Premature Ejaculation is a sexual disorder where a man ejaculates sooner than desired during sexual activity, leading to distress and dissatisfaction. It is a common condition that affects a significant number of men, with estimates suggesting that it affects around 1 in 3 men at some point in their lives.

You can try taking Dapoxetine, sold under the name, Priligy for ED but if you do sexual intercourse must be planned one to three hours in advance, so you lose the satisfaction of enjoying spontaneous sex with your partner which can be a bit of a let-down for both of you, plus you must not drink alcohol when using this drug.

You should also be aware that Priligy is not a cure and will only work when you take it. You must not use this drug if you are over 65-years of age, or take it if you have heart disease, issues with blood clotting, or tend to faint. This is because more serious side effects can occur. Some men may also suffer from nasty side effects such as nausea, dizziness, headache, and diarrhoea.

There are additional medicines that interact with Priligy so you should always check with your GP before taking it especially if you take any type of antidepressants, blood thinners, medicine for kidney or liver conditions, and if you are prone to excessive dehydration.

Alternatively, you can try paroxetine, you may find this sold under the brand name Paxil^®. With this treatment you may need to take a daily pill to have spontaneous sex and it may take some weeks for the pills to become fully effective, so please do not expect an instant solution. You can also take the pill one to three hours before planning sexual intercourse and like Priligy there are numerous side effects that you should be aware of and take into consideration before trying it.

Another alternative is Sertraline is sold under a brand name Zoloft. Like Paxil it can be taken over several weeks for spontaneous sex, but just one several hours before planned sexual intercourse. Because of the usual side effects from taking Zoloft continuously, it is better to take it as and when needed unless you are having intercourse every day and can cope with nausea, dizziness, and headache.

Finally, you can try Fluoxetine, more commonly known as Prozac and normally used to treat depression, obsessive compulsive disorder and bulimia. We do not recommend that you try this solution to your PE problems

Bearing all these negative issues with medication for treating PE you may prefer to try another option.

Although delay sprays and wipes are quite inexpensive and can take effect quickly, there are a number of drawbacks to using them. They may not always be suitable for spontaneous sexual intercourse as you may have to interrupt foreplay to use them and explain to your partner why you are using them.

Usually, wipes and sprays only take a few minutes to work. Wipes and sprays are meant only for use on the head of your penis so that you can have sensation in the shaft of your penis which has the most nerve endings. Unfortunately, this will reduce the sensation that you usually enjoy during intercourse quite significantly, diminish your sexual satisfaction and therefore you may find their use unsatisfactory. The liquids used to de-sensate your penis can also transfer to your partners vagina causing irritation and embarrassment.

There are also a number of side effects from using delay sprays and wipes depending on their brand name, these include headaches, light-headedness, heart rate issues, redness, irritation, and itching. If you experience any of these problems, you should stop using them immediately and speak to your GP.

And it is important to remember that you should only use delay sprays and wipes as a temporary solution to your PE problem. It is much better to find a long-term solution with none of the unsatisfactory side-effects.

It’s difficult say how many people have benefited from sex therapy because there has hardly been any good-quality research in this area.

First of all, you will need to find a qualified sex therapist who you are comfortable talking to, not just on your own but preferably with your partner as well.

Once found, they will start by looking at any potential psychological causes of your premature ejaculation while simultaneously examining its psychological effects as well as problems such as personal self-doubt or relationship conflicts.

Depending on the extent of your premature ejaculation problem the aim of the sex therapist you deal with will vary. They will look at different issues and how they can be dealt with. For example:

• Ascertaining and overcoming any thoughts that might be leading to your premature ejaculation problem.
• Giving you as well as your partner increased self-confidence to reduce anxiety.
• Looking at more ways that you and your partner can be intimate together without intercourse allowing you to increase satisfaction in your love life and placing less emphasis on worrying about penetration and premature ejaculation.
• Finding obstacles to intimacy in the relationship, allowing you to grow closer.
• Solving any conflicts in the relationship that lead to problems with intimacy and premature ejaculation.

Sex therapy can have unwanted and unexpected side effects. Previously unknown conflicts between you and your partner might emerge or get worse. Ideally, you will need to embark on a frank and open discussion with your partner about your premature ejaculation and any other sex or relationship problems with your partner before embarking on a course of treatment.

There are other solutions to overcoming premature ejaculation which do not involve discussing your problems in minute detail with someone else. If this exposure to discussing intimacy with a sex therapist along with your partner worries you, you may find it better to look at an alternative solution.

