Premature ejaculation is happening - #11582

Your condition is common and reversible. Start with behavioral techniques + topical spray, continue lifestyle measures. If insufficient, safe medications under medical supervision work very well. Confidence will return gradually.

So I can’t prescribe any medicine here without having counselling with you. Need interaction.

1. Premature ejaculation is common at your age and usually linked to oversensitivity, anxiety, or performance pressure.

2. Medicines like selective SSRIs (e.g. paroxetine, sertraline) or topical anesthetic sprays/creams can delay ejaculation, but they should only be taken after a doctor’s prescription.

3. Behavioral techniques such as the stop-start or squeeze method, and pelvic floor strengthening (Kegel exercises), are very effective in gaining control.

4. Lifestyle measures like reducing stress, avoiding excess masturbation, and limiting alcohol or smoking help improve sexual stamina.

5. Using condoms, especially thicker ones or desensitizing condoms, can reduce sensitivity and prolong intercourse.

6. Since this problem is causing distress, it is best to consult a urologist or sexologist who can guide you on safe medicines tailored for you.

Hello ANZAR, No need to be worried. Most importantly, discuss the situation with your partner.

Try these approaches for better timing: 1. Use a LUBRICANT with anesthesia property 2. Use a lubricated lidocaine CONDOM 3. Do roleplay before penetration, don’t rush for it. 4. Keep your mind calm and relaxed. 5. Exercise daily 6. Maintain healthy diet

All the best ! Take care

Premature ejaculation is a common and treatable concern. Medicines sometimes used include SSRIs (like paroxetine, sertraline, dapoxetine) and topical anesthetic sprays/gels to reduce sensitivity, but these should be started only under a doctor’s supervision because they need correct dosing and may have side effects. I strongly recommend you consult a urologist or sexologist, who can guide you on safe medicines, behavioral techniques (start–stop, squeeze method), and lifestyle changes for better control.

Premature ejaculation affects many men, and it’s understandable to seek solutions. Medications can indeed help manage it, but it’s crucial to approach this holistically. Prescription medications like selective serotonin reuptake inhibitors (SSRIs) such as paroxetine, sertraline, or fluoxetine can be prescribed by a doctor and may help prolong ejaculation time when taken daily. Another option is a topical anesthetic, such as lidocaine-prilocaine cream, which can be applied to the penis before intercourse to reduce sensitivity. Delay sprays and creams work by numbing the skin, but it’s essential to follow instructions carefully to avoid excessive numbness or transferring it to your partner. Over-the-counter supplements are also marketed for this issue, but their efficacy and safety aren’t reliably established, unlike regulated medication. Beyond medications, consider behavioral techniques. The “stop-start” method or “squeeze” technique, which involves pausing stimulation to reduce excitement and then resuming, can gradually increase your control. Additionally, incorporating pelvic floor exercises can help strengthen muscles related to ejaculation control. Counseling or therapy may be beneficial, especially if anxiety or other psychological factors contribute. Consultation with a healthcare provider would ensure you explore the most suitable and safe options based on individual needs. Self-medicating without professional guidance isn’t advisable. Managing partner communication and ensuring mutual understanding is also important, to reduce pressure and anxiety surrounding sexual encounters.