How to treat premature ejaculation?

Question

Hello doctor,

I have come to seek your guidance on an issue of sexual health. I have been having the problem of very early ejaculation. The moment that sexual intercourse starts, I ejaculate almost immediately. This is worrying me, and I need your guidance.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

What you are describing is consistent with premature ejaculation, which is very common in young men and is usually treatable.

The following can all contribute to premature ejaculation. It occurs almost immediately after sexual activity starts.

Anxiety.
Overexcitement.
Stress.
Frequent masturbation patterns.
Pornography conditioning.
Increased penile sensitivity.

The good news is that many men improve significantly with the right combination of techniques and treatment.

But do not worry. Several measures are available that can be very helpful to you. The measures include:

The start-stop technique means pausing when you feel close, letting intensity come down a little, then continuing.

The squeeze technique (apply firm, brief pressure to the head of the penis until the urge to ejaculate passes, then pause and resume stimulation to build stamina and control).

Slowing stimulation.
Using condoms to reduce sensitivity.
Regular exercise.
Stress reduction.
Pelvic floor exercises in moderation.
Avoid focusing too much on performance, because anxiety itself often worsens the problem.

Medications such as Dapoxetine 30 mg, taken about 1 hour before intercourse, are commonly used to help delay ejaculation temporarily in suitable patients under medical guidance. Some men also benefit from delay sprays or creams when used carefully.

Do you also have difficulty maintaining an erection, or is the main issue only early ejaculation?

I hope this helps you.

Thank you.