The Stop Start Method is one of two behavioural therapy exercises used to help build tolerance and delay ejaculation. The aim is to train your body to overcome Premature Ejaculation.

With the Stop Start Method you engage in intercourse or masturbation until just before having an orgasm and then stop until the urge to come goes away. You repeat this a number of times until you learn what tips you over into orgasm and learn to control yourself so that you can postpone your ejaculation until you want to climax. You will need to practice this method for several weeks before gaining more control. However, if you master this method using masturbation you may find that you lose control during sexual intercourse.

Alternatively, you can try the Squeeze Technique. This involves masturbating or engaging in sexual intercourse until you are close to ejaculation and then putting a gentle squeeze on the head of your penis for ten to twenty seconds with your thumb and index finger at the point where the head joins the shaft and wait until the urge to ejaculate goes away. If engaging in sexual intercourse your partner can do this. You then repeat this several times until you want too climax.

Like the Stop Start Method the aim is to learn to control and postpone your ejaculation until you want to come.

How Effective are the Stop Start Method and the Squeeze Technique?

Unfortunately, there is has been no quality research undertaken to ascertain how each method has helped to reduce premature ejaculation. There is only anecdotal evidence and the results have varied according to many reasons including the severity of the premature ejaculation problem.

However, in one very small study both the Stop Start Method and the Squeeze Technique increased the time it took until climax was achieved by a couple of minutes after twelve weeks of training.

We believe that there are more efficient ways of delaying ejaculation that you should investigate.

Transcutaneous Electrical Nerve Stimulation (TENS) is an electronic device used to stimulate directly to your penis.

To use it you place pads on your penis which contain electrodes. These transmit pulses of electric energy to your penis, usually about 20 Hertz although you can turn this down to 10 Hertz or if you need additional stimulation and have a high tolerance to the burst of electrical energy, up to 50 Hertz.

You can use a TENS several times a week for several months to train yourself to overcome Premature Ejaculation. They units can be purchased online although we recommend that you deal directly with a competent doctor or clinician who will show you how to strengthen your pelvic floor muscles with one of the units.

Some research suggests TENS electrodes may possibly cause problems with transdermal drug delivery where the pads are placed (or near the area). However, biggest risk is from dermatitis in the areas the pads are placed due to an allergic reaction from the adhesive materials used to affix them.

With certain medical conditions and medicinal drug use you should not use a TENS machine. That is why we recommend you see a doctor before using this electronic device.

You may also prefer not to have electrodes attached to your penis, in which case use of Functional Magnetic Stimulation and the TESLA Chair would be a more comfortable solution.

Selective Dorsal Neurectomy (SDN) is an invasive penile surgery which may be recommended by surgeons for patients with lifelong Premature Ejaculation problems that have not been overcome by most other treatment options.

It has been found that the dorsal penile nerve branches of patients suffering with lifelong Premature Ejaculation are more and thicker than those of none-sufferers, so surgery is undertaken under local anaesthetic to cut off the thicker dorsal nerves.

First of all, a circumcision incision is made to expose the middle part of the penis completely as shown in the illustration above. Then cuts are made to expose the dorsal penile nerves and the larger ones are cut out.

After this has been completed the exposed area is sewn up.

Some complications from SDN are recurrence of PE, pain, risk of damage to the spinal cord, a loss of sensation during sexual intercourse, Erectile Dysfunction (ED), scarring, and penile curvature. There are very few surgeons qualified to undertake the procedure and if you find a surgeon in the UK or overseas who has the necessary experience you will find that the cost will be about £4,500.

We believe that there are better, non-invasive options that Premature Ejaculation sufferers should try before embarking on this expensive and possible life-changing penile surgery.

Cryoablation is a medical procedure used primarily to treat medical conditions, including certain types of cancer and abnormal tissue growth. The technique involves using extremely cold temperatures to freeze and destroy targeted tissues. To overcome Premature Ejaculation, cryoablation focuses on the nerves responsible for ejaculatory control and targets the dorsal penile nerve, which plays a crucial role in ejaculatory control.

The procedure is typically performed on patients under local anaesthetic. A probe is inserted into the perineum or near the base of the penis delivering controlled cold temperatures to freeze and disrupt the nerve pathways responsible for PE.

Radiofrequency therapy involves targeting the nerves and tissues responsible for ejaculatory control. Like cryoablation, the procedure is performed under local anaesthetic, with a specialised probe applied to the targeted area to deliver radiofrequency energy.

