Learn About Premature Ejaculation
Premature ejaculation is when a man has an orgasm sooner than desired during intercourse.
Premature ejaculation is a common symptom.
It is thought to be caused by psychological factors or physical problems. The condition often improves without treatment.
The man ejaculates before he would like (prematurely). This may range from before penetration to a point just after penetration. It may leave the couple feeling unsatisfied.
Practice and relaxation can help you deal with the problem. There are helpful techniques you can try.
The "stop and start" method:
This technique involves sexually stimulating the man until he feels like he is about to reach orgasm. Stop the stimulation for about 30 seconds and then start it again. Repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.
The "squeeze" method:
This technique involves sexually stimulating the man until he recognizes that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans meets the shaft) for several seconds. Stop sexual stimulation for about 30 seconds, and then start it again. The person or couple may repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.
Antidepressants, such as fluoxetine (Prozac) and other selective serotonin reuptake inhibitors (SSRIs), are often prescribed. These medicines can increase the time it takes to reach ejaculation.
You can apply a local anesthetic cream or spray to the penis to reduce stimulation. Decreased feeling in the penis may delay ejaculation. Condom use also may have this effect for some men.
Other medicines used for erectile dysfunction may help. Some studies show that using a combination of behavioral techniques and medicines may be most effective.
Evaluation by a sex therapist, psychologist, or psychiatrist may help some couples.
Francesco Montorsi practices in Milan, Italy. Mr. Montorsi is rated as an Elite expert by MediFind in the treatment of Premature Ejaculation. His top areas of expertise are Prostate Cancer, Bladder Cancer, Renal Cell Carcinoma (RCC), Prostatectomy, and Cystectomy.
Andrea Salonia practices in Milan, Italy. Ms. Salonia is rated as an Elite expert by MediFind in the treatment of Premature Ejaculation. Her top areas of expertise are Erectile Dysfunction (ED), Infertility, Premature Ejaculation, Prostatectomy, and Cystectomy.
Paolo Capogrosso practices in Varese, Italy. Mr. Capogrosso is rated as an Elite expert by MediFind in the treatment of Premature Ejaculation. His top areas of expertise are Erectile Dysfunction (ED), Premature Ejaculation, Infertility, Prostatectomy, and Aquablation.
In most cases, the man can learn how to control ejaculation. Education and practicing simple techniques are often successful. Chronic premature ejaculation may be a sign of anxiety or depression. A psychiatrist or psychologist can help treat these conditions.
If a man ejaculates very early, before entering the vagina, it may prevent a couple from getting pregnant.
A continued lack of control over ejaculation may cause one or both partners to feel sexually dissatisfied. It may lead to sexual tension or other problems in the relationship.
Contact your provider if you are having a problem with premature ejaculation and it does not get better using the methods described above.
There is no way to prevent this disorder.
Summary: The goal of this clinical trial is to learn if drug BP1.4979 works to treat primary premature ejaculation in adults. It will also learn about the safety of drug BP1.4979. The main questions it aims to answer are: * Does drug BP1.4979 increase the time to ejaculation during sexual intercourse? * Do participants have a good safety and tolerability of drug BP1.4979? Researchers will compare drug BP1....
Summary: Considering the compelling amount of studies focused on patients in the active phase of COVID-19 disease and the scarcity of studies focused on patient cured from disease aimed at evaluating the sequelae of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection, the purpose of the study is to investigate, in patients recovered from COVID-19 disease: 1) whether SARS-CoV-2 infection ...
Published Date: January 01, 2025
Published By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Bhasin S, Davis SR. Sexual function and dysfunction. In: Melmed S, Auchus RJ, Goldfine AB, Rosen CJ, Kopp PA, eds. Williams Textbook of Endocrinology. 15th ed. Philadelphia, PA: Elsevier; 2025:chap 18.
McMahon CG. Disorders of male orgasm and ejaculation. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 71.
Shafer LC. Sexual disorders and sexual dysfunction. In: Stern TA, Wilens TE, Fava M, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 3rd ed. Philadelphia, PA: Elsevier; 2025:chap 34.