Premature Ejaculation: Treatment Options to Help You Reclaim Your Sexual Health

Premature ejaculation can be frustrating, but what many men don’t know is that it’s also extremely common. At least 30% of males from ages 18-59 report experiencing premature ejaculation, not counting the men who haven’t sought treatment.

The good news is premature ejaculation is treatable, and today, multiple options can help. In this post, Alfred Shtainer, MD, FACS, reviews the basics of premature ejaculation, including why it happens and what he can do to help patients at Adult and Pediatric Urology manage their symptoms effectively.

The basics of premature ejaculation

Premature ejaculation is defined as ejaculation that happens sooner than desired by one or both partners. Often, ejaculation occurs with minimal stimulation, frequently before penetration or very soon thereafter.

Lots of factors can contribute to premature ejaculation, which is perhaps why it’s so common. Psychological factors, such as stress or relationship problems, can be involved, as can biological factors, including hormonal imbalances or high levels of neurotransmitter chemicals, which can result in heightened sensitivity.

Some men have both psychological and biological factors at play. Fortunately, finding the right treatment or combination of treatments can provide a dramatic improvement in sexual performance, sexual satisfaction, and confidence.

Treatment options for managing premature ejaculation

Treatment begins with a review of your symptoms, often accompanied by lab tests to help determine the underlying cause. Depending on your needs, Dr. Shtainer may recommend one or more of the following therapies.

Behavioral techniques

Behavioral techniques are used to “train” your body to delay ejaculation by interrupting stimulation at key moments. Two effective techniques include the “start-and-stop” method and the “pause-and-squeeze” technique. 

The first method focuses on stopping stimulation just before ejaculation, while the second technique uses gentle pressure to reduce arousal and sensation, providing an opportunity to regain control.

Topical anesthetics

Mild numbing agents help reduce penile sensitivity. Applied before intercourse, they can help prevent premature ejaculation associated with heightened sensitivity.

Antidepressant medications that can delay orgasm

Antidepressants that are part of a group of drugs known as selective serotonin reuptake inhibitors (SSRIs) can help control premature ejaculation. These medications target neurotransmitter chemicals, including neurotransmitters involved in ejaculation. 

Penile fillers to decrease sensitivity

Penile fillers use similar materials as dermal fillers that smooth out wrinkles. When injected into the penis, they create a temporary barrier that reduces sensitivity and, ideally, extends ejaculation time for men with sensitivity issues. 

Sex surrogacy

Also known as surrogate-assisted therapy, sex surrogacy is a type of therapy that helps people feel more comfortable with sex and sexual performance. This therapy involves working with both a sex surrogate and a doctor or psychotherapist to improve sexual functioning and enjoyment.

Solutions that work for you

There’s no denying that premature ejaculation can cause significant stress, but fortunately, it’s a condition that’s highly treatable. A personalized treatment plan that’s based on your unique medical history, preferences, and goals can help you enjoy greater sexual satisfaction and improved self-confidence. 

To learn how we can help, request an appointment online or over the phone with Dr. Shtainer and the team at Adult and Pediatric Urology in Manhattan, Brooklyn, and Queens, New York,  today.