Both Cryoablation and Radiofrequency are minimally invasive procedures that do not require surgical incisions, reducing the risks associated with traditional surgical interventions, and most patients can resume their normal activities shortly after treatments.

However, they are  still a relatively experimental treatment option for PE and there is limited scientific research and clinical data available to confirm their long-term efficacy and safety. Some research has found that Cryoablation can increase the time before ejaculating during sexual intercourse from one to four minutes one week after treatment.

However, the effects of the treatment can wane. After three months the length of time before ejaculating may only be three minutes and after 12-months just 90-seconds.

Additionally, cryoablation carries the risk of side effects, including pain, swelling, potential damage to nearby tissues and even Erectile Dysfunction.

As a result, we recommend patients with Premature Ejaculation problems seek treatment not requiring local anaesthetic or those providing longer term solutions to their problems.

Hyaluronic Acid (HA) gel penile injection are being proposed as a promising treatment for Premature Ejaculation. The proponents of the treatment say that it remains effective for up to five years following treatment.

HA is a naturally occurring substance found in the human body, primarily in the skin, joints, and eyes. It is known for its ability to retain moisture and provide volume.

HA injections for premature ejaculation involve the injection of a small amount of the substance into the head of the penis. This is done under local anaesthetic a number of times after the foreskin is rolled back and exposed. The idea behind the treatment is that HA can provide the volume (as mentioned above) and thickness to the penis, potentially reducing nerve sensitivity and delaying ejaculation during sexual intercourse.

The use of hyaluronic acid injections to treat premature ejaculation is still relatively new, and more research is needed to establish the safety and effectiveness of this therapy. You may be put off it just recognising the pain you may feel even under local anaesthetic having a needle inserted in the sensitive head of your penis several times.

Some patients have reported swelling and/or bruising after the treatment, while others have complained of a pimple effect across the head of their penis at the points where the hyaluronic acid injections were made.

We recommend that you explore a less invasive approach to your PE problems.

The Inner Condom Technique is a relatively new and innovative approach to managing premature ejaculation. The method involves the use of an inner condom to reduce sensitivity and prolong sexual intercourse.

How does it work? By surgery, an inner condom made of Acellular Dermal Matrix (ADM) is transferred to the subcutaneous pocket of the penis. ADM is a thin, leathery, light-coloured material made up of dermis (living tissue) derived from cadaver human, animal or bovine collagen tissue which has been specially treated for the procedure.

While this surgical intervention can increase the time it takes to ejaculate from less than 60-seconds to around two and a half minutes patients will need to wait six weeks after surgery before resuming sexual activity.

While the Inner Condom Technique may be a viable option for some couples, it’s essential to consider the following. It is important to discuss this with your partner to ensure both of you are comfortable with the procedure. Also, the effectiveness of this technique may vary from person to person. It may not work equally well for everyone and there is likely to be a reduction in sensation.

Given the novel surgical nature of this technique problems after the surgery are still being found. There is a risk that the implant may break plus the procedure cannot be undone once completed. Additionally, there is the issue of having to wait six weeks after treatment before resuming sexual intercourse. Thus, we believe that more satisfactory non-invasive therapies may be best for you.

The Tesla Chair is a device developed by Dr. George Tesla, a urologist, and inventor. It operates on the principle of electromagnetic therapy and is designed to deliver targeted electromagnetic pulses to the pelvic region. These pulses stimulate and modulate the nerves and muscles involved in ejaculation control, with the goal of increasing ejaculatory latency and improving overall ejaculatory control.

While the Tesla Chair using Functional Magnetic Stimulation (FMS) is a relatively new treatment for Premature Ejaculation hundreds of men have benefited from the therapy to overcome Erectile Dysfunction and PE after failing to overcome their problems with other treatments and therapies.

The TESLA Chair has gained significant acclaim within the medical community for its pioneering role in pain management, urinary incontinence, and the treatment of ED and PE, successfully providing innovative solutions that could not been met by conventional methods and thus benefited thousands of individuals.

In a 2020 research article published in the Minia Journal of Medical Research, the authors observed a substantial improvement in erectile function, orgasmic function, intercourse satisfaction, and overall satisfaction following treatment with the TESLA Chair. This empirical evidence underscores the chair’s effectiveness in enhancing various aspects of sexual health and well-being. (1)

Benefits of the Tesla Chair and FMS for PE include:

It’s Non-invasive: The Tesla Chair is a non-invasive procedure that does not require surgical incisions. Neither does it require direct contact with your skin, you can sit on the Tesla chair fully clothed.

