In the majority of cases, premature ejaculation is often resolved over time on its own without medical treatment. Using distraction methods and relaxation techniques could help you delay ejaculation. Other men have successfully treated their premature ejaculation by cutting down or completely stopping their use of recreational drugs, tobacco or alcohol.
Premature ejaculation can sometimes be temporary and simply get better on its own. In certain instances, having sex more often can help to address the problem, as can wearing a condom to reduce the sensitivity of the penis.
It can be helped by adopting certain positions and techniques during sex. Premature ejaculation is less likely to occur if you have sex with your partner on top. There is also the 'squeeze technique'. Your partner masturbates you then gently but firmly squeezes the head when you signal that you are about to orgasm. After about 10-20 seconds start again, repeating the process several times.
Your doctor or GP may recommend specific methods for you and your partner to practice to delay ejaculation. This could involve identifying the sensations that lead up to ejaculation and controlling them by communicating with each other to slow down or stop stimulation.
Other helpful options could be trying sexual intercourse in a different position or by using a delay condom (if you don’t already) to reduce the sensation to your penis. Behavioural therapy and counselling is also thought to be beneficial in reducing anxiety that could be causing your premature ejaculation.
Priligy (Dapoxetine) has been successfully used to prevent premature ejaculation and can prolong time to orgasm by 200 – 300%. Priligy comes in tablet form and is taken 1 – 3 hours before sex to give the desired effect. Up to 80% of those who take Priligy experience a longer ejaculation time.
There are also a variety of topical sprays, gels and creams – such as Emla – that are used to reduce sensation by being applied before intercourse. A downside to these particular medicinal treatments is that they, in addition to affecting your own sensation, can sometimes affect your partner’s too. Instructions with these treatments should be followed carefully to avoid this.
EMLA is an anaesthetic cream that is applied to the penis approximately 30 minutes before sex. It delays ejaculation in the majority men and is a popular treatment with minimal side effects.