensate focusing, kegels, and arousal control.
The main advantages
- It doesn’t involve medication.
- There are no ongoing costs.
- Usually safe as long as you practice the techniques correctly.
- There’s the chance of permanently stopping your premature ejaculation.
- If done right, you can have sex for much longer, not just a few minutes.
- Changing the way you have sex can be very positive for you and your partner.
Potential issues
- It might not work if there is a physical cause.
- It can take time and dedication to see the best results.
I recommend
You can find information about these techniques widely online, including this site (see the useful articles below).
If you’d like a more complete guide, take a look at my book reviews below in which I discuss some popular sexual stamina guides.
Useful articles
Premature ejaculation book reviews
3. Medication
First of all, I should mention that I’m not a doctor. So my knowledge about the drug treatments is based on personal experience and research.
From my understanding, there are a few different categories of oral medical treatment:
- Anti-depressants. These are sometimes prescribed by doctors for men with PE.
- Dapoxetine (Priligy). This was originally intended to be another anti-depressant but ended up becoming an approved medication in some countries.
- Tramadol. This is a strong painkiller, which seems to help some men with premature ejaculation. But there are serious concerns regarding side effects and dependency.
- Erectile dysfunction drugs. For some men, drugs like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) can help with ejaculation control.
- Herbal and other remedies. Often based on the traditional medicine of different cultures around the world. Sometimes the ingredients crop up in products sold online. But you can also ask a Chinese or Ayurvedic medicine practitioner for their recommendation.
Advantages of oral medication
- Some are proven in clinical trials to work, often adding several minutes to the lasting time.
- You can take them discreetly on an ongoing basis, so your partner doesn’t need to know about it.
- No techniques to practice – it’s an instant fix.
Potential issues
- They can cause side effects, some of which can be serious, including other types of sexual dysfunction.
- You need to get a prescription from your doctor for some of them.
- They won’t cure the problem, so you need to take them on an ongoing basis.
I can understand why oral medication will appeal to some men. I had some success with them personally, so I know they can help and with minimal effort.
But I also had some minor side effects when trying them. So I recommend weighing up the pros and cons carefully before taking any strong medication.
I recommend
Because I’m not a doctor, I don’t feel comfortable recommending medication. I think it’s a personal choice best discussed with a medical professional.
However, you can read about my experience of testing some of them below:
Useful articles
Tramadol for premature ejaculation
4. Other options
I’ve covered many of the main treatment choices above, but there are a couple of other options worth considering in addition to those.
Delay condoms
Delay condoms work on a similar principle to delay sprays and creams, but with even more desensitizing due to the condom itself.
Durex, Trojan and Pasante all make them, adding a little benzocaine to the inside of the condom, which will activate with body heat.
In my experience, they work well, but can cause erection loss and less pleasure due to the strong numbing effect.
I recommend
You can find Durex Performax and Trojan extended climax control in many pharmacies, adult stores and even some supermarkets.
Useful articles
Tips for using condoms without losing your erection
Fleshlight Stamina Training Unit
If you’re single or live alone, it might help to practice ejaculation control techniques with a sex toy. If nothing else, you’ll be more accustomed to intense physical stimulation when you next have sex.
I used the Fleshlight Stamina Training Unit and found it was helpful for perfecting the techniques in a relaxed way without worrying about my partner.
Honestly, you could use any sex toy for this purpose as long as you know how to do the start and stop method (see above). I recommend checking out Lovehoney.com as they have a fantastic range of sex toys to choose from. You can also read my review of the Fleshlight.
Master the art of oral sex
For me personally, improving the skill of oral sex was one of the best ways to deal with premature ejaculation, and to be a more rounded lover in general.
Getting better at this is as easy as learning some good techniques and then simply deciding to do it more, and do it better. Then no matter how long you last for during sex, you’ll always have a way to make your partner happy.
And if she, or you, find oral icky for whatever reason, get good with your fingers instead.
Read tips for giving a woman oral sex
Summary
For me personally, the key to overcoming premature ejaculation was to be willing to engage in a lot of trial and error.
There are many desensitizing products you can try, and they are available all around the world. And it’s easy to get hold of a guide to the behavioral techniques and start learning control naturally.
So really, you have the short-term and the long-term approach, which I think are equally important.
If you need something that will immediately improve your love life, you can use one of the temporary desensitizing options. And then start working on the problem naturally to see if you can stop it once and for all.