There is Minimal Discomfort: Patients usually report minimal discomfort during the treatment sessions.

It’s Powerful: You would have to undertake a lifetime of pelvic floor exercises to equal the effects the Tesla Chair will deliver in a few 30-minute sessions.

We believe that the Tesla Chair in combination with our other breakthrough technologies will help you overcome your Premature Ejaculation problems.

(1) MJMR RESEARCH

Kegel exercises are a series of pelvic floor muscle exercises initially developed by Dr. Arnold Kegel in the 1940’s to treat urinary incontinence. Since then, they have been recognised as providing benefit in overcoming other sexual issues, including premature ejaculation.

Kegel exercises primarily target the pelvic floor muscles, which are responsible for supporting the bladder and controlling the release of semen during ejaculation. By strengthening their pelvic floor muscles, many men gain better control over their ejaculatory reflex.

Here’s how to perform Kegel exercises for premature ejaculation. First of all, identify your Pelvic Floor Muscles. To do this, try stopping the flow of urine mid-stream. The muscles you use to do this are your pelvic floor muscles.

Perform the Exercises: Contract and hold your pelvic floor muscles for 3-5 seconds, then release. Repeat this contraction and relaxation 10 to 20 times, three times a day.

 As you become more comfortable with the exercises you should try to increase the intensity of them, try to hold the contractions for a longer time and increase the number of repetitions from 20 to 30 times or more.

Gradually, you should see an improvement in your ability to delay ejaculation, providing better control during sexual activity and you and your partner should experience increased sexual satisfaction and intimacy.

While Kegel exercises offer potential benefits in addressing premature ejaculation, it’s important to maintain the consistency of your exercises. Be patient and persistent.

Kegel exercises offer a natural and non-invasive approach to improving control over ejaculation, however, results usually vary among men depending on their age, the severity of their conditions and medical and psychological factors.

Consulting a healthcare professional or therapist may provide you with valuable guidance and support on the best course of action for your specific needs.

We recognise the difficulties of getting up to speed with Kegal exercises, that’s why one of the therapies we provide is the use of the Tesla chair as it enables you to undertake a lifetime of pelvic floor exercises to equal the effects the Tesla Chair will deliver in a few 30-minute sessions.

Functional Magnetic Stimulation (FMS) has become an effective stimulation therapy for Premature Ejaculation and has many advantages that help overcome men’s PE problems. The FMS pulses generated by the device create magnetic fields deep inside the body that stimulate muscles and cause the muscles of the pelvic floor to contract without the need for any direct electrode contact. The magnetic fields pass through clothes, tissue, and bone on the way to otherwise inaccessible areas.

FMS treatment increases the strength and endurance of the pelvic floor muscles. Furthermore, in combination with Kegel exercises, the Tesla chair and our other therapies, men learn how to properly perform exercises that strengthen their pelvic muscles, providing effective long-term strengthening of a weakened pelvic floor and allowing them to control ejaculation and improve sexual satisfaction.

Premature Ejaculation can be a temporary or chronic condition. With appropriate treatment, many men experience significant improvement or resolution of symptoms.

Yes, anxiety is a common psychological factor that can contribute to Premature Ejaculation. Feelings of performance anxiety, stress, or nervousness can disrupt the normal ejaculatory response and lead to early ejaculation.

It is advisable to seek professional help for Premature Ejaculation if it causes distress, affects your sexual satisfaction, or creates difficulties in your relationships.

in ejaculation control. By enhancing the strength and endurance of these muscles, men can gain better control over their ejaculatory reflex, potentially improving Premature Ejaculation symptoms.

The timeline for seeing results from pelvic floor muscle exercises can vary among individuals. Some men may experience improvements within a few weeks of consistent exercise, while others may require a longer period of time. Generally, it’s important to be patient and maintain a regular exercise routine for lasting benefits. You can accelerate the improvement by using the regime created by MansMatters that allows you to undertake an astonishing 28,500 pelvic floor exercises within a 30-minute session.

Yes, pelvic floor muscle exercises can have additional benefits for sexual health. Strengthening these muscles can lead to improved erectile function, increased sexual stamina, enhanced orgasm control, and potentially even heightened sexual pleasure for both the individual and their partner.